Reducing lumbar spine flexion using real-time biofeedback during patient handling tasks.

BACKGROUND: Patient handling activities require caregivers to adopt postures that increase the risk of back injury. Training programs relying primarily on didactic methods have been shown to be ineffective at reducing this risk. The use of real-time biofeedback has potential as an alternative traini...

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Publicado en:Work Vol. 66; no. 1; pp. 41 - 52
Autores principales: Owlia, Mohammadhasan, Kamachi, Megan, Dutta, Tilak
Formato: pictorial research tables/charts randomized controlled trial Journal Article
Publicado: Sage Publications Inc. 2020
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Reducing lumbar spine flexion using real-time biofeedback during patient handling tasks.
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        au:
          Owlia, Mohammadhasan
          Kamachi, Megan
          Dutta, Tilak
        affil: Toronto Rehabilitation Institute, University Health Network, ON, Canada
      sug:
        subj:
          Lumbar Vertebrae Physiopathology
          Flexion
          Biofeedback
          Patient Handling
          Caregivers
          Time Factors
          Treatment Outcomes
          Human
          Male
          Female
          Adult
          Randomized Controlled Trials
          Exercise Equipment and Supplies
          Low Back Pain Therapy
          Data Analysis Software
          Analysis of Variance
          Descriptive Statistics
          Training Effect (Physiology)
          Funding Source
          Adult: 19-44 years
          Male
          Female
      ab: BACKGROUND: Patient handling activities require caregivers to adopt postures that increase the risk of back injury. Training programs relying primarily on didactic methods have been shown to be ineffective at reducing this risk. The use of real-time biofeedback has potential as an alternative training method. OBJECTIVE: To investigate the effect of real-time biofeedback on time spent by caregivers in end-range lumbar spine flexion. METHODS: Novice participants were divided into intervention (n = 10) and control (n = 10) groups and were asked to perform a set of simulated care activities eight times on two consecutive days. Individuals in the intervention group watched a training video on safer movement strategies and received real-time auditory feedback from a wearable device (PostureCoach) in four training trials whenever their lumbar spine flexion exceeded a threshold (70% of maximum flexion). Changes in end-range lumbar spine flexion were compared between groups and across trials. RESULTS: Participants in the intervention group saw reductions in end-range lumbar spine flexion during the simulated patient handling tasks at the end of the training compared to their baseline trials while there was no change for the control group. CONCLUSIONS: The training program including PostureCoach has the potential to help caregivers learn to use safer postures that reduce the risk of back injury.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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