title: Ergonomics in hair restoration surgeons.
abstract: BACKGROUND
  Musculoskeletal disorders (MSDs) are potential sources of morbidity in hair restoration surgeons (HRS). This is particularly true for those who perform follicular unit extraction (FUE).
  
  
  OBJECTIVE
  To describe the nature, prevalence, and extent of ergonomic or work-related MSDs among HRS.
  
  
  METHODS
  A survey regarding MSDs was e-mailed to 100 HRS.
  
  
  RESULTS
  Thirty-eight HRS completed the survey, the majority of which were male and between the ages of 50-69. Fifty percent of respondents reported musculoskeletal symptoms occurring during or after hair restoration procedures. Reports of pain during and after surgery were higher for FUE procedures than single strip excision procedures. Pain/fatigue/discomfort persisted for longer following FUE procedures compared to strip excision procedures. MSD symptoms also negatively impacted quality of life. Although the majority of respondents felt that ergonomics was important, only 30% use ergonomic support when performing FUE procedures.
  
  
  CONCLUSIONS
  Hair restoration surgeons should be aware of MSD symptoms and particularly when performing FUE. Symptoms reported included pain, fatigue, and discomfort, sometimes lasting several hours following surgery. More attention needs to be paid to ergonomics during hair restoration procedures in order to improve the quality of life of surgeons and ultimately prevent the development of MSDs.
authors.affiliation: Family Medicine, Western University of Health Science, Pomona, California, USA.
authors.forename: Ken L
authors.initials: KL
authors.lastname: Williams
authors.affiliation: Department of Medicine, University of Toronto, Toronto, Ontario, Canada.|Mediprobe Research Inc., London, Ontario, Canada.
authors.forename: Aditya K
authors.initials: AK
authors.lastname: Gupta
authors.affiliation: Department of Biological Science, Biola University, La Mirada, California, USA.
authors.forename: Hayden
authors.initials: H
authors.lastname: Schultz
mesh_terms: D000368:Aged; D003357:Cosmetic Techniques; D006804:Ergonomics; D005221:Fatigue / Q000453:epidemiology*; D005260:Female; D018859:Hair Follicle / Q000637:transplantation; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D059352:Musculoskeletal Pain / Q000453:epidemiology*; D009784:Occupational Diseases / Q000453:epidemiology*; D015995:Prevalence; D066231:Surgeons / Q000706:statistics & numerical data*; D020858:Tissue and Organ Harvesting / Q000009:adverse effects*
keywords: FUE; ergonomics; follicular unit extraction; musculoskeletal disorders; prolonged static positions