A preliminary biomechanical assessment and user perceptions of a motorized lifter for patient transfer.

Abstract

A "no-lift" policy in healthcare discourages manual patient lifting to reduce worker injuries. This study explores modifications to a floor lift (NEAR-1) to align with this policy. NEAR-1 features a shorter lower lifting arm and a redesigned sling, enabling patients to (a) transfer in a sitting position, unlike a floor lift's semi-reclining position, and (b) feel more in control by removing the sling's rotational degree of freedom and letting the patient's feet rest on the lifter base. The device also reduced patient weight-bearing, compared to sit-to-stand lifts. Biomechanical analysis was done to map the risk to the nurses and capture the patient's experience with the modified lift (NEAR-1). Thirteen subjects carried out patient transfer tasks using both the NEAR-1 and the manual transfer approach, and this comparison will provide the baseline data for future systematic reviews. From the results, NEAR-1 significantly reduced the L5-S1 compression, the mediolateral shear forces, and the anteroposterior shear forces, with the exception of the muscle activities in the lower back, the shoulder, and the biceps. Moreover, patients felt safer and more comfortable with the device. Overall, the NEAR-1 lifter presents a biomechanically beneficial and user-friendly option for patients with limited weight-bearing capability.