Assurance for Endurance? Introducing a Novel Ergonomics Curriculum to Reduce Pain and Enhance Physical Well-Being Among
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Assurance for Endurance? Introducing a Novel Ergonomics Curriculum to Reduce Pain and Enhance Physical Well‑Being Among GI Fellows M. Sussman1 · M. A. Sendzischew‑Shane2 · J. Bolanos3 · A. R. Deshpande2 · D. Kerman2 · H. Allespach1,2
© Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Musculoskeletal pain and injuries (MSKPI) are common among gastroenterologists (GI) and GI fellows. Common areas of pain include the back, neck, hands/fingers, shoulders, and elbows. Although the prevalence of career-related pain and injuries among GIs is high, few endoscopists receive training in how to prevent MSKPI. We developed an ergonomics curriculum for our GI fellows that consisted of two modules that were led by physical therapists. Twelve out of 15 GI fellows, and one out of two hepatology fellows, participated in Module 1. Prior to the first module, 77% of participants reported pain in one or more body parts. Of those who reported pain, 100% of the fellows stated that this pain occurred during procedures, and 50% indicated this pain was performance-limiting. After completing Module 1, 100% of fellows reported that this was a valuable topic and 100% of the participants felt that this information would both help them feel and perform better. All fellows stated they had an immediate decrease in physical discomfort after engaging in the exercises that were included in Module 1. Eight fellows participated in Module 2. At the end of this module, 100% of fellows reported that this ergonomics training would likely help them to “physically perform better during procedures” and 100% of fellows indicated a reduction of physical discomfort (pain, aching) immediately after completing these exercises. Preliminary data indicated that this novel curriculum was perceived as valuable by GI fellows and that practicing these exercises reduced pain, particularly in the neck and the lower back.
Introduction Numerous studies have found that musculoskeletal and pain symptoms are common among gastroenterologists (GI) and GI fellows [1–4]. In fact, a 2018 National Survey of 165 GI trainees found that musculoskeletal pain and injuries (MSKPI), especially involving thumb and other hand pain, may affect up to 20% of GI fellows [1]. Other research has found that 89% of endoscopists suffer from MSKPI in at least one anatomic location and that many of these respondents (67%) complained of pain at rest [2]. A systematic review of 13 studies on MSKPI among GI endoscopists * H. Allespach [email protected] 1
DeWitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine/Jackson Memorial Hospital, Miami, USA
2
Department of Medicine, Division of Gastroeneterology, University of Miami Miller School of Medicine, Miami, USA
3
Department of Physical Therapy, University of Miami Miller School of Medicine, Miami, USA
identified that 39–89% of surveyed endoscopists reported pain and/or injuries related to endoscopy [3]. This review also found that the most
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