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The effect of exercise habits in surgeons on musculoskeletal pain and posture

Yıl 2022, Cilt 15, Sayı 1, 117 - 123, 01.01.2022
https://doi.org/10.31362/patd.1001356

Öz

Purpose: To determine the difference between musculoskeletal pain and postures of surgeons who do/do not exercise regularly.
Materials and methods: Surgeons who have been working in our hospital for at least one year and have similar ergonomic risks were divided into two groups according to whether they have regular exercise habits or not.
Descriptive information form, Orebro musculoskeletal pain screening questionnaire (OMPQ), New York posture rating, and workplace ergonomic risk assessment were conducted in a face-to-face setting with participants.
Results: The study included 78.9% (n=45) male and 21.1% (n=12) female surgeons. 10.5% (n=6) of surgeons reported having a work-related health problem or injury during their professional life. It was determined that 7% (n=4) of the surgeons had low, 89.5% (n=51) moderate and 3.5% (n=2) high-level ergonomic risk. All surgeons that participating in the study had an excellent posture. Surgeons who exercised regularly (n=21) had a lower body mass index (p=0.018) and a more straight posture (p=0.023). Although the OMPQ score was higher in surgeons who did not exercise regularly, no statistically significant difference was found (p˃0.05). The OMPQ score was negatively correlated with the New York posture rating score. However, the New York posture rating showed a negative linear relationship with body mass index and a positive linear relationship with exercise duration and total exercise time (p˂0.05).
Conclusion: The majority of the surgeons in the study were found to have a moderate level of ergonomic risk, and all of them had excellent posture. The habit of exercising positively impacted the surgeons' body mass index, work-related musculoskeletal pain level, and posture.

Kaynakça

  • 1. Dalager T, Højmark A, Jensen PT, Søgaard K, Andersen LN. Using an intervention mapping approach to develop prevention and rehabilitation strategies for musculoskeletal pain among surgeons. BMC Public Health 2019;19:320. https://doi.org/10.1186/s12889-019-6625-4
  • 2. Dalager T, Søgaard K, Bech KT, Mogensen O, Jensen PT. Musculoskeletal pain among surgeons performing minimally invasive surgery: a systematic review. Surg Endosc 2017;31:516-526. https://doi.org/10.1007/s00464-016-5020-9
  • 3. Dalager T, Søgaard K, Boyle E, Jensen PT, Mogensen O. Surgery is physically demanding and associated with multisite musculoskeletal pain: a cross-sectional study. J Surg Res 2019;240:30-39. https://doi.org/10.1016/j.jss.2019.02.048
  • 4. Knudsen ML, Ludewig PM, Braman JP. Musculoskeletal pain in resident orthopaedic surgeons: results of a novel survey. Iowa Orthop J 2014;34:190-196.
  • 5. Ruitenburg M, Frings Dresen M, Sluiter J. Physical job demands and related health complaints among surgeons. Int Arch Occup Environ Health 2013;86:271-279. https://doi.org/10.1007/s00420-012-0763-7
  • 6. Wells AC, Kjellman M, Harper SJ, Forsman M, Hallbeck MS. Operating hurts: a study of EAES surgeons. Surg Endosc 2019;33:933-940. https://doi.org/10.1007/s00464-018-6574-5
  • 7. Adams SR, Hacker MR, McKinney JL, Elkadry EA, Rosenblatt PL. Musculoskeletal pain in gynecologic surgeons. J Minim Invasive Gynecol 2013;20:656-660. https://doi.org/10.1016/j.jmig.2013.04.013
  • 8. Hotton M, Miller R, Chan J. Performance anxiety among surgeons. The Bulletin of the Royal College of Surgeons of England 2019;101:20-26. https://doi.org/10.1308/rcsbull.2019.20
  • 9. Radunz S, Hoyer DP, Kaiser GM, Paul A, Schulze M. Career intentions of female surgeons in German liver transplant centers considering family and lifestyle priorities. Langenbecks Arch Surg 2017;402:143-148. https://doi.org/10.1007/s00423-016-1434-z
  • 10. Asghari E, Dianat I, Abdollahzadeh F, et al. Musculoskeletal pain in operating room nurses: associations with quality of work life, working posture, socio-demographic and job characteristics. Int J Ind Ergon 2019;72:330-337. https://doi.org/10.1016/j.ergon.2019.06.009
  • 11. Öncü J, Ilişer R, Kuran B. Cross-cultural adaptation of the Orebro Musculoskeletal Pain Questionnaire among Turkish workers with low back pain. J Back Musculoskeletal Rehabil 2016;29:135-143. https://doi.org/10.3233/BMR-150609
  • 12. Orthopedic physical assessment. Available at: https://www.clinicalkey.com/dura/browse/bookChapter/3-s2.0-C20100689619. Accessed August 15, 2021
  • 13. Abd Rahman MN, RANI MRA, Rohani JM. WERA: an observational tool develop to investigate the physical risk factor associated with WMSDs. J Hum Ergol 2011;40:19-36. https://doi.org/10.11183/JHE.40.19
  • 14. Catanzarite T, Tan Kim J, Whitcomb EL, Menefee S. Ergonomics in surgery: a review. Female Pelvic Med Reconstr Surg 2018;24:1-12. https://doi.org/10.1097/SPV.0000000000000456
  • 15. Meltzer AJ, Hallbeck MS, Morrow MM, et al. Measuring ergonomic risk in operating surgeons by using wearable technology. JAMA Surg 2020;155:444-446. https://doi.org/10.1001/jamasurg.2019.6384
  • 16. Foright R, Presby D, Sherk V, et al. Is regular exercise an effective strategy for weight loss maintenance? Physiol Behav 2018;188:86-93. https://doi.org/10.1016/j.physbeh.2018.01.025
  • 17. Pandey A, LaMonte M, Klein L, et al. Relationship between physical activity, body mass index, and risk of heart failure. J Am Coll Cardiol 2017;69:1129-1142. https://doi.org/10.1016/j.jacc.2016.11.081
  • 18. Swift DL, McGee JE, Earnest CP, Carlisle E, Nygard M, Johannsen NM. The effects of exercise and physical activity on weight loss and maintenance. Prog Cardiovasc Dis 2018;61:206-213. https://doi.org/10.1016/j.pcad.2018.07.014
  • 19. Booth J, Moseley GL, Schiltenwolf M, Cashin A, Davies M, Hübscher M. Exercise for chronic musculoskeletal pain: a biopsychosocial approach. Musculoskeletal Care 2017;15:413-421. https://doi.org/10.1002/msc.1191
  • 20. Jakobsen MD, Sundstrup E, Brandt M, Jay K, Aagaard P, Andersen LL. Effect of workplace-versus home-based physical exercise on musculoskeletal pain among healthcare workers: a cluster randomized controlled trial. Scand J Work Environ Health 2015;41:153-163. https://doi.org/10.5271/sjweh.3479
  • 21. Kim D, Cho M, Park Y, Yang Y. Effect of an exercise program for posture correction on musculoskeletal pain. J Phys Ther Sci 2015;27:1791-1794. https://doi.org/10.1589/jpts.27.1791
  • 22. Molina Garcia P, Mora Gonzalez J, Migueles JH, et al. Effects of Exercise on Body Posture, Functional Movement, and Physical Fitness in Children With Overweight/Obesity. J Strength Cond Res 2020;34:2146-2155. https://doi.org/10.1519/JSC.0000000000003655
  • 23. Vranešić Hadžimehmedović D, Bajramović I, Likić S, Tabaković M, Imamović D. Effects of four-month exercise program on correction of body posture of persons with different visual impairment. J Anthr Sport Phys Educ 2018;2:15-18. https://doi.org/10.26773/jaspe.180403

Cerrahlardaki egzersiz alışkanlığının kas-iskelet sistemi ağrısına ve postüre etkisi

Yıl 2022, Cilt 15, Sayı 1, 117 - 123, 01.01.2022
https://doi.org/10.31362/patd.1001356

Öz

Amaç: Düzenli egzersiz yapma alışkanlığı olan ve olmayan cerrahların, kas-iskelet sistemi ağrıları ve postürleri arasındaki farkın belirlenmesidir.
Gereç ve yöntem: Hastanemizde en az bir yıldır çalışan ve benzer ergonomik risklere sahip olan cerrahlar düzenli egzersiz yapma alışkanlıklarının olup olmamasına göre iki gruba ayrılmıştır. Katılımcıların; tanımlayıcı bilgi formu, Örebro kas-iskelet ağrı tarama anketi (ÖKİA), New York postür derecelendirmesi ve işyeri ergonomik risk değerlendirmesi yüz yüze ortamda yapılmıştır.
Bulgular: Çalışmaya, %78,9 (n=45)’u erkek ve %21,1 (n=12)’i kadın cerrah dahil edildi. Cerrahların %10,5 (n=6)’i, meslek hayatları boyunca işleri ile ilgili sağlık sorunu/yaralanma geçirdiklerini bildirdi. Cerrahların %7 (n=4)’sinin düşük, %89,5 (n=51)’inin orta ve %3,5 (n=2)’inin yüksek düzeyde ergonomik riske sahip olduğu saptandı. Çalışmaya katılan tüm cerrahların, çok iyi düzeyde postüre sahip oldukları belirlendi. Egzersiz yapma alışkanlığı olan cerrahların (n=21) vücut kütle indeksinin daha düşük (p=0,018) ve postürünün daha düzgün olduğu tespit edildi (p=0,023). Düzenli egzersiz yapmayan cerrahların ÖKİA puanı daha yüksek olmakla birlikte istatistiksel anlamlı fark belirlenmedi (p˃0,05). ÖKİA puanının New York postür derecelendirmesi puanı ile negatif yönlü; New York postür derecelendirmesinin ise vücut kütle indeksi ile negatif yönlü, egzersiz süresi ve egzersiz yılı ile pozitif yönlü doğrusal ilişki gösterdiği tespit edildi (p˂0,05).
Sonuç: Çalışmaya katılan cerrahların çoğunluğunun orta düzeyde ergonomik riske, tamamının ise çok iyi düzeyde postüre sahip olduğu tespit edildi. Egzersiz yapma alışkanlığının cerrahların vücut kütle indeksi, iş kaynaklı kas-iskelet sistemi ağrısı düzeyi ve postür düzgünlüğüne olumlu etkisi olduğu belirlendi. 

Kaynakça

  • 1. Dalager T, Højmark A, Jensen PT, Søgaard K, Andersen LN. Using an intervention mapping approach to develop prevention and rehabilitation strategies for musculoskeletal pain among surgeons. BMC Public Health 2019;19:320. https://doi.org/10.1186/s12889-019-6625-4
  • 2. Dalager T, Søgaard K, Bech KT, Mogensen O, Jensen PT. Musculoskeletal pain among surgeons performing minimally invasive surgery: a systematic review. Surg Endosc 2017;31:516-526. https://doi.org/10.1007/s00464-016-5020-9
  • 3. Dalager T, Søgaard K, Boyle E, Jensen PT, Mogensen O. Surgery is physically demanding and associated with multisite musculoskeletal pain: a cross-sectional study. J Surg Res 2019;240:30-39. https://doi.org/10.1016/j.jss.2019.02.048
  • 4. Knudsen ML, Ludewig PM, Braman JP. Musculoskeletal pain in resident orthopaedic surgeons: results of a novel survey. Iowa Orthop J 2014;34:190-196.
  • 5. Ruitenburg M, Frings Dresen M, Sluiter J. Physical job demands and related health complaints among surgeons. Int Arch Occup Environ Health 2013;86:271-279. https://doi.org/10.1007/s00420-012-0763-7
  • 6. Wells AC, Kjellman M, Harper SJ, Forsman M, Hallbeck MS. Operating hurts: a study of EAES surgeons. Surg Endosc 2019;33:933-940. https://doi.org/10.1007/s00464-018-6574-5
  • 7. Adams SR, Hacker MR, McKinney JL, Elkadry EA, Rosenblatt PL. Musculoskeletal pain in gynecologic surgeons. J Minim Invasive Gynecol 2013;20:656-660. https://doi.org/10.1016/j.jmig.2013.04.013
  • 8. Hotton M, Miller R, Chan J. Performance anxiety among surgeons. The Bulletin of the Royal College of Surgeons of England 2019;101:20-26. https://doi.org/10.1308/rcsbull.2019.20
  • 9. Radunz S, Hoyer DP, Kaiser GM, Paul A, Schulze M. Career intentions of female surgeons in German liver transplant centers considering family and lifestyle priorities. Langenbecks Arch Surg 2017;402:143-148. https://doi.org/10.1007/s00423-016-1434-z
  • 10. Asghari E, Dianat I, Abdollahzadeh F, et al. Musculoskeletal pain in operating room nurses: associations with quality of work life, working posture, socio-demographic and job characteristics. Int J Ind Ergon 2019;72:330-337. https://doi.org/10.1016/j.ergon.2019.06.009
  • 11. Öncü J, Ilişer R, Kuran B. Cross-cultural adaptation of the Orebro Musculoskeletal Pain Questionnaire among Turkish workers with low back pain. J Back Musculoskeletal Rehabil 2016;29:135-143. https://doi.org/10.3233/BMR-150609
  • 12. Orthopedic physical assessment. Available at: https://www.clinicalkey.com/dura/browse/bookChapter/3-s2.0-C20100689619. Accessed August 15, 2021
  • 13. Abd Rahman MN, RANI MRA, Rohani JM. WERA: an observational tool develop to investigate the physical risk factor associated with WMSDs. J Hum Ergol 2011;40:19-36. https://doi.org/10.11183/JHE.40.19
  • 14. Catanzarite T, Tan Kim J, Whitcomb EL, Menefee S. Ergonomics in surgery: a review. Female Pelvic Med Reconstr Surg 2018;24:1-12. https://doi.org/10.1097/SPV.0000000000000456
  • 15. Meltzer AJ, Hallbeck MS, Morrow MM, et al. Measuring ergonomic risk in operating surgeons by using wearable technology. JAMA Surg 2020;155:444-446. https://doi.org/10.1001/jamasurg.2019.6384
  • 16. Foright R, Presby D, Sherk V, et al. Is regular exercise an effective strategy for weight loss maintenance? Physiol Behav 2018;188:86-93. https://doi.org/10.1016/j.physbeh.2018.01.025
  • 17. Pandey A, LaMonte M, Klein L, et al. Relationship between physical activity, body mass index, and risk of heart failure. J Am Coll Cardiol 2017;69:1129-1142. https://doi.org/10.1016/j.jacc.2016.11.081
  • 18. Swift DL, McGee JE, Earnest CP, Carlisle E, Nygard M, Johannsen NM. The effects of exercise and physical activity on weight loss and maintenance. Prog Cardiovasc Dis 2018;61:206-213. https://doi.org/10.1016/j.pcad.2018.07.014
  • 19. Booth J, Moseley GL, Schiltenwolf M, Cashin A, Davies M, Hübscher M. Exercise for chronic musculoskeletal pain: a biopsychosocial approach. Musculoskeletal Care 2017;15:413-421. https://doi.org/10.1002/msc.1191
  • 20. Jakobsen MD, Sundstrup E, Brandt M, Jay K, Aagaard P, Andersen LL. Effect of workplace-versus home-based physical exercise on musculoskeletal pain among healthcare workers: a cluster randomized controlled trial. Scand J Work Environ Health 2015;41:153-163. https://doi.org/10.5271/sjweh.3479
  • 21. Kim D, Cho M, Park Y, Yang Y. Effect of an exercise program for posture correction on musculoskeletal pain. J Phys Ther Sci 2015;27:1791-1794. https://doi.org/10.1589/jpts.27.1791
  • 22. Molina Garcia P, Mora Gonzalez J, Migueles JH, et al. Effects of Exercise on Body Posture, Functional Movement, and Physical Fitness in Children With Overweight/Obesity. J Strength Cond Res 2020;34:2146-2155. https://doi.org/10.1519/JSC.0000000000003655
  • 23. Vranešić Hadžimehmedović D, Bajramović I, Likić S, Tabaković M, Imamović D. Effects of four-month exercise program on correction of body posture of persons with different visual impairment. J Anthr Sport Phys Educ 2018;2:15-18. https://doi.org/10.26773/jaspe.180403

Ayrıntılar

Birincil Dil Türkçe
Konular Tıp, Cerrahi, Rehabilitasyon
Yayınlanma Tarihi Ocak 2022
Bölüm Araştırma Makalesi
Yazarlar

Sefa Alperen ÖZTÜRK (Sorumlu Yazar)
SÜLEYMAN DEMİREL ÜNİVERSİTESİ, TIP FAKÜLTESİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, ÜROLOJİ ANABİLİM DALI
0000-0003-4586-9298
Türkiye


Görkem KIYAK
SÜLEYMAN DEMİREL ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, SPOR HEKİMLİĞİ ANABİLİM DALI
0000-0003-4780-8480
Türkiye


Esma ARSLAN
SÜLEYMAN DEMİREL ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, SPOR HEKİMLİĞİ ANABİLİM DALI
0000-0001-7097-8619
Türkiye


Hüseyin Tolga ACAR
SÜLEYMAN DEMİREL ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, SPOR HEKİMLİĞİ ANABİLİM DALI
0000-0003-4970-9929
Türkiye


Sabriye ERCAN
SÜLEYMAN DEMİREL ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, SPOR HEKİMLİĞİ ANABİLİM DALI
0000-0001-9500-698X
Türkiye


Cem ÇETİN
SÜLEYMAN DEMİREL ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, SPOR HEKİMLİĞİ ANABİLİM DALI
0000-0002-8151-9554
Türkiye

Destekleyen Kurum yok
Proje Numarası yok
Teşekkür Araştırmamıza katılan cerrahlara teşekkür ederiz.
Yayımlanma Tarihi 1 Ocak 2022
Kabul Tarihi 20 Ekim 2021
Yayınlandığı Sayı Yıl 2022, Cilt 15, Sayı 1

Kaynak Göster

Bibtex @araştırma makalesi { patd1001356, journal = {Pamukkale Tıp Dergisi}, issn = {}, eissn = {1308-0865}, address = {Pamukkale Üniversitesi Tıp Fakültesi Eğitim Blokları Kınıklı kampüsü 20070 Kınıklı, Denizli}, publisher = {Pamukkale Üniversitesi}, year = {2022}, volume = {15}, pages = {117 - 123}, doi = {10.31362/patd.1001356}, title = {Cerrahlardaki egzersiz alışkanlığının kas-iskelet sistemi ağrısına ve postüre etkisi}, key = {cite}, author = {Öztürk, Sefa Alperen and Kıyak, Görkem and Arslan, Esma and Acar, Hüseyin Tolga and Ercan, Sabriye and Çetin, Cem} }
APA Öztürk, S. A. , Kıyak, G. , Arslan, E. , Acar, H. T. , Ercan, S. & Çetin, C. (2022). Cerrahlardaki egzersiz alışkanlığının kas-iskelet sistemi ağrısına ve postüre etkisi . Pamukkale Tıp Dergisi , 15 (1) , 117-123 . DOI: 10.31362/patd.1001356
MLA Öztürk, S. A. , Kıyak, G. , Arslan, E. , Acar, H. T. , Ercan, S. , Çetin, C. "Cerrahlardaki egzersiz alışkanlığının kas-iskelet sistemi ağrısına ve postüre etkisi" . Pamukkale Tıp Dergisi 15 (2022 ): 117-123 <https://dergipark.org.tr/tr/pub/patd/issue/65499/1001356>
Chicago Öztürk, S. A. , Kıyak, G. , Arslan, E. , Acar, H. T. , Ercan, S. , Çetin, C. "Cerrahlardaki egzersiz alışkanlığının kas-iskelet sistemi ağrısına ve postüre etkisi". Pamukkale Tıp Dergisi 15 (2022 ): 117-123
RIS TY - JOUR T1 - Cerrahlardaki egzersiz alışkanlığının kas-iskelet sistemi ağrısına ve postüre etkisi AU - Sefa Alperen Öztürk , Görkem Kıyak , Esma Arslan , Hüseyin Tolga Acar , Sabriye Ercan , Cem Çetin Y1 - 2022 PY - 2022 N1 - doi: 10.31362/patd.1001356 DO - 10.31362/patd.1001356 T2 - Pamukkale Tıp Dergisi JF - Journal JO - JOR SP - 117 EP - 123 VL - 15 IS - 1 SN - -1308-0865 M3 - doi: 10.31362/patd.1001356 UR - https://doi.org/10.31362/patd.1001356 Y2 - 2021 ER -
EndNote %0 Pamukkale Tıp Dergisi Cerrahlardaki egzersiz alışkanlığının kas-iskelet sistemi ağrısına ve postüre etkisi %A Sefa Alperen Öztürk , Görkem Kıyak , Esma Arslan , Hüseyin Tolga Acar , Sabriye Ercan , Cem Çetin %T Cerrahlardaki egzersiz alışkanlığının kas-iskelet sistemi ağrısına ve postüre etkisi %D 2022 %J Pamukkale Tıp Dergisi %P -1308-0865 %V 15 %N 1 %R doi: 10.31362/patd.1001356 %U 10.31362/patd.1001356
ISNAD Öztürk, Sefa Alperen , Kıyak, Görkem , Arslan, Esma , Acar, Hüseyin Tolga , Ercan, Sabriye , Çetin, Cem . "Cerrahlardaki egzersiz alışkanlığının kas-iskelet sistemi ağrısına ve postüre etkisi". Pamukkale Tıp Dergisi 15 / 1 (Ocak 2022): 117-123 . https://doi.org/10.31362/patd.1001356
AMA Öztürk S. A. , Kıyak G. , Arslan E. , Acar H. T. , Ercan S. , Çetin C. Cerrahlardaki egzersiz alışkanlığının kas-iskelet sistemi ağrısına ve postüre etkisi. Pam Tıp Derg. 2022; 15(1): 117-123.
Vancouver Öztürk S. A. , Kıyak G. , Arslan E. , Acar H. T. , Ercan S. , Çetin C. Cerrahlardaki egzersiz alışkanlığının kas-iskelet sistemi ağrısına ve postüre etkisi. Pamukkale Tıp Dergisi. 2022; 15(1): 117-123.
IEEE S. A. Öztürk , G. Kıyak , E. Arslan , H. T. Acar , S. Ercan ve C. Çetin , "Cerrahlardaki egzersiz alışkanlığının kas-iskelet sistemi ağrısına ve postüre etkisi", Pamukkale Tıp Dergisi, c. 15, sayı. 1, ss. 117-123, Oca. 2022, doi:10.31362/patd.1001356

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