A Survey Study of Occupational Pain and Injury in Ophthalmic Plastic Surgeons

Jennifer A. Sivak-Callcott · ALAN M. DUCATMAN · Charles Lee Rosen · Ashish D. Nimbarte · Judith A. Sedgeman

111 citations0/0 files storedOphthalmic Plastic and Reconstructive Surgery

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Ergonomics and Musculoskeletal Disorders Occupational Health and Safety in Workplaces Occupational health in dentistry

Abstract

PURPOSE: To determine factors associated with pain/injury related to practicing ophthalmic plastic and reconstructive surgery. METHODS: A 29-question electronic survey was sent to the American Society of Ophthalmic Plastic and Reconstructive Surgery's listserv. The Chi-Squared Automatic Interaction Detector technique was used to generate a decision tree using SPSS software. The levels of dendograms were limited to 8. Significance was pre-established at α = 0.05. RESULTS: One hundred thirty surveys were completed, and 72.5% reported pain associated with operating, 80.9% reported use of loupe magnification, 68.7% reported use of a headlight, 42.5% reported modification of their operating room practice, and 9.2% reported stopping operating due to pain or spine injury. Most respondents regularly exercise, with 55.7% characterizing the amount of exercise as less than necessary; 60.8% and 57.3% agreed that loupe use and headlamp use, respectively, can lead to spine problems.Chi-Squared Automatic Interaction Detector analysis found that 62.7% (n = 47) with neck pain had modified their operating room practice, compared with 13.5% (n = 7) without pain (χ = 30.42; df = 1; p < 0.001); All surgeons that had to stop operating (n = 9) had tried modifying their operating room practice; over half (57.6%, n = 38) of practicing surgeons had changed their operating room practice (χ = 6.09; df = 1; p = 0.014). The majority who exercised 5 hours or less had modified their operating room practice (70.2%, n = 33), compared with 26.3% (n = 5) who exercised more. CONCLUSIONS: Many oculoplastic surgeons experience discomfort due to operating, and an alarming minority have stopped operating due to pain or neck injury. Participants identified loupe and headlamp use as a special concern.

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References

2009Factors affecting response rates of the web survey: A systematic review 1997Musculoskeletal disorders and workplace factors. A critical review of epidemiologic evidence for work-related musculoskeletal disorders of the neck, upper extremity, and low back.2003Using the Internet to conduct surveys of health professionals: a valid alternative?1996Epidemiology of Work-Related Musculoskeletal Disorders 2008One-year randomized controlled trial with different physical-activity programs to reduce musculoskeletal symptoms in the neck and shoulders among office workers 2008Effects of various methodologic strategies: survey response rates among Canadian physicians and physicians-in-training.2005Symptoms of musculoskeletal disorders in ophthalmologists 2003Prevalence of back and neck pain amongst ENT consultants: national survey

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