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. 2017 Jun 30;1(Suppl 1):721. doi: 10.1093/geroni/igx004.2591

DETECTING IMPROPER TRANSFER TECHNIQUES TO REDUCE CAREGIVER INJURIES

Y Young 1, M Leventhal 1, J Muckell 1, PE Raymond 2, F Erlich 3, C Paynter 1
PMCID: PMC6248510

Abstract

Background: Home health aides (HHAs) often suffer injuries as a result of improperly lifting and transferring patients from one location to another. The objective of this pilot study was to find innovative solutions to prevent work-related injuries among this population.

Methods: This was a cross-sectional study. Seven HHAs were recruited and given a questionnaire about their work experiences and history of injuries. A trained physical therapist was consulted to determine what improper lifting techniques and body mechanics would lead to work-related injuries. Next, motion sensors were attached to the seven HHAs while they performed patient transfers. The extent to which home health aides followed correct procedures was assessed using the motion capture data. The lifting technique and body mechanics ratings were both analyzed with multivariate linear and logistic regression models while controlling covariates in the model.

Results: Obesity was associated with a worse body mechanics score (p < 0.0001), while fear of injury was associated with better body mechanics (p < 0.0001). Generalized estimating equations identified that twisting the spine during transfers (OR = 6.3; 95% CI: 1.09–36.7) and not using a wide support base when lifting from supine to sitting (OR= 6.0, 95% CI: 2.03–17.7) were both associated with improper lifting technique and body mechanics.

Conclusions: This study identified two modifiable risk factors (obesity and lacking a fear of injury) and two individual transfer items that are associated with improper transfer techniques and body mechanics. A larger study subjects with multiple sites is underway.


Articles from Innovation in Aging are provided here courtesy of Oxford University Press

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