Forced posture of neurology residents in daily routine on the ward in Germany

  • Background: The aim of this pilot study was to analyze the work of neurologists regarding static posture (> 4 s) and to identify awkward postures. Methods: A total of 9 neurologists (assistant physicians; 3 male, 6 female) participated in this study. Kinematic data were collected using the computer-assisted acquisition and long-term analysis of musculoskeletal loads (CUELA; IFA, Sankt Augustin, Germany) system. Daily work (“office work,” “measures on patients,” and “other activities”) was analyzed with a computer-based task analysis. Results: During ”measures on patients,” more than 80% of the total percentage of non-neutral posture was assumed with a flexed position of the head and entire back, both during “blood collection” (4.7% of the time) and while “placing intravenous catheters” (8.3% of the time). In contrast, long static postures (> 30 s) in the head and neck area, including the thoracic spine, were adopted during “office work.” Despite the increased total percentage of non-neutral attitudes during measures on patients, the time share of 3.4% of the total working time is so small that the risk for developing musculoskeletal disorders (MSD) is negligible. In contrast, office work, which comprises 50.8% of the total working time and longer static postures, has a potential risk for the development of MSD. Conclusion: The present study is the first kinematic pilot analysis in the field of in-patient neurological assistants. Non-neutral as well as static postures in everyday work could be identified. Potential MSD can be reduced by optimizing the working height and by taking regular breaks to loosen the musculoskeletal system.
Author:Daniela Maren OhlendorfORCiDGND, Anne Bijanzadeh, Ingo Hermanns, Rolf Peter EllegastGND, Laura FräulinORCiDGND, Fabian Christian HolzgreveORCiDGND, Jan David Alexander GronebergORCiDGND
Parent Title (German):Manuelle Medizin
Publisher:Springer Medizin
Place of publication:Berlin
Document Type:Article
Date of Publication (online):2021/08/31
Date of first Publication:2021/08/31
Publishing Institution:Universitätsbibliothek Johann Christian Senckenberg
Release Date:2021/10/04
Tag:Kinematics; Medical staff; Musculoskeletal diseases; Postural control; Workplace
Page Number:16
First Page:1
Last Page:16
Open Access funding enabled and organized by Projekt DEAL.
Institutes:Medizin / Medizin
Dewey Decimal Classification:6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit
Licence (German):License LogoCreative Commons - Namensnennung 4.0