Page 54 - World Journal of Laparoscopic Surgery
P. 54

Gurvinder Kaur

                                                                  The results of the video analysis are shown in Table 3. For
                                                               155 cm subject height was comfortable at 70 cm in the neutral
                                                               zone posture showing shoulder joint was abducted at 15 degree
                                                               and elbow joint showed extension at 125 degree abduction of
                                                               wrist joint.
                                                                  At 65 cm OR table height there was less comfort experienced
                                                               by the subject as the shoulder joint was abducted to zero degree
                                                               and the elbow joint extended to more than 130 degree (i.e.
                                                               150 degree). On further raising the table height to 75 cm there
                                                               was the same less comfort. The shoulder joint was abducted to
                                                               40 degree with extension of the elbow joint to 120 degree to
                                                               perform the task.
                                                                  When the OR table height was further raised to 85 cm there
                                                               was discomfort experienced by the subject since the abduction
                                                               of shoulder joint had increased further to 45 degree combined
              Graph 1: Relation between surgeon and OR table height (cm)  with the increasing flexion of wrist joint to perform the task. At






            TABLE 3: Subjects Height versus Table Height
              OT Table            Abduction Angle of              Flexion of             Observation
             Height (cm)             Shoulder                   Elbow and wrist
                65                                                                       B = Less comfort minimal
                                                                                         deviation from neutral zone
                                                                                         posture.






                                        0 o                         150 o


                70                                                                       A = Comfortable-neutral zone
                                                                                         posture shoulder joint abducted
                                                                                                         o
                                                                                          o
                                                                                         15  elbow extended 125  wrist
                                                                                         joint extended.


                                       15 o                         125 o


                75                                                                       B = Less comfort minimal
                                                                                         deviation from neutral zone
                                                                                         posture.





                                       40 o                         120 o
                                                                                                          Contd...



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