Procedural and anthropometric factors associated with musculoskeletal injuries among gastroenterology endoscopists

Alexander T. Miller, Michelle B. Herberts, Stephanie L. Hansel, Jean C. Fox, M. Susan Hallbeck, John League, Chadrick Hinson, Carol Van Dyke, Joseph A. Murray

Research output: Contribution to journalArticlepeer-review


Background and aims: Musculoskeletal (MSK) injuries among gastroenterologists are common. Our study describes risk factors and consequences of injury by comparing provider-specific anthropometric and objective procedural data to self-reported injury patterns. Methods: A validated MSK symptom survey was sent to gastroenterologists to gauge prevalence, distribution, and severity of active injury. Respondents’ procedural activities over 7 years were collected via an endoscopic database. Results: 64 surveys were completed. 54 respondents had active pain; 53.1% reported activity-limiting injury. Activity-limiting injuries lead to longer colonoscopy times (25.3 vs. 22.1 min, P = 0.03) and lower procedural volumes (532 vs. 807, P = 0.01). Hand/wrist injuries yielded longer colonoscopy insertion times (9.35 vs. 8.21 min, P = 0.03) and less hands-on scope hours (81.2 vs. 111.7 h, P = 0.04). Higher esophagogastroduodenoscopy volume corelated with shoulder injury (336.5 vs. 243.1 EGDs/year, P = 0.04). Females had more foot injuries (P = 0.04). Conclusion: Activity-limiting MSK symptoms/injuries affect over 50% of endoscopists with negative impact on procedural volume and efficiency.

Original languageEnglish (US)
Article number103805
JournalApplied Ergonomics
StatePublished - Oct 2022


  • Colonoscopy
  • Disability
  • Endoscopy
  • Ergonomics
  • Injury
  • Musculoskeletal
  • Occupational injury
  • Pain

ASJC Scopus subject areas

  • Human Factors and Ergonomics
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Safety, Risk, Reliability and Quality
  • Engineering (miscellaneous)


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