{"title":"比较使用和不使用可穿戴座椅执行模拟缝合任务时的精神压力和主观感觉。","authors":"Shoichi Shinohara, Kosuke Oiwa, Yoshitaka Maeda, Tsuneari Takahashi, Yuji Kaneda, Naohiro Sata, Hironori Yamaguchi, Hiroshi Kawahira","doi":"10.7759/cureus.69775","DOIUrl":null,"url":null,"abstract":"<p><p>Introduction Prolonged standing during surgery is a cause of musculoskeletal disorders in surgeons. Wearable chairs have reportedly reduced musculoskeletal strain effectively when used in industry. However, discomfort and instability issues may remain. This study examines whether using a wearable chair for surgical procedures imposes negative effects, such as mental or physical strain on surgeons prior to its clinical implementation. Methods This prospective cross-over study compared mental strain and subjective sensations in simulated suturing tasks with and without using Archelis®, a wearable chair (Archelis Inc, Yokohama, Japan). Six surgeons participated in the study. Mental strain was examined using heart rate variations calculated during tasks. Four subjective sensations (fatigue, comfort, balance, and workability) after each task and differences in body localized pain pre- and post-task were compared using a 10 centimetres (cm)-visual analog scale (VAS) score questionnaire. Results Results showed no significant differences in mental strain nor subjective sensations with or without the wearable chair. The mean VAS scores for all four subjective sensations with the wearable chair were relatively positive. There was a slight yet insignificant post-task increase in VAS mean scores for body-localized pain in the lower legs. Conclusions Significant negative effects on surgeons from the wearable chair were not observed during simulated suturing procedures. This demonstrates no major barriers in the initial phases of wearable chairs integration into the surgery environment.</p>","PeriodicalId":93960,"journal":{"name":"Cureus","volume":"16 9","pages":"e69775"},"PeriodicalIF":1.0000,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11413717/pdf/","citationCount":"0","resultStr":"{\"title\":\"Comparing Mental Strain and Subjective Sensations With and Without a Wearable Chair While Performing Simulated Suturing Tasks.\",\"authors\":\"Shoichi Shinohara, Kosuke Oiwa, Yoshitaka Maeda, Tsuneari Takahashi, Yuji Kaneda, Naohiro Sata, Hironori Yamaguchi, Hiroshi Kawahira\",\"doi\":\"10.7759/cureus.69775\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Introduction Prolonged standing during surgery is a cause of musculoskeletal disorders in surgeons. Wearable chairs have reportedly reduced musculoskeletal strain effectively when used in industry. However, discomfort and instability issues may remain. This study examines whether using a wearable chair for surgical procedures imposes negative effects, such as mental or physical strain on surgeons prior to its clinical implementation. Methods This prospective cross-over study compared mental strain and subjective sensations in simulated suturing tasks with and without using Archelis®, a wearable chair (Archelis Inc, Yokohama, Japan). Six surgeons participated in the study. Mental strain was examined using heart rate variations calculated during tasks. Four subjective sensations (fatigue, comfort, balance, and workability) after each task and differences in body localized pain pre- and post-task were compared using a 10 centimetres (cm)-visual analog scale (VAS) score questionnaire. Results Results showed no significant differences in mental strain nor subjective sensations with or without the wearable chair. The mean VAS scores for all four subjective sensations with the wearable chair were relatively positive. There was a slight yet insignificant post-task increase in VAS mean scores for body-localized pain in the lower legs. Conclusions Significant negative effects on surgeons from the wearable chair were not observed during simulated suturing procedures. This demonstrates no major barriers in the initial phases of wearable chairs integration into the surgery environment.</p>\",\"PeriodicalId\":93960,\"journal\":{\"name\":\"Cureus\",\"volume\":\"16 9\",\"pages\":\"e69775\"},\"PeriodicalIF\":1.0000,\"publicationDate\":\"2024-09-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11413717/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Cureus\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.7759/cureus.69775\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/9/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cureus","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.7759/cureus.69775","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/9/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
摘要
引言 手术过程中长时间站立是导致外科医生肌肉骨骼疾病的原因之一。据报道,在工业领域使用可穿戴式座椅可有效减少肌肉骨骼劳损。然而,不适感和不稳定性问题可能依然存在。本研究探讨了在外科手术中使用可穿戴式座椅是否会给外科医生带来负面影响,如在临床应用前造成精神或身体上的负担。方法 这项前瞻性交叉研究比较了使用和不使用可穿戴座椅 Archelis® (Archelis Inc,日本横滨)进行模拟缝合任务时的精神压力和主观感觉。六名外科医生参与了这项研究。研究人员通过计算任务过程中的心率变化对精神压力进行了检测。使用 10 厘米(cm)视觉模拟量表(VAS)问卷比较了每项任务后的四种主观感觉(疲劳、舒适、平衡和工作能力)以及任务前后身体局部疼痛的差异。结果表明,使用或不使用可穿戴座椅在精神压力和主观感觉方面没有明显差异。使用可穿戴座椅后,四种主观感觉的平均 VAS 分数都相对较高。任务完成后,小腿身体局部疼痛的 VAS 平均分略有增加,但不明显。结论 在模拟缝合过程中,没有观察到可穿戴座椅对外科医生产生明显的负面影响。这表明可穿戴式座椅在融入手术环境的初期阶段没有遇到重大障碍。
Comparing Mental Strain and Subjective Sensations With and Without a Wearable Chair While Performing Simulated Suturing Tasks.
Introduction Prolonged standing during surgery is a cause of musculoskeletal disorders in surgeons. Wearable chairs have reportedly reduced musculoskeletal strain effectively when used in industry. However, discomfort and instability issues may remain. This study examines whether using a wearable chair for surgical procedures imposes negative effects, such as mental or physical strain on surgeons prior to its clinical implementation. Methods This prospective cross-over study compared mental strain and subjective sensations in simulated suturing tasks with and without using Archelis®, a wearable chair (Archelis Inc, Yokohama, Japan). Six surgeons participated in the study. Mental strain was examined using heart rate variations calculated during tasks. Four subjective sensations (fatigue, comfort, balance, and workability) after each task and differences in body localized pain pre- and post-task were compared using a 10 centimetres (cm)-visual analog scale (VAS) score questionnaire. Results Results showed no significant differences in mental strain nor subjective sensations with or without the wearable chair. The mean VAS scores for all four subjective sensations with the wearable chair were relatively positive. There was a slight yet insignificant post-task increase in VAS mean scores for body-localized pain in the lower legs. Conclusions Significant negative effects on surgeons from the wearable chair were not observed during simulated suturing procedures. This demonstrates no major barriers in the initial phases of wearable chairs integration into the surgery environment.