Pioneering Non-Invasive Vascular Technologies Since 1984

Ergonomics in the Exam Room: Preventing Work-Related Musculoskeletal Disorders

hand augment pain ergonomics

Bending, twisting, and hand cramps are some common precursors to MSD in medical diagnostic sonographers

When it comes to the typical vascular laboratory, one of the most dreaded tasks is the lower-extremity venous reflux exam. No matter how the patient is positioned, an RVT must either (a) strain herself to perform the augmentation, or (b) enlist the helping hand of a colleague. Both options pose different issues that can be detrimental to operations.

Ergonomic Impacts

Option A is the least ergonomic and has the potential to put the technologist out of work due to injury. Work-related musculoskeletal disorder (or MSD) is the number one cause of long-term illness absence in healthcare workers. In a survey, 84% of diagnostic medical sonographers suffer from some sort of injury. These injuries typically include carpal and cubital tunnel, epicondylitis of the elbow, neck and back strains, shoulder capsulitis, tendonitis, and tenosynovitis. Work activities known to cause MSD in sonographers include:

  • Repetitive motion
  • Forceful exertions or strain when pushing into a patient’s abdomen or compressing leg veins
  • Awkward postures or unnatural positions, commonly from reaching over patients during bedside exams

Economic Impacts

When a technologist misses work due to work-related MSD, no one wins. Economic impacts include:

  • Lost wages
  • More medical insurance claims and Worker’s Compensation claims
  • Increased sick and disability leave time
  • Compromised patient care

Option B, though it is the more ergonomic of the two given options, may not be much better. This time, the colleague helping with vein augmentations not only takes on some strain, but also becomes unavailable for her other tasks in the clinic.

Ideally, technologists should make use of lighter, more maneuverable equipment that promotes better ergonomics. For compressing leg veins during lower-extremity reflux exams, a portable, hands-free augmentation device is a recommended substitute for manual compression.

venapulse hands free augmentation device

The VenaPulse® device provides hands-free, standardized* augmentations


Sonographer Occupational Musculoskeletal Disorders: What Are They and How Can They Be Prevented:

Ultrasound Ergonomics:

*Prospective comparison of the pneumatic cuff and manual compression methods in diagnosing lower extremity venous reflux:

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“Quantified hemodynamics of compression garments” involving APG® Air Plethysmograph presented at ACP 2012

At this year’s 26th Annual Congress of the American College of Phlebology, one presentation will explore the recent clinical evidence gathered by a conglomeration of San Diego-area vein clinics and medical device manufacturers. This clinical trial attempts to determine the hemodynamic differences between elastic versus inelastic compression garments using ACI Medical’s APG® Air Plethysmograph, a non-invasive venous diagnostic device.

Sponsors:  La Jolla Vein Care, ACI Medical & CircAid® by Medi

26 Years of Venous Education

The ACP recognized the need for quality venous education twenty-six years ago and continues to fulfill on its mission of providing original education for an advancing specialty.
The ACP’s 26th Annual Congress will provide vein health practitioners with the latest techniques, innovative and engaging content, interaction with respected faculty from around the world and opportunities for all levels of skill and knowledge to gain the tools needed to improve patient care.
Join us November 15-18, 2012 at the Westin Diplomat in Hollywood, FL for this important program.


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