Stretching and Strength Training to Improve Postural Ergonomics and Endurance in the Operating Room.

Autor:	Winters JN; Institute for Plastic Surgery SIU School of Medicine, Springfield, Ill., Sommer NZ; Institute for Plastic Surgery SIU School of Medicine, Springfield, Ill., Romanelli MR; Institute for Plastic Surgery SIU School of Medicine, Springfield, Ill., Marschik C; No hospital affiliation., Hulcher L; No hospital affiliation., Cutler BJ; No hospital affiliation.
Jazyk:	angličtina
Zdroj:	Plastic and reconstructive surgery. Global open [Plast Reconstr Surg Glob Open] 2020 May 13; Vol. 8 (5), pp. e2810. Date of Electronic Publication: 2020 May 13 (Print Publication: 2020).
DOI:	10.1097/GOX.0000000000002810
Abstrakt:	Plastic surgeons report the highest prevalence of chronic musculoskeletal pain and fatigue among surgical subspecialties. Musculoskeletal pain impacts daily life, career longevity, and economic burden secondary to occupational injury. Poor postural awareness and ergonomic set up in the operating room represent the most common etiology. Methods: A literature review was performed to highlight the ergonomic set-up, postural pitfalls, occupational injuries, and musculoskeletal pain in the operating room. An institutional survey was administered among resident and attending surgeons regarding musculoskeletal pain, posture, ergonomic education, and future improvements. Literature results, survey data, and intraoperative photographs were analyzed in collaboration with physical therapists and personal trainers. Results: Survey results demonstrated that 97% of resident and attending respondents experienced musculoskeletal pain and 83% reported a lack of education in posture and ergonomics. The main postural pitfalls included head forward and flexed positioning, abduction and internal arm rotation, and kyphosis of the thoracic spine. The collaborators developed instructional videos to assess posture and biomechanics and demonstrate targeted stretching and strength exercises to address specific neck, back, and shoulder pain. Conclusions: Poor posture is unavoidable in the operating room at times. These educational videos should be utilized for self-motivated and prophylactic conditioning outside of the operating room to maintain physical well-being throughout a career in plastic surgery. Future focus should be aimed at implementing dedicated ergonomic education and physical wellness programs early in surgical resident training. Competing Interests: Disclosure: The authors have no financial interest to declare in relation to the content of this article. (Copyright © 2020 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.)
Databáze:	MEDLINE
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