PDF(Pubmed)
Abstract：
There is a high prevalence of upper limb musculoskeletal pain among robotic surgeons. Poor upper limb ergonomic positioning during robotic surgery occurs when the shoulders are abducted, and the elbows are lifted off the console armrest. The validated rapid upper limb assessment can quantify ergonomic efficacy. Surface electromyography and hand dynamometer assessment of strength are the most common methods to assess muscle fatigue. A literature review was performed to find evidence of ergonomic interventions which reduce upper limb musculoskeletal pain during robotic surgery. There is a paucity of studies which have reported on this topic. In other occupations, there is strong evidence for the use of resistance training to prevent upper extremity pain. Use of forearm compression sleeves, stretching, and massage may help reduce forearm fatigue. Microbreaks with targeted stretching, active ergonomic training, improved use of armrest, and optimal hand controller design have been shown to reduce upper limb musculoskeletal pain. Future studies should assess which interventions are beneficial in reducing surgeon upper limb pain during robotic surgery.
摘要：
在机器人外科医生中，上肢肌肉骨骼疼痛的患病率很高。机器人手术期间上肢人体工程学定位不良，发生在肩膀外展时，肘部从控制台扶手上抬起。经过验证的快速上肢评估可以量化人体工程学功效。表面肌电图和手部测力计评估力量是评估肌肉疲劳的最常用方法。进行了文献综述，以找到人体工程学干预措施可减少机器人手术期间上肢肌肉骨骼疼痛的证据。关于这一主题的报道很少。在其他职业中,有强有力的证据表明使用阻力训练来预防上肢疼痛。使用前臂压缩套,伸展,按摩可以帮助减少前臂疲劳。有针对性拉伸的微裂缝,积极的人体工程学训练，改善扶手的使用，和最佳的手控制器设计已被证明可以减少上肢肌肉骨骼疼痛。未来的研究应该评估哪些干预措施有利于减少机器人手术期间外科医生的上肢疼痛。
