Risk factors for musculoskeletal disorders in an obstetrician-gynecologist and orthopedic surgeon

Article type: Research Article

Authors: Dale, Lucinda^{; *} | Fiedler, Jordan

Affiliations: School of Occupational Therapy, University of Indianapolis Indianapolis, IN, USA

Correspondence: [*] Address for correspondence: Lucinda Dale, EdD, OTR, CHT, FAOTA, 5694W. CR 350N., North Salem, IN 46165, USA. Tel.: +1 317 403 8177; E-mail: [email protected].

Abstract: BACKGROUND:Orthopedic and obstetrician-gynecologist (OB/GYN) surgeons have risks for musculoskeletal disorders (MSD) during work in the operating room (OR). Risks for MSD have not been identified as a result of work outside the OR or during non-work tasks. OBJECTIVE:The purpose of the study was to determine risk factors for MSD in an orthopedic and OB/GYN surgeon. METHODS:A case study format and mixed method design were used to gather data by using the Rapid Upper Limb Assessment (RULA) to measure MSD risks in the OR; the Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) to measure surgeons’ upper extremity disability; observation of surgeon office hours; and semi-structured interviews to gather qualitative data. RESULTS:Both surgeons had risks for MSD during occupational performance outside of work, with some risks similar to those experienced at work. Both surgeons had MSD risks during work inside and outside the OR. Both surgeons experienced MSD symptoms exacerbated by work and non-work tasks. CONCLUSIONS:Identifying and reducing MSD risk should include a comprehensive analysis of occupational performance for orthopedic and OB/GYN surgeons.

Keywords: Occupational performance, QuickDASH, Rapid Upper Limb Assessment, surgeons

DOI: 10.3233/WOR-203128

Journal: Work, vol. 65, no. 4, pp. 749-761, 2020