Ergonomic issues in team lifting

In this article we review and critique the current body of scientific knowledge regarding the use of team lifting including: (a) psychophysical studies of team lifting capacity, and (b) studies of manual handling, patient handling, and stretcher carriage performed by lifting teams. The consensus of the research literature is that team-lifting capacity is greater than the lifting capacity of an individual, but that the capacity of lifting teams is less than the summed capacity of individual team members. Further, biomechanical, psychophysical, and physiological stress tends to be reduced compared to the equivalent lifts and transfers performed by individuals. However, the stress associated with team lifting depends on a broad range of individual team member, load, task and environmental factors, which can interact in unexpected ways. Caution is therefore recommended against making broad assumptions regarding the use of team lifting. Future studies are needed to examine how effort and load are distributed among lifting team members, with emphasis on identifying factors that may increase the risk of injury.

[1]  S Hignett,et al.  Postural analysis of nursing work. , 1996, Applied ergonomics.

[2]  Anil Mital,et al.  An ergonomic evaluation of steel and composite access covers , 1995 .

[3]  Waldemar Karwowski,et al.  Maximum Load Lifting Capacity of Males and Females in Teamwork , 1988 .

[4]  P G Dempsey,et al.  The psychophysical approach to manual materials handling task design. , 1999, Ergonomics.

[5]  S. Hignett,et al.  Evidence-based patient handling: systematic review. , 2003, Nursing standard (Royal College of Nursing (Great Britain) : 1987).

[6]  S. McGill The biomechanics of low back injury: implications on current practice in industry and the clinic. , 1997, Journal of biomechanics.

[7]  Anil Mital,et al.  A guide to manual materials handling , 1993 .

[8]  W. Marras,et al.  A comprehensive analysis of low-back disorder risk and spinal loading during the transferring and repositioning of patients using different techniques. , 1999, Ergonomics.

[9]  Marilyn A. Sharp,et al.  Prediction of Two-Person Team Lifting Capacity , 1995 .

[10]  S H Snook,et al.  The design of manual handling tasks: revised tables of maximum acceptable weights and forces. , 1991, Ergonomics.

[11]  J H van Dieën,et al.  Stoop or squat: a review of biomechanical studies on lifting technique. , 1999, Clinical biomechanics.

[12]  B T Davies,et al.  Moving loads manually. , 1972, Applied ergonomics.

[13]  Rod Barrett,et al.  Spinal loads during two-person team lifting: effect of load mass distribution , 2003 .

[14]  P. Dempsey,et al.  A critical review of biomechanical, epidemiological, physiological and psychophysical criteria for designing manual materials handling tasks. , 1998, Ergonomics.

[15]  K. S. Lee,et al.  A study of efficiency of two-man lifting work , 2001 .

[16]  R. Norman,et al.  Biomechanical analysis of peak and cumulative spinal loads during simulated patient-handling activities: a substudy of a randomized controlled trial to prevent lift and transfer injury of health care workers. , 2001, Applied ergonomics.

[17]  A Garg,et al.  Revised NIOSH equation for the design and evaluation of manual lifting tasks. , 1993, Ergonomics.

[18]  Joseph J. Knapik,et al.  Physiological factors in stretcher carriage performance , 1999, European Journal of Applied Physiology and Occupational Physiology.

[19]  R. Barrett,et al.  Spinal loads during individual and team lifting , 2002, Ergonomics.

[20]  Stuart M McGill,et al.  Linking latest knowledge of injury mechanisms and spine function to the prevention of low back disorders. , 2004, Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology.

[21]  B. Owen,et al.  Prevention of back injuries in healthcare workers , 1994 .

[22]  Swei-Pi Wu,et al.  Effects of the adjustment period on psychophysically determined maximum acceptable weight of lift and the physiological cost , 2003 .

[23]  Marilyn A. Sharp,et al.  Effects of Team Size on the Maximum Weight Bar Lifting Strength of Military Personnel , 1997, Hum. Factors.

[24]  S A Lavender,et al.  Postural analysis of paramedics simulating frequently performed strenuous work tasks. , 2000, Applied ergonomics.

[25]  W Karwowski,et al.  Testing of isometric and isokinetic lifting strengths of untrained females in teamwork. , 1988, Ergonomics.

[26]  H Hsiao,et al.  Biomechanical evaluation of assistive devices for transferring residents. , 1999, Applied ergonomics.

[27]  Rod Barrett,et al.  Spinal Loads During Two-person Team Lifting: Effect of Matched versus Unmatched Standing Height , 2003 .

[28]  W Karwowski,et al.  Isometric and isokinetic testing of lifting strength of males in teamwork. , 1986, Ergonomics.

[29]  C. Cooper,et al.  Manual handling activities and risk of low back pain in nurses. , 1995, Occupational and environmental medicine.

[30]  Gary A. Mirka,et al.  Accuracy of a three-dimensional lumbar motion monitor for recording dynamic trunk motion characteristics , 1992 .

[31]  H Hsiao,et al.  Psychophysical assessment of assistive devices for transferring patients/residents. , 2000, Applied ergonomics.

[32]  W. G. Allread,et al.  The Role of Dynamic Three-Dimensional Trunk Motion in Occupationally-Related Low Back Disorders: The Effects of Workplace Factors, Trunk Position, and Trunk Motion Characteristics on Risk of Injury , 1993, Spine.

[33]  S A Lavender,et al.  Biomechanical analyses of paramedics simulating frequently performed strenuous work tasks. , 2000, Applied ergonomics.

[34]  Joseph J. Knapik,et al.  Standard and alternative methods of stretcher carriage: performance, human factors, and cardiorespiratory responses , 2000 .

[35]  William J. Tharion,et al.  The effects of gender, team size, and a shoulder harness on a stretcher-carry task and post-carry performance. Part II. A mass-casualty simulation☆ , 1996 .

[36]  A Garg,et al.  A biomechanical and ergonomic evaluation of patient transferring tasks: wheelchair to shower chair and shower chair to wheelchair. , 1991, Ergonomics.

[37]  K P Granata,et al.  Spine loading and trunk kinematics during team lifting. , 1999, Ergonomics.

[38]  Monique H. W. Frings-Dresen,et al.  Epidemiologic evidence on manual materials handling as a risk factor for back disorders:a systematic review , 1999 .

[39]  L. Straker,et al.  Patient handling with and without slings: an analysis of the risk of injury to the lumbar spine. , 2000, Applied ergonomics.

[40]  A Garg,et al.  A biomechanical and ergonomic evaluation of patient transferring tasks: bed to wheelchair and wheelchair to bed. , 1991, Ergonomics.

[41]  Simon M. Hsiang,et al.  Low back pain (LBP) and lifting technique — A review , 1997 .

[42]  M R Drost,et al.  An evaluation of patient lifting techniques. , 1994, Ergonomics.

[43]  M M Ayoub,et al.  Psychophysical lifting capacity over extended periods. , 1991, Ergonomics.

[44]  William J. Tharion,et al.  The effects of gender, team size, and a shoulder harness on a stretcher-carry task and post-carry performance. Part I. A simulated carry from a remote site , 1996 .