Musculoskeletal disorder related to the work of doctors who perform medical invasive evaluation.
BACKGROUND
Experts in medical invasive evaluations, like colonoscopy, could be exposed to ergonomic risks during their work. Little attention has been given to these spectrum of occupational health. Its aimed to analyze possible clinical problems related to upper limb of physicians who perform those exams.


METHODS
Cross-sectional study in a health service in Sao Paulo, Brazil. For evaluation of the workplace of the colonoscopist physician were applied two tools: Couto's check list and Sue Rodgers Method. The results direct the potential risk to upper limb injuries.


RESULTS
The procedure is done and the final report is issued. There are no mandatory pauses during workday. The dominant hand holds the tube insertion with pincer movement during the exam, digital prehension being necessary at times. For this activity the employee has to use some strength. Couto's check list indicates a significant biomechanical factor. Sue Rodgers's Method states high ergonomic risk for dominant hand/wrist/fingers.


CONCLUSIONS
The main risk for the development of health disorders are associated with the use of force and repetitive movements of hands. The adoption of regular breaks to recover most of the structures required is recommended.
Deparment of Social Medicine, Santa Casa Medical Sciences School, Rua Dr. Cesário Mota Junior, 61 - 6� andar, 01221-020, São Paulo, SP, Brasil.
D P
DP
Maciel
R A M
RA
Millen
C A
CA
Xavier
L C
LC
Morrone
J S
JS
Silva
D001696:Biomechanical Phenomena; D001938:Brazil; D003113:Colonoscopy; D003430:Cross-Sectional Studies; D012090:Cumulative Trauma Disorders / Q000503:physiopathology*; D006804:Ergonomics; D006801:Humans; D007374:Interior Design and Furnishings; D009140:Musculoskeletal Diseases / Q000503:physiopathology*; D009784:Occupational Diseases / Q000503:physiopathology*; D010820:Physicians; D018570:Risk Assessment; D012307:Risk Factors; D013647:Task Performance and Analysis