Abstract
Back injuries caused by poor postures are very common among home caregivers. Real-time biofeedback may be helpful for training caregivers to use safer patterns of movement. Twenty novice caregivers repeated a series of simulated care tasks to investigate the effectiveness of biofeedback in decreasing time spent in end-of-range spine flexion. Participants in the intervention group (nā=ā10) received real-time auditory biofeedback when their forward spine flexion exceeded a threshold during training trials, while participants in the control group (nā=ā10) did not. All participants returned after two weeks to repeat the care tasks and perform a new skill transfer task (sling insertion). The intervention group maintained decreased end-of-range (80th and 95th percentile) spine flexion after two weeks during care tasks compared to controls, but there was no difference between groups with the new skill transfer task. Biofeedback has good potential for reducing spine flexion but training does not transfer to new tasks.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Jensen, R.C.: Disabling back injuries among nursing personnel: research needs and justification. Res. Nurs. Health 10, 29ā38 (1987)
Yassi, A., Lockhart, K.: Work-relatedness of low back pain in nursing personnel: a systematic review. J. Occup. Environ. Health 19, 223ā244 (2013)
Mock, C., Cherian, M.: The global burden of musculoskeletal injuries: challenges and solutions. Clin. Orthop. Relat. Res. 466, 2306ā2316 (2008)
Nelson, A., Baptiste, A.S.: Update on evidence-based practices for safe patient handling and movement. Orthop. Nurs./Natl. Assoc. Orthop. Nurses 25, 367ā368 (2004)
US Bureau of Labor Statistics: Injuries to Caregivers Working in Patientsā Homes (1997). https://www.bls.gov/opub/btn/archive/injuries-to-caregivers-working-in-patients-homes.pdf
Van Hoof, W., OāSullivan, K., OāKeeffe, M., Verschueren, S., OāSullivan, P., Dankaerts, W.: The efficacy of interventions for low back pain in nurses: a systematic review. Int. J. Nurs. Stud. 22, 222ā231 (2018)
Urquhart, D.M., Kelsall, H.L., Hoe, V.C.W., Cicuttini, F.M., Forbes, A.B., Sim, M.R.: Are psychosocial factors associated with low back pain and work absence for low back pain in an occupational cohort. Clin. J. Pain 29, 1015ā1020 (2013)
Marras, W.S., Lavender, S.A., Leurgans, S.E., Fathallah, F.A., Ferguson, S.A., Allread, W.G., et al.: Biomechanical risk factors for occupationally related low back disorders. Ergon. 38, 377ā410 (1995)
Callaghan, J.P., Mcgill, S.M.: Intervertebral disc herniation: studies on a porcine model exposed to highly repetitive flexion/extension motion with compressive force. Clin. Biomech. 16, 28ā37 (2000)
Collins, J.W., Wolf, L., Bell, J., Evanoff, B.: An evaluation of a ābest practicesā musculoskeletal injury prevention program in nursing homes. Inj. Prev. 10, 206ā211 (2004)
McGill, S.M.: Evolving ergonomics? Ergonomics 52, 80ā86 (2009)
Richardson, A., McNoe, B., Derrett, S., Harcombe, H.: Interventions to prevent and reduce the impact of musculoskeletal injuries among nurses: a systematic review. Int. J. Nurs. Stud. 82, 58ā67 (2018)
Cheung, K.M.R.: The influence of organizational factors on occupational low back injuries. Home Healthc Nurse. 18, 463ā469 (2000)
Dawson, A.P., McLennan, S.N., Schiller, S.D., Jull, G.A., Hodges, P.W., Stewart, S., et al.: Interventions to prevent back pain and back injury in nurses: a systematic review. Occup. Environ. Med. 64, 642ā650 (2007)
Fragala, G., Bailey, L.: Addressing occupational strains and sprains: musculoskeletal injuries in hospitals. AAOHN J. 51, 252ā259 (2003)
van Breda, E., Verwulgen, S., Saeys, W., Wuyts, K., Peeters, T., Truijen, S.: Vibrotactile feedback as a tool to improve motor learning and sports performance: a systematic review. BMJ Open Sport Exerc Med. 3, 1ā12 (2017)
Santos, O.: Toward personalized vibrotactile support when learning motor skills. Algorithms 10, 1ā11 (2017)
Lieberman, J., Breazeal, C.: TIKL: development of a wearable vibrotactile feedback suit for improved human motor learning. IEEE Trans. Robot. 23, 919ā926 (2007)
Papi, E., Senn Koh, W., Mcgregor, A.H.: Wearable technology for spine movement assessment: a systematic review. J. Biomech. 64, 186ā197 (2017)
Owlia, M., Kamachi, M., Dutta, T.: Preventing back pain among caregivers using real-time movement-centered feedback. In: 20th IEA 2018, pp. 750ā758. AISC (2018)
Gray, R.: Looming auditory collision warnings for driving. Hum. Factors 53, 63ā74 (2011)
Burgess-Limerick, R.: Squat, stoop, or something in between? Int. J. of Ind. Erg. 31, 143ā148 (1999)
McGill, S.M.: The biomechanics of low back injury: implications on current practice in industry and the clinic. J. Biomech. 30, 465ā475 (1997)
Snook, S.H., Ciriello, V.M.: The design of manual handling tasks: revised tables of maximum acceptable weights and forces. Ergonomics 34, 1197ā1213 (1991)
Dutta, T., Holliday, P.J., Gorski, S.M., Baharvandy, S.M., Fernie, G.R.: A biomechanical assessment of floor and overhead lifts using one or two caregivers for patient transfers. Appl. Ergon. 43, 521ā531 (2012)
Ribeiro, D.C., Sole, G., Abbott, J.H., Milosavljevic, S.: The effectiveness of a lumbopelvic monitor and feedback device to change postural behavior: a feasibility randomized controlled trial. J. Orthop Sport Phys. Ther. 44, 702ā711 (2014)
Vignais, N., Miezal, M., Bleser, G., Mura, K., Gorecky, D., Marin, F.: Innovative system for real-time ergonomic feedback in industrial manufacturing. Appl. Ergon. 44, 566ā574 (2013)
Ćelenay, Å.T., Kaya, D.Ć., ĆzĆ¼dogru, A.: Spinal postural training: comparison of the postural and mobility effects of electrotherapy, exercise, biofeedback trainer in addition to postural education in university students. J. Back Musculoskelet Rehabil. 28, 135ā144 (2015)
Breen, P.P., Nisar, A., OLaighin, G.: Evaluation of a single accelerometer based biofeedback system for real-time correction of neck posture in computer users. In: 2009 Annual International Conference of the IEEE Engineering in Medicine and Biology Society, pp. 7269ā7272. IEEE (2009)
Lou, E., Lam, G.C., Hill, D.L., Wong, M.S.: Development of a smart garment to reduce kyphosis during daily living. Med. Biol. Eng. Comput. 50, 1147ā1154 (2012)
Magnusson, M.L., Chow, D.H., Diamandopoulos, Z., Pope, M.H.: Motor control learning in chronic low back pain. Spine 33, E532āE538 (2008)
NaudƩ, Y.: The effect of real-time biofeedback on lumbar spine and lower limb kinematics and kinetics during repetitive lifting. Thesis report (2018)
Chan, V.C., Tyson, B.: Comparing augmented feedback and didactic approaches to reduce spine motion during box and paramedic lifting tasks: a laboratory-based motor learning study. Thesis report (2018)
Darragh, A.R., Sommerich, C.M., Lavender, S.A., Tanner, K.J., Vogel, K., Campo, M.: Musculoskeletal discomfort, physical demand, and caregiving activities in informal caregivers. J. Appl. Gerontol. 34, 734ā760 (2015)
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
Ā© 2020 Springer Nature Switzerland AG
About this paper
Cite this paper
Kamachi, M., Owlia, M., Dutta, T. (2020). Training Caregivers to Reduce Spine Flexion Using Biofeedback. In: Karwowski, W., Ahram, T., Nazir, S. (eds) Advances in Human Factors in Training, Education, and Learning Sciences. AHFE 2019. Advances in Intelligent Systems and Computing, vol 963. Springer, Cham. https://doi.org/10.1007/978-3-030-20135-7_24
Download citation
DOI: https://doi.org/10.1007/978-3-030-20135-7_24
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-20134-0
Online ISBN: 978-3-030-20135-7
eBook Packages: EngineeringEngineering (R0)