Individualized ergonomic wellness approach for the practicing gastroenterologist (with video)

Area of Science:

• Occupational health and ergonomics in medical practice.
• Musculoskeletal injury prevention for healthcare professionals.
• Physical therapy interventions for procedural specialists.

Background:

• Ergonomic-related musculoskeletal injuries are prevalent among endoscopists.
• Limited data exists on effective injury prevention techniques in endoscopy.
• A need for individualized wellness strategies to address physician-specific ergonomic challenges.

Purpose of the Study:

• To develop and pilot a novel method for endoscopist wellness assessment.
• To create individualized wellness plans through physical therapist-led ergonomic evaluation.
• To assess the impact of personalized ergonomic interventions on musculoskeletal pain and performance.

Main Methods:

• Physical therapist assessed 8 volunteer endoscopists' posture and ergonomics during colonoscopies and computer work.
• Developed personalized wellness programs including exercises, posture re-education, and suite setup optimization.
• Evaluated changes in musculoskeletal pain, compliance, and adoption of recommendations post-intervention.

Main Results:

• Identified common pain sites (back, neck) and varied ergonomic inefficiencies among participants.
• Achieved a 63% reduction or resolution of identified pain sites.
• Participants found posture analysis images and ergonomic education impactful; 3 requested reassessment.

Conclusions:

• Physical therapist-led ergonomic assessment and intervention effectively improved endoscopists' musculoskeletal complaints.
• Individualized programs are superior to generalized approaches for addressing unique physician ergonomic challenges.
• This method may enhance career longevity, reduce burnout, and decrease work-related pain and fatigue.