- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07562126
WRMSDs Among Orthopedic Surgeons (WRMSDs)
Prevalence of Work-Related Musculoskeletal Disorders Among Orthopedic Surgeons: a Cross-Sectional Study
Study Overview
Status
Conditions
Detailed Description
Work-related musculoskeletal disorders (WRMSDs) are syndromes characterized by soft tissue pain, stiffness, swelling, fatigue, and lack of control. The National Institute for Occupational Safety and Health (NIOSH) defined Musculoskeletal Disorders (MSDs) as an injury that affects a part of the musculoskeletal system encompassing bones, nerves, tendons, ligaments, joints, cartilage, blood vessels, and spinal discs.
Studies have shown that 60 % to 90% of all specialty surgeons suffer from pain and stiffness in their neck, back, or shoulders.
Physical occupational hazards associated with orthopedic surgery have raised growing concerns. The orthopedic surgery field exposes surgeons to a range of serious risks and imposes tremendous physical and emotional strain.
The Nordic Musculoskeletal Questionnaire (NMQ) was developed by Kuorinka et al. 1987. It is an easy, well-structured questionnaire comprising the whole body by describing nine functional sites for both sides: upper and lower limbs, neck, and lower back. It integrates questions on individual symptoms and activity constraint levels in the previous 12 months.
Statement of the Problem: The study will answer the following research question: What is the prevalence of Work-related musculoskeletal disorders among Egyptian orthopedic surgeons? Purpose of the study: This study will assess the prevalence, characteristics, and impact of work-related musculoskeletal disorders among Egyptian orthopedic surgeons.
Significance of the study: After reviewing the available previous published studies, it was found that there is limited research for both prevalence & ergonomic assessment considering Egyptian orthopedic surgeons. Ergonomic guidelines are often not followed in the operating theatre design and layout due to a lack of awareness. To the best of our knowledge, no study has evaluated the prevalence of MSDs among Egyptian orthopedic surgeons, although work-related injuries constitute more than 60% of all occupational illnesses.
Currently, there is a knowledge gap regarding the prevalence of WRMSDs among Egyptian orthopedic surgeons. Therefore, the current study aims to assess it, explore the types of WRMSDs, and identify the risk factors for developing WRMSDs among Egyptian orthopedic surgeons.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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Cairo Governorate
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Cairo, Cairo Governorate, Egypt, 11865
- Egyptian National Hospitals
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Egyptian orthopedic surgeons and participants must have been working for at least 5 years.
Exclusion Criteria:
- any history of traumatic injuries of relevant regions within the past year such as whiplash injury, any history of surgical interventions of relevant regions within the past year, other medical conditions that may have a negative effect on the spine and upper extremities such as deformity, chronic diseases affecting the musculoskeletal system such as rheumatoid arthritis, osteoarthritis, and other connective tissue disorders (such as fibromyalgia), neurological and orthopedic disorders as well as sensory deficits and consumption of any sedative drug or alcohol within the past 48 hours.
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Prevalence of WRMSDs
Time Frame: 12 months
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12 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Regression Analysis
Time Frame: 12 months
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relationship between age, BMI, working hours/week, No. of procedures/month and subspeciality (General, trauma, arthroplasty, spine, and upper extremity) as predictors, and surgeons having symptoms in the last 12 months as a response
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12 months
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Collaborators and Investigators
Sponsor
Investigators
- Study Director: Tasneem EA Mohammad, PhD, Lecturer, Department of Musculoskeletal Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt
- Study Chair: Nasr Awad Abdelkader, PhD, Assistant Professor, Department of Musculoskeletal Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt
Publications and helpful links
General Publications
- Kuorinka I, Jonsson B, Kilbom A, Vinterberg H, Biering-Sorensen F, Andersson G, Jorgensen K. Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon. 1987 Sep;18(3):233-7. doi: 10.1016/0003-6870(87)90010-x.
- Viester L, Verhagen EA, Oude Hengel KM, Koppes LL, van der Beek AJ, Bongers PM. The relation between body mass index and musculoskeletal symptoms in the working population. BMC Musculoskelet Disord. 2013 Aug 12;14:238. doi: 10.1186/1471-2474-14-238.
- Clar C, Koutp A, Leithner A, Leitner L, Puchwein P, Vielgut I, Sadoghi P. Occupational injuries in orthopedic and trauma surgeons in Austria. Arch Orthop Trauma Surg. 2024 Mar;144(3):1171-1178. doi: 10.1007/s00402-024-05200-0. Epub 2024 Jan 24.
- Buddle V, Nugent R, Jack RA 2nd, DeLuca P. Orthopedists Report High Prevalence of Work-Related Pain and Low Ergonomic Awareness. Orthopedics. 2023 Sep-Oct;46(5):280-284. doi: 10.3928/01477447-20230224-05. Epub 2023 Mar 1.
- Bonsch R, Seibt R, Kramer B, Rieger MA, Steinhilber B, Luger T. Influence of Intraoperative Active and Passive Breaks in Simulated Minimally Invasive Procedures on Surgeons' Perceived Discomfort, Performance, and Workload. Life (Basel). 2024 Mar 22;14(4):426. doi: 10.3390/life14040426.
- Daher M, Covarrubias O, Parmar T, Boutros M, Yammine P, BouFadel P, Lopez R, Fares MY, Khan AZ, Abboud JA. Subspecialties and Characteristics of Leadership Position in Orthopaedic Surgery. Arch Bone Jt Surg. 2025;13(1):39-46. doi: 10.22038/ABJS.2024.80029.3654.
- Imediegwu KU, Igwe OP, Onyebuchukwu CQ, Okonkwo KJ, Ngwu AO, Nduka AP, Okeke K, Anya JP, Onyesoro CS, Akunna JS, Oladiran AB. Factors Affecting Choice of Subspecialisation amongst Orthopaedic Surgery Residents in Southern Nigeria. J West Afr Coll Surg. 2025 Jan-Mar;15(1):27-30. doi: 10.4103/jwas.jwas_129_23. Epub 2024 Aug 2.
- Xu AL, Covarrubias OG, Yakkanti RR, Sotsky RB, Aiyer AA. The Biomechanical Burden of Orthopaedic Procedures and Musculoskeletal Injuries Sustained by Orthopaedic Surgeons: A Systematic Review. JBJS Rev. 2023 Jan 13;11(1). doi: 10.2106/JBJS.RVW.22.00202. eCollection 2023 Jan 1.
- Althoff FC, Wachtendorf LJ, Rostin P, Santer P, Schaefer MS, Xu X, Grabitz SD, Chitilian H, Houle TT, Brat GA, Akeju O, Eikermann M. Effects of night surgery on postoperative mortality and morbidity: a multicentre cohort study. BMJ Qual Saf. 2021 Aug;30(8):678-688. doi: 10.1136/bmjqs-2020-011684. Epub 2020 Oct 7.
- Al Mulhim FA, AlSaif HE, Alatiyah MH, Alrashed MH, Balghunaim AA, Almajed AS. The Prevalence of Musculoskeletal Pain (MSP) Among Orthopedic Surgeons and Residents in Saudi Arabia's Eastern Area. Cureus. 2023 May 19;15(5):e39246. doi: 10.7759/cureus.39246. eCollection 2023 May.
- Vajapey SP, Li M, Glassman AH. Occupational hazards of orthopaedic surgery and adult reconstruction: A cross-sectional study. J Orthop. 2021 Apr 2;25:23-30. doi: 10.1016/j.jor.2021.03.026. eCollection 2021 May-Jun.
- Sers R, Forrester S, Zecca M, Ward S, Moss E. The ergonomic impact of patient body mass index on surgeon posture during simulated laparoscopy. Appl Ergon. 2021 Nov;97:103501. doi: 10.1016/j.apergo.2021.103501. Epub 2021 Jun 22.
- Vasireddi N, Vasireddi N, Shah AK, Moyal AJ, Gausden EB, Mclawhorn AS, Poelstra KA, Gould HP, Voos JE, Calcei JG. High Prevalence of Work-related Musculoskeletal Disorders and Limited Evidence-based Ergonomics in Orthopaedic Surgery: A Systematic Review. Clin Orthop Relat Res. 2024 Apr 1;482(4):659-671. doi: 10.1097/CORR.0000000000002904. Epub 2023 Nov 21.
- Ho-A-Tham N, Ting-A-Kee B, Struyf N, de Almeida Mello J, Dankaerts W, Vanlandewijck Y. Prevalence of musculoskeletal complaints and health-related quality of life in a Maroon and Kalinya Indigenous rural village in Suriname. Qual Life Res. 2023 Jul;32(7):1955-1970. doi: 10.1007/s11136-023-03363-8. Epub 2023 Feb 24.
- Asiri FA, Alqhtani AA, Assiri AH, Alqahtani MH, Motlag DS, Tedla JS, Alwadai SA. Shoulder Pain and Disability Scores and the Factors Influencing Them among Orthopedic Surgeons Working in the Kingdom of Saudi Arabia: A Cross-Sectional Study. J Pers Med. 2023 Dec 30;14(1):55. doi: 10.3390/jpm14010055.
- Bokhary OA, Alsolami MA, Alkindy AK, Numan MS, Jumah MA, Mirza AA. Prevalence of Work-Related Musculoskeletal Disorders Among Orthopedic Surgeons in Saudi Arabia: A Systematic Literature Review. Cureus. 2024 Oct 29;16(10):e72634. doi: 10.7759/cureus.72634. eCollection 2024 Oct.
- AlQahtani SM, Alzahrani MM, Harvey EJ. Prevalence of musculoskeletal disorders among orthopedic trauma surgeons: an OTA survey. Can J Surg. 2016 Feb;59(1):42-7. doi: 10.1503/cjs.014415.
- Alqahtani SM, Alzahrani MM, Bicknell R, Pichora D. Prevalence and factors of work-related musculoskeletal disorders among hand surgeons. World J Orthop. 2022 May 18;13(5):465-471. doi: 10.5312/wjo.v13.i5.465. eCollection 2022 May 18.
- Auerbach JD, Weidner ZD, Milby AH, Diab M, Lonner BS. Musculoskeletal disorders among spine surgeons: results of a survey of the Scoliosis Research Society membership. Spine (Phila Pa 1976). 2011 Dec 15;36(26):E1715-21. doi: 10.1097/BRS.0b013e31821cd140.
- Lester JD, Hsu S, Ahmad CS. Occupational hazards facing orthopedic surgeons. Am J Orthop (Belle Mead NJ). 2012 Mar;41(3):132-9.
- Khansa I, Khansa L, Westvik TS, Ahmad J, Lista F, Janis JE. Work-Related Musculoskeletal Injuries in Plastic Surgeons in the United States, Canada, and Norway. Plast Reconstr Surg. 2018 Jan;141(1):165e-175e. doi: 10.1097/PRS.0000000000003961.
- Baron S, Hales T, Hurrell J. Evaluation of symptom surveys for occupational musculoskeletal disorders. Am J Ind Med. 1996 Jun;29(6):609-17. doi: 10.1002/(SICI)1097-0274(199606)29:63.0.CO;2-E.
Helpful Links
- Shah, A., Hahamyan, H., Gould, H., Calcei, J., Gausden, E., & Vasireddi, N. (2023). Poster 389: Operating Through the Pain: Systematic Review of Musculoskeletal Pain and Injury Epidemiology Among Orthopedic Surgeons and Trainees. Orthopaedic Journal of S
- Malik-Tabassum, K., Ahmed, M., Jones, H. W., Gill, K., Board, T., & Gambhir, A. (2023, June). The prevalence of musculoskeletal conditions among hip surgeons in the United Kingdom: A cross-sectional study. Orthopaedic Proceedings, 105(Suppl 11), 47.
- Khan, Z., & Khan, M. A. (2021). EMERGENCE OF SUBSPECIALTIES IN ORTHOPAEDICS: THE ROAD FORWARD IN KHYBER PAKHTUNKHWA-PAKISTAN. Journal of Postgraduate Medical Institute, 35(1), 1-2.
- Aljohani, L. Z., Batayyib, S. S., Ghabban, K. M., Koshok, M. Y., & Alshammari, A. N. (2020). Prevalence of musculoskeletal pain among orthopedic surgeons in north-west region of Saudi Arabia: A cross-sectional study. Journal of Orthopedic Research & Phys
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- WRMSDs in Ortho Surgeons
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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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