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Análise biomecânica e perceção de desconforto musculoesquelético associadas às exigências posturais dos radioterapeutas no posicionamento e tratamento de doentes
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As Lesões Musculoesqueléticas Relacionadas com o Trabalho (LMERT) são uma das principais patologias ocupacionais na Europa, que também impactam de forma significativa o bem-estar dos profissionais de saúde e comprometem a eficiência dos serviços prestados. Os profissionais de radioterapia, em particular, encontram-se expostos a um conjunto de fatores de risco que potenciam o desenvolvimento de LMERT. Contudo, são poucos os estudos sobre a temática que envolvem este grupo de profissionais, caracterizando o risco de acordo com o procedimento e a tarefa realizada. Este estudo teve como objetivo avaliar o risco de LMERT e a sintomatologia de desconforto musculoesquelético em radioterapeutas durante tarefas de posicionamento e tratamento de doentes, num serviço de radioterapia no Norte de Portugal. Participaram seis radioterapeutas do sexo feminino, com idades entre 28 e 39 anos. Foram simuladas 26 tarefas associadas ao tratamento de quatro patologias oncológicas: pulmão, mama, cabeça e pescoço, próstata. O risco de LMERT foi avaliado com recurso ao sistema de captura de movimento inercial XSens MVN e posterior aplicação do método Rapid Entire Body Assessment (REBA). No mesmo âmbito, as radioterapeutas responderam a um inquérito sobre perceção do desconforto musculoesquelético. Os resultados revelaram valores REBA elevados, sobretudo em tarefas que envolvem a movimentação manual de cargas pesadas, como colocação e remoção de suportes de imobilização na mesa de tratamento, e o posicionamento de pacientes. A sintomatologia de desconforto musculoesquelético aumentou com a realização dos procedimentos, nomeadamente ao nível dos ombros e das costas. Recomenda-se, portanto, a adaptação dos equipamentos, a instalação de lasers móveis e a adoção de estratégias ergonómicas, com vista à redução da sobrecarga física, à prevenção de lesões
musculoesqueléticas e à melhoria dos cuidados prestados.
Work-Related Musculoskeletal Disorders (WRMSDs) are one of the main occupational pathologies in Europe, significantly impacting the well-being of healthcare professionals and compromising the efficiency of services provided. Radiation therapists are exposed to several risk factors that increase the risk of developing WRMSDs. However, there are few studies on the subject involving this group of professionals, characterizing the risk according to the procedure and the task performed. This study aimed to assess the risk of WRMSDs and the symptoms of musculoskeletal discomfort in radiotherapists during patient positioning and treatment tasks in a radiotherapy unit in Northern Portugal. Six female radiation therapists, aged 28 to 39, participated in the study. A total of 26 tasks were simulated, associated with the treatment of four oncological pathologies — lung, breast, head and neck, and prostate. The risk of WRMSDs was assessed using the XSens MVN inertial motion capture system and subsequent application of the Rapid Entire Body Assessment (REBA) method. With the same goal, the therapists completed a survey on their perception of musculoskeletal discomfort. The results revealed high REBA scores, particularly in tasks involving load handling such as placing and removing immobilization supports on the treatment table and patient positioning. Symptoms of musculoskeletal discomfort increased with the procedures, particularly in the shoulders and back. Therefore, it is recommended to adapt equipment, install mobile lasers, and implement ergonomic strategies to reduce physical strain, prevent musculoskeletal injuries, and improve the quality of care provided.
Work-Related Musculoskeletal Disorders (WRMSDs) are one of the main occupational pathologies in Europe, significantly impacting the well-being of healthcare professionals and compromising the efficiency of services provided. Radiation therapists are exposed to several risk factors that increase the risk of developing WRMSDs. However, there are few studies on the subject involving this group of professionals, characterizing the risk according to the procedure and the task performed. This study aimed to assess the risk of WRMSDs and the symptoms of musculoskeletal discomfort in radiotherapists during patient positioning and treatment tasks in a radiotherapy unit in Northern Portugal. Six female radiation therapists, aged 28 to 39, participated in the study. A total of 26 tasks were simulated, associated with the treatment of four oncological pathologies — lung, breast, head and neck, and prostate. The risk of WRMSDs was assessed using the XSens MVN inertial motion capture system and subsequent application of the Rapid Entire Body Assessment (REBA) method. With the same goal, the therapists completed a survey on their perception of musculoskeletal discomfort. The results revealed high REBA scores, particularly in tasks involving load handling such as placing and removing immobilization supports on the treatment table and patient positioning. Symptoms of musculoskeletal discomfort increased with the procedures, particularly in the shoulders and back. Therefore, it is recommended to adapt equipment, install mobile lasers, and implement ergonomic strategies to reduce physical strain, prevent musculoskeletal injuries, and improve the quality of care provided.
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Ergonomia Lesões musculoesqueléticas relacionadas com o trabalho Profissional de saúde Radioterapeuta Radioterapia Saúde ocupacional