Comparison of Lift Use, Perceptions, and Musculoskeletal Symptoms Between Ceiling Lifts and Floor-Based Lifts in Patient Handling

  • Soo-Jeong LeeEmail author
  • David Rempel
Conference paper
Part of the Advances in Intelligent Systems and Computing book series (AISC, volume 820)


Lifting equipment can reduce the risk of injury from patient handling, but its use has been far from optimal. This study examined frequency of lift use, perceptions about lift use and injury risk, and musculoskeletal symptoms by the type of available lifts (ceiling lifts vs. floor lifts only). The study analyzed data from a pooled sample of 389 California registered nurses who participated in two cross-sectional surveys in 2013 and 2016. Nurses who performed patient handling tasks and had patient lifting devices were included in the data analysis: 23% had ceiling lifts and 77% had floor lifts only. Lift use was more frequent among nurses with ceiling lifts than nurses with floor lifts only (use ≥ 50% of the time needed: 48% vs. 35%, p = 0.003). Perceptions about lift use were significantly more positive among nurses with ceiling lifts, in regard to safety for workers, safety and comfort for patients, and ease of use, access and storing; however, perceptions about time burden and injury risk were not significantly different. After controlling for survey year, the prevalence of major work-related musculoskeletal symptoms (moderate or severe symptoms that either occurred at least monthly or lasted one week or more) was significantly lower among nurse with ceiling lifts than those with floor lifts only for low back pain (OR = 0.52, 95% CI 0.30–0.89) and shoulder pain (OR = 0.59, 95% CI 0.35–0.99). The findings suggest that ceiling lifts are superior to floor-based lifts in multiple aspects, including better acceptance and use by nurses in patient handling, as well as being associated with reduced musculoskeletal symptoms, particularly in the low back and shoulders.


Ceiling lift Lift equipment Lift use Musculoskeletal symptoms Patient handling 


  1. 1.
    Gomaa AE et al (2015) Occupational traumatic injuries among workers in health care facilities - United States, 2012–2014. MMWR Morb Mortal Wkly Rep 64(15):405–410Google Scholar
  2. 2.
    Evanoff B et al (2003) Reduction in injury rates in nursing personnel through introduction of mechanical lifts in the workplace. Am J Ind Med 44(5):451–457CrossRefGoogle Scholar
  3. 3.
    Yassi A et al (2001) A randomized controlled trial to prevent patient lift and transfer injuries of health care workers. Spine 26(16):1739–1746Google Scholar
  4. 4.
    Li J, Wolf L, Evanoff B (2004) Use of mechanical patient lifts decreased musculoskeletal symptoms and injuries among health care workers. Inj Prev 10(4):212–216CrossRefGoogle Scholar
  5. 5.
    Alamgir H et al (2008) Efficiency of overhead ceiling lifts in reducing musculoskeletal injury among carers working in long-term care institutions. Injury 39(5):570–577CrossRefGoogle Scholar
  6. 6.
    Lee SJ, Lee JH (2017) Safe patient handling behaviors and lift use among hospital nurses: a cross-sectional study. Int J Nurs Stud 74:53–60CrossRefGoogle Scholar
  7. 7.
    Alamgir H et al (2009) Evaluation of ceiling lifts: transfer time, patient comfort and staff perceptions. Injury 40(9):987–992CrossRefGoogle Scholar
  8. 8.
    Rice MS, Woolley SM, Waters TR (2009) Comparison of required operating forces between floor-based and overhead-mounted patient lifting devices. Ergonomics 52(1):112–120CrossRefGoogle Scholar
  9. 9.
    Marras WS, Knapik GG, Ferguson S (2009) Lumbar spine forces during manoeuvring of ceiling-based and floor-based patient transfer devices. Ergonomics 52(3):384–397CrossRefGoogle Scholar
  10. 10.
    Santaguida PL et al (2005) Comparison of cumulative low back loads of caregivers when transferring patients using overhead and floor mechanical lifting devices. Clin Biomech 20(9):906–916CrossRefGoogle Scholar
  11. 11.
    Waters TR et al (2012) Ergonomic assessment of floor-based and overhead lifts. Am J Safe Patient Handl Mov 2(4):119Google Scholar
  12. 12.
    Trinkoff AM et al (2002) Musculoskeletal problems of the neck, shoulder, and back and functional consequences in nurses. Am J Ind Med 41(3):170–178CrossRefGoogle Scholar
  13. 13.
    Lee SJ, Lee JH, Gershon RR (2015) Musculoskeletal symptoms in nurses in the early implementation phase of California’s safe patient handling legislation. Res Nurs Health 38(3):183–193CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.University of California, San FranciscoSan FranciscoUSA

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