Jacey Elliott B S, Acharya Pawan, Queimado Lurdes, Zhao Daniel, Greene Wesley, Krempl Greg, Mhawej Rachad
Departments of Otolaryngology The University of Oklahoma Health Sciences Center Oklahoma City Oklahoma USA.
Biostatistics & Epidemiology The University of Oklahoma Health Sciences Center Oklahoma City Oklahoma USA.
Laryngoscope Investig Otolaryngol. 2025 Jan 29;10(1):e70083. doi: 10.1002/lio2.70083. eCollection 2025 Feb.
Musculoskeletal symptoms are common among surgical staff and can have long-term implications on health and wellbeing. The purpose of this study is to evaluate the impact of anti-fatigue floor mat on the comfort level of surgical teams during head and neck surgeries lasting ≥ 3 h.
Over 4 months, we prospectively randomized 34 major (≥ 3 h) head and neck procedures to the use or not of an anti-fatigue floor mat. Anonymous questionnaires measured the comfort levels in different subjects including the surgeons, assistant surgeons, and surgical scrub technicians ( = 57). Subjects completed questionnaires before, immediately after, and one day after surgery. Variables collected included demographics, overall discomfort level, overall energy level, discomfort level in different body parts, number of breaks taken during the case, time since last physical exercise, and frequency of physical exercise. The analysis of variance (ANOVA) technique was used for data analysis.
The group that used anti-fatigue floor mats reported lower increases in discomfort from pre-op to immediately post-op and 24 h post-op compared to the group that did not ( = 0.009 and < 0.001). Participants who used the mats reported significant lower levels of pain in the ankles and feet, knees, and shoulders immediately post-op compared to participants who did not. Participants who used the mats reported lower increases in discomfort in their back, hips, knees, neck, and shoulders from pre-op to post-op.
Using anti-fatigue floor mats during surgery is an effective and low-cost intervention to decrease the musculoskeletal symptoms experienced by the surgical team.
肌肉骨骼症状在外科工作人员中很常见，可能对健康和幸福产生长期影响。本研究的目的是评估抗疲劳地垫对持续时间≥3小时的头颈外科手术期间手术团队舒适度的影响。
在4个多月的时间里，我们前瞻性地将34例主要的（≥3小时）头颈手术随机分为使用或不使用抗疲劳地垫两组。匿名问卷测量了包括外科医生、助理外科医生和手术刷手技术员（n = 57）在内的不同受试者的舒适度。受试者在手术前、手术后立即和手术后一天完成问卷。收集的变量包括人口统计学信息、总体不适程度、总体能量水平、不同身体部位的不适程度、手术期间的休息次数、上次体育锻炼后的时间以及体育锻炼频率。采用方差分析（ANOVA）技术进行数据分析。
与未使用抗疲劳地垫的组相比，使用抗疲劳地垫的组在术前到术后立即以及术后24小时的不适增加程度较低（P = 0.009和P < 0.001）。与未使用地垫的参与者相比，使用地垫的参与者在术后立即报告脚踝和脚部、膝盖和肩膀的疼痛程度明显较低。使用地垫的参与者报告从术前到术后背部、臀部、膝盖、颈部和肩膀的不适增加程度较低。
手术期间使用抗疲劳地垫是一种有效且低成本的干预措施，可减少手术团队经历的肌肉骨骼症状。
2级。
