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Work related musculoskeletal disorders
Execution of ultrasound examination can provoke work related
musculoskeletal disorders (WRMDs) of ultrasound practitioners due to long-
lasting arm abduction, body twisting, extensive wrist flexion and extensive
transducer grip and pressure. There are several causative factors including
high workload, increasing BMI of the patient, poor equipment and room
design, poor posture while scanning.
WARNING
WRMDs can be minimized both by an application of medical device
ergonomic and usability requirements and by following the best practice of
ultrasound practitioners.
Repetitive Strain Injury
In the category of occupational diseases, musculoskeletal disorders have been
reported by the clinical literature
1
as a result of repetitive scanning. These
musculoskeletal disorders are also referred to as Repetitive Strain Injury (RSI). To
prevent the risk of RSI, it has been recommended:
to maintain a balanced position while scanning,
not to grip the probe with excessive force,
to take work breaks to allow muscles to relax,
to introduce routine exercises such as gentle passive
stretching.
Working with Video Display
Scanning can require long sessions in front of a screen. Consequently visual
problems such as eyestrain and irritation can result
2
. Visual discomfort is reduced
when the following recommendations are observed:
1. Necas M. “Musculoskeletal symptomatology and Ripetitive Strain Injuries in
Diagnostic Medical Sonographers”, Journal of Diagnostic Medical Sonography
12, p. 266-273, 1996
Pike I, Russo A., Berkowitz J et al. “the prevalence of musculoskeletal disorders
among Diagnostic Medical Sonographers”, Journal of Diagnostic Medical Sonog-
raphy 13, p. 219-227, 1997
2. See for example OSHA 3092 “Working safely with video terminals display”
1997
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