Analyse der Lumbalbelastung beim manuellen Bewegen von Patienten zur Prävention biomechanischer Überlastungen von Beschäftigten im Gesundheitswesen

Jäger, Matthias; Jordan, Claus; Theilmeier, Andreas; Wortmann, Norbert; Kühn, Stefan; Nienhaus, Albert; Luttmann, Alwin

doi:10.1007/s40664-013-0010-4

Cited by 14 publications

(5 citation statements)

References 44 publications

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“…It can be assumed that this was the case because the robotic system is controlled (in particular in preparation and follow-up) via a monitor to which one has to turn repeatedly for the next step of execution. Rotation can lead to increased stress in the lumbar region, which can manifest itself in lower back pain and even lumbar disorders, such as herniated discs or further musculoskeletal disorders (32)(33)(34).…”

Section: Discussionmentioning

confidence: 99%

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Can mobilising specialists be relieved by a robotic system for the early mobilisation of intensive-care patients? A quantitative longitudinal study at three data collection points at a German university hospital

Mehler-Klamt,

Koestler,

Huber

et al. 2023

Preprint

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Background: Immobility in intensive-care patients can lead to significant health risks and costs for the health system. Reasons for this include the shortage of specialist staff from nursing and physiotherapy who usually take over mobilisation activities for intensive-care patients. Use of robotic systems is to facilitate early mobilisation and thus counteract too-long immobility. Whether this can also relieve staff has not yet been sufficiently investigated. Methods: To investigate the psychological stress and behaviour of mobilising specialist during conventional and robot-assisted mobilisations of intensive-care patients and to draw conclusions regarding the burden and relief for the mobilising staff caused by the robotic system, a quantitative longitudinal study was conducted with three data collection points (T1, T2, T3). Aspects of body postures, stress perception of mobilising staff as well as the time and personnel mobilisation effort were collected in non-participatory standardised observations. Descriptive statistics were used for data analysis of the observations of 35 conventional mobilisations (T1), 55 robot-assisted mobilisations (T2) by non-routine users, and 9 robot-assisted mobilisations by routine users (T3). Results: The duration of robot-assisted mobilisation had significantly longer process times in preparation, follow-up and execution phases than conventional mobilisation (median of total duration: T1: 16 minutes, T2/3: 46 minutes). Trial registration: clinicaltrials.org TRN: NCT05071248, Date: 2021/10/21 URL https://clinicaltrials.gov/ct2/show/NCT05071248

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Section: Discussionmentioning

confidence: 99%

“…Evasive movements such as rotation can exert additional strain on the lumbar region. This strain can lead to lower back pain and lumbar conditions such as herniated discs and other musculoskeletal disorders (32)(33)(34). Therefore, it is positive that robot-assisted mobilisation is often performed without evasive movements.…”

Section: Discussionmentioning

confidence: 99%

Can mobilising specialists be relieved by a robotic system for the early mobilisation of intensive-care patients? A quantitative longitudinal study at three data collection points at a German university hospital

Mehler-Klamt,

Koestler,

Huber

et al. 2023

Preprint

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“…Perceived robot motion and speed 1 5.4 (1.3) Perceived safe cooperation 2 13.3 (1.7) Perceived robot reliability 2 11.8 (1.1) Total score 3 (mean, SD)…”

Section: Scale Component Mean (Standard Deviation)mentioning

confidence: 99%

“…Haptic support is usually provided by nurses or informal caregivers and can result in a very high physical strain for the executing person [2]. The lower back in particular is often overloaded, despite many different conventional options for optimization [3]. Bedridden patients represent a focal point here.…”

Section: Introductionmentioning

confidence: 99%

A Robotic System to Anchor a Patient in a Lateral Position and Reduce Nurses’ Physical Strain

Hinrichs,

Seibert,

Arizpe Gómez

et al. 2023

Robotics

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Robotic manipulators can interact with large, heavy objects through whole-arm manipulation. Combined with direct physical interaction between humans and robots, the patient can be anchored in care. However, the complexity of this scenario requires control by a caregiver. We are investigating how such a complex form of manipulation can be controlled by nurses and whether the use of such a system creates physical relief. The use case chosen was washing the back of a patient in the lateral position. The operability of the remote control from the tele-nurse’s point of view, the change in the posture of the nurse on site, the execution times, the evaluation of the cooperation between human and robot, and the evaluation of the system from the nurse’s point of view and from the patient’s point of view were evaluated. The results show that the posture of the worker improved by 11.93% on average, and by a maximum of 26.13%. Ease of use is rated as marginally high. The manipulator is considered helpful. The study shows that remote whole-arm manipulation can anchor bedridden patients in the lateral position and that this system can be operated by nurses and leads to an improvement in working posture.

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“…Die Erprobung der Technologien im Feld kann dann in einer späteren Phase der Entwicklung durchgeführt werden. Innerhalb des Pflegeinnovationszentrums wird infolge dieser zuvor dargestellten Problematik an einem System geforscht, das bei den meisten -im besten Fall allen -alltäglichen pflegerischen Tätigkeiten am Bett eine Kraftunterstützung leisten kann, sodass die Belastungsgrenzen [6] an der Wirbelsäule nicht mehr überschritten und gleichzeitig die noch vorhandenen Mobilitätskapazitäten der Pflegebedürftigen gefördert werden, um dem Abbau weiterer Muskulatur so gut wie möglich Einhalt zu gebieten. Für dieses Vorhaben wurde ein System zusammengestellt, bei dem ein Leichtbauroboter des Herstellers KUKA [7] seitlich an einem intelligenten Pflegebett montiert wurde, sodass auch bei Verstellung der Bettposition die Reichweite des Roboters nicht einschränkt und die auf dem Bett liegende Person noch immer erreicht werden kann.…”

Section: Reallabore Für Forschung Entwicklung Und Demonstrationenunclassified

Das Pflegeinnovationszentrum – Erforschung und Bewertung innovativer Pflegetechnologien

Kowalski¹,

Cobus²,

Weiß³

et al. 2020

JuKiP - Ihr Fachmagazin für Gesundheits- und Kinderkrankenpfleg

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Dass die pflegerische Versorgung eine immer wichtigere Rolle in unserer Gesellschaft spielt, ist durch die Präsenz und Wichtigkeit des Themas den meisten in der Bevölkerung inzwischen bekannt. Aktuelle Prognosen zeigen, dass der Bedarf an Pflege zukünftig immer weiter steigt und die Versorgung nicht mithalten kann. Neben der eigentlichen Förderung des Pflegeberufsbildes kann auch an anderen Stellen angesetzt werden, nämlich in der Technologieentwicklung. Die Schnittstelle zwischen Technologie und Pflege im Spannungsfeld technikgestützter Innovationen und Anwendbarkeit stellt dabei die jeweiligen Akteure vor eine besondere Herausforderung. Hier versucht das Pflegeinnovationszentrum durch Forschung und Entwicklung zu unterstützen.

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Analyse der Lumbalbelastung beim manuellen Bewegen von Patienten zur Prävention biomechanischer Überlastungen von Beschäftigten im Gesundheitswesen

Cited by 14 publications

References 44 publications

Can mobilising specialists be relieved by a robotic system for the early mobilisation of intensive-care patients? A quantitative longitudinal study at three data collection points at a German university hospital

Can mobilising specialists be relieved by a robotic system for the early mobilisation of intensive-care patients? A quantitative longitudinal study at three data collection points at a German university hospital

A Robotic System to Anchor a Patient in a Lateral Position and Reduce Nurses’ Physical Strain

Das Pflegeinnovationszentrum – Erforschung und Bewertung innovativer Pflegetechnologien

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