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Anatomical Movements

Anatomical Movements

Anatomical movements refer to the various actions or motions that can be performed by the body's joints and muscles. These movements are described using specific terms to provide a standardized way of discussing and understanding the range of motion at different joints.
Here are some common anatomical movements:
Flexion and extension motions are in the sagittal (anterior–posterior) plane of motion. These movements take place at the shoulder, hip, elbow, knee, wrist,...

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Does Lateral Rotation Replace Manual Turns for Pressure Injury Prevention?: A Review.

Rachel Moseley¹, Stephanie Slayton, Susan Morello

¹Author Affiliations: Wound and Ostomy Nurse Specialist, Johns Hopkins Bayview Medical Center, Baltimore, Maryland (Mrs Moseley); Inpatient Skin and Wound Team, Certified Wound Specialist, Certified Lymphedema Therapist, ECU Health Medical Center, Greenville, North Carolina (Dr Slayton); Independent Wound Care Consultant, Omaha, Nebraska (Ms Morello); and Legal Nurse Consultant, Cynthia Sylvia LLC, Charles Town, West Virginia (Dr Sylvia).

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|February 25, 2026

Summary

This summary is machine-generated.

Continuous lateral rotation therapy (CLRT) does not replace manual turning for pressure injury (PI) prevention. Current evidence suggests manual turning and repositioning remain essential for effective PI prevention strategies.

Keywords:

continuous lateral rotation therapy kinetic therapy manual turns pressure injury prevention rotational therapy support surfaces

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Area of Science:

Medical Technology
Patient Care
Clinical Practice

Background:

Support surfaces offer rotational therapies like continuous lateral rotation therapy (CLRT).
Both CLRT and manual turning involve patient rotation along the longitudinal axis.
Manual turning differs as the patient's posterior surface lifts off the support surface.

Purpose of the Study:

To determine if lateral rotation/rotational therapy can replace manual turns for pressure injury (PI) prevention.
To review existing literature on the efficacy of rotational therapy for PI prevention.

Main Methods:

A comprehensive literature review was conducted, starting from the introduction of CLRT in 1967.
Searched for English language articles using terms: CLRT, lateral rotation, rotational therapy, kinetic therapy, oscillating therapy, pressure injuries, pressure ulcers, pneumonia, manual turning, and PI prevention.
Narrowed down literature to 9 articles specifically related to PI and categorized them for review.

Main Results:

The literature review revealed a significant scarcity of direct evidence supporting CLRT for pressure injury prevention.
Analysis of the reviewed articles did not provide sufficient data to conclude CLRT replaces manual turning.

Conclusions:

Based on current literature, CLRT does not replace manual turning for pressure injury prevention.
The author recommends continuing established PI prevention interventions like turning and repositioning.
Further research is needed to establish the role of CLRT in PI prevention.