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21.06.2017 | Original Article | Ausgabe 4/2017 Open Access

Insights into Imaging 4/2017

Ergonomic strategies to improve radiographers’ posture during mammography activities

Zeitschrift:
Insights into Imaging > Ausgabe 4/2017
Autoren:
Nicolai Cernean, Florentino Serranheira, Pedro Gonçalves, Cláudia Sá dos Reis

Abstract

Objectives

To identify alternatives for radiographers’ postures while performing mammography that can contribute to reduce the risk of work-related musculoskeletal disorders (WRMSDs).

Methods

Radiographers’ postures to positioning craniocaudal (CC) and mediolateral oblique (MLO) views were simulated without any intervention for three scenarios: radiographer/patient with similar statures, radiographer smaller than patient and radiographer taller than patient. Actions were taken to modify the postures: seated radiographer; patient on a step; seated patient; radiographer on a step. All the postures were analysed using kinovea 0.8.15 software and the angles were measured twice and classified according to European standard EN1005–4: 2005.

Results

The non-acceptable angles were measured mainly during MLO positioning when radiographer was taller than the patient: 139° and 120° for arm-flexion and abduction, 72° for trunk and −24° for head/neck-flexion. The introduction of alternative postures (radiographer seated), allowed improvements in posture (60° and 99° for arm flexion and abduction, 14° for trunk and 0° for head/neck flexion), being classified as acceptable.

Conclusions

The alternative postures simulated have the potential to reduce the risk of developing WRMSDs when radiographers and patients have different statures.

Main messages

Radiographers’ postures in mammography can contribute to work-related musculoskeletal disorders
Non-acceptable posture was identified for MLO breast positioning (radiographer taller than patient)
Adapting posture to patient biotype reduces the WRMSD risk for radiographers
Literatur
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