{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T11:45:02Z","timestamp":1790423102445,"version":"4.1.0"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2023,12,18]],"date-time":"2023-12-18T00:00:00Z","timestamp":1702857600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endosc Int Open"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n            Background and study aims Musculoskeletal disorders (MSDs) and injuries (MSIs) are frequent in gastrointestinal endoscopy. The aim of this study was to assess potential ergonomic advantages of a lighter single-use duodenoscope compared with a standard reusable one for endoscopists performing endoscopic retrograde cholangiopancreatography (ERCP).<\/jats:p><jats:p>\n            Methods Three experienced endoscopists performed an ergonomic, preclinical, comparative protocol-guided simulation study of a single-use and a standard reusable duodenoscope using an anatomic bench model. Surface EMG signals from left forearm and arm muscles were recorded. A commercial inertial sensor-based motion capture system was applied to record body posture as well.<\/jats:p><jats:p>\n            Results A significant lowering of root mean square amplitude and amplitude distribution of biceps brachii signal (ranging from 13% to 42%) was recorded in all the participants when using a single-use duodenoscope compared with a reusable one. An overall reduction of muscle activation amplitude and duration was also associated with the single-use duodenoscope for forearm muscles, with different behaviors among subjects. Participants spent most of the time in wrist extension (&gt; 80%) and ulnar deviation (&gt; 65%). A consistent pattern of functional range of motion employed for completing all procedures was observed.<\/jats:p><jats:p>\n            Conclusions Our study showed that a lighter scope has a promising effect in reducing upper arm muscle activity during ERCP with potential benefit on musculoskeletal health in the ERCP setting.<\/jats:p>","DOI":"10.1055\/a-2231-7393","type":"journal-article","created":{"date-parts":[[2023,12,18]],"date-time":"2023-12-18T23:56:22Z","timestamp":1702943782000},"page":"E419-E427","source":"Crossref","is-referenced-by-count":5,"title":["Can single-use versus standard duodenoscope improve ergonomics in ERCP? A comparative, simulation-based pilot study"],"prefix":"10.1055","volume":"12","author":[{"given":"Vincenzo","family":"Cennamo","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Interventional Endoscopy, Bellaria-Maggiore Hospital, AUSL Bologna, Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Botter","sequence":"additional","affiliation":[{"name":"Department of Electronics and Telecommunication, Politecnico di Torino, Turin, Italy PoliToBIOMed Lab, Politecnico di Torino, Laboratory for Engineering of the Neuromuscular System (LISiN), Torino, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2677-8403","authenticated-orcid":false,"given":"Stefano","family":"Landi","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Interventional Endoscopy, Bellaria-Maggiore Hospital, AUSL Bologna, Bologna, 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