Manual handling amongst physiotherapists: Analysis of intra-shift variations in pain, fatigue and movement.

BACKGROUND: Manual handling injuries amongst physiotherapists are common and the need to improve our understanding of causal influences is imperative. OBJECTIVE: The objective was to determine whether intra-shift variations in manual handling task performance occurred in our cohort, which may inform...

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Publicado en:Work Vol. 75; no. 4; pp. 1255 - 1265
Autores principales: Rothmore, Paul, Hewitt, Tony, Dickson, Cameron, Nguyen, Tam
Formato: pictorial research tables/charts Journal Article
Publicado: Sage Publications Inc. 2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2023
      vid: 75
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Manual handling amongst physiotherapists: Analysis of intra-shift variations in pain, fatigue and movement.
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        au:
          Rothmore, Paul
          Hewitt, Tony
          Dickson, Cameron
          Nguyen, Tam
        affil: University of Adelaide, Adelaide, SA, Australia
      sug:
        subj:
          Manual Therapy
          Patient Handling
          Physical Therapists
          Pain Evaluation
          Fatigue
          Movement Evaluation
          Task Performance and Analysis
          Flexible Scheduling
          Musculoskeletal System Physiology
          Human
          Male
          Female
          Funding Source
          Shiftwork
          Muscle, Skeletal Physiology
          Muscle Contraction
          Spine Physiology
          Body Mechanics
          Electromyography
          Motion Analysis Systems
          Australia
          Low Back Pain
          Pain Measurement
          Data Analysis Software
          T-Tests
          Convenience Sample
          Descriptive Statistics
          Adult
          Adult: 19-44 years
          Male
          Female
      ab: BACKGROUND: Manual handling injuries amongst physiotherapists are common and the need to improve our understanding of causal influences is imperative. OBJECTIVE: The objective was to determine whether intra-shift variations in manual handling task performance occurred in our cohort, which may inform mechanisms underpinning related injuries. METHODS: We used motion capture, force plate dynamics and electromyography to identify variations in task performance, loading forces and muscle activity, during the performance of one static and one dynamic standardized manual handling task, pre- and post-shift, by 40 physiotherapists. Participants also rated their pain and fatigue on a visual analogue scale (VAS). Statistical analysis utilised paired samples Student's t tests. RESULTS: Significant differences were seen in the EMG activity in the quadriceps during the static task only. No significant differences were seen for any of the kinematic variables. Significant differences in fatigue (p < 0.005) were seen between the pre- and post-shift sessions. Notably, there were significant differences in pain between the pre- and post-shift sessions in the static (p < 0.01) and dynamic tasks (p < 0.05). This increase in pain was at a level which impacted on function. CONCLUSION: Whilst significant variations in task performance were not observed, our findings indicate that physiotherapists frequently experience task-related pain towards the end of their shift. Contemporary research indicates that frequent transient low back pain may transition to a chronic disabling condition, as such we posit that the effects of intra-shift pain, and its causative factors, should be more widely considered in a 'whole-of-job' approach to mitigating risk in this demographic.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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