Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus · 2026
Occupational hand and wrist musculoskeletal disorders risk in US orthoptists and clinical pediatric ophthalmologists: a cross-sectional survey.
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Pfeifer Amanda L, Wang Victoria
Аннотация
PURPOSE: To evaluate the prevalence and occupational risk factors for upper extremity musculoskeletal disorders related to prism use among US orthoptists and pediatric ophthalmologists, focusing on grip style, wrist posture, and usage patterns.
METHODS: A cross-sectional, self-administered 22-item questionnaire was distributed electronically via professional listservs between April 4 and May 6, 2025. Information on demographics, practice patterns, prism use characteristics, grip type, wrist posture, and musculoskeletal symptom history was collected. Associations between occupational factors and musculoskeletal disorder symptoms were assessed using χ2 tests, independent t tests, and logistic regression.
RESULTS: A total of 64 participants (41 orthoptists, 23 pediatric ophthalmologists) completed the survey. Musculoskeletal disorder symptoms were reported by 61% of respondents, with 45% reporting onset only after starting their career. Common diagnoses included carpal tunnel syndrome, tendinitis, arthritis, and De Quervain's tenosynovitis. While no occupational exposure variables reached statistical significance, trends suggested higher musculoskeletal disorder prevalence with greater daily prism use, and grip types involving ≥35° wrist extension.
CONCLUSIONS: Our survey results indicate a high prevalence of upper extremity musculoskeletal disorder symptoms, with grip type and wrist posture emerging as potential risk factors. These findings underscore the need for ergonomic education, redesign of handheld tools, and further observational research to mitigate occupational strain in pediatric ophthalmology.
METHODS: A cross-sectional, self-administered 22-item questionnaire was distributed electronically via professional listservs between April 4 and May 6, 2025. Information on demographics, practice patterns, prism use characteristics, grip type, wrist posture, and musculoskeletal symptom history was collected. Associations between occupational factors and musculoskeletal disorder symptoms were assessed using χ2 tests, independent t tests, and logistic regression.
RESULTS: A total of 64 participants (41 orthoptists, 23 pediatric ophthalmologists) completed the survey. Musculoskeletal disorder symptoms were reported by 61% of respondents, with 45% reporting onset only after starting their career. Common diagnoses included carpal tunnel syndrome, tendinitis, arthritis, and De Quervain's tenosynovitis. While no occupational exposure variables reached statistical significance, trends suggested higher musculoskeletal disorder prevalence with greater daily prism use, and grip types involving ≥35° wrist extension.
CONCLUSIONS: Our survey results indicate a high prevalence of upper extremity musculoskeletal disorder symptoms, with grip type and wrist posture emerging as potential risk factors. These findings underscore the need for ergonomic education, redesign of handheld tools, and further observational research to mitigate occupational strain in pediatric ophthalmology.