Role of Ergonomic Improvements in Decreasing Repetitive Stress Injuries and Promoting Well-Being in a Radiology Department

Published:December 22, 2021DOI:

      Rationale and Objectives

      To determine if ergonomic improvements in a radiology department can decrease repetitive stress injuries (RSIs), advance ergonomics knowledge, and improve well-being.

      Materials and Methods

      Radiologists in an academic institution were surveyed regarding physician wellness, workstations, RSIs, and ergonomics knowledge before and after interventions over 1 year. Interventions included committee formation, education, wrist pads and wireless mice, broken table and chair replacement, and cord organization. Mann-Whitney U test was used for analysis.


      Survey response was 40% preinterventions (59/147), and 42% (66/157) postinterventions. Preinterventions, of radiologists with RSI history, 17/40 (42%) reported the RSI caused symptoms which can lead to burnout, and 15/40 (37%) responded their RSI made them think about leaving their job. Twenty-three of 59 (39%) radiologists had an active RSI preinterventions. Postinterventions, 9/25 (36%) RSI resolved, 13/25 (52%) RSI improved, and 3/25 (12%) RSI did not improve. RSI improvements were attributed to ergonomic interventions in 19/25 (76%) and therapy in 2/25 (8%). Radiologists who thought their workstation was designed with well-being in mind increased from 9/59 (15%) to 52/64 (81%). The percentage of radiologists knowing little or nothing about ergonomics decreased from 15/59 (25%) to 5/64 (8%). After ergonomics interventions, more radiologists thought the administration cared about safety and ergonomics, equipment was distributed fairly, and radiologists had the ability to ask for equipment (p < .01). Fifty-three of 64 (83%) of radiologists after interventions said improving workstation ergonomic design contributed to well-being.


      Ergonomic improvements in radiology can decrease RSIs, advance ergonomics knowledge, and improve well-being.

      Key Words

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        • Boiselle PM
        • Levine D
        • Horwich PJ
        • et al.
        Repetitive stress symptoms in radiology: prevalence and response to ergonomic interventions.
        J Am Coll Radiol. 2008; 5: 919-923
        • Sze G
        • Bluth EI
        • Bender CE
        • et al.
        Work-related injuries of radiologists and possible ergonomic solutions: recommendations from the ACR commission on human resources.
        J Am Coll Radiol. 2017; 14: 1353-1358
        • McDonald RJ
        • Schwartz KM
        • Eckel LJ
        • et al.
        The effects of changes in utilization and technological advancements of cross-sectional imaging on radiologist workload.
        Acad Radiol. 2015; 22: 1191-1198
        • Harisinghani MG
        • Blake MA
        • Saksena M
        • et al.
        Importance and effects of altered workplace ergonomics in modern radiology suites.
        Radiographics. 2004; 24: 615-627
        • Parikh JR
        • Bender C
        • Bluth E.
        Musculoskeletal injuries affecting radiologists according to the 2017 ACR Human Resources Commission Workforce Survey.
        J Am Coll Radiol. 2018; 15: 803-808
        • Shanafelt TD
        • Hasan O
        • Dyrbye LN
        • et al.
        Changes in burnout and satisfaction with work-life balance in physicians and the general US working population between 2011 and 2014.
        Mayo Clin Proc. 2015; 90: 1600-1613
        • Shanafelt TD
        • West CP
        • Sinsky C
        • et al.
        Changes in burnout and satisfaction with work-life integration in physicians and the general US working population between 2011 and 2017.
        Mayo Clin Proc. 2019; 94: 1681-1694
        • West CP
        • Dyrbye LN
        • Shanafelt TD.
        Physician burnout: contributors, consequences and solutions.
        J Intern Med. 2018; 283: 516-529
        • Rodrigues JC
        • Morgan S
        • Augustine K
        • et al.
        Musculoskeletal symptoms amongst clinical radiologists and the implications of reporting environment ergonomics—a multicentre questionnaire study.
        J Digit Imaging. 2014; 27: 255-261
        • Thompson AC
        • Kremer Prill MJ
        • Biswal S
        • et al.
        Factors associated with repetitive strain, and strategies to reduce injury among breast-imaging radiologists.
        J Am Coll Radiol. 2014; 11: 1074-1079
        • Huisstede BM
        • Hoogvliet P
        • Randsdorp MS
        • et al.
        Carpal Tunnel Syndrome. Part I: effectiveness of nonsurgical treatments—a systematic review.
        Arch Phys Med Rehab. 2010; 91: 981-1004
      1. Berg S. How much physician burnout is costing your organization. 2018. Available at:

      2. Organizational cost of physician burnout: American Medical Association; Available at:

      3. OSHA's safety pays program Available at:

        • Degnan AJ
        • Ghobadi EH
        • Hardy P
        • et al.
        Perceptual and interpretive error in diagnostic radiology-causes and potential solutions.
        Acad Radiol. 2019; 26: 833-845
        • Zwemer J
        • Lenhart A
        • Kim W
        • et al.
        Effect of ambient sound masking on the accuracy of computerized speech recognition.
        Radiology. 2009; 252: 691-695
        • Siddiqui KM
        • Chia S
        • Knight N
        • et al.
        Design and ergonomic considerations for the filmless environment.
        J Am Coll Radiol. 2006; 3: 456-467
        • Hugine A
        • Guerlain S
        • Hedge A.
        User evaluation of an innovative digital reading room.
        J Digit Imaging. 2012; 25: 337-346
        • O'Connor D
        • Page MJ
        • Marshall SC
        • et al.
        Ergonomic positioning or equipment for treating carpal tunnel syndrome.
        Cochrane Database Syst Rev. 2012; 1CD009600
        • Lyu J
        • Wu X
        • Duan X
        • et al.
        The effects of forearm support on upper body for people in front of monitor: a meta-analysis.
        Arch Environ Occup Health. 2015; 70: 243-250
        • Hoe VC
        • Urquhart DM
        • Kelsall HL
        • et al.
        Ergonomic interventions for preventing work-related musculoskeletal disorders of the upper limb and neck among office workers.
        Cochrane Database Syst Rev. 2018; 10CD008570