Table 4 Trials of manual handling interventions
Study(IV score)MethodsSubjectsInterventionOutcomesResults
Equipment provision and training
YassiRCT: random allocation346 nurses/nursing(1) Sliding and transfer equipment,Work-related LBP,Compared with (3), LBP
et al36to 3 groups. Follow-upaides working inone lifter, 3-h MH training;disability, backreduced in (2) at 6 months
(1.5/6)6 and 12 monthshospital(2) multiple new lifters, sit-standinjuries(p = 0.02) and in (1) at
lifters and sliding devices, 3-h12 months (p = 0.04). No
MH training; (3) usual practicechange in injury or disability
KnibbeNCT: incomplete random355 female nurses(1) 40 hoists, 12 liftingBack painNo significant differences
andallocation of 20 teams toworking in homecoordinators, 4-h MH training;prevalence
Friele202 groups. Follow-upcare services(2) usual practice (2 hoists)
(1.5/6)12 months
SmedleyNCT: allocation byFemale nurses(1) 700 sliding sheets, additionalPrevalence of LBPNo significant differences
et al31hospital to 2 groups.working in hospital:MH equipment and training;lasting more than
(0/6)Follow-up 32 months1157 at baseline(2) no study intervention, buta day during the
and 1078 at follow-hospital improved MH trainingpast month
upand equipment during study
Training in the workplace
Best38RCT: random allocation55 female nurses(1) 32-h MH training; (2) andBack pain frequencyNo significant differences
(4/6)by nursing home toworking in nursing(3): in-house orientationand severity, back
3 groups. Follow-uphomestraining onlyinjury
3 and 12 months
DehlinNCT: allocation by45 female nursing2×/week for 8 weeks: (1) 45-minFrequency, intensity,No significant differences
et al29work building to 3aides with LBPendurance and aerobic exercise;duration of LBP and
(0/6)groups. Follow-upworking in hospital(2) MH training;influence of LBP on
8 weeks(3) no interventionworking capacity
Wood35NCT: allocation by42 registered nurses(1) 30-min task observation andBack injuryNo significant differences
(0/6)hospital unit to 2 groups.and 135 nursing aidesfeedback, 1-h MH training;
Follow-up 12 monthsworking in hospital(2) no intervention
Training during nursing studies
VidemanNCT: allocation by year308 student nurses(1) 40-h training in biomechanicsBack pain incidence,No significant differences
et al11of enrolment to 2 groups.and ergonomics over 2.5 years;severity, injury and
(2/6)Follow-up 12 months(2) usual curriculumdisability
HellsingNCT: allocation by52 student nurses(1) 2 h/week ergonomicsAnnual LBPNo significant differences
et al32school to 2 groups.education over 2 years;
(0/6)Follow-up 12, 24(2) usual curriculum (5 h
and 36 monthsergonomics education)
  • IV, internal validity; MH, manual handling.