Investigation of musculoskeletal symptoms, work postures, quantification of muscle activity, and estimation of grip/push forces among sonographers

Due to the physical nature of their work, sonographers are exposed to many musculoskeletal disorder risk factors, including awkward posture, repetitive movements, forceful manual exertion, and static muscle contractions, especially in the upper limbs. The current study is an investigation of musculoskeletal disorders among sonographers, caused by various occupational risk factors via different sonographic scan types. During the first phase of this study, the musculoskeletal symptoms and work postures of 29 subjects were investigated. During the second phase, muscle activity was quantified, and grip/push forces were estimated using the data obtained from 10 volunteer sonographers. 82% of sonographers experienced musculoskeletal symptoms. Based on the final scores and action levels obtained via rapid upper limb assessment, while performing scans of left regions; ergonomic changes and interventions were found necessary, to relieve stress on the sonographer's body. The results of muscular activity per muscle and scan type, showed that the mean muscle activity of the middle deltoid muscle was significantly higher during the right abdominal scan (17.64% maximum voluntary contraction [MVC]), compared to those of thyroid (12.54% MVC) and left abdominal (7.32% MVC) scans. Additionally, mean grip and push forces during both abdominal scans were significantly higher than those during the thyroid scan. Despite an injury risk during all scans, risk factor impact was different among scan types. This groundbreaking study represents the first that captures and measures both grip and push forces simultaneously, which may prove helpful while investigating corrective interventions or optimizing design of sonography robots and ergonomic probes in future studies.