Evaluating the Ergonomics of Flexible Ureteroscopy
| Autor: | Joan S. Ko, Wesley W. Ludwig, Justin B. Ziemba, Brian R. Matlaga, Gyusung Lee |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Electromyography Urology 030232 urology & nephrology Human factors and ergonomics Flexible ureteroscopy Surgery Biomechanical Phenomena 03 medical and health sciences 0302 clinical medicine Stress Physiological 030220 oncology & carcinogenesis medicine Arm Ureteroscopes Ureteroscopy Fiber Optic Technology Humans Medical physics Ergonomics business Muscle Skeletal |
| Zdroj: | Journal of endourology. 31(10) |
| ISSN: | 1557-900X |
| Popis: | To date, the ergonomics of flexible ureteroscopy (URS) have not been well described. We performed a study to assess the biomechanical stresses on urologists performing URS and to investigate the effect of ureteroscope type on these parameters.Electromyography (EMG) was used to quantify the activation level of muscle groups involved in URS. Surface EMG electrodes (Delsys, Boston, MA) were placed on the right and left thenar, flexor carpi ulnaris (FCU), extensor carpi ulnaris (ECU), biceps, triceps, and deltoid. Three endoscopes were studied: single-use digital (Boston Scientific LithoVue), reusable digital (Karl Storz Flex-XFor navigational tasks, CMW and AWS were greatest for the ECU, followed in descending order by right and left thenar, FCU, biceps, deltoid, and triceps. For procedural tasks, CMW and AWS were greatest for the right thenar, followed in descending order by the left thenar, ECU, FCU, triceps, biceps, and deltoid. During navigational tasks, both LithoVue and Flex-XThis study provides the first description of EMG-measured ergonomics of URS. Both the single-use and reusable digital ureteroscopes have similar profiles, and both have significantly better ergonomic metrics than the reusable fiber-optic ureteroscope. |
| Databáze: | OpenAIRE |
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