MP10-11 USING WEARABLE TECHNOLOGY TO DETERMINE RELATIONSHIP BETWEEN NECK POSTURE AND PAIN DURING UROLOGIC OPEN AND ROBOTIC SURGERY

Abstract

You have accessJournal of UrologySurgical Technology & Simulation: Instrumentation & Technology I (MP10)1 Sep 2021MP10-11 USING WEARABLE TECHNOLOGY TO DETERMINE RELATIONSHIP BETWEEN NECK POSTURE AND PAIN DURING UROLOGIC OPEN AND ROBOTIC SURGERY Joseph Bigham, Edward Chang, Mathew Sorensen, Howard Chansky, and Scott Telfe Joseph BighamJoseph Bigham More articles by this author , Edward ChangEdward Chang More articles by this author , Mathew SorensenMathew Sorensen More articles by this author , Howard ChanskyHoward Chansky More articles by this author , and Scott TelfeScott Telfe More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000001983.11AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Chronic neck pain is the most prevalent work-related musculoskeletal issue among surgeons. 70% of urologists experience neck pain while 17% report degenerative cervical spine disease. Many attribute this pain to non-ergonomic positions while operating. Our goal was to use wearable technology to quantify the relationship between neck posture and pain during open and robotic surgery. METHODS: Subjects included urologic faculty and residents from one institution who spent at least 1 day per week performing surgery for ≥6 hours. Data were collected from subjects on 2 separate days (Sept 2019 to Oct 2020). The Neck Disability Index, a validated questionnaire assessing baseline neck pain, and 0-10 numeric analogue pain scales were completed by participants throughout their workday. Those with pre-existing cervical spinal conditions were excluded. Neck posture was measured in real time while operating using inertial measurement devices attached at the occipital protuberance and 7th cervical vertebrae. A mixed effect model was used to determine the relationship between neck posture and pain scores. Neck posture and pain were then compared between open vs robotic surgery and faculty vs residents. RESULTS: A total of 30 participants were included in the study (21 faculty, 9 residents). 202 hours of data were collected. Neck pain was found to be correlated with longer duration of severe neck flexion, defined as ≥30° (p=0.01). Surgeons performing open procedures spent on average 147 minutes with their heads in neck flexion postures of ≥30° compared to 68 minutes for those performing robotic procedures. This greater duration and degree of neck flexion was associated with increased neck pain (p=0.007) (Figure). Surgeons performing open procedures reported a mean increase in neck pain of 2.0 on the pain scale, compared to 1.3 for those performing robotic procedures (p=0.04). There were no differences in neck flexion/pain when faculty and residents were compared. CONCLUSIONS: Real time measurements of neck flexion during urologic surgery show that longer duration and greater degree of neck flexion were associated with increased neck pain. Urologists spend more time in severe neck flexion during open surgery compared to robotic surgery, increasing their risk of work-related neck pain. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e172-e173 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Joseph Bigham More articles by this author Edward Chang More articles by this author Mathew Sorensen More articles by this author Howard Chansky More articles by this author Scott Telfe More articles by this author Expand All Advertisement Loading ...