ASGE Postgraduate Course at ACG: Innovative Practices for the Endoscopist of Today, Tomorrow and Beyond | October 2023-16

16_Young ASGE PG 23 Ergonomics

Pdf Summary

The document titled "The Ergonomics of Endoscopy: How to be an Endoathlete!" by Dr. Patrick E. Young covers the topic of ergonomics in the context of endoscopy, emphasizing its importance and the commonality of work-related musculoskeletal injuries (MSIs) among endoscopists.<br /><br />**Key Emphasis and Data:**<br />- **MSI Prevalence:** Injuries are notably common among endoscopists, with 62% experiencing MSIs, 75% among interventional gastroenterologists, and higher incidences observed in women (73%). These often result in significant repercussions, including a high percentage needing time off work.<br />- **Types of Injuries:** Typical injuries include those to the back (37%), neck (37%), and hand/thumb (34%).<br />- **Risk Factors:** Repetitive movements, prolonged constrained postures, and forces focused on small body parts contribute to these injuries.<br /><br />**Gender and Physical Factors:**<br />- Smaller hand size in practitioners is associated with longer contractions and increased difficulty during procedures. Women tend to have higher injury rates compared to men, possibly due to factors like hand size and grip strength.<br /><br />**Pregnancy Considerations:**<br />- Pregnancy requires specific ergonomic modifications due to changes in the body such as ligamentous laxity and fluid retention. Practical adjustments include limited standing time, using lighter protective gear, and considering additional supports or braces.<br /><br />**Proposed Solutions and Innovations:**<br />- Ergonomic adjustments in the workplace can mitigate these issues. Solutions encompass better-designed equipment, customized operator feedback, and utilizing technology to assist in the procedure.<br />- Suggestions include adjustable room setups, microbreaks, ergonomic checklists, and training for all team members to prevent injuries.<br /><br />**Future Directions:**<br />- Advocacy for improved scope designs is encouraged, with a majority favoring ergonomic redesigns, such as customizable control knobs and reduced force requirements.<br /><br />**Takeaway Points:**<br />- Endoscopists should treat their profession akin to athletes by optimizing their environmental setup, positioning, and body mechanics. Personalized advice, preparation, and empowering team training are critical for reducing ergonomic-related injuries and enhancing efficiency and safety in endoscopy practices. The document underscores the ongoing need for innovation and continuous education in the field to adapt to ergonomic challenges.

Keywords

ergonomics

endoscopy

musculoskeletal injuries

MSI prevalence

risk factors

gender differences

pregnancy considerations

ergonomic solutions

future directions

workplace adjustments