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Impact of a simulation-based ergonomics training curriculum on work-related musculoskeletal injury risk in colonoscopy.
Gastrointestinal Endoscopy ( IF 7.7 ) Pub Date : 2020-03-20 , DOI: 10.1016/j.gie.2020.03.3754
Rishad Khan 1 , Michael A Scaffidi 2 , Joshua Satchwell 2 , Nikko Gimpaya 2 , Woojin Lee 2 , Shai Genis 2 , Daniel Tham 2 , James Saperia 2 , Ahmed Al-Mazroui 2 , Catharine M Walsh 3 , Samir C Grover 1
Affiliation  

Background and Aims

Endoscopists are at risk of developing musculoskeletal injuries (MSIs), and few receive training on ergonomics. The aim of this study was to determine the impact of a simulation-based ergonomics training curriculum (ETC) on work-related MSI risk during clinical colonoscopy.

Methods

Novice endoscopists underwent a simulation-based ETC and were compared with an historical control group who received simulation-based training without ergonomics training. The ETC included a didactic lecture and video on ergonomics in colonoscopy, feedback from supervisors on ergonomics, and an ergonomics checklist to augment feedback and promote self-reflection. Participants were assessed using the rapid entire body assessment (REBA) and rapid upper limb assessment (RULA). The primary outcome was participants’ REBA scores during 2 clinical colonoscopies 4 to 6 weeks after training.

Results

In clinical colonoscopy, the ETC group had superior REBA scores (clinical procedure 1: median score, 6 vs 11; P < .001; clinical procedure 2: median score, 6 vs 10; P < .001). In a simulated colonoscopy, the ETC group did not have significantly different REBA or RULA scores between baseline, immediately after training, and 4 to 6 weeks after (REBA: median scores of 5, 5, and 5, respectively; P > .05; RULA: median scores of 6, 6, and 6, respectively; P > .05). The control group had worsening REBA and RULA scores during the study timeline (REBA: median scores of 5 at baseline, 9 immediately after training, and 9 at 4-6 weeks after training; P < .001; RULA: median scores of 6, 7, and 7, respectively; P = .04) during simulated procedures.

Conclusions

A simulation-based ETC is associated with reduced risk of MSI during endoscopy. Although the REBA score was improved, the intervention group was still within the medium-risk range.



中文翻译:

基于仿真的人体工程学培训课程对结肠镜检查中与工作相关的肌肉骨骼损伤风险的影响。

背景和目标

内镜医师有发展肌肉骨骼损伤(MSI)的风险,并且很少接受人体工程学方面的培训。这项研究的目的是确定基于模拟的人体工程学培训课程(ETC)对临床结肠镜检查期间与工作相关的MSI风险的影响。

方法

新手内镜医师接受了基于模拟的ETC,并与一个历史对照组进行了比较,该对照组接受了未经模拟的人体工程学培训。ETC包括关于结肠镜检查中的人机工程学的教学讲课和视频,人机工程学主管的反馈以及人机工程学检查表,以增加反馈并促进自我反思。使用快速全身评估(REBA)和快速上肢评估(RULA)对参与者进行评估。主要结果是训练后4至6周的2次临床结肠镜检查中参与者的REBA分数。

结果

在临床结肠镜检查中,ETC组的REBA评分较高(临床步骤1:中位评分,6 vs 11;P  <.001;临床步骤2:中位评分,6 vs 10;P  <.001)。在模拟结肠镜检查中,ETC组在基线之间,刚接受训练后以及术后4至6周之间的REBA或RULA评分没有显着差异(REBA:中位数分别为5、5和5;P > .05; RULA:中位数分别为6、6和6;P > .05)。对照组在研究时间轴上的REBA和RULA评分不断恶化(REBA:基线时的中位数为5,训练后立即为9,训练后4-6周为9;P  <.001; RULA:中位数为6, 7和7;P  = .04)。

结论

基于模拟的ETC与降低内窥镜检查期间MSI的风险相关。尽管REBA评分有所提高,但干预组仍处于中等风险范围内。

更新日期:2020-03-20
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