OTOtherWork (Reading, Mass.)2026

Action and lumbar forces during hospital bed handling: A comparative study.

Claus Backhaus, Chris Schröer, Lorenz Müller and 1 others

PMID 41885397

WHAT IT FOUND

Moving twelve hospital beds by one person produced high forces and lumbar loads above guidelines.

Beds B1, B2, and B7 showed particularly high spinal loads, and B1 and B7 lacked a fifth caster.

Key findings

01When maneuvering beds out of a patient room, median maximum pulling forces ranged from 157.3 N to 200.2 N, and some beds exceeded the 160 N limit.

02When pushing beds along the corridor, all median maximum forces exceeded 160 N, and bed B10 exceeded the 85 N mean-force limit.

03During maneuvering out of a patient room, beds B1, B2, and B7 showed particularly high median maximum compressive forces, at 4.1 kN, 3.9 kN, and 4.4 kN.

STILL TO COME

How it was doneWhat they found

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What it does not show

Only eight caregivers were tested, so the results may not represent all staff. The sample had six men and two women, which does not match typical gender distribution in hospital settings. The study was done at a single site, so flooring, ward layout, and work practices may differ elsewhere. The beds were loaded with 107 kg, but real ICU transport can be heavier because of attached equipment. The task was performed by one person, although occupational safety guidelines recommend two caregivers for some movements. The study measured forces and estimated spinal loads, not back pain, injury, or patient outcomes. For several peak-force comparisons, the main test did not show significant bed differences, although a supplementary test suggested overall differences without clear pairwise results.

The easy way to misread this

Do not conclude that a fifth caster alone makes bed handling safe. The study tested eight caregivers moving twelve beds loaded with 107 kg in one ward, and it did not test two-person handling or patient outcomes.

Read it on PubMed →

Action and lumbar forces during hospital bed handling: A comparative study. — Applied Evidence