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Egyptian Journal of Occupational Medicine
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Volume Volume 45 (2021)
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KH, A., SS, A., MM, E. (2021). Prevalence and Risk Factors for Musculoskeletal Complaints among Endoscopists. Egyptian Journal of Occupational Medicine, 45(1), 115-128. doi: 10.21608/ejom.2021.143342
Allam KH; Ahmed SS; El Dalatony MM. "Prevalence and Risk Factors for Musculoskeletal Complaints among Endoscopists". Egyptian Journal of Occupational Medicine, 45, 1, 2021, 115-128. doi: 10.21608/ejom.2021.143342
KH, A., SS, A., MM, E. (2021). 'Prevalence and Risk Factors for Musculoskeletal Complaints among Endoscopists', Egyptian Journal of Occupational Medicine, 45(1), pp. 115-128. doi: 10.21608/ejom.2021.143342
KH, A., SS, A., MM, E. Prevalence and Risk Factors for Musculoskeletal Complaints among Endoscopists. Egyptian Journal of Occupational Medicine, 2021; 45(1): 115-128. doi: 10.21608/ejom.2021.143342

Prevalence and Risk Factors for Musculoskeletal Complaints among Endoscopists

Article 8, Volume 45, Issue 1, January 2021, Page 115-128  XML PDF (390.03 K)
Document Type: Original Article
DOI: 10.21608/ejom.2021.143342
Authors
Allam KH* 1; Ahmed SS2; El Dalatony MM1
1Department of Public Health and Community Medicine, Faculty of Medicine, Menoufia University
2Department of Tropical Medicine, Shebin Elkom Teaching Hospital, Menoufia, Egypt
Abstract
Introduction: Gastroenterologists spend considerable time performing endosᴄopic
procedures that necessitate repetitive motions. The number of endoscopic proᴄedures
performed by gastroenterologists has increased significantly in the past 20 years.
Among physicians, endoscopists faces increased risk for work-related musculoskeletal
disorders (WMSDs) compared to other physiᴄians who are not performing this
procedure. Aim of work: To determine the prevalence of musculoskeletal disorders
(MSDs) symptoms among the endoscopists and their assistants who are working in
Menofia University, Teaching and General hospitals in Menoufia governorate - Egypt
and to determine their risk factors. Also, to study the effects of MSDs on their work
and daily activities. Materials and methods: A comparative cross-sectional study was
done using a predesigned questionnaire to assess the musculoskeletal disorders among
gastrointestinal endoscopists who were compared with other physicians not performing
interventional procedures.Results: The present study showed that musculoskeletal
complaints were more evident among endoscopists, e.g., neck, shoulder, wrist, and
non-dominant thumb pain showed a statistically significant difference when compared
to the control group (26.1%, 68.7%, 30.4%, 52.2%, 56.5%), respectively, compared to
(15%, 17%, 19%, 10%, and 0%) respectively (p < 0.001). Endosᴄopists reported that
their pain interferes with daily life activities and cause sleep disorders. Endosᴄopists
who reported pain at different body sites present significant association after adjustment
with age (OR=4.95; 95% CI: 2.12-11.56) working duration > 10 years (OR=5.82; 95%
CI: 2.37-14.28), number of operations >3 /day (OR=4.53;95% CI: 2.03-10.09), duration
of single operation > half an hour (OR=3.80; 95% CI: 1.60-9.04) and the single hand
intubation technique (OR=8.0;95% CI: 3.10-20.62). Conclusion: The performance 
of endoscopy puts the physicians at risk of biomechanical injury. Education of the
endosᴄopists toward correct ergonomic practices, the spacing between procedures is
required to improve the endoscopists’ quality of life.
Keywords
Musculoskeletal disorders; Endoscopists; Ergonomics; and Shoulder pain
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