A systematic review of interventions to prevent work-related musculoskeletal disorders in ENT surgeons

ObjectiveWork-related musculoskeletal disorders in ENT surgeons are common and detrimental, yet few are aware of preventative measures. We evaluate the evidence for interventions to prevent work-related musculoskeletal disorders in ENT surgeons.MethodA systematic search of databases up to 8 June 2021 was performed using Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines and predetermined inclusion criteria.ResultsSeven prospective cohort studies and 2 case series were identified (51 participants). Interventions included novel equipment (n= 3), patient positioning (n= 2), clinician positioning (n= 3) and operative technique (n= 1). Five studies reported Rapid Upper Limb Assessment scores as outcome measures of strain. Strain decreased when adopting a favourable operating posture, using a supportive chair and keeping patients supine for clinic procedures.ConclusionA small number of low-quality studies were identified. Modifiable risk factors exist, and ergonomic education may help prevent work-related musculoskeletal disorders. Further studies with longer term follow up are required.