Development and Feasibility Testing of a Contextual Patient Movement Intervention

Callihan, Michael; Eyer, Joshua C.; McCoy, Cameron Joseph; Dailey, Anna M.; Diket, Kathleen M.; Robinson, Adam Trent; Kaylor, Sara K.

doi:10.1016/j.jen.2020.05.018

Cited by 9 publications

(16 citation statements)

References 20 publications

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“…Workplace adjustments: the worker adjusts the working environment. (160 topics) Examples: • Proper positioning chair- desk-monitor- keyboard-mouse-footstools-printer- scanner- telephone- frequently used objects- bed • Adjustment work tool and office equipment • Lowering the storage position of heavy equipment [ 25 ]; [ 26 ]; [ 27 ]; [ 28 ]; [ 29 ]; [ 30 ]; [ 31 ]; [ 32 ]; [ 33 ]; [ 34 ]; [ 35 ]; [ 36 ]; [ 24 ]; [ 37 ]; [ 38 ]; [ 39 ]; [ 40 ]; [ 41 ]; [ 42 ]; [ 43 ]; [ 44 ]; [ 45 ]; [ 46 ]; [ 47 ]; [ 48 ]; [ 49 ]; [ 50 ]; [ 51 ]; [ 52 ]; [ 53 ]; [ 54 ]; [ 55 ]; [ 56 ]; [ 57 ]; [ 58 ]; [ 59 ]; [ 60 ]; [ 61 ]; [ 62 ]; [ 63 ]; [ 64 ]; [ 65 ]; [ 66 ]; [ 67 ]; [ 68 ]; [ 69 ]; [ 70 ]; [ 71 ]. 2.…”

Section: Resultsmentioning

confidence: 99%

A first step towards a framework for interventions for individual working practice to prevent work-related musculoskeletal disorders: a scoping review

Wijdeven

Visser

Daams

et al. 2023

BMC Musculoskelet Disord

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Background Work-related musculoskeletal disorders (WMSDs) are a key topic in occupational health. In the primary prevention of these disorders, interventions to minimize exposure to work-related physical risk factors are widely advocated. Besides interventions aimed at the work organisation and the workplace, interventions are also aimed at the behaviour of workers, the so-called individual working practice (IWP). At the moment, no conceptual framework for interventions for IWP exists. This study is a first step towards such a framework. Methods A scoping review was carried out starting with a systematic search in Ovid Medline, Ovid Embase, Ovid APA PsycInfo, and Web of Science. Intervention studies aimed at reducing exposure to physical ergonomic risk factors involving the worker were included. The content of these interventions for IWP was extracted and coded in order to arrive at distinguishing and overarching categories of these interventions for IWP. Results More than 12.000 papers were found and 110 intervention studies were included, describing 810 topics for IWP. Eventually eight overarching categories of interventions for IWP were distinguished: (1) Workplace adjustment, (2) Variation, (3) Exercising, (4) Use of aids, (5) Professional skills, (6) Professional manners, (7) Task content & task organisation and (8) Motoric skills. Conclusion Eight categories of interventions for IWP are described in the literature. These categories are a starting point for developing and evaluating effective interventions performed by workers to prevent WMSDs. In order to reach consensus on these categories, an international expert consultation is a necessary next step.

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Section: Resultsmentioning

confidence: 99%

A first step towards a framework for interventions for individual working practice to prevent work-related musculoskeletal disorders: a scoping review

Wijdeven

Visser

Daams

et al. 2023

BMC Musculoskelet Disord

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“…This technology has been applied in studies focused on work tasks and/or conditions that increase the risk for WMSD occurrence [19,20]. Previous studies demonstrate that the IMU is a promising technology for motion analysis and WMSD risk assessment in several occupational contexts, such as clinical practices [21], automotive assembly [22], farming activities [23], and humanrobot collaboration settings [24].…”

Section: Introductionmentioning

confidence: 99%

Digitalization of Musculoskeletal Risk Assessment in a Robotic-Assisted Assembly Workstation

Colim

Cardoso

Arezes

et al. 2021

Safety

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The ergonomic assessment of adopted working postures is essential for avoiding musculoskeletal risk factors in manufacturing contexts. Several observational methods based on external analyst observations are available; however, they are relatively subjective and suffer low repeatability. Over the past decade, the digitalization of this assessment has received high research interest. Robotic applications have the potential to lighten workers’ workload and improve working conditions. Therefore, this work presents a musculoskeletal risk assessment before and after robotic implementation in an assembly workstation. We also emphasize the importance of using novel and non-intrusive technologies for musculoskeletal risk assessment. A kinematic study was conducted using inertial motion units (IMU) in a convenience sample of two workers during their normal performance of assembly work cycles. The musculoskeletal risk was estimated according to a semi-automated solution, called the Rapid Upper Limb Assessment (RULA) report. Based on previous musculoskeletal problems reported by the company, the assessment centered on the kinematic analysis of functional wrist movements (flexion/extension, ulnar/radial deviation, and pronation/supination). The results of the RULA report showed a reduction in musculoskeletal risk using robotic-assisted assembly. Regarding the kinematic analysis of the wrist during robotic-assisted tasks, a significant posture improvement of 20–45% was registered (considering the angular deviations relative to the neutral wrist position). The results obtained by direct measurements simultaneously reflect the workload and individual characteristics. The current study highlights the importance of an in-field instrumented assessment of musculoskeletal risk and the limitations of the system applied (e.g., unsuitable for tracking the motion of small joints, such as the fingers).

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“…These devices provide a significant reduction in patient load, [12][13][14] thus reducing the force on the lower back and shoulders of the worker using them. The principles of basic body mechanics also continue to remain important 15 : our recent research advances the science to consider the bed height should be positioned at approximately midthigh for the shortest member of the lifting team. This allows all participants to get into a squatting position for the lift.…”

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confidence: 99%

“…Lifters should aim for neutrality of their spine when possible, which may require the lifter to grip the sheet further away from the patient. 15 A neutral spine and squatting position best allows the lifter to generate force for the movement with their arms and legs rather than their lower back. 16 Furthermore, when gripping sheets, it is recommended that the lifter use an underhand grip, which best allows the shoulders to remain in proper alignment throughout the lift, 4 resulting in less strain on the joint and surrounding tissue.…”

mentioning

confidence: 99%

“…Although lifting in these recommended positions does not completely eliminate the risks of musculoskeletal injury for health care workers, it does greatly reduce such risks. 15 Learning to recognize the red flags (Figure ) of body mechanics among those involved in prone positioning of patients with COVID-19 can only help to better protect the safety of our patients, our workforce, and our health care organizations as we continue our fight in providing effective care during this time of pandemic.…”

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confidence: 99%

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Proning Pains: Recognizing the Red Flags of Body Mechanics for Health Care Workers Involved in Prone Positioning Techniques

Callihan¹,

Kaylor²

2021

Journal of Emergency Nursing

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Development and Feasibility Testing of a Contextual Patient Movement Intervention

Cited by 9 publications

References 20 publications

A first step towards a framework for interventions for individual working practice to prevent work-related musculoskeletal disorders: a scoping review

A first step towards a framework for interventions for individual working practice to prevent work-related musculoskeletal disorders: a scoping review

Digitalization of Musculoskeletal Risk Assessment in a Robotic-Assisted Assembly Workstation

Proning Pains: Recognizing the Red Flags of Body Mechanics for Health Care Workers Involved in Prone Positioning Techniques

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