Ergonomic Evaluation of Microscopic Ear Surgery With Exoskeleton: A Single Site Non-blinded Study (ExoskeletonEar)
The goal of this observational study is to learn whether an exoskeleton system can reduce musculoskeletal strain and pain during microscopic ear surgery in ENT surgeons performing tympanomastoid and related microscopic ear procedures. The main questions it aims to answer are:
Does the use of an exoskeleton reduce musculoskeletal strain (measured via surface EMG activity) during surgery? Does the use of an exoskeleton reduce subjective pain scores in the neck, back, and shoulders during surgery?
Researchers will compare surgeries performed with the exoskeleton versus surgeries performed without the exoskeleton to see if it reduces strain, muscle activity, and pain levels.
Participants will:
Perform microscopic ear surgeries with and without the exoskeleton system Wear surface EMG electrodes on the neck, back, and shoulders to record muscle activity Provide subjective pain/strain scores at regular intervals (every 5 minutes) during surgery Follow standard surgical preparation and positioning procedures before data collection begins
研究概览
地位
条件
研究类型
注册 (估计的)
联系人和位置
学习联系方式
- 姓名:Toral Odedra
- 邮箱:toral.odedra@nhs.net
研究联系人备份
- 姓名:Ananth Vijendren, BM, FRCS (ORL-HNS), PhD
- 电话号码:+441438288019
- 邮箱:Ananth.vijendren1@nhs.net
学习地点
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Hertfordshire
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Stevenage、Hertfordshire、英国、SG1 4AB
- 招聘中
- Lister Hospital, East and North Hertfordshire Teaching NHS Trust
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接触:
- Ananth Vijendren
- 电话号码:+441438285421
- 邮箱:ananth.vijendren1@nhs.net
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-
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
取样方法
研究人群
The study population consists of ENT surgeons who routinely perform microscopic ear surgeries, including tympanomastoid procedures and hearing implant operations. Participants are clinicians working within the ENT department who are willing to undergo surface EMG monitoring and use the exoskeleton support system during live surgical procedures.
Eligible participants must have experience in microscopic ear surgery and no pre-existing musculoskeletal conditions that would limit their ability to perform surgery or safely use the exoskeleton.
描述
Inclusion Criteria:
- ENT surgeons who perform a range of microscopic ear surgery including tympanomastoid surgery and hearing implants.
- Willing to participate with surface EMG (sEMG) monitoring and utilise the Ottobock exoskeleton
Exclusion Criteria:
- Pre-existing musculoskeletal problems that limits procedures under microscope and tympanomastoid surgery
- Unable to perform surgery using the exoskeleton
学习计划
研究是如何设计的?
设计细节
- 观测模型:COHORT
- 时间观点:CROSS_SECTIONAL
队列和干预
团体/队列 |
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With Exoskeleton
With Exoskeleton: ENT surgeons performing microscopic ear surgery while wearing the exoskeleton support system. During procedures, participants will have surface EMG electrodes placed on the neck, back, and shoulders to measure muscle activity, and will report subjective pain/strain scores at regular intervals. |
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Without Exoskeleton
Without Exoskeleton: ENT surgeons performing microscopic ear surgery under standard conditions without the exoskeleton. The same protocol will be followed, including surface EMG monitoring and regular subjective pain/strain assessments, to allow comparison with the intervention group. |
研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Change in Visual Analogue Scale (VAS) Score for Musculoskeletal Strain
大体时间:From the start of each operation to the end of the surgical procedure, with assessments every 5 minutes
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Difference in participant-reported musculoskeletal strain during microscopic tympanomastoid surgery performed with and without the exoskeleton. Strain will be assessed using a Visual Analogue Scale (VAS) at 5-minute intervals throughout each operation. |
From the start of each operation to the end of the surgical procedure, with assessments every 5 minutes
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Difference in Surface Electromyography (sEMG) Amplitude (% Change From Rest)
大体时间:From the start of each operation to the end of the surgical procedure.
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Difference in muscle activity, measured using surface electromyography (sEMG), during microscopic tympanomastoid surgery performed with and without the exoskeleton. Results will be expressed as percentage change from resting sEMG amplitude in the neck, shoulder and back muscles. |
From the start of each operation to the end of the surgical procedure.
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Difference in Maximum Surface Electromyography (sEMG) Amplitude
大体时间:From the start of each operation to the end of the surgical procedure.
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Difference in maximum muscle activity, measured using surface electromyography (sEMG), during microscopic tympanomastoid surgery performed with and without the exoskeleton. Maximum sEMG amplitude will be assessed in the neck, shoulder and back muscles |
From the start of each operation to the end of the surgical procedure.
|
合作者和调查者
调查人员
- 首席研究员:Ananth Vijendren、East and North Hertfordshire Teaching NHS Trust
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (估计的)
研究完成 (估计的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
其他研究编号
- RD2025-61
计划个人参与者数据 (IPD)
计划共享个人参与者数据 (IPD)?
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