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印度执业整形外科医生中与工作相关的肌肉骨骼疾病:一项横断面调查。

Work-Related Musculoskeletal Disorders among Practicing Plastic Surgeons in India: A Cross-Sectional Survey.

作者信息

Marathe Aditya B, Bamnodkar Piyush V, Karanjkar Ankur S, Sahasrabudhe Parag B, Panse Nikhil S

机构信息

Department of Plastic & Reconstructive Surgery, Byramjee Jeejeebhoy Government Medical College, Pune, Maharashtra, India.

出版信息

Indian J Plast Surg. 2025 Jan 31;58(4):276-284. doi: 10.1055/s-0045-1802328. eCollection 2025 Aug.

Abstract

INTRODUCTION

Work-related musculoskeletal disorders (WRMDs) are a less discussed entity in the medical profession, with surgical specialties being more prone to them. Little is known about these types of injuries in plastic surgeons specifically. Data on WRMDs among Indian plastic surgeons are lacking. The goals of this study were to evaluate the prevalence, nature, particular contributory causal factors and behaviors, and potential remedies of these musculoskeletal injuries among plastic surgeons in India.

MATERIALS AND METHODS

An online voluntary survey was conducted among plastic surgeons in India, collecting their demographics, workload characteristics, musculoskeletal issues, causal factors, and corrective measures, taken using Google Forms. Data were extracted into an MS Excel spreadsheet and analyzed. The prevalence of WRMDs was calculated and the predictors were evaluated with a univariate analysis.

RESULTS

Thirty-three percent of 297 respondents had work-related musculoskeletal injuries or disorders, with the majority experiencing pain (82%), with the neck being the most common site (61%); this was followed by stiffness (61%) and fatigue (52%). The most common causative factors were sustained posture (81%), awkward posture (72%), and inadequate breaks (34%). Age (  = 0.041) and average operative hours per week (  = 0.036) were found to be statistically significant (  < 0.05). The corrective measures cited were stretching exercises, core-strengthening exercises, maintaining proper posture, taking frequent breaks, and yoga.

CONCLUSION

Plastic surgeons are at high risk of WRMDs, with a significant prevalence in India. Albeit plastic surgeons in India face a higher case load, implementation of ergonomic principles can help in reducing the incidence of these disorders and in preventing the severity of sequelae.

摘要

引言

工作相关的肌肉骨骼疾病(WRMDs)在医学界较少被讨论,外科专业更容易患这类疾病。对于整形外科医生中这类损伤的了解尤其少。印度整形外科医生中关于WRMDs的数据缺乏。本研究的目的是评估印度整形外科医生中这些肌肉骨骼损伤的患病率、性质、特定的促成因素和行为以及潜在的补救措施。

材料与方法

在印度的整形外科医生中进行了一项在线自愿调查,使用谷歌表单收集他们的人口统计学信息、工作量特征、肌肉骨骼问题、因果因素和纠正措施。数据被提取到一个MS Excel电子表格中并进行分析。计算WRMDs的患病率,并通过单变量分析评估预测因素。

结果

297名受访者中有33%患有与工作相关的肌肉骨骼损伤或疾病,大多数人经历疼痛(82%),颈部是最常见的部位(61%);其次是僵硬(61%)和疲劳(52%)。最常见的致病因素是持续姿势(81%)、别扭姿势(72%)和休息不足(34%)。发现年龄(P = 0.041)和每周平均手术时长(P = 0.036)具有统计学意义(P < 0.05)。提到的纠正措施有伸展运动、核心强化运动、保持正确姿势、频繁休息和瑜伽。

结论

整形外科医生患WRMDs的风险很高,在印度患病率显著。尽管印度的整形外科医生面临更高的病例量,但实施人体工程学原则有助于降低这些疾病的发生率并预防后遗症的严重程度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f5b/12396875/e74c5cadf24c/10-1055-s-0045-1802328-i2462916-1.jpg

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