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Development and Feasibility Testing of a Contextual Patient Movement Intervention.

Michael L Callihan, Joshua C Eyer, Cameron J McCoy

    Journal of Emergency Nursing
    |September 28, 2020
    PubMed
    Summary

    This study developed a new lifting technique to reduce lumbar spine injuries in nurses and EMS workers. The intervention significantly reduced injury risk factors in most tested movements, supporting contextual training.

    Keywords:
    Back injuryHuman engineeringNursing researchPatient lifting and moving

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    Area of Science:

    • Occupational Health
    • Biomechanics
    • Ergonomics

    Background:

    • Nurses and emergency medical services (EMS) workers experience high rates of musculoskeletal injuries, particularly lumbar spine injuries.
    • These injuries pose a significant risk to healthcare professionals and impact workforce sustainability.

    Purpose of the Study:

    • To develop and conduct phase 1 feasibility testing of a contextual lifting intervention.
    • The intervention aims to reduce the risk of low back injury in healthcare workers.

    Main Methods:

    • Intervention based on weightlifting techniques to mitigate valgus knee, asymmetrical lifting, and trunk/pelvis rotation.
    • Motion capture technology used with 17 nursing students performing various patient handling tasks.
    • Pre- and post-intervention data analyzed using linear mixed model regression.

    Main Results:

    • Significant improvements in lifting techniques observed post-intervention.
    • The maximum lever arm distance (L5-S1 to load center) was significantly reduced in 3 of 4 tested movements.
    • Intervention demonstrated feasibility and potential for reducing biomechanical risk factors.

    Conclusions:

    • Contextual training methods can effectively reduce injury risk in patient handling.
    • The developed intervention shows promise for preventing lumbar spine injuries in high-risk occupations.