Lumbar-load analysis of manual patient-handling activities for biomechanical overload prevention among healthcare workers

Annals of Occupational Hygiene

Volumn 57, Issue 4, 2013, Pages 528-544

  Jäger, Matthias ^a   Jordan, Claus ^a   Theilmeier, Andreas ^a   Wortmann, Norbert ^b   Kuhn, Stefan ^b   Nienhaus, Albert ^b,c   Luttmann, Alwin ^a  

^a LEIBNIZ RESEARCH CENTRE FOR WORKING ENVIRONMENT AND HUMAN FACTORS   (Germany)

^b INSTITUT FÜR ARBEITSSCHUTZ DER DEUTSCHEN GESETZLICHEN UNFALLVERSICHERUNG IFA   (Germany)

^c UNIVERSITY MEDICAL CENTER HAMBURG EPPENDORF   (Germany)

Author keywords

biomechanical model; healthcare workers; lumbar load; overload prevention; patient handling

Indexed keywords

BIO-MECHANICAL MODELS; HEALTHCARE WORKERS; LUMBAR LOAD; OVERLOAD PREVENTION; PATIENT HANDLING;

BIOMECHANICS; HEALTH CARE; VIDEO RECORDING;

LOADS (FORCES);

ARTICLE; BACK; BODY POSTURE; FEMALE; HEALTH CARE PERSONNEL; HUMAN; INJURY; LUMBAR VERTEBRA; MALE; MECHANICAL STRESS; OCCUPATIONAL DISEASE; OCCUPATIONAL HEALTH; PATIENT LIFTING; PHYSIOLOGY; TASK PERFORMANCE; WEIGHT BEARING;

BACK INJURIES; FEMALE; HEALTH PERSONNEL; HUMANS; LUMBAR VERTEBRAE; LUMBOSACRAL REGION; MALE; MOVING AND LIFTING PATIENTS; OCCUPATIONAL DISEASES; OCCUPATIONAL HEALTH; POSTURE; STRESS, MECHANICAL; TASK PERFORMANCE AND ANALYSIS; WEIGHT-BEARING;

EID: 84876378426     PISSN: 00034878     EISSN: 14753162     Source Type: Journal    
DOI: 10.1093/annhyg/mes088     Document Type: Article

References (71)

1. Adams MA, Bogduk N, Burton K et al. (2002) The biomechanics of back pain. Edinburgh: Churchill Livingstone.
2. Andersson GB, Ortengren R, Nachemson A. (1977) Intradiskal pressure, intra-abdominal pressure and myoelectric back muscle activity related to posture and loading. Clin Orthop Relat Res; 129: 156-64. (Pubitemid 8307611)
3. Baum F, Beck BB, Fischer B et al. (2012) Pravention von Ruckenbeschwerden; TOPAS-R-Konzept der BGW fur Pflege und Betreuung. Hamburg, Germany: Berufsgenossenschaft fur Gesundheitsdienst und Wohlfahrtspflege.
4. BGW. (1995) BGW-Belastungskataster BK 2108, Stand 10/95. Mainz, Germany: Berufsgenossenschaft fur Gesundheitsdienst und Wohlfahrtspflege.
5. BKK. (2011) Zukunft der Arbeit. Essen, Germany: Bundesverband der Betriebskrankenkassen.
6. BMA. (1992) Zweite Verordnung zur Anderung der Berufskrankheiten- Verordnung. Bundesgesetzblatt; 59: 2343-4.
7. Bradford FK, Spurling R. (1945) The Intervertebral Disc. Springfield, Illinois: Charles C Thomas.
8. Chaffin DB. (1969) A computerized biomechanical modeldevelopment of and use in studying gross body actions. J Biomech; 2: 429-41.
9. Chhokar R, Engst C, Miller A et al. (2005) The three-year economic benefits of a ceiling lift intervention aimed to reduce healthcare worker injuries. Appl Ergon; 36: 223-9. (Pubitemid 40202767)
10. Cohen MH, Nelson GG, Green DA et al. (2010) Patient Handling and Movement Assessments: A White Paper. Dallas, Texas: The Facility Guidelines Institute.
11. Connolly A, Higging A, Dockrell S et al. (2001) A comparison of slides used in patient handling. Brit J Therapy Rehab; 8: 166-73. (Pubitemid 33265847)
12. da Costa BR, Vieira ER. (2010) Risk factors for work-related musculoskeletal disorders: A systematic review of recent longitudinal studies. Am J Ind Med; 53: 285-323.
13. DAK. (2011) Gesundheitsreport 2011. Hamburg, Germany: DAK-Forschung.
14. Daynard D, Yassi A, Cooper JE et al. (2001) 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; 32: 199-214. (Pubitemid 32223886)
15. de Looze MP, Zinzen E, Caboor D et al. (1994) Effect of individually chosen bed-height adjustments on the low-back stress of nurses. Scand J Work Environ Health; 20: 427-34.
16. Feletto M, Graze W. (2001) A back injury prevention guide for health care providers. Sacramento: USA: (California Occupational Safety and Health Program).
17. Fischer B. (2010) Erfahrungen mit dem TOPAS-R-Konzept bei der Beurteilung physischer Risiken in Deutschland. In INQA, editor. Tagung "Ergonomisches Patientenhandling". Vol. 40. INQA-Bericht. pp. 127-33.
18. Freitag S, Ellegast R, Dulon M et al. (2007a) Quantitative measurement of stressful trunk postures in nursing professions. Ann Occup Hyg; 51: 385-95. (Pubitemid 47325855)
19. Freitag S, Fincke I, Dulon M et al. (2007b) Messtechnische Analyse von ungunstigen Korperhaltungen bei Pflegekraften-eine geriatrische Station im Vergleich mit anderen Krankenhausstationen. Ergomed; 31: 130-40.
20. Freitag S, Fincke-Junod I, Seddouki R et al. (2012) Frequent bending-an underestimated burden in nursing professions. Ann Occup Hyg; 56: 697-707.
21. Frymoyer JW, Pope MH, Costanza MC et al. (1980) Epidemiologic studies of low-back pain. Spine; 5: 419-23. (Pubitemid 11240827)
22. Garg A. (2006) Prevention of injuries in nursing homes and hospitals. In Pikaar RN, Koningsveld EAP, Settels PJM, editors. Proceeding of the 16th World Congress on Ergonomics (IEA 2006). Meeting diversity in ergonomics. Amsterdam, The Netherlands: Elsevier.
23. Garg A, Owen B, Beller D et al. (1991a) A biomechanical and ergonomic evaluation of patient transferring tasks: bed to wheelchair and wheelchair to bed. Ergonomics; 34: 289-312.
24. Garg A, Owen B, Beller D et al. (1991b) A biomechanical and ergonomic evaluation of patient transferring tasks: wheelchair to shower chair and shower chair to wheelchair. Ergonomics; 34: 407-19. (Pubitemid 21670078)
25. Goel VK, Montgomery RE, Grosland NM et al. (1999) Ergonomic factors in the workplace contribute to disc degeneration. In Kumar S, editor. Biomechanics in Ergonomics. London: Taylor and Francis. pp. 243-65.
26. Hoogendoorn WE, Van Poppel MN, Bongers PM et al. (1999) Physical load during work and leisure time as risk factors for back pain. Scand J Work Environ Health; 25: 387-403. (Pubitemid 29521035)
27. ISO 11228-2. (2007) Ergonomics-Manual handling-Part 2: Pushing and pulling. Geneva: International Organization for Standardization.
28. ISO/TR 12296. (2012) Ergonomics-Manual handling of people in the healthcare sector. Geneva: International Organization for Standardization.
29. Jager M. (2001) Belastung und Belastbarkeit der Lendenwirbelsaule im Berufsalltag-ein interdisziplinarer Ansatz fur eine ergonomische Arbeitsgestaltung. Fortschritt-Berichte VDI, Reihe 17, Nr. 208. Dusseldorf, Germany: VDI-Verlag.
30. Jager M, Luttmann A, Laurig W. (1991) Lumbar load during one-handed bricklaying. Int J Indust Ergon; 8: 261-77.
31. Jager M, Luttmann A, Gollner R et al. (2001a) The Dortmunder- Biomechanical model for quantification and assessment of the load on the lumbar spine. SAE Digital Human Modeling. Arlington, VA: Society of Automotive Engineers. Available at http://www.sae.org/technical/papers/2001-01-2085. Accessed June 28, 2012.
32. Jager M, Luttmann A, Gollner R. (2001b) Belastbarkeit der Lendenwirbelsaule bei manueller Lastenhandhabung-Ableitung der "Dortmunder Richtwerte" auf Basis der lumbalen Kompressionsfestigkeit. Zbl Arbeitsmed; 51: 354-72. (Pubitemid 32851033)
33. Jager M, Theilmeier A, Jordan C et al. (2008) Dortmunder Lumbalbelastungsstudie 3: Ermittlung der Belastung der Lendenwirbelsaule bei ausgewahlten Pflegetatigkeiten mit Patiententransfer. Teil 3: Biomechanische Beurteilung von Tatigkeiten im Gesundheitsdienst hinsichtlich der Moglichkeiten zur Pravention von Gefahrdungen der Wirbelsaule. Aachen, Germany: Shaker.
34. Jordan C, Luttmann A, Theilmeier A et al. (2011a) Characteristic values of the lumbar load of manual patient handling for the application in workers' compensation procedures. J Occup Med Toxicol; 6: 17. Available at http://www.occup-med.com/content/6/1/17. Accessed 28 June 2012.
35. Jordan C, Luttmann A, Theilmeier A et al. (2011b) Load on the lumbar spine during manual handling of obese patients. In Albolino S, Bagnara S, Bellandi T, Llaneza J, Rosal G, Tartaglia R, editors. Healthcare Systems Ergonomics and Patient Safety 2011. London: Taylor & Francis. pp. 398-9.
36. Knibbe JJ, Friele RD. (1999) The use of logs to assess exposure to manual handling of patients, illustrated in an intervention study in care home nursing. Int J Indust Ergon; 24: 445-54. (Pubitemid 29355997)
37. Kuiper J, Burdorf A, Verbeek JHAM et al. (1999) Epidemiologic evidence on manual materials handling as a risk factor for back disorders: a systematic review. Int J Indust Ergon; 24: 389-404. (Pubitemid 29355993)
38. Lavender SA, Li YC, Natarajan RN et al. (2009) Does the asymmetry multiplier in the 1991 NIOSH lifting equation adequately control the biomechanical loading of the spine? Ergonomics; 52: 71-9.
39. Liebers F, Caffier G. (2009) Berufsspezifische Arbeitsunfahigkeit durch Muskel-Skelett-Erkrankungen in Deutschland-Abschlussbericht Projekt F 1996. Berlin, Germany: Bundesanstalt fur Arbeitsschutz und Arbeitsmedizin (editor).
40. Lotters F, Burdorf A, Kuiper J et al. (2003) Model for the work-relatedness of low-back pain. Scand J Work Environ Health; 29: 431-40. (Pubitemid 38035354)
41. Marras WS, Davis KG, Kirking BC et al. (1999) A comprehensive analysis of low-back disorder risk and spinal loading during the transferring and repositioning of patients using different techniques. Ergonomics; 42: 904-26. (Pubitemid 29332750)
42. Marras WS, Knapik GG, Ferguson S. (2009) Lumbar spine forces during manoeuvring of ceiling-based and floor-based patient transfer devices. Ergonomics; 52: 384-97.
43. McGill SM, Kavcic NS. (2005) Transfer of the horizontal patient: the effect of a friction reducing assistive device on low back mechanics. Ergonomics; 48: 915-29. (Pubitemid 41283188)
44. McGill SM, Norman RW. (1985) Dynamically and statically determined low back moments during lifting. J Biomech; 18: 877-85. (Pubitemid 16199319)
45. Menzel NN. (2004) Back pain prevalence in nursing personnel: measurement issues. AAOHN J; 52: 54-65.
46. Morris JM, Lucas DB, Bresler B. (1961) Role of the trunk in stability of the spine. J Bone Joint Surg; 43A: 327-51.
47. Nachemson A. (1966) The load on lumbar disks in different positions of the body. Clin Orthop Relat Res; 45: 107-22.
48. Nelson A, Lloyd JD, Menzel N et al. (2003) Preventing nursing back injuries: redesigning patient handling tasks. AAOHN J; 51: 126-34.
49. Nelson A, Harwood KJ, Tracey CA et al. (2008) Myths and facts about safe patient handling in rehabilitation. Rehabil Nurs; 33: 10-7.
50. NIOSH. (1981) Work practices guide for manual lifting. Cincinnati, OH: National Institute of Occupational Safety and Health.
51. Owen BD, Garg A, Jensen RC. (1992) Four methods for identification of most back-stressing tasks performed by nursing assistants in nursing homes. Int J Ind Ergon; 9: 213-20.
52. PSCI. (2005) Patient Care Ergonomics Resource Guide: Safe Patient Handling and Movement. Tampa, USA: Veterans Health Administration and Department of Defense.
53. Schibye B, Hansen AF, Hye-Knudsen CT et al. (2003) Biomechanical analysis of the effect of changing patienthandling technique. Appl Ergon; 34: 115-23. (Pubitemid 36293569)
54. Schumann B, Bolm-Audorff U, Bergmann A et al. (2010) Lifestyle factors and lumbar disc disease: results of a German multi-center case-control study (EPILIFT). Arthritis Res Ther; 12: R193.
55. Seidler A, Bergmann A, Jager M et al. (2009) Cumulative occupational lumbar load and lumbar disc disease-Results of a German multi-center case-control study (EPILIFT). BMC Musculoskel Disord; 10: 48.
56. Skotte J, Fallentin N. (2008) Low back injury risk during repositioning of patients in bed: the influence of handling technique, patient weight and disability. Ergonomics; 51: 1042-52. (Pubitemid 351910914)
57. Skotte JH, Essendrop M, Hansen AF et al. (2002) A dynamic 3D biomechanical evaluation of the load on the low back during different patient-handling tasks. J Biomech; 35: 1357-66. (Pubitemid 35291973)
58. Smith J. (2005) The Guide to the Handling of People. 5th edn. Teddington, UK: National Back Pain Association and Royal College of Nursing.
59. Theilmeier A, Jordan C, Luttmann A et al. (2010) Measurement of action forces and posture to determine the lumbar load of healthcare workers during care activities with patient transfers. Ann Occup Hyg; 54: 923-33.
60. Van Dieën JH, Kingma I, Van der Bug P et al. (2003) Evidence for a role of antagonistic cocontraction in controlling trunk stiffness during lifting. J Biomech; 36: 1829-36. (Pubitemid 37393261)
61. Videman T, Nurminen T, Tola S et al. (1984) Low-back pain in nurses and some loading factors of work. Spine; 9: 400-4. (Pubitemid 14098378)
62. Videman T, Ojajarvi A, Riihimaki H et al. (2005) Low back pain among nurses: a follow-up beginning at entry to the nursing school. Spine; 30: 2334-41. (Pubitemid 41504905)
63. Warming S, Precht DH, Suadicani P et al. (2009) Musculoskeletal complaints among nurses related to patient handling tasks and psychosocial factors-based on logbook registrations. Appl Ergon; 40: 569-76.
64. Waters TR. (2007) When is it safe to manually lift a patient? Am J Nurs; 107: 53-8; quiz 59.
65. Waters TR, Putz-Anderson V, Garg A et al. (1993) Revised NIOSH equation for the design and evaluation of manual lifting tasks. Ergonomics; 36: 749-76. (Pubitemid 23210352)
66. White AA, Panjabi MM. (1990) Clinical biomechanics of the spine. Philadelphia: Lippincott.
67. Wilke HJ, Neef P, Caimi M et al. (1999) New in vivo measurements of pressures in the intervertebral disc in daily life. Spine; 24: 755-62. (Pubitemid 29181527)
68. Wortmann N. (2007). TOPAS'R-Bewegen von Patienten und Lasten, ein Konzept. Available at http://www.rak-lg. de/RAK/Veranstaltungen/2007/ Wortmann%20BGW.pdf. Accessed June 28, 2012.
69. WS BC. (2006) Handle With Care: Patient Handling and the Application of Ergonomics (MSI) Requirements. Canada: Board of British Columbia.
70. WS Vic. (2009) A handbook for workplaces: transferring people safely: handling patients, residents and clients in health, aged care, rehabilitation and disability services. 3rd edn. Australia: WorkSafe Victoria.
71. Yassi A, Cooper JE, Tate RB et al. (2001) A randomized controlled trial to prevent patient lift and transfer injuries of health care workers. Spine; 26: 1739-46. (Pubitemid 32762118)