Preventing work-related injuries

There is broad agreement across studies that the physical demands of using a friction-reducing device are lower than those of using a traditional cotton draw sheet to reposition a patient. Recent data from the global risk consulting company AON suggest that nearly twice as many healthcare workers are injured when repositioning patients as when transferring them between beds or chairs. These activities include repositioning patients in bed (boosting), lateral repositioning, and turning (Wiggermann, 2021).

When patients’ impairments are severe, they may require substantial, sometimes total, assistance from caregivers. Across care settings – including hospitals, long-term care, home care, and community care – such assistance can be stressful for those providing it and put them at considerable risk of injury. The association between positioning horizontal devices and reduced pull forces is beyond contention (Omura, 2019; Weiner, 2016; Wiggermann, 2021; Bohannon, 1999). Several studies support this conclusion and suggest that using a sliding sheet can substantially reduce caregiver burden during patient repositioning (Omura, 2019; Baptiste-McKinney, 2018; Garg, 2012).

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Immedia MultiGlide & MultiGlide SPU

A study investigated the peak force required for boosting and found that it was, on average, 38.1% lower with slide film than with regular sheet film, and the impulse of force was, on average, 40.6% lower (Muona, 2022).

These benefits are relevant across care environments where repositioning is performed regularly, including settings where caregivers may work individually, such as home care.
 
After 3 and 6 months of sliding sheet use, pain in both the neck and lower back, and disability due to musculoskeletal disorders, decreased significantly, according to another study. They found a significant preference for the friction-reducing sheet when comparing perceived exertion in the shoulder, upper and lower back, and whole body while repositioning a passive patient in bed (Weiner, 2016).
 
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Immedia GlideCushion & TurningMattress

British regulations, based on the European directive on manual handling of loads, require employers to reduce the risk of injury to employees where manual handling is unavoidable. The use of handling aids is given as one example of how this may be achieved.

These principles apply broadly to all care providers and organisations responsible for caregiver safety, regardless of care setting. 
 
A short, low-friction roller tested in a moderate-quality study was considered to reduce the effort required by most lead carers (75%), with the long roller next (68%). The researchers state that the results show that most handling devices are easy to position and reduce the effort required to effect a move on a bed, mainly using rollers (Pain, 1999).
 
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Immedia 4WayGlide & TwinSheet4Glide

Studies found that using friction-reducing slide sheets produces less internal spinal load than traditional cotton sheets.

One study showed that when moving the patient towards the head of the bed, the compressive force in the L5–S1 joint is 6500 N, and that with small aids, the average peak force was 2000–3000 N.

Lower-friction sheets, similar to 4WayGlide and TwinSheet4Glide, made repositioning patients easier because less force was required. (Muona, 2022)

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Turning devices improve ergonomics

A high-quality study found that peak trunk and shoulder flexion angles differed significantly between patient-turning devices during patient-turning tasks toward and away. Turning devices showed significantly less muscle activity in the biceps, triceps, and left/right erector spinae than when no assistive device was used.

These ergonomic improvements are important in all care environments, particularly where patient-handling tasks are frequent or performed with limited staff. The results suggest that the patient-tilting assistance embedded in patient-turning devices can be an essential ergonomic consideration in reducing caregivers’ risk of lower back and upper-extremity injuries (Hwang, 2020).