| Motion in the unstable cervical spine during hospital bed transfers. | |
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MedLine Citation:
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PMID: 20699754 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Hospital bed transfers, moves to examination room, X-ray, hospital bed, and/or surgery, have the potential of causing harm to a patient with an unstable cervical spine. This study evaluated motion generated in an unstable segment of the cervical spine during hospital bed transfers. A secondary goal purpose was to assess reduction in cervical motion using three collars and a no collar condition. METHODS: Cervical spine instability was created at C5-C6 in cadavers. A repeated measures design was used to compare bed transfer techniques: manual transfer performed by six trained individuals and a transfer made by two people using the On3 lateral transfer device. Both techniques were tested under four collar conditions. Cervical spine motion was measured using an electromagnetic motion analysis device with sensors fixed to the anterior bodies of C5 and C6. RESULTS: No significant differences were observed between transfer techniques (flexion, [p = 0.325]; axial rotation [p = 0.590]; lateral bending [p = 0.112]). Nor were there significant differences among the three collars used (flexion [p = 0.462]; axial rotation [p = 0.434]; lateral bending [p = 0.250]). For all transfers, using no collar resulted in more motion than using a collar; but was not statistically significant. CONCLUSIONS: Bed transfers made with a lateral transfer device seem to be as safe as those made by the lift and slide manual transfer. None of the collars tested were significantly better at preventing cervical spine motion during a transfer, but each allowed less movement than no collar. |
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Authors:
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Bryan P Conrad; Glenn Rechtine; Mark Weight; Joanne Clarke; Marybeth Horodyski |
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Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: The Journal of trauma Volume: 69 ISSN: 1529-8809 ISO Abbreviation: J Trauma Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-08-11 Completed Date: 2010-09-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0376373 Medline TA: J Trauma Country: United States |
Other Details:
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Languages: eng Pagination: 432-6 Citation Subset: AIM; IM |
Affiliation:
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Department of Orthopaedics and Rehabilitation, University of Florida, Gainesville, Florida 32611, USA. conrabp@ortho.ufl.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Cadaver Cervical Vertebrae / physiopathology* Humans Immobilization / instrumentation* Joint Instability / etiology*, physiopathology* Models, Biological Motion Moving and Lifting Patients / adverse effects*, methods Orthotic Devices* Patient Transfer / methods* Probability Spinal Injuries / complications |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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