Evaluating the Timing Strategy and Permanence of Implementation of the OR-Stretch, An Intraoperative Ergonomic Microbreak for Surgeons

Ergonomic microbreaks such as the OR-Stretch can address work-related musculoskeletal pain among surgeons and potentially alleviate burnout and early retirement. Fifteen surgeons at a single institution completed two operative cases using the OR-Stretch, once using the Scheduled (every 45min) timing strategy and once using the Self-Determined (between 30 and 60min based on surgeon preference) strategy. Eight surgeons preferred the Scheduled timing strategy, and seven preferred Self-Determined (p=.80). The stretch was skipped 16% of the time using the Scheduled strategy and 6% with the Self-Determined strategy (p=.18). Personal interest, improved mental focus, and ease of remembering were cited as the most influential factors for continued usage, while the most influential factor for not continuing was forgetting to use it. Selfdetermined intervals for intraoperative microbreaks represent a valid and potentially preferable implementation approach. Efforts to promote long-term adoption of microbreaks should focus on reminding surgeons to use them during operations.