scholarly journals Joint moment loading interplay between the shoulders and the low back during patient handling in nurses

2018 ◽  
Vol 13 ◽  
pp. 81-90 ◽  
Author(s):  
Alicia L. Nadon ◽  
Alan C. Cudlip ◽  
Clark R. Dickerson

2021 ◽  
Author(s):  
Bitew Tefera ◽  
Haymanot Zeleke ◽  
Abebe Abate ◽  
Haimanot Abebe ◽  
Zebene Mekonnen ◽  
...  

Abstract Background Low back pain is a common public health problem throughout the world with the global prevalence from 28–86%. Nurses working in intensive care units are handling people who are critically ill and helpless, which requires more assistance for transferring and handling activities. This possesses a risk for low back pain but little is known about it in Ethiopia. The aim of this study was to assess the magnitude of low back pain and associated factors among nurses who work at an intensive care units in Amhara region public hospitals, North Ethiopia. Methods A multi-centered institution-based cross-sectional study was conducted at Amhara region public hospitals from March 1–30/2020. Simple random sampling technique after proportional allocation was used to select the study participants. Data were collected using a standard modified Nordic musculoskeletal assessment tool. After data were checked for completeness and consistency, it was entered into Epidata version 3.1 and exported to Statistical Package for Social Science software version 26 for analysis. Descriptive statistics were computed. A binary logistic regression model was used to identify factors associated with low back pain. Finally, those variables with a p-value of < 0.05 in multivariable analysis were considered statistically significant. Result -The study was conducted among 412 intensive care unit nurses giving a response rate of 97.6%. The magnitude of low back pain was 313 (76 %) [95% CI: (71.6%-79.9%)]. Being female [AOR = 2.674 (1.404, 5.076)], unavailability of assistive device for patient handling [AOR = 2.139 (1.035, 4.410)], lack of training on intensive care [AOR = 2.017 (1.092 ,3.943)], lack of regular exercise [AOR = 2.164 (1.164 ,4.108)] and job stress [AOR = 3.66 (1.955, 6.498)] were factors significantly associated with low back pain. Conclusions In this study the magnitude of low back pain was high. Being female, unavailability of assistive device for patient handling, lack of training on intensive care, lack of regular exercise and job stress were factors associated with low back pain. Policy makers and concerned bodies should give emphasis on accessability of assistive devices for patient care, provision of training on intensive care and adaptive working environment for intensive care unit nurses.



Author(s):  
W. S. Marras ◽  
K. G. Davis ◽  
B. C. Kirking ◽  
P. K. Bertsche

Patient handlers suffer from low back injuries at an alarming rate. While many have found patient handling to be associated with incidences of low back pain, there has been limited research quantifying the risk for the specific tasks performed by the patient handlers. The current study used both a risk evaluation system (Low Back Disorder risk model) and a biomechanical model (EMG-assisted spinal loading model) to quantitatively evaluate risk of LBD during patient handling. Seventeen subjects (twelve experienced and five inexperienced) performed several patient handling tasks. The patient transfers were between bed and wheelchair (fixed and removable arms) and between a commode chair and hospital chair. A “standard” patient (a 50 kg cooperative female; non-weight bearing but had use of upper body) was used in all patient handling tasks. Overall, patient handling was found to be an extremely hazardous job that had substantial risk of causing a low back injury. There was significant risk when transferring the patient with either one or two patient handlers. However, the greatest risk was associated with the one-person transferring techniques. The actual task performed had limited effect on the risk of LBD and the three-dimensional spinal loads. Even the safest of tasks (evaluated in this study) had significant risk. These findings suggest that the only feasible means to control risk would be to provide mechanical lift assists devices.



2020 ◽  
Vol 28 (S2) ◽  
Author(s):  
Kodai Kitagawa ◽  
Yoshiki Nishisako ◽  
Takayuki Nagasaki ◽  
Sota Nakano ◽  
Mitsumasa Hida ◽  
...  

Caregivers experience low back pain because of patient handling such as supporting standing-up. The lumbar load of a caregiver depends on the required force for patient handling motions. If the relationship between the required force and the lumbar load is quantitatively clarified, it may be useful for preventing low back pain in caregivers. In this study, we investigated the quantitative relationships between the required force and lumbar loads such as vertebral stress and muscle activity in supporting standing-up by computational musculoskeletal simulation. First, a musculoskeletal model of a caregiver was prepared, and then the model performed simulated supporting standing-up motions. The vertical load used as the required force was placed on the upper limb of the model. The compressive/shear stress of the vertebral (L4–L5) and muscle activities of spinae erector muscle group were recorded as the lumbar load. The results showed that there are highly significant correlations between the required force (r > 0.9, p < 0.01). In addition, regression equations for predicting each lumbar load by the required force with highly determination coefficients (R2 > 0.9) were obtained from these relationships. Furthermore, we found that when the required force was more than 120 N, the compression stresses of the vertebral exceeded injury threshold (3400 N) by the regression equation. These regression equations contribute to quantitatively consider lumbar loads of caregiver during patient handling based on injury thresholds and the required force.



2012 ◽  
Vol 39 (2) ◽  
pp. 164-169 ◽  
Author(s):  
Andreas Holtermann ◽  
Thomas Clausen ◽  
Marie Birk Jørgensen ◽  
Alex Burdorf ◽  
Lars L Andersen




Work ◽  
2017 ◽  
Vol 56 (4) ◽  
pp. 551-561 ◽  
Author(s):  
Seyed Ehsan Samaei ◽  
Maryam Mostafaee ◽  
Hasanali Jafarpoor ◽  
Majid Bagheri Hosseinabadi




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