Ergonomic Interventions for OBGYN Surgeons

Not yet recruiting at 1 trial location
AK
Overseen ByAyesha Kar, MD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: University Hospitals Cleveland Medical Center
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to determine if certain strategies can help OBGYN surgeons avoid work-related injuries by improving their movements and work habits during surgeries. The trial includes special lectures on better surgical movements (Surgical Ergonomics Lecture), a short preparatory routine before surgery (Pre-Incision Surgical Ergonomics Time Out), and breaks for stretching during operations (Intra-operative stretch breaks). It targets surgeons and trainees in the OBGYN department who regularly perform surgeries at University Hospitals. Participants will assist researchers in discovering whether these changes can reduce physical strain and improve work conditions. As an unphased trial, this study offers a unique opportunity for surgeons to contribute to pioneering research that could enhance surgical practices and improve occupational health.

Do I have to stop taking my current medications for the trial?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that these ergonomic interventions are safe for OBGYN surgeons?

Research shows that short breaks during surgery can be safe and beneficial for surgeons. Studies indicate that stretch breaks lasting 1.5 to 5 minutes can relieve discomfort in the back, neck, and shoulders without compromising patient safety. Surgeons report improved physical and mental well-being after these breaks.

The pre-incision surgical ergonomics time-out involves a quick pause before surgery to check body positioning. This practice increases awareness of posture and reduces pain or discomfort, without affecting safety.

Surgical ergonomics lectures provide education on better body positions for surgery. These sessions have changed habits and reduced pain.

Overall, these methods are well-received, with minimal risk reported. They aim to make surgeries more comfortable and safer for surgeons.12345

Why are researchers excited about this trial?

Researchers are excited about this trial because it explores innovative ways to improve the working conditions for OBGYN surgeons, potentially reducing physical strain and enhancing surgical performance. Unlike traditional methods that focus primarily on surgical technique and patient outcomes, this trial emphasizes the surgeon's well-being through ergonomic interventions. Key features include intra-operative stretch breaks, which aim to reduce fatigue, and a pre-incision surgical ergonomics time out, which encourages mindfulness of posture and movement. By integrating these strategies, the trial could lead to safer and more effective surgeries by prioritizing the health and efficiency of the surgeons themselves.

What evidence suggests that these ergonomic interventions are effective for reducing work-related musculoskeletal disorders in OBGYN surgeons?

This trial will evaluate ergonomic interventions for OBGYN surgeons, including intra-operative stretch breaks, pre-incision surgical ergonomics time outs, and surgical ergonomics lectures. Studies have shown that short breaks during surgery to stretch can reduce discomfort in surgeons' backs, necks, and shoulders. These regular breaks can also enhance physical performance and mental focus. Research indicates that focusing on good posture and positioning before surgery can decrease surgeon fatigue and improve efficiency, reducing injury risk. Additionally, lectures on proper surgical posture have effectively changed habits and significantly reduced pain and discomfort among surgeons. Together, these methods aim to make surgeries more comfortable and safer for OBGYN surgeons, potentially lowering the chances of work-related muscle and joint problems.15678

Who Is on the Research Team?

AK

Ayesha Kar Kasal

Principal Investigator

University Hospitals Cleveland Medical Center

Are You a Good Fit for This Trial?

This trial is for OBGYN residents, fellows, and attending physicians who perform surgeries. Participation is voluntary.

Inclusion Criteria

I have had a laparoscopic or open surgery.
Current attending in the OBGYN department at University Hospitals
Current resident or fellow in the OBGYN department at University Hospitals

Exclusion Criteria

Not a current fellow, resident, or attending in the OBGYN department at University Hospitals

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention

Implementation of surgical ergonomics lecture, pre-operative time-out, and intra-operative stretch breaks

6 months
Regular sessions and assessments

Follow-up

Participants are monitored for musculoskeletal disorder symptoms and painkiller use

12 months
Weekly assessments

What Are the Treatments Tested in This Trial?

Interventions

  • Intra-operative stretch breaks
  • Pre-Incision Surgical Ergonomics Time Out
  • Surgical Ergonomics Lecture

Trial Overview

The study tests whether a surgical ergonomics lecture, pre-surgery time-out to review ergonomic practices, and stretch breaks during surgery can reduce work-related muscle and joint problems among OBGYN surgeons.

How Is the Trial Designed?

1

Treatment groups

Experimental Treatment

Group I: Intervention ArmExperimental Treatment3 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

University Hospitals Cleveland Medical Center

Lead Sponsor

Trials
348
Recruited
394,000+

Citations

Influence of Intraoperative Active and Passive Breaks in ... - PMC

In several studies, intraoperative breaks of 1.5–5 min implemented every 20–40 min resulted in decreased discomfort in the back and neck [16,17] and shoulders

Prevention and rehabilitation of musculoskeletal pain among ...

The second ERGO element is the recommendation to perform regular (at least every 60 min) intraoperative microbreaks with stretching exercises.

Lisa Chao, MD, FACOG - Stanford Medicine

Intraoperative breaks and stretching are effective in reducing surgeon discomfort. Formal training in ergonomics has not yet been widely implemented,

OR-Stretch: Intraoperative Microbreaks for Surgeon ...

Evidence suggests that intraoperative microbreaks can ease shoulder and neck fatigue and improve surgeon endurance with minimal distraction.

Intraoperative "Micro Breaks" With Targeted Stretching ...

Surgeons perceived improvements in physical performance (57%) and mental focus (38%); 87% of respondents planned to continue TSMB. Conclusions: Many surgeons ...

Microbreaks and Intraoperative Exercises for Gynecologic ...

Short intraoperative breaks and exercises will improve work-related discomfort among gynecologic surgeons. not interfere with patient safety, ...

Approaches to Limit Intervention During Labor and Birth

This Committee Opinion reviews the evidence for labor care practices that facilitate a physiologic labor process and minimize intervention for appropriate ...

Ergonomics reviews: intra-operative microbreaks and stretch

They review research and evidence demonstrating how these breaks can improve surgical accuracy and performance and, ultimately, benefit surgeon ...