Cervical spine motion during ambulance transport : effects of driving task and spinal precautions

dc.contributor.authorThézard, Florent
dc.contributor.examiningcommitteeKriellaars, Dean (Physical Therapy) Giesbrecht, Gordon (Kinesiology and Recreation Management)en_US
dc.contributor.supervisorPryce, Robert (Physical Therapy)en_US
dc.date.accessioned2018-09-06T11:57:57Z
dc.date.available2018-09-06T11:57:57Z
dc.date.issued2018en_US
dc.date.submitted2018-08-29T23:15:52Zen
dc.date.submitted2018-09-04T22:46:38Zen
dc.degree.disciplineCollege of Rehabilitation Sciencesen_US
dc.degree.levelMaster of Science (M.Sc.)en_US
dc.description.abstractProblem: Spinal precautions designed to protect an injured spine lack validated efficacy. The purpose is to determine the influence of ambulance motion on head-neck (H-N) kinematics during transport and to compare the effectiveness of two spinal precautions protocols: spinal immobilization (SI) and spinal motion restriction (SMR). Methods: Balanced-order, repeated measures comparison of two spinal precaution conditions on H-N kinematics of healthy volunteers during various ambulance driving tasks (7 tasks, 4 speeds). Acceleration and orientation of the head, sternum, and ambulance will be measured by accelerometers. Results: The overall effect of spinal precautions was less than expected. H-N motion varied across speed and driving task, providing a range of angular displacements [4-34°] and accelerations [1.5-13.5m/s²]. Conclusions: For most driving tasks, SI and SMR do not differ greatly in their efficacy. Both protocols allowed for considerable amounts of motion, warranting improvements to spinal precautions methods and devices. Further investigation into ambulance driving with patients is warranted.en_US
dc.description.noteOctober 2018en_US
dc.identifier.urihttp://hdl.handle.net/1993/33247
dc.language.isoengen_US
dc.rightsopen accessen_US
dc.subjectBackboarden_US
dc.subjectCervical collaren_US
dc.subjectEmergency careen_US
dc.subjectSpine injuryen_US
dc.titleCervical spine motion during ambulance transport : effects of driving task and spinal precautionsen_US
dc.typemaster thesisen_US
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