Biomechanical Evaluation of a Patient-Handling Technology Prototype

Nursing jobs have generally been associated with poor posture and heavy exertion, particularly during patient-handling activities.  Such working conditions are known to increase the risk of musculoskeletal disorders, and the use of patient-handling aids has been proposed to alleviate the...

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Main Authors: Hardianto Iridiastadi, Theodora Vani, Putra Alif Ramdhani Yamin
Format: Article
Language:English
Published: Universitas Indonesia 2020-01-01
Series:International Journal of Technology
Subjects:
Online Access:http://ijtech.eng.ui.ac.id/article/view/1332
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author Hardianto Iridiastadi
Theodora Vani
Putra Alif Ramdhani Yamin
author_facet Hardianto Iridiastadi
Theodora Vani
Putra Alif Ramdhani Yamin
author_sort Hardianto Iridiastadi
collection DOAJ
description Nursing jobs have generally been associated with poor posture and heavy exertion, particularly during patient-handling activities.  Such working conditions are known to increase the risk of musculoskeletal disorders, and the use of patient-handling aids has been proposed to alleviate the problem. This study was conducted with the purpose of evaluating a patient-handling technology (PHT) prototype that was developed by the researchers for use in Indonesia. An experiment was conducted involving 12 nurse participants, who were asked to move a patient, either manually or by using the prototype. Postural analyses were performed using 3DSSPP software, Rapid Upper Limb Assessment (RULA), and Rapid Entire Body Assessment (REBA).  A Borg scale was employed to determine the participants’ perceptions of the levels of exertion required during the experiment.  The findings demonstrated that using the PHT prototype resulted in a substantial reduction in the compression force at the lumbar (L5/S1) joint.  However, there was a marginal increase in shear force at this joint due to the push/pull activities involved in using the technology while handling the patient. This increase, however, was still within accepted biomechanical limits. Postural analyses based on the RULA and REBA demonstrated a great reduction in ergonomic risks when using the prototype.  The nurses also reported reduced physical workload when using the PHT technology. Across all measures, there were reductions in the biomechanical risks of between 30% and nearly 70%. While the PHT prototype still needs design refinements, its use in medical settings has the potential to ameliorate musculoskeletal problems among nurses and caregivers.
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spelling doaj.art-dfce7723abbc4713946285e30e98621e2023-01-02T20:21:09ZengUniversitas IndonesiaInternational Journal of Technology2086-96142087-21002020-01-0111118018910.14716/ijtech.v11i1.13321332Biomechanical Evaluation of a Patient-Handling Technology PrototypeHardianto Iridiastadi0Theodora Vani1Putra Alif Ramdhani Yamin2Industrial Engineering, Faculty of Industrial Technology, Institut Teknologi Bandung (ITB), Indonesia, Ganesa 10, Bandung 40132, IndonesiaIndustrial Engineering, Faculty of Industrial Technology, Institut Teknologi Bandung (ITB), Indonesia, Ganesa 10, Bandung 40132, IndonesiaIndustrial Engineering, Faculty of Industrial Technology, Institut Teknologi Bandung (ITB), Indonesia, Ganesa 10, Bandung 40132, IndonesiaNursing jobs have generally been associated with poor posture and heavy exertion, particularly during patient-handling activities.  Such working conditions are known to increase the risk of musculoskeletal disorders, and the use of patient-handling aids has been proposed to alleviate the problem. This study was conducted with the purpose of evaluating a patient-handling technology (PHT) prototype that was developed by the researchers for use in Indonesia. An experiment was conducted involving 12 nurse participants, who were asked to move a patient, either manually or by using the prototype. Postural analyses were performed using 3DSSPP software, Rapid Upper Limb Assessment (RULA), and Rapid Entire Body Assessment (REBA).  A Borg scale was employed to determine the participants’ perceptions of the levels of exertion required during the experiment.  The findings demonstrated that using the PHT prototype resulted in a substantial reduction in the compression force at the lumbar (L5/S1) joint.  However, there was a marginal increase in shear force at this joint due to the push/pull activities involved in using the technology while handling the patient. This increase, however, was still within accepted biomechanical limits. Postural analyses based on the RULA and REBA demonstrated a great reduction in ergonomic risks when using the prototype.  The nurses also reported reduced physical workload when using the PHT technology. Across all measures, there were reductions in the biomechanical risks of between 30% and nearly 70%. While the PHT prototype still needs design refinements, its use in medical settings has the potential to ameliorate musculoskeletal problems among nurses and caregivers.http://ijtech.eng.ui.ac.id/article/view/1332caregiversmusculoskeletal disorderspatient handlingpatient-handling technology prototype
spellingShingle Hardianto Iridiastadi
Theodora Vani
Putra Alif Ramdhani Yamin
Biomechanical Evaluation of a Patient-Handling Technology Prototype
International Journal of Technology
caregivers
musculoskeletal disorders
patient handling
patient-handling technology prototype
title Biomechanical Evaluation of a Patient-Handling Technology Prototype
title_full Biomechanical Evaluation of a Patient-Handling Technology Prototype
title_fullStr Biomechanical Evaluation of a Patient-Handling Technology Prototype
title_full_unstemmed Biomechanical Evaluation of a Patient-Handling Technology Prototype
title_short Biomechanical Evaluation of a Patient-Handling Technology Prototype
title_sort biomechanical evaluation of a patient handling technology prototype
topic caregivers
musculoskeletal disorders
patient handling
patient-handling technology prototype
url http://ijtech.eng.ui.ac.id/article/view/1332
work_keys_str_mv AT hardiantoiridiastadi biomechanicalevaluationofapatienthandlingtechnologyprototype
AT theodoravani biomechanicalevaluationofapatienthandlingtechnologyprototype
AT putraaliframdhaniyamin biomechanicalevaluationofapatienthandlingtechnologyprototype