Background: Physical therapists in rehabilitation settings often perform heavy lifting, repetitive forceful tasks and endure long periods of static or awkward postures. These work conditions put therapists at increased risk of work-related injuries (WRIs). Methods: A cross-sectional survey was conducted among physical therapists (PTs) and physical therapist assistants (PTAs) at 14 randomly selected rehabilitation facilities to determine the prevalence and severity of work-related injuries in physical rehabilitation. Results: A majority of respondents reported their most severe pain or discomfort within the last year affected their back, lasted 24 hours to 1 week, occurred once every 2-6 months, and was rated as moderate on the 0 to 10 pain scale. The 1-year prevalence of WRIs among PTs and PTAs working in physical rehabilitation was 32%. Sixty percent (60%) of those reporting pain/discomfort had mechanical patient lifts available within their work area. Less than half reported using mechanical patient lifts before or during/after their work-related pain. Conclusion: More than 65% of rehabilitation PTs and PTAs experienced work-related pain due to therapeutic activities including patient handling and movement. It is critical to understand therapists’ technology usage barriers, redesign technology to meet end-user needs, and develop technology-based best practices that promote both worker safety and patient outcomes.
References
1.
ArnoldM.RadawiecS.CampoM.WrightL.R. (2011). Changes in functional independence measure ratings associated with a safe patient handling and movement program. Rehabilitation Nursing, 36(4), 138-44.
2.
BurnfieldJ.M.McCroryB.ShuY.BusterT.W.TaylorA.P.GoldmanA.J. (2013). Comparative kinematic and electromyographic assessment of clinician-and device-assisted sit-to-stand transfers in patients with stroke. Physical Therapy, 93(10), 1331-1341.
3.
CampoM.ShiykoM.P.MargulisH.DarraghA.R. (2013). Effect of a safe patient handling program on rehabilitation outcomes. Archives of Physical Medicine and Rehabilitation, 94(1), 17-22.
CollinsJ.WolfL.BellJ.EvanoffB. (2004). An evaluation of a “best practices” musculoskeletal injury prevention program in nursing homes. Injury Prevention, 10, 206-211.
6.
CromieJ.E.RobertsonV.J.BestM.O. (2002). Work-related musculoskeletal disorders and the culture of physical therapy. Physical Therapy, 82(5), 459-472.
7.
DarraghA.R.CampoM.A.MillerM.PenticoM.MarqulisH. (2013). Safe-patient-handling equipment in therapy practice: implications for rehabilitation. American Journal of Occupational Therapy, 67(1), 45-53.
8.
GargA.KapelluschJ.M. (2012). Long-term efficacy of an ergonomics program that includes patient-handling devices on reducing musculoskeletal injuries to nursing personnel. Human Factors, 54(4), 608-625.
9.
HolderN.L.ClarkH.A.DiBlasioJ.M.HughesC.L.ScherpfJ.W.HardingL.ShepardK.F. (1999). Cause, prevalence, and response to occupational musculoskeletal injuries reported by physical therapists and physical therapist assistants. Physical Therapy, 79(7), 642-652.
10.
KimH.DropkinJ.SpaethK.SmithF.MolineJ. (2012). Patient Handling and musculoskeletal disorders among hospital workers: analysis of 7 years of institutional workers’ compensation claims data. American Journal of Industrial Medicine, 55(8), 683-90.
11.
MolumphyM.UngerB.JensenG.M.LopopoloR.B. (1985). Incidence of work-related low back pain in physical therapists. Physical Therapy, 65(4), 482-486.
12.
NelsonA.BaptisteA.S. (2004). Evidence-Based Practices for Safe Patient Handling and Movement. The Online Journal of Issues in Nursing, 9(3). Retrieved March1, 2014, from www.nursingworld.org.
13.
NelsonA.HarwoodK.J.TraceyC.A.DunnK.L. (2008). Myths and Facts About Safe Patient Handling in Rehabilitation. Rehabilitation Nursing, 33(1), 10-17.
14.
RugeljD. (2003). Low back pain and other work-related musculoskeletal problems among physiotherapists. Applied Ergonomics, 34(6), 635-639.
15.
SiddharthanK.NelsonA.TiesmanH.ChenF. (2005). Cost Effectiveness of a Multifaceted Program for Safe Patient Handling. Advances in Patient Safety: From Research to Implementation (Volume 3: Implementation Issues) (pp. 347-358). Rockville, MD: Agency for Healthcare Research and Quality.
16.
SpiegelJ.YassiA.RonaldL.A.TateR.B.HackingP.ColbyT. (2002). Implementing a resident lifting system in an extended care hospital: demonstrating cost-benefit. Workplace Health & Safety: Promoting Environments Conducive to Well-Being and Productivity, 50(3), 128-34.
U.S. Bureau of Labor Statistics (BLS). (2012). Occupational Safety and Health Definitions. Retrieved March9, 2014, from http://www.bls.gov/iif/oshdef.htm.