Usefulness of a device for body support during operations performed while standing

摘要

During microsurgical procedures, manipulations are often performed using a foot switch while the surgeon stands on one foot. This position can easily result in body axis instability and greater musculoskeletal loading. To support the surgeon's posture, we have developed a tool called the "Surgeon's Body Support Device." The objective of this study was to determine the efficacy of this device by analyzing surgeons' kinematics and musculoskeletal loading during simulated operations undertaken while standing. Fourteen surgeons volunteered to perform simulations of surgery while standing. To analyze motion kinetics and musculoskeletal loading with and without this device, a three-axis accelerometer and surface electromyography (SEMG) sensors were attached to the subjects. Compared with not using the supportive device, the axis of the surgeon's body was significantly more stable when the support device was used (P = .001). The evenness of motion also tended to be superior when the device was utilized (P = .009). Simulations performed using the device significantly reduced the musculoskeletal loading on the ventral side of the left foot by 70 % compared with simulations performed not using the device (P = .001). Data from SEMG sensor placed on the right hand, which performs the surgical manipulations, indicated that simulations performed using the device generated approximately 10 % of the musculoskeletal load generated when the device was not used (P = .001). The Surgeon's Body Support Device appears to improve maneuverability and reduce musculoskeletal loading during simulated surgical procedures undertaken while standing.