PL EN


Preferencje help
Widoczny [Schowaj] Abstrakt
Liczba wyników
Tytuł artykułu

Assessing the Interplay Between the Shoulders and Low Back During Manual Patient Handling Techniques in a Nursing Setting

Treść / Zawartość
Identyfikatory
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
The purpose of this research was to quantify shoulder demands during freestyle manual patient handling (MPH) tasks and determine whether approaches intended to prevent low back injury increased shoulder demands. Twenty females completed 5 MPH tasks found commonly in hospital settings before and after a training session using current workplace MPH guidelines. Most normalized muscle activity indices and ratings of perceived exertion decreased following training at both the low back and shoulders, but were more pronounced at the low back. There was little evidence to suggest that mechanical demands were transferred from the low back to the shoulders following the training session. The study generally supports continued use of the recommended MPH techniques, but indicates that several tasks generate high muscular demands and should be avoided if possible.
Rocznik
Strony
127--137
Opis fizyczny
Bibliogr. 33 poz., tab.
Twórcy
autor
  • Department of Kinesiology, University of Waterloo, Waterloo, ON, Canada
autor
  • Department of Kinesiology, University of Waterloo, Waterloo, ON, Canada
  • Department of Kinesiology, University of Waterloo, Waterloo, ON, Canada
Bibliografia
  • 1.Garg A, Owen B, Beller D, Banaag J. A biomechanical and ergonomic evaluation of patient transferring tasks: bed to wheelchair and wheelchair to bed. Ergonomics. 1991;34(3):289–312.
  • 2.Owen BD, Keene K, Olson S. An ergonomic approach to reducing back/shoulder stress in hospital nursing personnel: a five year follow up. Int J Nurs Stud. 2002;39(3):295–302.
  • 3.Nelson A, Baptiste AS. Evidence-based practices for safe patient handling and movement. Clin Rev Bone Miner Metab. 2006;4(1):55–69.
  • 4.Worker Safety and Insurance Board (WSIB). Statistical supplement to the 2009 annual report. Toronto, ON, Canada: WSIB; 2010. Retrieved November 20, 2013, from: http://www.cawic.ca/Resources/Documents/Workplace%20Safety%20and%20Insurance%20Board%20(WSIB)%202009%20Report.pdf.
  • 5.Bureau of Labor Services. Workplace injuries and illnesses in 2007. Washington, DC, USA: U.S. Department of Labor; 2008. Retrieved November 20, 2013, from:http://www.bls.gov/iif/oshwc/osh/os/osnr0030.pdf.
  • 6.Garg A, Owen B. Prevention of back injuries in healthcare workers. Int J Ind Ergon. 1994;14(4):315–31.
  • 7.Daynard D, Yassi A, Cooper JE, Tate R, Norman R, Wells R. Biomechanical analysis of peak and cumulative spinal loads during simulated patient-handling activities: a substudy of a randomized controlled trial to prevent lift and transfer injury of health care workers. Appl Ergon. 2001;32(3):199–214.
  • 8.Keir PJ, MacDonell CW. Muscle activity during patient transfers: a preliminary study on the influence of lift assists and experience. Ergonomics. 2004;47(3):296–306.
  • 9.McGill SM, Norman RW, Yingling VR, Wells RP, Neumann P. Shear happens! Suggested guidelines for ergonomists to reduce the risk of low back injury from shear loading. In: The 30th Annual Conference of Human Factors Association of Canada. Missisauga, ON, Canada: Human Factors Association of Canada. 1998. p. 157–61. Retrieved November 20, 2013, from: http://www.ahs.uwaterloo.ca/~escs/library/McG_etal-HFAC98.PDF.
  • 10.Yassi A. Development of a method for quantifying biomechanical risk factors associated with manual and mechanically assisted patient handling. Richmond, BC, Canada: WorksafeBC; 2005. Retrieved November 20, 2013, from: http://www.worksafebc.com/contact_us/research/funding_decisions/assets/pdf/RS2003/RS2002_03_DG23.pdf.
  • 11.Schibye B, Hansen AF, Hye-Knudsen CT, Essendrop M, Böcher M, Skotte J. Biomechanical analysis of the effect of changing patient-handling technique. Appl Ergon. 2003;34(2):115–23.
  • 12.Fujishiro K, Weaver JL, Heaney CA, Hamerick CA, Marras WS. The effect of ergonomic interventions in healthcare facilities on musculoskeletal disorders. Am J Ind Med. 2005;48(5):338–47.
  • 13.Park W, Martin BJ, Choe S, Chaffin DB, Reed MP. Representing and identifying alternative movement techniques for goaldirected manual tasks. J Biomech. 2005;38(3):519–27.
  • 14.Kronberg M, Németh G, Broström LA. Muscle activity and coordination in the normal shoulder. An electromyographic study. Clin Orthop Relat Res. 1990;(257):76–85.
  • 15.Gagnon M, Smyth G. Muscular mechanical energy expenditure as a process for detecting potential risks in manual materials handling. J Biomech. 1991;24(3–4):191–203.
  • 16.Menzel NN, Brooks SM, Bernard TE, Nelson A. The physical workload of nursing personnel: Association with musculoskeletal discomfort. I J Nurs Stud. 2004;41(8):859–67.
  • 17.Borg G. Borg’s perceived exertion and pain scales. USA: Human Kinetics; 1990.
  • 18.Cholewicki J, McGill S. Mechanical stability of the in vivo lumbar spine: implications for injury and chronic low back pain. Clin Biomech (Bristol, Avon). 1996;11(1):1–15.
  • 19.Cram JR, Kasman G. Introduction to surface EMG. Gaithersburg, MD, USA: Aspen; 1998.
  • 20.Skotte JH, Essendrop M, Hansen AF, Schibye, B. A dynamic 3D biomechanical evaluation of the load on the low back during different patient-handling tasks. J Biomech. 2002;35(10):1357–66.
  • 21.Gordon CC, Churchill T, Clauser CE, Bradtmiller B, McConville JT, Tebbetts I, Walker RA. 1988 anthropometric survey of u.s. army personnel: methods and summary statistics (Technical Report NATICK/TR-89/044). Natick, MA, USA: U.S. Army Natick Research, Development and Engineering Center; 1989. Retrieved November 20, 2013, from: http://www.dtic.mil/cgi-bin/GetTRDoc?AD=ADA225094&Location=U2&doc=GetTRDoc.pdf.
  • 22.Drake JDM, Callaghan JP. Elimination of electrocardiogram contamination from electromyogram signals: an evaluation of currently used removal techniques. J Electromyogr Kinesiol. 2006;16(2):175–87.
  • 23.Fischer SL, Belbeck AL, Dickerson CR. The influence of providing feedback on force production and within-participant reproducibility during maximal voluntary exertions for the anterior deltoid, middle deltoid and infraspinatus. J Electromyogr Kinesiol. 2010;20(1):68–75.
  • 24.Skotte J, Fallentin N. Low back injury risk during repositioning of patients in bed: the influence of handling technique, patient weight and disability. Ergonomics. 2008;51(7):1042–52.
  • 25.Santaguida PL, Pierrynowski M, Goldsmith C, Fernie G. Comparison of cumulative low back loads of caregivers when transferring patients using overhead and floor mechanical lifting devices. Clin Biomech (Bristol, Avon). 2005;20(9):906–16.
  • 26.Hodder JN, Holmes MWR, Keir PJ. Continuous assessment of work activities and posture in long-term care nurses. Ergonomics. 2010;53(9):1097–107.
  • 27.Waters T, Yeung S, Genaidy A, Callaghan J, Barriera-Viruet H, Abdallah S, et al. Cumulative spinal loading exposure methods for manual material handling tasks. Part 2: methodological issues and applicability for use in epidemiological studies. Theor Issues Ergon. 2006;7(2):131–48.
  • 28.Holmes MWR, Hodder JN, Keir PJ. Continuous assessment of low back loads in long-term care nurses. Ergonomics. 2010;53(9):1108–16.
  • 29.Evanoff B, Wolf L, Aton E, Canos J, Collins J. Reduction in injury rates in nursing personnel through introduction of mechanical lifts in the workplace. Am J Ind Med. 2003;44(5):451–7.
  • 30.Bernard B, editor. Musculoskeletal disorders and workplace factors (DHHS (NIOSH) publication No. 97-141). Cincinnati, OH, USA: National Institute for Occupational Safety and Health (NIOSH); 1997. Retrieved November 20, 2013, from: http://www.cdc.gov/niosh/docs/97-141/pdfs/97-141.pdf.
  • 31.Keyserling WM. Workplace risk factors and occupational musculoskeletal disorders, part 1: a review of biomechanical and psychophysical research on risk factors associated with low back pain. AIHAJ. 2000;61(1):39–50.
  • 32.Garg A, Owen B. Reducing back stress to nursing personnel: an ergonomic intervention in a nursing home. Ergonomics. 1992;35(11):1353–75.
  • 33.Engst C, Chhokar R, Miller A, Tate RB, Yassi A. Effectiveness of overhead lifting devices in reducing the risk of injury to care staff in extended care facilities. Ergonomics. 2005;48(2):187–99.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-33151c44-201d-4879-b37c-8013b47c240d
JavaScript jest wyłączony w Twojej przeglądarce internetowej. Włącz go, a następnie odśwież stronę, aby móc w pełni z niej korzystać.