Ergonomic strategies to improve radiographers’ posture during mammography activities

Nicolai Cernean, Florentino Serranheira, Pedro Gonçalves, Cláudia Sá dos Reis

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)
14 Downloads (Pure)


Objectives: To identify alternatives for radiographers’ postures while performing mammography that can contribute to reduce the risk of work-related musculoskeletal disorders (WRMSDs). Methods: Radiographers’ postures to positioning craniocaudal (CC) and mediolateral oblique (MLO) views were simulated without any intervention for three scenarios: radiographer/patient with similar statures, radiographer smaller than patient and radiographer taller than patient. Actions were taken to modify the postures: seated radiographer; patient on a step; seated patient; radiographer on a step. All the postures were analysed using kinovea 0.8.15 software and the angles were measured twice and classified according to European standard EN1005–4: 2005. Results: The non-acceptable angles were measured mainly during MLO positioning when radiographer was taller than the patient: 139° and 120° for arm-flexion and abduction, 72° for trunk and −24° for head/neck-flexion. The introduction of alternative postures (radiographer seated), allowed improvements in posture (60° and 99° for arm flexion and abduction, 14° for trunk and 0° for head/neck flexion), being classified as acceptable. Conclusions: The alternative postures simulated have the potential to reduce the risk of developing WRMSDs when radiographers and patients have different statures. Main messages: • Radiographers’ postures in mammography can contribute to work-related musculoskeletal disorders • Non-acceptable posture was identified for MLO breast positioning (radiographer taller than patient) • Adapting posture to patient biotype reduces the WRMSD risk for radiographers.

Original languageEnglish
Pages (from-to)429-438
Number of pages10
JournalInsights into Imaging
Issue number4
Publication statusPublished - 1 Aug 2017


  • Ergonomics
  • Mammography
  • Posture
  • Radiographer
  • Work-related disorders


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