预防消化内镜医师的肌肉骨骼损伤

IF 1.5 Q3 GASTROENTEROLOGY & HEPATOLOGY Gastroenterology Insights Pub Date : 2024-04-14 DOI:10.3390/gastroent15020021
Tadej Durič, I. Cibulková, Jan Hajer
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引用次数: 0

摘要

消化内科医生每天都要在上下消化内镜检查过程中承受肌肉骨骼(MSK)压力,包括常规内镜检查和长时间、高要求的治疗过程。有证据表明,与内镜相关的 MSK 损伤越来越常见,尤其是背部、颈部、肩部、肘部和手部。本研究的目的是确定内窥镜检查过程中受力最大的肌肉群;使用表面肌电图(EMG)传感器测量它们的活动;检测肌肉超负荷区域;以及确定特定肌肉微小断裂的数量。此外,我们还测量了这些肌肉群在使用和不使用特殊支撑系统(如腰带式支架)时的负荷差异。我们对 15 名受试者(7 名经验丰富的内窥镜医师和 8 名非内窥镜医师)进行了测量。由于样本量较少,在每个组内,我们对不同肌肉群的统计学差异没有得出结论。我们增加了样本量,对所有使用和不使用腰带支撑系统的参与者进行了比较,而不考虑他们的内窥镜背景。左前臂肌肉、肱二头肌和斜方肌的肌肉张力和微小断裂程度在统计学上有显著差异(P < 0.05)。左侧三角肌的肌肉张力和微断裂水平在统计学上没有明显差异(P > 0.05)。我们假设,三角肌肌肉负荷水平的增加和微断裂水平的降低是由于不同的肌肉活动和不同的肩部运动造成的。此外,三角肌与身体姿势和稳定的运动链无关。我们相信,使用类似腰带的支撑系统可以预防胃肠道(GI)内窥镜检查中的 MSK 损伤。
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Prevention of Musculoskeletal Injuries in Gastrointestinal Endoscopists
Gastroenterologists are exposed daily to musculoskeletal (MSK) stress during upper and lower gastrointestinal endoscopy, both during routine endoscopies and during long, demanding therapeutic procedures. There is evidence that endoscopy-related MSK injuries are becoming more common, particularly in the back, neck, shoulders, elbows, and hands. The aims of this study were to identify the most stressed muscle groups during endoscopy; to measure their activity using surface electromyographical (EMG) sensors; to detect areas of muscle overload; and to identify the number of microbreaks taken in specific muscles. Furthermore, we measured differences in the loading of these muscle groups with and without the use of special support systems such as a belt-like holder. Measurements were performed on 15 subjects (7 experienced endoscopists and 8 non-endoscopists). Due to this small sample size, inside each group, we achieved inconclusive results regarding statistically significant differences in different muscle groups. We increased the sample size by comparing all participants with and without the belt support system, disregarding their endoscopic background. There was a statistically significant difference (p < 0.05) in muscle tension and in levels of microbreaks in the muscles of the left forearm, biceps, and trapezius muscles. No statistically significant difference was observed in the muscle tension and level of microbreaks in the left deltoid muscle (p > 0.05). We hypothesize that the increased level of muscle loading and decreased level of microbreaks in the deltoid muscle are due to different muscle activity and different shoulder movements. Additionally, the deltoid muscle is not connected to the kinetic chain of body posture and stabilization. It is our belief that MSK injuries in gastrointestinal (GI) endoscopy can be prevented with the use of a belt-like support system.
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来源期刊
Gastroenterology Insights
Gastroenterology Insights GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
2.80
自引率
3.40%
发文量
35
审稿时长
10 weeks
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