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Helping in transfer from wheelchair to toilet: A case study analysing ergonomic postures in the bathroom for home care workers
KTH, School of Technology and Health (STH), Centres, Centre for Health and Building, CHB.
KTH, School of Technology and Health (STH), Centres, Centre for Health and Building, CHB.ORCID iD: 0000-0002-4068-6794
2013 (English)In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270Article in journal (Other academic) Submitted
Abstract [en]

BACKGROUND: Musculoskeletal disorders are common among home care workers, and the task of helping care recipients between wheelchair and toilet is described as particularly burdensome.

OBJECTIVES: This study’s objectives were to find out where exposure to risks is highest for overexertion injuries in the task of helping a care recipient move between wheelchair and toilet, and to suggest how the bathroom environment or assistive devices could be improved to decrease risk of injury.

METHODS: In a full-scale laboratory, home care workers helped persons move between wheelchair and toilet. The CUELA measurement system was used, combined with video observation, to record postures assumed during the task.

RESULTS: Maximum back inclination on average exceeded 40 degrees. This angle is, combined with rotation of the back and the weight of the care recipient, well over recommended limits for helping in the task. The knees were exposed to a particularly heavy load when the wheelchair was adjusted, taking off leg-rests.

CONCLUSIONS: Solutions should be developed which increase possibilities for the care recipient to participate and bear much of the load. Development of wheelchairs and other assistive devices should include usability aspects for the assisting care workers.

Place, publisher, year, edition, pages
2013.
Keyword [en]
Overexertion injuries, task analysis, bathroom environment
National Category
Production Engineering, Human Work Science and Ergonomics
Identifiers
URN: urn:nbn:se:kth:diva-140192OAI: oai:DiVA.org:kth-140192DiVA: diva2:688626
Note

QS 2014

Available from: 2014-01-17 Created: 2014-01-17 Last updated: 2017-12-06Bibliographically 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

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Larsson, Tore J.

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