• This record comes from PubMed

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

. 2024 Nov 30 ; 14 (12) : . [epub] 20241130

Status PubMed-not-MEDLINE Language English Country Switzerland Media electronic

Document type Journal Article

Grant support
412622 Charles University

Background/Objectives: 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. Methods: 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. Results: 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. Conclusions: 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.

See more in PubMed

Yung D.E., Banfi T., Ciuti G., Arezzo A., Dario P., Koulaouzidis A. Musculoskeletal injuries in gastrointestinal endoscopists: A systematic review. Expert Rev. Gastroenterol. Hepatol. 2017;11:939–947. doi: 10.1080/17474124.2017.1356225. PubMed DOI

Walsh C.M., Qayed E., Aihara H., Anand G.S., Byrne K., Chahal P., Dacha S., James T.W., Kowalski T.E., Repaka A., et al. Core curriculum for ergonomics in endoscopy. Gastrointest. Endosc. 2021;93:1222–1227. doi: 10.1016/j.gie.2021.01.023. PubMed DOI

Durič T., Cibulkova I., Hajer J. Prevention of Musculoskeletal Injuries in Gastrointestinal Endoscopists. Gastroenterol. Insights. 2024;15:285–302. doi: 10.3390/gastroent15020021. DOI

Jirapinyo P., Kumar N., Thompson C.C. Validation of an endoscopic part-task training box as a skill assessment tool. Gastrointest. Endosc. 2015;81:967–973. doi: 10.1016/j.gie.2014.08.007. PubMed DOI

Segal Y., Yona Y., Danan O., Birman R., Hadar O., Kutilek P., Hejda J., Hourova M., Kral P., Lhotska L., et al. Camera Setup and OpenPose Software without GPU for Calibration and Recording in Telerehabilitation Use; Proceedings of the 9th IEEE International Conference on E-Health and Bioengineering Conference EHB 2021; Iasi, Romania. 18–19 November 2021.

Cao Z., Hidalgo G., Simon T., Wei S.E., Sheikh Y. OpenPose: Realtime Multi-Person 2D Pose Estimation Using Part Affinity Fields. IEEE Trans. Pattern Anal. Mach. Intell. 2021;43:172–186. doi: 10.1109/TPAMI.2019.2929257. PubMed DOI

al_goodplot—Boxblot & violin plot—File Exchange—MATLAB Central [Internet] [(accessed on 6 May 2024)]. Available online: https://www.mathworks.com/matlabcentral/fileexchange/91790-al_goodplot-boxblot-violin-plot.

McAtamney L., Corlett N. Handbook of Human Factors and Ergonomics Methods. CRC Press; Boca Raton, FL, USA: 2004. Rapid Upper Limb Assessment (RULA)

Abobakr A., Nahavandi D., Hossny M., Iskander J., Attia M., Nahavandi S., Smets M. RGB-D ergonomic assessment system of adopted working postures. Appl. Ergon. 2019;80:75–88. doi: 10.1016/j.apergo.2019.05.004. PubMed DOI

Luttmann A., Jäger M., Griefahn B., Caffier G., Liebers F., WHO . Preventing Musculoskeletal Disorders in the Workplace/Alwin Luttmann... [et al.] World Health Organization; Geneva, Switzerland: 2003. [(accessed on 25 June 2024)]. Available online: https://iris.who.int/handle/10665/42651.

Puntillo F., Giglio M., Paladini A., Perchiazzi G., Viswanath O., Urits I., Sabbà C., Varrassi G., Brienza N. Pathophysiology of musculoskeletal pain: A narrative review. Ther. Adv. Musculoskelet. Dis. 2021;13:1759720X21995067. doi: 10.1177/1759720X21995067. PubMed DOI PMC

Stack T., Ostrom L.T. Occupational Ergonomics: A Practical Approach [Internet] John Wiley & Sons; Hoboken, NJ, USA: 2023. [(accessed on 3 June 2024)]. Available online: https://books.google.com/books?hl=sl&lr=&id=0LHiEAAAQBAJ&oi=fnd&pg=PP13&dq=occupational+ergonomics&ots=TWqfePr8TT&sig=m7eJwZHjt5HtV2vlZTy3Q58Htaw.

Karwowski W., Marras W.S. The Occupational Ergonomics Handbook [Internet] CRC Press; Boca Raton, FL, USA: 1998. [(accessed on 3 June 2024)]. Available online: https://books.google.com/books?hl=sl&lr=&id=B1EUF7mpJ4QC&oi=fnd&pg=PA1&dq=occupational+ergonomics&ots=7pGyOG3TPN&sig=TgEJZcQtuYrC3u1Wrxys8gRMOrM.

Chang Y.F., Yeh C.M., Huang S.L., Ho C.C., Li R.H., Wang W.H., Tang F.-C. Work Ability and Quality of Life in Patients with Work-Related Musculoskeletal Disorders. Int. J. Environ. Res. Public Health. 2020;17:3310. doi: 10.3390/ijerph17093310. PubMed DOI PMC

Shergill A.K., Harris Adamson C. Failure of an engineered system: The gastrointestinal endoscope. Tech. Gastrointest. Endosc. 2019;21:116–123. doi: 10.1016/j.tgie.2019.02.001. DOI

Find record

Citation metrics

Loading data ...

Archiving options

Loading data ...