Browse > Article
http://dx.doi.org/10.5143/JESK.2011.30.5.613

Difference of Lumbar & Lower Extremity Muscle Activity when Patients are Transferred by Physical Therapists  

Hur, Jin-Gang (Department of Physical Therapy, Hallym College)
Park, Chong-Uk (Rehabilitation Medical Center, Bronco Memorial Hospital)
Lee, Ju-Sang (Department of Physical Therapy, Hallym College)
Publication Information
Journal of the Ergonomics Society of Korea / v.30, no.5, 2011 , pp. 613-619 More about this Journal
Abstract
Objective: The purpose of this study is to compare the muscle activities of lumbar and lower extremity muscles between left and right sides using EMG(Electromyogram) when patients are transferred by physical therapists. Background: Asymmetrical lift was recognized as a major cause of musculoskeletal disorder. Several studies show that physical therapists' transferring patients needs caution as it could cause a lumbar pain to patients but there is not sufficient data to support. Method: Forty healthy rehabilitation hospital physical therapists joined for this study. The subjects were transferred from wheelchair to treatment mat(from left to right) by connecting the EMG device to the patients' body both on erector spine and rectus fermoris. At the moment when subjects were being transferred, the EMG device collected data from both erector spine and rectus femoris and it was normalized as %MVC. Then the EMG data was statistically analyzed using paired t-tests. Results: The EMG data show that the left erector spinae and rectus femoris are more activated than right erector spinae and rectus femoris in all position(p<.05) in a significant degree. Conclusion: The result implies that physical therapists' asymmetrical lifting when patients are transferred by them has a potential cause of musculoskeletal disorder of patients. Further studies will be conducted to find out a same tendency in other muscles of a body and to see if there are other factors to affect to patients during asymmetrical lifting. Application: These results can be used to provide baseline information for more understanding to asymmetrical lift loading.
Keywords
Patient transfer; Asymmetrical lift; EMG; Lumbar & lower extremity muscle activities;
Citations & Related Records
Times Cited By KSCI : 4  (Citation Analysis)
연도 인용수 순위
1 Yoon, H. Y., Psychophysical and Physiological Study on Various Lifting Tasks, Journal of the Ergonomics Society of Korea, 25(2), 11-21, 2006.   과학기술학회마을   DOI
2 Richardson, C. A., Snijders, C. J., Hides, J. A., Damen, L., Pas, M. S. and Storm., The relationship between the transversely oriented abdominal muscles, sacroiliac joint mechanics and low back pain, Spine, 27, 399-405, 2002.   DOI
3 Seroussi, R. E., Pope, M. H. and Pope, M. H., The relationship between trunk muscle electromyography and lifting moments in the sagittal and frontal planes. J Biomech, 20(2), 135-146, 1987.   DOI
4 Soderberg, G. L., Selected Topics in Surface Electromyography for Use in the Occupational Setting: Expert Perspectives. Rockville, Md: US Dept of Health and Human Services, Public Health Service, Publication No. 91-100, 1992.
5 Sparto, P. J., Parianpour, M., Reinsel, T. E. and Simon, S., The effect of fatigue on multijoint kinematics, coordination and posture stability during a repetitive lifting test, Journal of Sports Physiotherapy, 25, 3-12, 1991.
6 Spiegel, J. and Yassi, A., Occpational disease surveillance in Canada: a framework for considering otion and opportunities, Can J Public Health. 82(5). Pp 294-298, 1991.
7 Strimpakos, N., Georgios, G., Eleni, K., Vasilios, K. and Jacqueline, O., Issues in relation to the repeatability of and correlation between EMG and Borg scale assessments of neck muscle fatigue. Journal of Electromyography and Kinesiology, 15, 452-465, 2005.   DOI
8 The Korea Occupational Safety and Health Agency, 2003 Industrial Accident Cause Investigation, 2005.
9 Waters, T. R., Andersen, V. P. and Grag, A., Applications Manual For the Revised NIOSH Lifting Equation, U. S. Department of Health and Human Services, 1994.
10 Yang, S. H., Kim, D. S. and Choi, J. H., The Ergonomic Investigation and Analysis of Epidemiological Evidence for Work - Related Musculoskeletal Disorders, Productivity Review, 15(1), 205-227, 2001.
11 Lee, I. S. and Jung, M G., Workload Evaluation of Squatting Work Postures, Journal of the Korean Institute, 24(2), 167-173, 1998.   과학기술학회마을
12 Lee, J. T., Seo, S. Y., Shin, Y. C., Kim, B. O. and Kang, D. M., Evaluation of Work-Related Musculoskeletal Risk Factors in Disabled Infants and Children Care Centers, Journal of Korean Society Occupational Environmental Hygiene, 14(1), 18-26, 2004.   과학기술학회마을
13 Mahon, T. A., Ballistic walking, Journal of Biomechanics, 13, 49, 1978.
14 Marras, W. S., Lavender, S. A. and Leurgans, S. E., The role of dynamic three-dimensional trunk motion in occupationally-related low back disorder, Spine, 18(5), 617-628, 1993.   DOI
15 Oberg, T., Muscle fatigue and calibration of EMG measurements, Journal of Electromyography and Kinesiology, 5(4), 239-243, 1995.   DOI
16 Marras, W. S., Parnianpour, M., Kim, J. Y., Ferguson, S. A., Crowell, R. R. and Simon, S. R., The effect of task asymmetry, age and gender on dynamic trunk motion characteristics during repetitive trunk flexion and extension in a large normal population. IEEE Trnas, Rehabil. Eng, 2(3), 137-146, 1994.   DOI
17 Mcgill, S. M. and Hoodless, K., Measured and modeled static and dynamic axial trunk torsion during twisting in males and females, J. Biomed. Eng., 12(5), 403-409, 1990.   DOI
18 Neumann, D. A., Kinesiology of the musculoskeletal system. St. Louis: Mosby, 2002.
19 Park, J. S., Kim, H. G. and Choi, J Y., Comparison Analysis of Physiological Work Capacity for Different Tasks, Journal of the ergonomics society of Korea, 15(2), 89-98, 1996.   과학기술학회마을
20 Chen, W. P., Tai, C. L., Tan, C. F., Sin, C. H., Hou, S. H. and M. S., The degrees to which transtrochanteric rotational osteotomy moves the region of osteonecrotic femoral head out of the weight-bearing areas as evaluated by computer simulation, Clinical Biomechanics, 20, 63 -69, 2005.   DOI
21 Chaffin, D. B. and Anderson, G. J., Occupational Biomechanics, 2nd ed, John Wiley & Sons, NY, 1991.
22 Dieen, JH van, Asymmetry of erector spinae muscle activity in twisted postures and consistency of muscle activation patterns across subjects, Spine, 21, 2651-2661, 1996.   DOI
23 Farfan, H. F., Biomechanics of the lumbar spine, in Managing low back pain. In: Kirkaldy-Willis, W. H.(Ed.), Churchill Livingstone, 15-27, 1988.
24 Kelsey, J. L., Githens, P. B. and White, A. A., An epidemiological study of lifting and twisting on the job and risk for acute prolapsed lumbar intervertebral disc. J Orthop Res, 2, 61-66, 1984.   DOI
25 Granata, K. P. and Wilson, S. E., Trunk posture and spinal stability, Clinical Biomechanics, 16(8), 650-659, 2001.   DOI
26 Holder, L. N., Clark, A. H., Diblasio, M. J., Hughes, L. C., Scherpf, W. J., Harding, L. and Shepard, F. K., Cause, prevalence, and response to occupational musculoskeletal injuries reported by physical therapists and physical therapist assistants, Phys Ther, 79(7), 642-652, 1999.   DOI
27 K. Son, Dissertation of doctor, The University of Michigan, 3-7, 1988.
28 Lagerlof, E. and Broberg, E., Occupational injuries and diseases. In: Brune, D.K., Elding, C., editors. Occupational hazards in health professio ns, Boca Raton, CRC Press, 1989
29 Lavender, S. A., Tsuang, Y-H., Hafezi, A., Andersson, G. B. J., Chaffin, D. B. and Hughes, R. E., Coactivation of the trunk muscles during asymmetric loading of the torso, Hum Factors, 34, 239-247, 1992.   DOI
30 Adams, M. A. and Hutton, W. C., Gradual disc prolapsed, Spine, 10(6), 524-531, 1985.   DOI
31 Astrand, Per-Olof and Kaare Rodahl, Textbook of work physiology, Mcc Traw Hill, Inc, 90, 1970.
32 Adams, M. A. and Hutton, W. C., The relecance of torsion to the mechanical derangement of the lumbar spine, Spine, 6(3), 241-248, 1981.   DOI
33 Ahn, J. H., Kang, D. M., Jo, G. H. and Moon, D. H., The prevalence of musculoskeletal disorders and risk factors in hospital workers, Korean occupational medicine conference collection of dissertations, 113-119, 2002.
34 Anderson, G. B. J., Epidemiological aspects on low-back pain in injury, Spine, 6(1), 53-60, 1981.   DOI
35 Bae, J. H., Na, J. K., Yu, J. Y. and Park, Y. O., Atrophy of Multifidus Muscle on Low Back Pain Patients, J. of Korean Acad. of Rehab. Med., 25(4), 684-691, 2001.
36 Bork, B. E., Cook, T. M., Rosecrance, J. C., Engelhardt, K. A., Thomason, M. J., Wauford, I. I. and Worley, R. K., Work related musculoskeletal disorders among physical therapists, Phys Ther, 76(8), 827-835, 1996.   DOI
37 Burdorf, A., Govaert, G. and Elders, L., Postural load and back pain of workers in the manufacturing of prefabricated concrete elements. Ergonomics, 34, 909-918, 1991.   DOI