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Mapo index
The paper analyzes the association between the MAPO index and acute low back pain, focusing on various factors such as patient/operator ratios, lifting, and environmental conditions. It categorizes the risk levels based on the MAPO index, indicating that higher values correlate with increased incidence of low back pain and necessitate intervention for health surveillance and equipment improvements. Specific criteria for assessing wheelchair and environmental adequacies are provided, along with recommendations for training and intervention based on risk levels.
Mapo index
- 1. This paper presents: theanalytical results of the association between the MAPO index and acute low back pain MAPO index. Disabled patient/operator ratios (NC/Op and PC/Op) Lifting factor (LF) Minor aid factor (AF) Wheelchair factor (WF) Environment factor (EF) Training factor (TF)
- 2. Disabled patient/operator ratios (NC/Opand PC/Op) Total number of operators Number of disable patients Totally Non- Cooperative(NC) Partially Cooperative(PC)
- 3. Assessment of patient lifting devices sufficient number One/eightNC patients Inadequate environmental features poor state of repair cannot be used for the type of patient
- 4. Equipment: sliding sheet,transfer disc, roller, ergonomic belt reducing lifting frequency and/or biomechanical overload produced by move the patient
- 5. Assessment of wheelchairs and/or commodes sufficient number equalto at least half of the number of disabled ergonomic requiremen ts Arm rests Back rest Equipped with reliable brakes Width not exceedin g 70 cm
- 7.
- 8. Features/ Inadeqacy Bathrooms (MSB) Inadeqate spacefor use aids Door Width< 85cm Removable Obstacles
- 9. Toilets MSWC Space for turn Insufficient height Door Width< 85cm Without sidegrips Space at side WC<80 cm
- 10.
- 13. Classification of MAPOindex results The green band(0- 1.5) risk is negligible, prevalence of LBP = general population (3.5%) The yellow ‘alert’ band(1.51 - 5) LBP may have an incidence 2.4 times higher than green band Intervention: aid equipment and training
- 14. The red band,exposure index above 5, higher risk LBP have an incidence up to 5.6 times higher the expected incidence an immediate intervention plan must be made for health surveillance, aid equipment, training and environmental improvement.
Editor's Notes
- #4 classified:on the basis of their residual motor capacity and current illness NC patient means that the patient is unable to use their upper and lower limbs and, hence, has to be fully lifted in transfer operations. PC patient means that the patient has residual motor capacity and,hence, is only partially lifted.
- #5 Inadequate for the unit’s requirements’ means a lifting device that: . cannot be used for the type of patient normally present in the department; . is in a poor state of repair (often broken); . environmental features : cannot be used due to the environmental features of the wards and/or bathrooms.
- #10 The highest scores (1 or 2) are assigned to environmental aspects which, if inadequate, oblige the operators to perform a higher number of patient transfer manoeuvres.
- #12 The highest scores (1 or 2) are assigned to environmental aspects which, if inadequate, oblige the operators to perform a higher number of patient transfer manoeuvres.
- #14 For these reasons, a reducing value of 0.75 was assigned to the cases of adequate training movements producing an overload on the lumbar spine considerably decreased When training simply provided information (verbally orvia leaflets), no significant reduction was observed in the number of movements producing overloadTF of 1 was assigned frequency-severity of the overloading movements was increased and a TF of 2 wasassigned.