Electromyographic and Kinematic Patient Handling Risk Assessment: Overhead Lift Versus Floor Lift

The use of mechanical patient lifting devices has already been proved to reduce the risk of caregiver injury during patient transfers. Despite this evidence, nowadays this equipment is still underused in the working environment. This study aims to compare sEMG activities and trunk kinematic, obtained by means of an optoelectronic system, between overhead lift devices versus floor lift devices and to verify if the patient movement with a mechanical lift may be safely performed. Seven experienced operators were studied by means of surface electromyography during an 85 kg surrogated patient handling from the bed to the wheelchair and vice versa by a single caregiver at a time using both a floor lift and an overhead lift. Results show that the use of these devices allows the operator to work safely and could be helpful in case of reduced fitness for work.

[1]  Peter J Keir,et al.  Muscle activity during patient transfers: a preliminary study on the influence of lift assists and experience , 2004, Ergonomics.

[2]  Hartmut Witte,et al.  ISB recommendation on definitions of joint coordinate system of various joints for the reporting of human joint motion--part I: ankle, hip, and spine. International Society of Biomechanics. , 2002, Journal of biomechanics.

[3]  Bryan Buchholz,et al.  ISB recommendation on definitions of joint coordinate systems of various joints for the reporting of human joint motion--Part II: shoulder, elbow, wrist and hand. , 2005, Journal of biomechanics.

[4]  Tilak Dutta,et al.  A biomechanical assessment of floor and overhead lifts using one or two caregivers for patient transfers. , 2012, Applied ergonomics.

[5]  Kermit G. Davis,et al.  Biomechanical modeling for understanding of low back injuries: A systematic review , 2005 .

[6]  Charles Goldsmith,et al.  Comparison of cumulative low back loads of caregivers when transferring patients using overhead and floor mechanical lifting devices. , 2005, Clinical biomechanics.

[7]  A. Nelson,et al.  Development and evaluation of a multifaceted ergonomics program to prevent injuries associated with patient handling tasks. , 2006, International journal of nursing studies.

[8]  Mariano Serrao,et al.  A new muscle co-activation index for biomechanical load evaluation in work activities , 2015, Ergonomics.

[9]  Thomas R Waters,et al.  When is it safe to manually lift a patient? , 2007, The American journal of nursing.

[10]  W S Marras,et al.  Lumbar spine forces during manoeuvring of ceiling-based and floor-based patient transfer devices , 2009, Ergonomics.

[11]  Giancarlo Ferrigno,et al.  Elite: A Digital Dedicated Hardware System for Movement Analysis Via Real-Time TV Signal Processing , 1985, IEEE Transactions on Biomedical Engineering.