Efficacy of musculoskeletal injuries among endoscopists and the impact of variables spent on procedures

Main Article Content

Rohit Rathore
Ranjana Singh

Keywords

Endoscopy, Musculoskeletal injuries

Abstract

According to previous research, endoscopists often suffer from musculoskeletal injuries (MI). There is little evidence from many nations. Endoscopists often experience physical stress, which may cause musculoskeletal issues. Work-related musculoskeletal diseases have gained attention due to the growing complexity of interventional endoscopy and the lengthened examination times. Data on endoscopists' health stress at work, however, is hard to come by. Therefore, the aim of this research was to look at the effects and incidence of work-related musculoskeletal problems among endoscopists. The purpose of the research was to evaluate, in a nationally representative population, the incidence of self-reported endoscopy-related injuries, injury patterns, and endoscopist awareness of prevention interventions. A questionnaire on musculoskeletal illnesses related to endoscopy and standardised pain evaluation was created and data was collected from endoscopic staff of multispecialty hospital in national capital region.
Relevant risk variables for musculoskeletal health problems have been identified as being age, professional experience, and work hours. The findings revealed that the participants had a mean professional experience of 21.0 years and had an average daily working time of 8.2 hours in the endoscopic facilities. The dominant hand utilised in endoscopic operations is the right hand (n = 134; 89.33%) rather than the left (n = 9; 6%). Due to certain working postures and repeated actions that have a significant negative influence on one's health, a big percentage of endoscopists suffer from musculoskeletal problems. To enhance the prevention of risk of the endoscopic activity, further interventional investigations are necessary.

Abstract 264 | PDF Downloads 174

References

1. Angtuaco, T. L., Oprescu, F. G., Lal, S. K., Pennington, J. H., Russell, B. D., Co, J. M., & Howden, C. W. (2003). Universal precautions guideline: self-reported compliance by gastroenterologists and gastrointestinal endoscopy nurses—a decade's lack of progress. The American journal of gastroenterology, 98(11), 2420-2423.
2. Banerjee, S., Shen, B., Nelson, D. B., Lichtenstein, D. R., Baron, T. H., Anderson, M. A., ... & Stewart, L. E. (2008). Infection control during GI endoscopy. Gastrointestinal endoscopy, 67(6), 781-790.
3. Byun, Y. H., Lee, J. H., Park, M. K., Song, J. H., Min, B. H., Chang, D. K., ... & Sung, I. K. (2008). Procedure-related musculoskeletal symptoms in gastrointestinal endoscopists in Korea. World Journal of Gastroenterology: WJG, 14(27), 4359.
4. Cappell, M. S. (2010). Injury to endoscopic personnel from tripping over exposed cords, wires, and tubing in the endoscopy suite: a preventable cause of potentially severe workplace injury. Digestive diseases and sciences, 55(4), 947-951.
5. Cappell, M. S. (2011). Accidental occupational injuries to endoscopy personnel in a high-volume endoscopy suite during the last decade: mechanisms, workplace hazards, and proposed remediation. Digestive diseases and sciences, 56(2), 479-487.
6. Cohen, L. B., Wecsler, J. S., Gaetano, J. N., Benson, A. A., Miller, K. M., Durkalski, V., &Aisenberg, J. (2006). Endoscopic sedation in the United States: results from a nationwide survey. Official journal of the American College of Gastroenterology| ACG, 101(5), 967-974.
7. Cromie, J. E., Robertson, V. J., & Best, M. O. (2000). Work-related musculoskeletal disorders in physical therapists: prevalence, severity, risks, and responses. Physical therapy, 80(4), 336-351.
8. Ende, A. R., De Groen, P., Balmadrid, B. L., Hwang, J. H., Inadomi, J., Wojtera, T., ... &Korman, L. (2018). Objective differences in colonoscopy technique between trainee and expert endoscopists using the colonoscopy force monitor. Digestive diseases and sciences, 63(1), 46-52.
9. Epstein, S., Sparer, E. H., Tran, B. N., Ruan, Q. Z., Dennerlein, J. T., Singhal, D., & Lee, B. T. (2018). Prevalence of work-related musculoskeletal disorders among surgeons and interventionalists: a systematic review and meta-analysis. JAMA surgery, 153(2), e174947-e174947.
10. Hansel, S. L., Crowell, M. D., Pardi, D. S., Bouras, E. P., &DiBaise, J. K. (2009). Prevalence and impact of musculoskeletal injury among endoscopists: a controlled pilot study. Journal of clinical gastroenterology, 43(5), 399-404.
11. Keate, R. F., Dryden, G. W., Wang, K., & Chen, Y. K. (2006). Occupational injuries to endoscopists: report from the ASGE Web survey. Gastrointestinal Endoscopy, 63(5), AB111.
12. Liberman, A. S., Shrier, I., & Gordon, P. H. (2005). Injuries sustained by colorectal surgeons performing colonoscopy. Surgical Endoscopy and Other Interventional Techniques, 19(12), 1606-1609.
13. Mohandas, K. M., & Gopalakrishnan, G. (1999). Mucocutaneous exposure to body fluids during digestive endoscopy: the need for universal precautions. Indian journal of gastroenterology: official journal of the Indian Society of Gastroenterology, 18(3), 109-111.
14. Morais, R., Vilas-Boas, F., Pereira, P., Lopes, P., Simões, C., Dantas, E., ... & Macedo, G. (2020).
Prevalence, risk factors and global impact of musculoskeletal injuries among endoscopists: a nationwide European study. Endoscopy international open, 8(04), E470-E480.
15. Ridtitid, W., Coté, G. A., Leung, W., Buschbacher, R., Lynch, S., Fogel, E. L., ... & McHenry, L. (2015). Prevalence and risk factors for musculoskeletal injuries related to endoscopy. Gastrointestinal Endoscopy, 81(2), 294-302.
16. Sebbag, E., Felten, R., Sagez, F., Sibilia, J., Devilliers, H., & Arnaud, L. (2019). The world-wide burden of musculoskeletal diseases: a systematic analysis of the World Health Organization Burden of Diseases Database. Annals of the rheumatic diseases, 78(6), 844-848.
17. Shergill, A. K., Asundi, K. R., Barr, A., Shah, J. N., Ryan, J. C., McQuaid, K. R., & Rempel, D. (2009). Pinch force and forearm-muscle load during routine colonoscopy: a pilot study. Gastrointestinal Endoscopy, 69(1), 142-146.
18. Sheth, A., & Jordan, P. (2010). Call for guidelines on ergonomics in GI endoscopy. Gastrointestinal endoscopy, 71(7), 1333.
19. Villa, E., Attar, B., Trick, W., & Kotwal, V. (2019). Endoscopy-related musculoskeletal injuries in gastroenterology fellows. Endoscopy international open, 7(06), E808-E812.