Musculoskeletal disorders in aged care workers: a systematic review of contributing factors and interventions

Caponecchia, Carlo; Coman, Robyn; Gopaldasani, Vinod; Mayland, Elizabeth C; Campbell, Luka

doi:10.1016/j.ijnurstu.2020.103715

Cited by 20 publications

(15 citation statements)

References 68 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition, it was concluded that this risk assessment manual handling training improved confidence and empowered nurses to change their practice and provide safe mobility-related care [ 11 ]. To date, RAISE pilot work has not included long-term care facilities, despite the high frequency of nursing and care staff injuries in this setting [ 13 ], where staff are exposed to physical, organisational and psychological factors which can contribute to musculoskeletal disorders [ 14 ]. In long term care, there is limited evidence of interventions that effectively reduce staff musculoskeletal injuries, with interventions that focus on multiple factors being more successful [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Feasibility of implementing an innovative manual handling risk assessment training program for staff working in long-term care

et al. 2023

View full text Add to dashboard Cite

Background The Risk Assessment for moving Individuals SafEly (RAISE) program is a hospital-based manual handling nursing training program. RAISE involves upskilling on continual risk assessment during patient-assisted movements. RAISE aims to optimise staff and patient safety while providing the patient with movement and rehabilitation opportunities. Implementation of RAISE in the hospital setting has been established. The aim of this study was to explore the feasibility of implementing RAISE in the long-term care setting. Methods We examined three feasibility domains: acceptability, practicality, and limited efficacy (observed nursing behaviour change which has the potential to reduce nursing injuries), using a prospective pilot pre-post design in the long-term care setting. Staff completed a 4-hour training session on RAISE delivered by two physiotherapists, followed by 8 h of supported behaviour change in the workplace. Staff acceptability and practicality of incorporating risk assessment strategies into manual handling approaches were explored through pre- and post-training staff surveys and a semi-structured interview. Resident acceptability of manual handling practices was explored via survey data collected after the RAISE training. Pre to post-training changes in staff knowledge and behaviour were examined through the pre- and post-training staff survey, and observation of staff assisting resident movement. Results Two enrolled nurses and five residents participated. Staff reported the RAISE program was acceptable and practical to implement in the long-term care setting. There were no adverse events or safety concerns. Staff reported the RAISE program provided guidance and enhanced staff empowerment to make decisions during assisted resident movement. There were 26 observed resident-staff manual handling interactions recorded, with 13 pre-training and 13 post-training. Post-training, RAISE skills had improved and were completed 100% of the time, except for completing a physical risk assessment which improved from 46 to 85%, demonstrating limited efficacy. Residents reported it’s important for staff to be trained on how to assist them to mobilise and they found the concept of the RAISE program acceptable. Conclusions This pilot study supports the feasibility of long-term care facilities participating in future studies testing the effectiveness and cost-effectiveness of the Risk Assessment for moving Individuals SafEly (RAISE) patient and resident manual handling program.

show abstract

Section: Introductionmentioning

confidence: 99%

Feasibility of implementing an innovative manual handling risk assessment training program for staff working in long-term care

et al. 2023

View full text Add to dashboard Cite

show abstract

“…Some employees are more at risk of developing MSDs, such as healthcare workers [ 6 ]. This prevalence of MSD appearance in hospital workers is due to the biomechanical loads caused by physical tasks such as repetitive movements or lifting tasks, e.g., lifting and transferring patients, washing patients, cleaning rooms, lifting heavy surgical instruments [ 7 , 8 ]. In this population, MSDs mainly affect the lower back, neck and shoulders [ 7 , 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a Passive Upper Limb Exoskeleton in Healthcare Workers during a Surgical Instrument Cleaning Task

Arnoux

Farr

Boccara

et al. 2023

IJERPH

View full text Add to dashboard Cite

(1) Background: Healthcare workers are highly affected by work-related musculoskeletal disorders, particularly in the lower back, neck and shoulders, as their occupational tasks expose them to biomechanical constraints. One solution to prevent these musculoskeletal disorders may be the use of a passive exoskeleton as it aims to reduce muscle solicitation. However, few studies have been carried out directly in this field to assess the impact of the use of a passive upper limb exoskeleton on this population. (2) Methods: Seven healthcare workers, equipped with electromyographic sensors, performed a tool cleaning task with and without a passive upper limb exoskeleton (Hapo MS, Ergosanté Technologie, France). Six muscles of the upper limbs were analysed, i.e., anterior deltoid, biceps brachii, pectoralis major, latissimus dorsi, triceps brachii and longissimus thoracis. A subjective analysis of the usability of the equipment, the perception of effort and discomfort, was also carried out using the System Usability Scale and the Borg scale. (3) Results: The longissimus thoracis was the most used muscle during this task. We observed a significant decrease in the muscular solicitation of the anterior deltoid and latissimus dorsi when wearing the exoskeleton. Other muscles were not significantly impacted by the device. (4) Conclusions: the passive exoskeleton used in this study allowed the reduction in muscular load on the anterior deltoid and latissimus dorsi without negative effects on other muscles. Other field studies with exoskeletons are now necessary, particularly in hospitals, to increase our knowledge and improve the acceptability of this system for the prevention of musculoskeletal disorders.

show abstract

“…The incidence of MSD (or illness) among health care employees exceeds incidences within the manufacturing, construction, and mining industries 9 – 11 ) . Previously, health care was even considered the riskiest occupational category for MSD 12 , 13 ) . According to a literature review 8 ) , over half (57%) of health care workers had MSD in the past year, and the most commonly affected body parts among home caregivers were shoulders (73%), neck (63%), lower back (59%), lower extremities (43%), and upper extremities (25%).…”

Section: Introductionmentioning

confidence: 99%

Association between work content and musculoskeletal disorders among home caregivers: a cross-section study

et al. 2021

View full text Add to dashboard Cite

In Taiwan, over 80% of home caregivers have experienced musculoskeletal disorders (MSD) in the past year. Although MSDs in health care workers have been discussed in existing literature (e.g., in nursing staff), there is limited understanding of the association between MSD and the work content of home caregivers. This study aimed to investigate the correlation between the work content and MSD of home caregivers. This cross-sectional study was conducted in long-term care units in central Taiwan. A structured questionnaire was used to collect data, including basic information, work content survey, and information from the Nordic Musculoskeletal Questionnaire. Logistic regression analysis was used to examine the association between work content and MSD. A total of 149 home caregivers with a mean age of approximately 50.97 ± 9.80 years were recruited for the study. The frequency of transfer of toilet and wheelchair was significantly associated with shoulder discomfort, upper back discomfort, and wrists/hands discomfort. In addition, the frequency of passive range of motion exercise was significantly associated with elbows discomfort. The results of this study indicated that the highest risk factor for MSD was transfer of toilet and wheelchair followed by passive range of motion exercise.

show abstract

Musculoskeletal disorders in aged care workers: a systematic review of contributing factors and interventions

Cited by 20 publications

References 68 publications

Feasibility of implementing an innovative manual handling risk assessment training program for staff working in long-term care

Feasibility of implementing an innovative manual handling risk assessment training program for staff working in long-term care

Evaluation of a Passive Upper Limb Exoskeleton in Healthcare Workers during a Surgical Instrument Cleaning Task

Association between work content and musculoskeletal disorders among home caregivers: a cross-section study

Contact Info

Product

Resources

About