ArticleSensors (Basel, Switzerland)2023
A New Approach to Quantifying Muscular Fatigue Using Wearable EMG Sensors during Surgery: An Ergonomic Case Study.
Article in Sensors (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Impact of Intraoperative Ergonomic Microbreaks on Surgeons' Well-Being and Performance: A Systematic Review.World journal of surgery · 2026Pooled it
- Ergonomic evaluation of a novel suturing device (SutureTOOL) versus traditional needle-driver for aponeurotic closure: a randomized experimental study.Hernia : the journal of hernias and abdominal wall surgery · 2026Trial
- Multimuscle Surface-EMG Characterization of Upper-Limb Fatigue During Repetitive Haptic Interaction for Health 5.0 Applications.Bioengineering (Basel, Switzerland) · 2026Article
- Including Eye Movement in the Assessment of Physical Fatigue Under Different Loading Types and Road Slopes.Journal of eye movement research · 2026Article
- HURMAT: an alternative approach for fatigue diagnosis and management based on ergonomics and human factors.Frontiers in public health · 2026Article
- Corticomuscular coupling alterations in subacute stroke patients: insights from fNIRS and sEMG.BMC neurology · 2025Article
- Review
- Surface electromyography markers of motor learning during laparoscopic skill acquisition: associations with performance and movement efficiency.Journal of robotic surgery · 2025Article
- Use of Wearable Inertial Sensors to Assess Trunk and Cervical Postures Among Surgeons: Effect of Surgical Specialties and Roles.Bioengineering (Basel, Switzerland) · 2025Article
- Comparative Study of Ergonomics in Conventional and Robotic-Assisted Laparoscopic Surgery.Sensors (Basel, Switzerland) · 2024Article
- Optical Myography-Based Sensing Methodology of Application of Random Loads to Muscles during Hand-Gripping Training.Sensors (Basel, Switzerland) · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
(1) Background: Surgeons are exposed to musculoskeletal loads that are comparable to those of industrial workers. These stresses are harmful for the joints and muscles and can lead to musculoskeletal disorders (MSD) and working incapacity for surgeons. In this paper, we propose a novel ergonomic and visualization approach to assess muscular fatigue during surgical procedures. (2) Methods: The activity of eight muscles from the shoulder girdle and the cervical/lumbar spines were evaluated using position and electromyographic wearable sensors while a surgeon performed an arthroscopic rotator-cuff surgery on a patient. The time and frequency-domain variables of the root-mean-square amplitude and mean power frequency, respectively, were calculated from an electromyographic signal. (3) Results: The entire surgical procedure lasted 73 min and was divided into 10 sub-phases associated with specific level of muscular activity and fatigue. Most of the muscles showed activity above 60%, while the middle trapezius muscles were almost constantly activated (>20%) throughout the surgical procedure. (4) Conclusion: Wearable sensors can be used during surgical procedure to assess fatigue. Periods of low-to-high activity and fatigue can be evaluated and visualized during surgery. Micro-breaks throughout surgical procedures are suggested to avoid fatigue and to prevent the risk of developing MSD.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.