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使用动作捕捉相机系统和带状内镜固定器评估胃肠道内镜检查中的姿势稳定性。

Assessing Postural Stability in Gastrointestinal Endoscopic Procedures with a Belt-like Endoscope Holder Using a MoCap Camera System.

作者信息

Durič Tadej, Hejda Jan, Volf Petr, Sokol Marek, Kutílek Patrik, Hajer Jan

机构信息

3rd Medical Faculty, Charles University, Ruska 2411, 100 00 Prague, Czech Republic.

Faculty Biomedical Engineering, Czech Technical University, Namesti Sitna 3105, 272 01 Kladno, Czech Republic.

出版信息

J Pers Med. 2024 Nov 30;14(12):1132. doi: 10.3390/jpm14121132.

DOI:10.3390/jpm14121132
PMID:39728046
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11677648/
Abstract

As musculoskeletal injuries in gastroenterologists related to the performance of endoscopic procedures are on the rise, solutions and new approaches are needed to prevent these undesired outcomes. In our study, we evaluated an approach to ergonomic challenges in the form of a belt-like endoscope holder designed to redistribute the weight of the endoscope across the whole body of the practitioner. The aim of the study was to determine how the use of this holder affected the body posture of practitioners during endoscopy. We designed a special endoscopic model that emulates basic endoscopic movement and maneuvers. With the use of the MoCap camera system, we recorded experienced endoscopists exercising a standardized set of tasks with and without the holder. Following video and statistical analyses, the most significant differences were observed in the position of the left arm which pointed to a more relaxed arm position. The ergonomic benefits of the belt holder in this model merit testing in the clinical setting to evaluate its effectiveness and prevention of musculoskeletal injuries in GI endoscopy.

摘要

由于胃肠病学家在内镜检查操作过程中发生的肌肉骨骼损伤呈上升趋势，因此需要解决方案和新方法来预防这些不良后果。在我们的研究中，我们评估了一种应对人体工程学挑战的方法，即采用一种类似腰带的内窥镜固定器，旨在将内窥镜的重量重新分配到从业者的全身。该研究的目的是确定使用这种固定器如何影响从业者在内镜检查过程中的身体姿势。我们设计了一个特殊的内窥镜模型，模拟基本的内窥镜移动和操作。通过使用动作捕捉摄像系统，我们记录了经验丰富的内镜医师在使用和不使用固定器的情况下执行一组标准化任务的情况。经过视频和统计分析，观察到最显著的差异在于左臂的位置，这表明手臂位置更加放松。该模型中腰带固定器的人体工程学益处值得在临床环境中进行测试，以评估其在胃肠内镜检查中预防肌肉骨骼损伤的有效性。

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