Surgical Ergonomics in OBGYN
Surgical Ergonomics in OBGYN Trainees & Attendings
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Ayesha Kar, MD
- Phone Number: 2168441000
- Email: ayesha.karkasal@uhhospitals.org
Study Locations
-
-
Ohio
-
Beachwood, Ohio, United States, 44122
- University Hospitals Ahuja Medical Center
-
Contact:
- Ayesha Kar, MD
- Phone Number: 2168441000
- Email: ayesha.karkasal@uhhospitals.org
-
Cleveland, Ohio, United States, 44106
- University Hospitals Cleveland Medical Center
-
Contact:
- Ayesha Kar, MD
- Phone Number: 2168441000
- Email: ayesha.karkasal@uhhospitals.org
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
Current attending in the OBGYN department at University Hospitals Current resident or fellow in the OBGYN department at University Hospitals Participation in laparoscopic or open surgical procedures
Exclusion Criteria:
Not a current fellow, resident, or attending in the OBGYN department at University Hospitals
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Intervention Arm
Intervention 1: Surgical Ergonomics Lecture Intervention 2: 6 months of pre-surgical time out procedure focusing on surgical ergonomics Intervention 3: 6 months of intra-operative stretch breaks
|
60 min lecture regarding surgical ergonomics
Pre-incision time-out (30-60s) focusing on surgical ergonomics in OR prior to starting a surgery
30-60s breaks every 90 min to perform stretches during a surgical procedure
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Symptom frequency as measured by the Cornell Muscular Discomfort (MSK) Questionnaire
Time Frame: weekly x 12 months
|
Symptom frequency is measured on a likert scale of 0-4, with 0 being never and 4 being several times a day.
|
weekly x 12 months
|
|
Symptom severity as measured by the Cornell Muscular Discomfort (MSK) Questionnaire
Time Frame: weekly x 12 months
|
Symptom severity is measured on a scale of 0-3, with 0 being slightly uncomfortable and 3 being very uncomfortable.
|
weekly x 12 months
|
|
Work interference as measured by the Cornell Muscular Discomfort (MSK) Questionnaire
Time Frame: weekly x 12 months
|
Work interference is measured on a scale of 0-3, with 0 being not at all and 3 being substantially interfered.
|
weekly x 12 months
|
|
Total Cornell Muscular Discomfort Scores
Time Frame: Weekly x 12 months
|
For each body region, a region-specific Cornell MSK discomfort score will be calculated as: Frequency × Severity × Work Interference.
This yields a possible score range of 0-36 per body region.
|
Weekly x 12 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Incidence of work related musculoskeletal disorders (WRMDs)
Time Frame: 1 month
|
Initial incidence (presence or absence) of work related MSK disorders
|
1 month
|
|
Number of days of painkiller use
Time Frame: weekly x 12 months
|
Measure of how many days per week a participant took over the counter medications (such as NSAIDs or tylenol) for musculoskeletal pain related to work.
Scoring includes 0 days, 1-3 days, 4-5 days, daily
|
weekly x 12 months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Ayesha Kar Kasal, University Hospitals Cleveland Medical Center
Publications and helpful links
General Publications
- Park AE, Zahiri HR, Hallbeck MS, Augenstein V, Sutton E, Yu D, Lowndes BR, Bingener J. Intraoperative "Micro Breaks" With Targeted Stretching Enhance Surgeon Physical Function and Mental Focus: A Multicenter Cohort Study. Ann Surg. 2017 Feb;265(2):340-346. doi: 10.1097/SLA.0000000000001665.
- Tsunemi M, Matsuzaki I, Hori Y, Hayashi K, Tamada H, Yamada S, Matsuzaki K, Sakai K, Kamijima M, Ebara T. The One-Minute Triple Stretch Reduces Musculoskeletal Discomfort in Endoscopic Assistants: A Crossover Trial With Motion Analysis. Dig Endosc. 2026 Jan;38(1):e70040. doi: 10.1111/den.70040. Epub 2025 Oct 13.
- Restaino S, D'Indinosante M, Perelli F, Arcieri M, Cherchi V, Petrillo M, Cavaliere AF, Cianci S, Pellecchia G, Meniconi RL, Coppola A, Chiantera V, Scambia G, Driul L, Vizzielli G; SPIGC Working Group. Ergonomics in the operating room and surgical training: a survey on the Italian scenario. Front Public Health. 2024 Aug 7;12:1417250. doi: 10.3389/fpubh.2024.1417250. eCollection 2024.
- Young RJ, Allen A, McIntire D, Robinson EF, Bougie O, Kho KA. Work Related Pain in Gynecologic Surgeons - A National Survey. J Minim Invasive Gynecol. 2025 Jul;32(7):614-620.e3. doi: 10.1016/j.jmig.2025.01.014. Epub 2025 Feb 1.
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
Other Study ID Numbers
- STUDY20251677
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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