This study aimed to determine the effect of physiotherapists’ physical burden caused by
different bed heights during manual therapy. Thirty-three male physiotherapists performed
tasks simulating lumbar massage and passive hip abduction range-of-motion exercise (ROM)
on the beds with low height (LH) and adjusted height (AH), with each task performed three
times. The anterior inclination angle of the physiotherapist’s trunk was measured, the
surface electromyograms of the erector spinae and trapezius muscles were recorded, and
perceived stress was assessed. The indexes obtained were statistically compared for
different bed heights. Additionally, the lumbar disc compression force and flexion torque
were estimated. The lumbar burden caused by the excessive bending and the biomechanical
burden and perceived stress were stronger at LH than AH. In ROM tasks using the right
hand, the muscle activity was lower at the left lumbar region at LH than at AH. At LH, the
anterior inclination angle increased and the lumbar muscle activity declined as the number
of tasks increased. The burden on the shoulders was not significantly different by bed
heights. Our results showed that, when physiotherapists perform manual therapy, it is
necessary to adjust the bed height to reduce physical burden and ensure higher quality of
service.