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Characteristic values of the lumbar load of manual patient handling for the application in workers' compensation procedures
BACKGROUND: The human spine is often exposed to mechanical load in vocational activities especially in combination with lifting, carrying and positioning of heavy objects. This also applies in particular to nursing activities with manual patient handling. In the present study a detailed investigatio...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3126787/ https://www.ncbi.nlm.nih.gov/pubmed/21615895 http://dx.doi.org/10.1186/1745-6673-6-17 |
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author | Jordan, Claus Luttmann, Alwin Theilmeier, Andreas Kuhn, Stefan Wortmann, Norbert Jäger, Matthias |
author_facet | Jordan, Claus Luttmann, Alwin Theilmeier, Andreas Kuhn, Stefan Wortmann, Norbert Jäger, Matthias |
author_sort | Jordan, Claus |
collection | PubMed |
description | BACKGROUND: The human spine is often exposed to mechanical load in vocational activities especially in combination with lifting, carrying and positioning of heavy objects. This also applies in particular to nursing activities with manual patient handling. In the present study a detailed investigation on the load of the lumbar spine during manual patient handling was performed. METHODS: For a total of 13 presumably endangering activities with transferring a patient, the body movements performed by healthcare workers were recorded and the exerted action forces were determined with regard to magnitude, direction and lateral distribution in the time course with a "measuring bed", a "measuring chair" and a "measuring floor". By the application of biomechanical model calculations the load on the lowest intervertebral disc of the lumbar spine (L5-S1) was determined considering the posture and action force data for every manual patient handling. RESULTS: The results of the investigations reveal the occurrence of high lumbar load during manual patient handling activities, especially in those cases, where awkward postures of the healthcare worker are combined with high action forces caused by the patient's mass. These findings were compared to suitable issues of corresponding investigations provided in the literature. Furthermore measurement-based characteristic values of lumbar load were derived for the use in statement procedures concerning the disease no. 2108 of the German list of occupational diseases. CONCLUSIONS: To protect healthcare workers from mechanical overload and the risk of developing a disc-related disease, prevention measures should be compiled. Such measures could include the application of "back-fairer" nursing techniques and the use of "technical" and" small aids" to reduce the lumbar load during manual patient handling. Further studies, concerning these aspects, are necessary. |
format | Online Article Text |
id | pubmed-3126787 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-31267872011-06-30 Characteristic values of the lumbar load of manual patient handling for the application in workers' compensation procedures Jordan, Claus Luttmann, Alwin Theilmeier, Andreas Kuhn, Stefan Wortmann, Norbert Jäger, Matthias J Occup Med Toxicol Research BACKGROUND: The human spine is often exposed to mechanical load in vocational activities especially in combination with lifting, carrying and positioning of heavy objects. This also applies in particular to nursing activities with manual patient handling. In the present study a detailed investigation on the load of the lumbar spine during manual patient handling was performed. METHODS: For a total of 13 presumably endangering activities with transferring a patient, the body movements performed by healthcare workers were recorded and the exerted action forces were determined with regard to magnitude, direction and lateral distribution in the time course with a "measuring bed", a "measuring chair" and a "measuring floor". By the application of biomechanical model calculations the load on the lowest intervertebral disc of the lumbar spine (L5-S1) was determined considering the posture and action force data for every manual patient handling. RESULTS: The results of the investigations reveal the occurrence of high lumbar load during manual patient handling activities, especially in those cases, where awkward postures of the healthcare worker are combined with high action forces caused by the patient's mass. These findings were compared to suitable issues of corresponding investigations provided in the literature. Furthermore measurement-based characteristic values of lumbar load were derived for the use in statement procedures concerning the disease no. 2108 of the German list of occupational diseases. CONCLUSIONS: To protect healthcare workers from mechanical overload and the risk of developing a disc-related disease, prevention measures should be compiled. Such measures could include the application of "back-fairer" nursing techniques and the use of "technical" and" small aids" to reduce the lumbar load during manual patient handling. Further studies, concerning these aspects, are necessary. BioMed Central 2011-05-26 /pmc/articles/PMC3126787/ /pubmed/21615895 http://dx.doi.org/10.1186/1745-6673-6-17 Text en Copyright ©2011 Jordan et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Jordan, Claus Luttmann, Alwin Theilmeier, Andreas Kuhn, Stefan Wortmann, Norbert Jäger, Matthias Characteristic values of the lumbar load of manual patient handling for the application in workers' compensation procedures |
title | Characteristic values of the lumbar load of manual patient handling for the application in workers' compensation procedures |
title_full | Characteristic values of the lumbar load of manual patient handling for the application in workers' compensation procedures |
title_fullStr | Characteristic values of the lumbar load of manual patient handling for the application in workers' compensation procedures |
title_full_unstemmed | Characteristic values of the lumbar load of manual patient handling for the application in workers' compensation procedures |
title_short | Characteristic values of the lumbar load of manual patient handling for the application in workers' compensation procedures |
title_sort | characteristic values of the lumbar load of manual patient handling for the application in workers' compensation procedures |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3126787/ https://www.ncbi.nlm.nih.gov/pubmed/21615895 http://dx.doi.org/10.1186/1745-6673-6-17 |
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