Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Measurement of stressful postures during daily activities: An observational study with older people
Engineering Design Centre, University of Cambridge.
KTH, School of Technology and Health (STH), Centres, Centre for Health and Building, CHB.
Institution for Statutory Accident Insurance and Prevention in the Health&Welfare Services, Germany.
KTH, School of Technology and Health (STH), Centres, Centre for Health and Building, CHB.ORCID iD: 0000-0002-4068-6794
Show others and affiliations
2011 (English)In: Gait & Posture, ISSN 0966-6362, E-ISSN 1879-2219, Vol. 34, no 3, 397-401 p.Article in journal (Refereed) Published
Abstract [en]

This study measured the postures of older people during cooking and laundry. A sample of men and women aged 75+ years (n=27) was recruited and observed in a home-like environment. Postures were recorded with a measurement system in an objective and detailed manner. The participants were videotaped to be able to see where 'critical' postures occurred, as defined by a trunk inclination of ≥60°. Analysis of data was facilitated by specially developed software. Critical postures accounted for 3% of cooking and 10% of laundry, occurring primarily during retrieving from and putting in lower cabinets, the refrigerator, laundry basket or washing machine as well as disposing into the waste bin. These tasks involve a great variation in postural changes and pose a particular risk to older people. The results suggest that the use of stressful postures may decrease efficiency and increase fatigue, eventually leading to difficulties with daily activities. The specific tasks identified during which critical postures occurred should be targeted by designers in order to improve the activities. A few examples are given of how better design can reduce or eliminate some of the postural constraints.

Place, publisher, year, edition, pages
Elsevier , 2011. Vol. 34, no 3, 397-401 p.
Keyword [en]
Posture, daily activities, observational study, older people
National Category
Other Engineering and Technologies
Identifiers
URN: urn:nbn:se:kth:diva-41557DOI: 10.1016/j.gaitpost.2011.06.009ISI: 000295771800019PubMedID: 21764584Scopus ID: 2-s2.0-80052424043OAI: oai:DiVA.org:kth-41557DiVA: diva2:444636
Note

QC 20110930

Available from: 2011-09-29 Created: 2011-09-29 Last updated: 2017-12-08Bibliographically approved
In thesis
1. Ergonomics at Home: Design for Safe Living and Home Care
Open this publication in new window or tab >>Ergonomics at Home: Design for Safe Living and Home Care
2014 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The home should represent safety and security for the person who lives there, and this is an important factor for independence and autonomy in very old age. With aging populations, the needs for long-term care increase, care provided by spouses and/or from the growing home care sector. Injuries among these groups are common.

In this study, an ergonomics perspective was applied in the analysis of some basic daily activities performed by old persons and by home care workers, assisting.

  • The postures and movements of home care staff assisting at toilet visits, and transferring persons from wheelchair to toilet, were measured and analysed.

  • Some daily activities related to making food and washing clothes, performed by a group of persons between the age of 75 and 100, were measured and analysed.

  • The task of getting up from the floor – on your own and with the help of a walker equipped with a lifting device – was analysed with the help of older persons and nursing staff. The design was built on the knowledge gained from analysing how older people get up from floor.

  • Requirements for access with a four-wheeled walker in the local built environment were investigated.

Observations were made with the help of video recording. Postures were recorded with the CUELA measurement system. The VIDAR ergonomics evaluation instrument was used to register the participants’ experiences of discomfort and pain during getting up from the floor with or without the walker with a lifting device. Structured interviews were used to find out about older peoples’ experience of using the four-wheel walker.

It is concluded that ageing at home requires improved architectural and technical bathroom design and improved access in the local built environment.

Place, publisher, year, edition, pages
Stockholm: KTH Royal Institute of Technology, 2014. 59 p.
Series
TRITA-STH : report, ISSN 1653-3836 ; 2014:1
Keyword
Ergonomics, aging, work posture, four-wheeled walker, home care worker, living at home, accessibility
National Category
Production Engineering, Human Work Science and Ergonomics
Identifiers
urn:nbn:se:kth:diva-140418 (URN)978-91-7501-991-8 (ISBN)
Public defence
2014-02-14, KTH Skolan för Teknik och Hälsa sal 2105, Marinensväg 30, Haninge, 13:00 (English)
Opponent
Supervisors
Note

QC 20140124

Available from: 2014-01-24 Created: 2014-01-23 Last updated: 2014-01-24Bibliographically approved
2. The Impact of Stressful Postures on the Physical Workload in Nursing
Open this publication in new window or tab >>The Impact of Stressful Postures on the Physical Workload in Nursing
2014 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Nursing staff have an elevated risk of developing musculoskeletal disorders, in particular in the lower back area. Statistics produced by leading industrial nations show that back problems are the world’s number one work-related health problem, and that healthcare workers suffer from a greater occurrence of such problems than workers in other professions. In this context, many studies have examined manual patient handling activities, which was thought to be the main cause of musculoskeletal disorders of the lower back. But nurses have many other types of work to perform and several reviews have concluded that approaches which only focus on manual patient handling activities do not sufficiently reduce back problems in nursing professions.

Other risk factors for musculoskeletal disorders of the lower back discussed in the literature included repeated bending and the high proportion of static trunk postures. The main aim of this doctoral thesis was therefore to examine the influence of stressful trunk postures on the physical workload of nursing staff in hospitals and nursing homes. It focuses on the type, number and extent of stressful postures and on identifying activities that encourage their occurrence. We used our findings to derive strategies for reducing stressful postures in nursing, and examined whether nursing staff regard such a reduction as actually relieving their physical workload.

A secondary aim was to consider the older people potentially in need of care. The background to this is that, due to steadily rising costs, many older people are unable to afford care in a nursing home, and additionally that the forecast severe shortage of nursing staff in future gives reason to look for solutions that can reduce the demand for nursing staff. Among older people who still look after themselves, we therefore examined which stressful postures they adopt when carrying out domestic tasks such as cooking and washing laundry. From the results, we provided some examples of a better design of the domestic environment, which reduces stressful postures, when performing these tasks and helps older people to be able to look after themselves in their own homes for longer.

Place, publisher, year, edition, pages
Stockholm: KTH Royal Institute of Technology, 2014. 49 p.
Series
TRITA-STH : report, ISSN 1653-3836 ; 2014.3
Keyword
nurses, musculoskeletal disorders, trunk posture, perceived exertion, ergonomics
National Category
Environmental Health and Occupational Health
Identifiers
urn:nbn:se:kth:diva-143534 (URN)978-91-7595-049-5 (ISBN)
Public defence
2014-04-11, 3072, Marinens väg 30, Haninge, 13:00 (English)
Opponent
Supervisors
Note

QC 20140324

Available from: 2014-03-24 Created: 2014-03-24 Last updated: 2014-03-25Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMedScopus

Authority records BETA

Larsson, Tore J

Search in DiVA

By author/editor
Hjalmarson, JennyFreitag, SonjaLarsson, Tore J
By organisation
Centre for Health and Building, CHB
In the same journal
Gait & Posture
Other Engineering and Technologies

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 86 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf