Changes in risk factors for severe low-back pain among caregivers in care facilities in Japan from 2014 to 2018

Iwakiri, Kazuyuki; Sotoyama, Midori; Takahashi, Masaya; Liu, Xinxin

doi:10.2486/indhealth.2021-0026

Cited by 6 publications

(7 citation statements)

References 20 publications

(43 reference statements)

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“…Meanwhile, in the case of those at care need levels 3, 4, and 5, decreased abilities to transfer and sit were significant factors. Assisting in transferring can cause back pain in caregivers, and reduced transferring ability significantly increases caregiver burden [21][22][23]. Various welfare interventions have been developed to reduce caregiver burden for transferring [24].…”

Section: Plos Onementioning

confidence: 99%

Risk factors for nursing home admission among older adults: Analysis of basic movements and activities of daily living

et al. 2023

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This retrospective study aimed to clarify the risk of older adults’ nursing home placement in terms of basic movements and activities of daily living (ADLs) by analyzing data from a long-term care insurance certification survey in 2016‒2018 in City A. Of the 21,520 people certified as needing care, 16,865 could be followed up until 2018. Data on sex, age, household structure, and level of care required were obtained. Those who lived at home and at nursing homes were categorized as the “Unchanged group” and the “Changed group,” respectively. Multivariate binomial logistic regression analysis was performed, with group type as the dependent variable and basic movement and ADL scores as the independent variables. For factor analysis according to care level, participants were classified into support need levels 1 and 2, care need levels 1 and 2, and care need levels 3, 4, and 5. For those categorized into support need levels 1 and 2, standing on one leg and transferring (basic movements) and urination and face cleaning (ADLs) were associated with nursing home placement. For those in care need levels 1 and 2, getting up and transferring (basic movements) and bathing, urination, face cleaning, and hair styling (ADL) were significantly associated with nursing home placement. For those in care need levels 3, 4, and 5, sitting and transferring (basic movements) and self-feeding and defecation (ADL) were significant. Occupational therapists must focus on older adults’ declining ADLs and basic movements and relay the necessary information to patients, families, and other healthcare professionals to ensure appropriate and prompt care delivery.

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Section: Plos Onementioning

confidence: 99%

Risk factors for nursing home admission among older adults: Analysis of basic movements and activities of daily living

et al. 2023

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“…Thus, several assistive devices have been developed to avoid musculoskeletal loads during patient transfer [7]. These devices can reduce lumbar loads and the risk of lower back pain [7,8]. However, several devices, such as mechanical lifts, require remarkable effort for operation [7].…”

Section: Introductionmentioning

confidence: 99%

Foot Position Recognition Using a Smartphone Inertial Sensor in Patient Transfer

Kitagawa,

Takashima,

Kurosawa

et al. 2024

BioMed

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Caregivers experience lower back pain due to patient transfer. Foot position is an important and adjustable posture for reducing lumbar loads during patient transfer. Specifically, a suitable foot position provides the use of the lower limbs instead of the lumbar region in patient handling. Thus, we have developed a monitoring and feedback system for foot positioning using wearable sensors to instruct suitable foot positions. However, existing measurement methods require multiple specific wearable sensors. In addition, the existing method has not been evaluated in patient transfer, including twisting and lowering. Thus, the objective of this study was to develop and evaluate a measurement method using only a smartphone-installed inertial sensor for foot position during patient transfer, including twisting and lowering. The smartphone attached to the trunk measures the acceleration, angular velocity, and geomagnetic field. The proposed method recognizes anteroposterior and mediolateral foot positions by machine learning using inertial data. The proposed method was tested using simulated patient transfer motions, including horizontal rotation. The results showed that the proposed method could recognize the two foot positions with more than 90% accuracy. These results indicate that the proposed method can be applied to wearable monitoring and feedback systems to prevent lower back pain caused by patient transfer.

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“…Some healthcare facilities have established policies and implemented programs for safe patient handling and mobility (American Nurse Association, n.d.). Lifts are recommended to avoid manual patient lifting (Iwakiri et al, 2021). The use of lifts in healthcare facilities has reduced back electrophysiological muscle activities, which are defined in this study as muscle activities and reflect the degree of muscle contraction (Vinstrup et al, 2020) and the incidence of lower back pain among healthcare workers (Gold et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Effects of Slide Sheet Use and Bed Position on Muscle Activities in the Low Back and Extremities: A Pilot Experimental Simulation Study

Higuchi

Takahashi

Tomita

2023

Workplace Health Saf

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Background: Low-friction slide sheets (SS) are designed to reduce compression loads on the body during manual handling tasks, such as boosting patients. Using SS has been shown to decrease muscle activity in the lower back and upper extremities. However, it is unclear if this effect varies with different bed positions. To investigate this, we studied the effects of SS use, bed height, and their combination on muscle activity during a simulated patient boost. Methods: Thirty-three Japanese undergraduate students (age 21.0 ± 1.1 years; 14 men, 19 women) participated. Participants were asked to boost a dummy figure on the bed three times each using four conditions. During the repositioning task, electromyography of eight muscles of the lower back and upper and lower extremities, hip and knee joint flexion angles, pelvic forward tilt angle, and position of the center of mass based on the posterior superior iliac spine were evaluated. Findings: Electrophysiological activities of muscles of lower back and upper extremities were significantly lower with SS than without it in both bed positions (30% and 40% of body height); the reduction in muscle activities with SS use was 20% to 40%. Lowering the bed did not affect the SS effect magnitude on reducing muscle activities, although postural changes, including hip and knee joint flexion, were observed. Conclusions/Application to Practice: SS reduced muscle activities in the back, upper, and lower extremities when the bed was in the low position, and this effect persisted at a bed height of ≥30% of the participant’s height.

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Changes in risk factors for severe low-back pain among caregivers in care facilities in Japan from 2014 to 2018

Cited by 6 publications

References 20 publications

Risk factors for nursing home admission among older adults: Analysis of basic movements and activities of daily living

Risk factors for nursing home admission among older adults: Analysis of basic movements and activities of daily living

Foot Position Recognition Using a Smartphone Inertial Sensor in Patient Transfer

Effects of Slide Sheet Use and Bed Position on Muscle Activities in the Low Back and Extremities: A Pilot Experimental Simulation Study

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