A systematic review of interventions to prevent work-related musculoskeletal disorders in ENT surgeons.

Autor:	Storey B; King's College Hospital NHS Foundation Trust, London, UK., Verkerk M; Guy's and St Thomas' NHS Foundation Trust, London, UK., Hashtroudi A; Guy's and St Thomas' NHS Foundation Trust, London, UK., Golding-Wood D; King's College Hospital NHS Foundation Trust, London, UK.
Jazyk:	angličtina
Zdroj:	The Journal of laryngology and otology [J Laryngol Otol] 2022 Jul; Vol. 136 (7), pp. 622-627. Date of Electronic Publication: 2021 Sep 29.
DOI:	10.1017/S0022215121002590
Abstrakt:	Objective: Work-related musculoskeletal disorders in ENT surgeons are common and detrimental, yet few are aware of preventative measures. We evaluate the evidence for interventions to prevent work-related musculoskeletal disorders in ENT surgeons. Method: A systematic search of databases up to 8 June 2021 was performed using Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines and predetermined inclusion criteria. Results: Seven prospective cohort studies and 2 case series were identified (51 participants). Interventions included novel equipment ( n = 3), patient positioning ( n = 2), clinician positioning ( n = 3) and operative technique ( n = 1). Five studies reported Rapid Upper Limb Assessment scores as outcome measures of strain. Strain decreased when adopting a favourable operating posture, using a supportive chair and keeping patients supine for clinic procedures. Conclusion: A small number of low-quality studies were identified. Modifiable risk factors exist, and ergonomic education may help prevent work-related musculoskeletal disorders. Further studies with longer term follow up are required.
Databáze:	MEDLINE
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