Does the fit of personal protective equipment affect functional performance? A systematic review across occupational domains.

<h4>Objective</h4>To explore the effect of personal protective equipment (PPE) fit on functional performance across a range of occupational domains.<h4>Background</h4>PPE introduces an ergonomic, human systems integration, and mass burden to the wearer, and these factors are...

Full description

Bibliographic Details
Main Authors: Brooke R Brisbine, Ceridwen R Radcliffe, Monica L H Jones, Leia Stirling, Celeste E Coltman
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0278174
_version_ 1797958157037731840
author Brooke R Brisbine
Ceridwen R Radcliffe
Monica L H Jones
Leia Stirling
Celeste E Coltman
author_facet Brooke R Brisbine
Ceridwen R Radcliffe
Monica L H Jones
Leia Stirling
Celeste E Coltman
author_sort Brooke R Brisbine
collection DOAJ
description <h4>Objective</h4>To explore the effect of personal protective equipment (PPE) fit on functional performance across a range of occupational domains.<h4>Background</h4>PPE introduces an ergonomic, human systems integration, and mass burden to the wearer, and these factors are thought to be amplified if PPE is ill-fitting. However, few studies have considered the role of fit (static, dynamic, and cognitive) when evaluating PPE-related performance detriments in occupational settings.<h4>Method</h4>A systematic literature review was conducted to identify relevant studies, which were then critically appraised based on methodological quality and collated to compare key findings and present evidence-based recommendations for future research directions across a range of occupational domains.<h4>Results</h4>16 published studies met the inclusion criteria, 88% of which found that the fit of PPE had a statistically significant effect on occupational performance. Poorly sized PPE resulted in slower or increased reaction time; decreased range of motion or mobility; decreased endurance or tolerance; decreased pulmonary function; and altered muscle activation. Limited research met the inclusion criteria and those that did had risks of bias in methodology quality.<h4>Conclusion</h4>Future research evaluating the effect of PPE on performance in occupational settings should aim to recruit a more representative population; consider sex as a covariate; quantify and evaluate PPE fit and performance when integrated with all relevant equipment items; include outcome measures related to all three categories of fit (static, dynamic, cognitive); and assess performance of operationally relevant tasks.
first_indexed 2024-04-11T00:14:51Z
format Article
id doaj.art-f38f2bd3773e43339e5312737ca6166f
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-04-11T00:14:51Z
publishDate 2022-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-f38f2bd3773e43339e5312737ca6166f2023-01-09T05:30:58ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-011711e027817410.1371/journal.pone.0278174Does the fit of personal protective equipment affect functional performance? A systematic review across occupational domains.Brooke R BrisbineCeridwen R RadcliffeMonica L H JonesLeia StirlingCeleste E Coltman<h4>Objective</h4>To explore the effect of personal protective equipment (PPE) fit on functional performance across a range of occupational domains.<h4>Background</h4>PPE introduces an ergonomic, human systems integration, and mass burden to the wearer, and these factors are thought to be amplified if PPE is ill-fitting. However, few studies have considered the role of fit (static, dynamic, and cognitive) when evaluating PPE-related performance detriments in occupational settings.<h4>Method</h4>A systematic literature review was conducted to identify relevant studies, which were then critically appraised based on methodological quality and collated to compare key findings and present evidence-based recommendations for future research directions across a range of occupational domains.<h4>Results</h4>16 published studies met the inclusion criteria, 88% of which found that the fit of PPE had a statistically significant effect on occupational performance. Poorly sized PPE resulted in slower or increased reaction time; decreased range of motion or mobility; decreased endurance or tolerance; decreased pulmonary function; and altered muscle activation. Limited research met the inclusion criteria and those that did had risks of bias in methodology quality.<h4>Conclusion</h4>Future research evaluating the effect of PPE on performance in occupational settings should aim to recruit a more representative population; consider sex as a covariate; quantify and evaluate PPE fit and performance when integrated with all relevant equipment items; include outcome measures related to all three categories of fit (static, dynamic, cognitive); and assess performance of operationally relevant tasks.https://doi.org/10.1371/journal.pone.0278174
spellingShingle Brooke R Brisbine
Ceridwen R Radcliffe
Monica L H Jones
Leia Stirling
Celeste E Coltman
Does the fit of personal protective equipment affect functional performance? A systematic review across occupational domains.
PLoS ONE
title Does the fit of personal protective equipment affect functional performance? A systematic review across occupational domains.
title_full Does the fit of personal protective equipment affect functional performance? A systematic review across occupational domains.
title_fullStr Does the fit of personal protective equipment affect functional performance? A systematic review across occupational domains.
title_full_unstemmed Does the fit of personal protective equipment affect functional performance? A systematic review across occupational domains.
title_short Does the fit of personal protective equipment affect functional performance? A systematic review across occupational domains.
title_sort does the fit of personal protective equipment affect functional performance a systematic review across occupational domains
url https://doi.org/10.1371/journal.pone.0278174
work_keys_str_mv AT brookerbrisbine doesthefitofpersonalprotectiveequipmentaffectfunctionalperformanceasystematicreviewacrossoccupationaldomains
AT ceridwenrradcliffe doesthefitofpersonalprotectiveequipmentaffectfunctionalperformanceasystematicreviewacrossoccupationaldomains
AT monicalhjones doesthefitofpersonalprotectiveequipmentaffectfunctionalperformanceasystematicreviewacrossoccupationaldomains
AT leiastirling doesthefitofpersonalprotectiveequipmentaffectfunctionalperformanceasystematicreviewacrossoccupationaldomains
AT celesteecoltman doesthefitofpersonalprotectiveequipmentaffectfunctionalperformanceasystematicreviewacrossoccupationaldomains