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- Title
The 6-Plus--Person Lift Transfer Technique Compared With Other Methods of Spine Boarding.
- Authors
Del Rossi, Gianluca; Horodyski, MaryBeth H.; Conrad, Bryan P.; Di Paola, Christian P.; Di Paola, Matthew J.; Rechtine, Glenn R.
- Abstract
Context: To achieve full spinal immobilization during on-the-field management of an actual or potential spinal injury, rescuers transfer and secure patients to a long spine board. Several techniques can be used to facilitate this patient transfer. Objective: To compare spinal segment motion of cadavers during the execution of the 6-plus-person (6+) lift, lift-and-slide (LS), and logroll (LR) spine-board transfer techniques. Design: Crossover study. Setting: Laboratory. Patients or Other Participants: Eight medical professionals (1 woman, 7 men) with 5 to 32 years of experience were enlisted to help carry out the transfer techniques. In addition, test conditions were performed on 5 fresh cadavers (3 males, 2 females) with a mean age of 86.2 ± 11.4 years. Main Outcomes Measure(s): Three-dimensional angular and linear motions initially were recorded during execution of transfer techniques, initially using cadavers with intact spines and then after C5–C6 spinal segment destabilization. The mean maximal linear displacement and angular motion obtained and calculated from the 3 trials for each test condition were included in the statistical analysis. Results: Flexion-extension angular motion, as well as anteroposterior and distraction-compression linear motion, did not vary between the LR and either the 6+ lift or LS. Compared with the execution of the 6+ lift and LS, the execution of the LR generated significantly more axial rotation (P = .008 and .001, respectively), more lateral flexion (P = .005 and .003, respectively), and more medial-lateral translation (P = .003 and .004, respectively). Conclusions: A small amount of spinal motion is inevitable when executing spine-board transfer techniques; however, the execution of the 6+ lift or LS appears to minimize the extent of motion generated across a globally unstable spinal segment.
- Subjects
HOSPITAL care; PRIMARY care; MEDICAL care; SPINAL injuries; WOUNDS &; injuries; SURGICAL emergencies; SPINAL cord abnormalities; CENTRAL nervous system; LOGROLLING (Medical procedure); MEDICAL personnel
- Publication
Journal of Athletic Training (National Athletic Trainers' Association), 2008, Vol 43, Issue 1, p6
- ISSN
1062-6050
- Publication type
Article
- DOI
10.4085/1062-6050-43.1.6