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• Ergonomic considerations can be unintentionally neglected and underutilized in the modern diagnostic radiology practice. • Repetitive stress injuries affecting multiple musculoskeletal systems can negatively impact the practice of diagnostic radiology, and can contribute to reduced productivity and reduced career longevity. • Suboptimal workplace reading station ergonomics can also negatively impact the oculo-neural axis and can contribute to digital eye strain and migraines, among other entities. • By taking into consideration a combination of multiple ergonomic tools and implementing certain behavioral modifications, diagnostic radiologists can mitigate the risks of musculoskeletal injuries, digital eye strain, and other afflictions attributed to prolonged PACS reading station use. The average post-pandemic modern radiology practice is experiencing an ever-increasing workload volume with overall relatively similar staffing levels, regardless of practice setting. This has resulted in an increased workload demand for the average diagnostic radiologist, which in many cases translates to longer working hours. It is now more important than ever to be cognizant of various work-related injuries, including repetitive-stress injuries and vision-related ailments as examples, in relation to the working conditions of the radiologist. This article will discuss commonly occurring conditions and ergonomic considerations that the radiologist can employ to reduce the risk of work-related injuries. [ABSTRACT FROM AUTHOR]

Over a 10-year time frame, this study aimed to evaluate diagnosis, treatment, and referral trends for adolescent runners seeking care for running-related injuries (RRIs) at a clinic that specializes in running medicine.This study was a retrospective chart review of 392 adolescent runners (2,326 encounters) who sought care for RRIs between the years 2011 and 2021. Descriptive statistics were used to summarize clinical assessments, referrals, assistive devices, and medications prescribed or administered overall and by injury type. Chi-square analyses were used to compare proportions of services rendered across the 10-year time frame.Patients most frequently received manual evaluations or special tests during clinic visits. Most visits resulted in at least one referral (91%), primarily for physical therapy or gait-training. Assistive devices and medications/supplements were offered at only 18% of patient visits. The majority of assessments (X2 = 69.7, p = 0.002), treatments (X2: 23.6–43.8, p: <  0.001–0.003), and referrals (X2 = 132, p <  0.001) were for shin injuries. Larger proportions of nutrition assessments (X2 = 40.7, p <  0.001), interventions (X2 = 26.8, p = 0.003), and referrals (X2 = 27.5, p = 0.002) were performed in or after the year 2015.Clinic visits for shin injuries required the most clinical resources per episode of care. There were observed shifts in clinical assessment and treatment approaches to include more expanded nutritional and physiologic considerations. [ABSTRACT FROM AUTHOR]

Background: Intensive care physiotherapists are exposed to situations that may cause physical and mental overload, which can lead to the onset of work-related musculoskeletal complaints., Objective: The objective was to analyze these complaints and to identify activities causing greater overload, factors associated with complaints, and management and prevention strategies., Methods: Cross-sectional study. Data were collected from 125 physiotherapists in the Intensive Care units (ICU) of a tertiary hospital. The questionnaire used was formulated from questionnaires validated in the literature such as Nordic Questionnaire and Bork Questionnaire. Chi-square test was performed to compare the groups with and without complaints. Logistic regression was used to assess the association effects of the variables on the presence of complaints., Results: Of those interviewed, 76% had a work-related complaint in the last year, with the "lower back" being the most affected region. Eighty percent had complaints for more than one site. "Transfer" was considered the activity causing the greatest overload. Female sex (p = 0.023), lack of physical activity (p = 0.028), inadequate ventilation (p = 0.001) and inadequate furniture (p = 0.006) showed a statistically significant association effect with the presence of complaints. Inadequate ventilation (p = 0.003) and female sex (p = 0.004) influenced the number of affected areas. Physical activity was considered the main strategy for prevention., Conclusion: Musculoskeletal complaints accounted for a high percentage of the analyzed sample, mainly in the lower back. The extent of complaints suggests that strategies should be developed and changes in work dynamics should be carried out.

Background and Aims: The leaded protective gear worn, patient and endoscopist positioning, and longer average procedural time place endoscopists who perform endoscopic retrograde cholangiopancreatography (ERCP) at an increased risk of injuries as compared to other endoscopists. While multiple studies have investigated the prevalence of various pain symptoms and injuries among endoscopists, only one has been carried out in endoscopists who perform ERCP, and none have investigated potential predisposing risk factors. Our aim was thus to assess the prevalence of these pain symptoms, injuries, and potential risk factors. Methods: An anonymous electronic survey containing 23 questions was sent to 3276 gastroenterologists. Only providers that performed ERCPs were asked to respond. Results: A total of 203 surveys were completed. Of the 203 respondents, 91% reported a musculoskeletal pain symptom. The most prevalent pain symptoms were neck pain (24%) and lower back pain (17%). In total, 48% of respondents reported a musculoskeletal injury. In total, 32% attributed these injuries to performing ERCPs. The most prevalent musculoskeletal injuries were De Quervain's tenosynovitis (16%) and cervical radiculopathy (12%). Only 25% of participants had received any education/training on ergonomics in endoscopy. Conclusions: The majority of endoscopists who perform ERCPs suffer from a musculoskeletal pain symptom, and almost half report a musculoskeletal injury. Further investigation regarding risk factors and preventative strategies is warranted. This information can then be incorporated into ergonomics education which only a small proportion of advanced endoscopists report having received any training in. [ABSTRACT FROM AUTHOR]

Background: Digitalization has resulted in increased computer use. Computer use involves repetitive movements and relatively static posture of neck, limbs, and trunk, contributing in cumulative trauma disorders (CTDs). Over a decade, ergonomic awareness has increased, but CTDs have prevailed. Objective: A comparison of 2009 versus 2019 surveys was done to understand CTD trends and to find the significance of the number of people affected due to hours per day computer use. Study Design: A comparison of two surveys was conducted to research trend in occurrences of CTDs. Methods: The sampling was done using the snowball method. Both surveys had identical research methodology and collected data of (n) 100 computer users of India with an age range of 20-50 years, i.e., total of N = 200 in combined surveys. Participants filled in the self-explanatory questionnaire on Google Forms that assessed areas of CTD pain, severity of pain, and functional performance during pain. Results: Data analysis showed a higher percentage of pain in the neck, eye strain, and back pain in computer users in both 2009 and 2019 surveys. There was an overall decrease in the percentage of computer users affected with CTDs from 86% to 70%, but anatomically, an increase in percentages of pain in the upper limb, headaches, and lower-back pain was reported in 2019. The relation between duration of computer use and number of computer users affected was found to be nonsignificant for both 2009 and 2019 surveys (Χ ² = 3.5408; P = 1.7027 and Χ ² = 1.3739; P = 0.5031, respectively, 95% confidence interval [CI] [4.605, 7.378]). Spearman's correlation showed no significant correlation between duration of computer use and severity of pain in both 2009 (r = 0.078; P = 0.443, 95% CI [-0.120, 0.270]) and 2019 (r = -0.085; P = 0.398, 95% CI [-0.277, 0.114]). Conclusion: The comparison of 2009 and 2019 surveys showed an overall decrease in the percentage of computer users affected with CTDs in the 2019 survey. An increase in upper-limb pain, headache, and lower-back ache percentages was noted, while upper-back pain, neck pain, and eye strain percentage showed a decreasing trend in the 2019 survey. The percentage of computer users affected with pain in the neck, pain in the back, and eye strain was higher than other CTD areas in both the surveys. The duration of computer use did not show a significant correlation to the presence of CTDs among computer users in both surveys. [ABSTRACT FROM AUTHOR]

OBJECTIVES: To determine the frequency of different clinical and radiological features occurring in patients with repetitive stress injuries (RSI) that included de Quervain disease, tennis elbow and plantar fasciitis. METHODOLOGY: This cross sectional observational study using convenient sampling technique at Orthopedic Department in collaboration of Radiology Department was carried out for 06 months. After ethical approval, patients of either gender, between 20 to 60 years, diagnosed clinically and radio logically as either of RSI diseases were included while patients below 20 or above 60 years, having infection associated with osteomyelitis and cellulitis were excluded. Clinical features like pain, swelling, site were reported. Radiological imaging and details included ultrasonography, X-ray findings and Magnetic Resonance Imaging (MRI) findings for data analysis, SPSS version 23 was used. Quantitative data was represented as frequency and percentages. RESULTS: In a total of 82 patients with repetitive stress diseases, the mean age of the patients was noted to be 42.63-8.53 years, there were 40 (48.8%) male patients whereas 42 (51.2%) were females. A majority 62 (75.6%) patients had no co morbidities, while others had hypertension 10 (12.2%), diabetes mellitus 8 (9.8%) and only a very small population 2 (2.4%) had hypertension with diabetes mellitus. 34 (41.4%) patients had a diagnosis of De-Quervain disease, 28 (34.1%) had Tennis elbow while 20 (24.4%) had planter fasciitis. Ultrasound findings were observed in 30 patients, X-ray findings in 56 patients and MRI findings in 24 patients. 18 patients reported positive Cozens test while in 22 patients, Finkelstein test was positive. CONCLUSION: Most commonly observed RSI was de Quervain disease followed by tennis elbow and plantar fasciitis. Most common ultrasound, X-ray and MRI finding was increased fluid within first extensor tendon compartment, cortical erosion and a positive Finkelstein test respectively. [ABSTRACT FROM AUTHOR]

Practice leaders surveyed in the 2017 ACR Human Resources Commission workforce survey reported that 25% of the radiologists or radiation oncologists they supervised had neck pain, 32% had low back pain, and 16% were dealing with a repetitive stress injury. The prevalence rates of these musculoskeletal ailments among radiologists and radiation oncologists were consistent with those reported in the literature in other populations. However, these prevalence rates may be underestimated because practice leaders, not the radiologists themselves, were surveyed, and the leaders may not be aware of all injuries. [ABSTRACT FROM AUTHOR]

INTRODUCTION: Work-related musculoskeletal symptoms are a major health issue in many occupations all over the world. Past researches on hospital workers have mainly been focused on nurses, and not many studies have examined musculoskeletal symptoms among doctors in various specialties. The work of surgeons can involve high levels of mental concentration and very precise movements that can be categorized as mild-to-moderate physical demands. OBJECTIVE: To identify the prevalence of musculoskeletal problems and their related physical and psychosocial factors of surgeons who are involved in such work. METHODOLOGY: Forty-three surgeons were enrolled in this study. To evaluate the musculoskeletal disorders, the participants were assessed through Standardized Nordic Questionnaire, Quick Exposure Check for the work pattern, and Work style Short Form for screening purpose. RESULTS: Out of 43 participants, 30 were male and 13 were female. Their mean age was 42.07 ± 12.35 years, and the mean working years ± standard deviation of the group was 15.14 years ± 9.017. On an average, they worked a total of about 8.58 h ± 1.96 per day. The prevalence of work-related musculoskeletal symptoms was found in 36 participants (83.70%), while only seven surgeons (16.30%) were symptom free. CONCLUSION: The present study indicates a high prevalence of musculoskeletal symptoms in surgeons. The results also indicated that surgeons had a high sense of commitment and self-imposed pressure.

Background. We analyzed muscular activity for different computer mouse positions during the completion of a timed computer task and determined whether the different mouse positions could affect muscular activity, productivity and perceived fatigue.Methods. The subjects were nine healthy young men. Two mouse positions were studied: the distal position (DP), with the forearm rested on the desk; the proximal position (PP), with only the wrist rested on the desk. The subjects performed a 16-min task in each position. Surface electromyography data were recorded for the upper back and shoulder muscles. Work productivity and muscular activity were measured for each mouse position. A visual analog scale was used to assess subjective fatigue.Results. Muscular activity was higher in muscle (m.) deltoideus (posterior) for the DP, while it was significantly higher in m. inferior infraspinatus for the PP. The visual analog scale score was significantly higher and work productivity was lower in the PP.Conclusions. We found that using a mouse in the DP rather than the PP leads to less activity of the external rotators, less perceived fatigue and more productivity. This suggests that the DP is preferable to the PP for computer work involving a mouse. [ABSTRACT FROM PUBLISHER]

To authenticate to the full-text of this article, please visit this link: http://dx.doi.org/10.1111/j.1467-9566.2010.01259.x Byline: Chrystal Jaye (1), Ruth Fitzgerald (2) Keywords: occupational overuse syndrome; technologies of self; political economy; New Zealand Abstract: Abstract In New Zealand, as in other industrialised nations, rates of work-related gradual onset injuries increased during the 1980s and 1990s. The perspectives and experiences of workers suffering what became known as occupational overuse injuries in New Zealand offer insights into local lived political economies. Here, we explore the dominant metaphor, 'battling', in participants' narratives. On the face of it, battles were fought over diagnoses, over occupational health and safety in the workplace, and over entitlements to therapy and income compensation. However, participants were also battling to maintain their identities as hard workers, while resisting and challenging normalising technologies of self and morally charged negative identities offered them by employers, state-funded accident and injury insurance agencies, and the medical profession. Inherent in their narratives is a critique of the neo-liberal capitalist political economy that allows workers' bodies to be exploited (and sacrificed) for employers' profits. Author Affiliation: (1)Department of General Practice and Rural Health, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand (2)Department of Anthropology, Gender and Sociology, University of Otago, Dunedin, New Zealand Article note: Address for correspondence: Chrystal Jaye, Department of General Practice and Rural Health, Dunedin School of Medicine, University of Otago, PO Box 913, Dunedin, New Zealand, e-mail: chrystal.jaye@otago.ac.nz

Byline: Emily Seto, MSC, PENG (University Health Network, Toronto, Ontario, Canada, emily.seto@uhn.on.ca); Lizette Biclar, BS (University Health Network, Toronto, Ontario, Canada) Keywords: repetitive strain injury; sonographer; ambidextrous; handedness 127 ArticleAmbidextrous [...]

Byline: Christoffer Brushoj, MD, PhD (Department of Orthopaedic Surgery, Amager Hospital, Copenhagen, Denmark, Brushoj@dadlnet.dk, Department of Radiology, Rigshospitalet, Copenhagen, Denmark); Klaus Larsen, PhD (Department of Clinical Research, Hvidovre Hospital); Elisabeth [...]

A study quantifies the wrist kinematics of interpreting and assesses how speaker pace and psychosocial stress influence kinematics. Results indicate that psychosocial stressors are linked to physical stressors, which contribute to the development of upper extremity injuries and it is important to understand what factors contribute to interpreter stress.

The effects of task difficulty and information modality on learning a specific class of procedural tasks, aiming at the prevention of repetitive strain injury (RSI) are presented. The results indicate that learning from a film clip leads to highest learning performance for both easy and difficult exercises and text instruction show fairly good learning.

A study is conducted to quantify and compare the effects of three hydraulic-actuation joystick kinematics as an initial step towards the development of hydraulic-actuation joystick design protocol. The findings of this study show that joystick stiffness and speed alternations affect joystick and upper limb kinematics minimally.

Overuse is one of the most common etiologic factors that lead to injuries in the pediatric and adolescent athlete. As more children are becoming involved in organized and recreational athletics, the incidence of overuse injuries is increasing. Many children are participating in sports year-round and sometimes on multiple teams simultaneously. This overtraining can lead to burnout, which may have a detrimental effect on the child participating in sports as a lifelong healthy activity. One contributing factor to overtraining may be parental pressure to compete and succeed. The purpose of this clinical report is to assist pediatricians in identifying and counseling at-risk children and their families. This report supports the American Academy of Pediatrics policy statement on intensive training and sport specialization. Key Words overuse, injuries, overtraining, burnout, athlete, INTRODUCTION Overuse injuries, overtraining, and burnout among child and adolescent athletes are a growing problem in the United States. Although inactivity and obesity are on the rise, the number of [...]

The physical exposures in a sawmill job with a high incidence of upper extremity musculoskeletal injuries are described in terms of multiple measures of posture, exertion and frequency and the comparability of those definitions is examined. It is found that incidence of reported upper extremity musculoskeletal injuries in the two facilities are higher with the greater total exposure.