Comprehensive risk assessment of the patient transfer task using the walking belt and floor lift.

Purpose: Work-related musculoskeletal disorders (WMSDs) during bed-to-wheelchair and wheelchair-to-commode transfers are a significant concern, yet prior assessments often focused on specific subtasks, overlooking potential cumulative risks. Methods: This study employed Xsens Inertial Measurement Un...

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Publicado en:Disability & Rehabilitation: Assistive Technology Vol. 20; no. 5; pp. 1505 - 1514
Autores principales: Law, Mitchelle J. J., Ripin, Zaidi Mohd, Hamid, Intan Juliana Abd, Law, Kim Sooi, Karunagaran, Jeevinthiran, Abdul Halim, Nur Shuhaidatul Sarmiza, Ridzwan, Mohamad Ikhwan Zaini
Formato: pictorial research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Jul2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2025
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      pub: Taylor & Francis Ltd
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        10.1080/17483107.2025.2450007
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        atl: Comprehensive risk assessment of the patient transfer task using the walking belt and floor lift.
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        au:
          Law, Mitchelle J. J.
          Ripin, Zaidi Mohd
          Hamid, Intan Juliana Abd
          Law, Kim Sooi
          Karunagaran, Jeevinthiran
          Abdul Halim, Nur Shuhaidatul Sarmiza
          Ridzwan, Mohamad Ikhwan Zaini
        affil: Neurorehabilitation Engineering and Assistance Systems Research (NEAR), School of Mechanical Engineering, Universiti Sains Malaysia, Penang, Malaysia
      sug:
        subj:
          Nurses
          Patient Handling
          Occupational-Related Injuries Risk Factors
          Risk Assessment
          Lifting and Transfer Equipment Utilization
          Human
          Malaysia
          Funding Source
          Convenience Sample
          Transfer Techniques
          Patient Positioning
          Lifting
          Biomechanics
          Ergonomics
          Patient Simulation
          Muscle, Skeletal
          Muscle Contraction Evaluation
          Kinematics Evaluation
          Descriptive Statistics
          Data Analysis Software
          Paired T-Tests
          Task Performance and Analysis
          Confidence Intervals
      ab: Purpose: Work-related musculoskeletal disorders (WMSDs) during bed-to-wheelchair and wheelchair-to-commode transfers are a significant concern, yet prior assessments often focused on specific subtasks, overlooking potential cumulative risks. Methods: This study employed Xsens Inertial Measurement Units (IMUs) and force plates integrated with an automated Rapid Entire Body Assessment (REBA) system to provide a continuous and comprehensive evaluation of WMSDs risks associated with the use of a walking belt and a floor lift. Results: The continuous assessment revealed peak REBA scores ranging from 8.81 to 9.19, categorizing tasks such as applying the sling, repositioning the patient from supine to sitting, and adjusting the wheelchair footrest as high-risk. During bed-to-wheelchair transfers, the floor lift significantly reduced the mean peak REBA score by 1.73 points (95% CI [1.23, 2.24], p < 0.001) and the mean vertical force by 14.68 N (95% CI [10.15, 19.22], p < 0.001) compared to the walking belt. Conclusion: These findings highlight the value of a continuous risk assessment approach in identifying high-risk tasks and informing targeted ergonomic interventions. The results underscore the need for optimizing patient handling practices and developing advanced assistive devices to enhance caregiver safety and efficiency. IMPLICATIONS FOR REHABILITATION: The use of continuous and comprehensive evaluation tools like Xsens IMUs and the automated REBA system helps identify high-risk tasks more accurately, enabling targeted interventions in rehabilitation practices. The findings highlight the benefits of using floor lifts over walking belts, suggesting that integrating such equipment into rehabilitation protocols can significantly reduce the risk of WMSDs during patient transfers. Rehabilitation programs can incorporate specific training for caregivers on high-risk tasks such as applying slings, repositioning patients, and adjusting footrests to minimize WMSD risks.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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