Insights into Overuse: Ergonomic Trends and Pain Prevalence Among Orthotics and Prosthetics Practitioners in the United States

Introduction The field of orthotics and prosthetics (O&P) combines patient care and craftsmanship, with professionals working in a physically challenging atmosphere. Despite studies in related health care professions, there is a lack of research on ergonomics within O&P in the United States. Methods A 45-question survey was developed with questions focusing on demographics, pain locations, ergonomic setup, and daily ergonomic demands. Respondents included certified orthotists, prosthetists, pedorthists, technicians, fitters, residents, students, and educators. Results A total of 152 completed responses were analyzed, with 62.50% of O&P professionals reporting chronic, acute, or both types of pain. Younger and less experienced professionals were more likely to report pain. Pain was commonly experienced in the lumbar and cervical spines and the right upper limb. Activities like fabrication work, computer-based tasks, and frequent reaching above shoulder height correlated with the presence of pain. Conclusions The study highlights the prevalence of pain among US O&P professionals, emphasizing the need for targeted ergonomic interventions. Diverse body positions during tasks indicate a lack of standardized ergonomic approaches in O&P clinics. In addition, the presence of clinic amenities such as adjustable-height patient beds did not have an effect on the presence of pain. This suggests that, in addition to new interventions, the implementation of existing ergonomic solutions must be revisited. Maintaining ergonomic principles, such as maintaining ideal working height and neutral postures, is crucial for mitigating the risk of overuse injuries. Clinical Relevance The study indicates a high prevalence of pain among O&P professionals, which disproportionately affects those who are younger and less experienced. This suggests practice guidelines and interventions should be designed to address the needs of this demographic, potentially focusing on standardizing procedures, optimizing work processes, and minimizing prolonged exposure to physically demanding tasks.