Thoraco-Lumbar Spinal Instability During Variations of the Log-Roll Maneuver

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Introduction: The “log-roll” maneuver is a common method of moving patients with suspected spinal injuries despite the fact that there is very little published information concerning its effectiveness. Methods: Lateral thoraco-lumbar motion and rotation during five variations of the log-roll maneuver were examined radiographically in fourteen healthy adults. Variations included the addition of axial traction and alterations in subject arm position. Results: While no rotational differences were noted between variations, substantial differences in lateral displacement were identified between individual subjects and techniques. This variability seemed to be due to differences in individual body habitus, particularly the shoulder/thorax to pelvis proportions and the amount of periabdominal fat. The addition of traction decreased motion in 59% of attempts but increased motion in 18%. While definitive recommendations cannot be made based upon these data, only one variation of the log-roll techniques examined consistently minimized lateral spinal motion in subjects tested. This variation involved positioning the subject with arms fully extended at their sides with palms resting on the lateral portion of their thighs and maintaining this position throughout the procedure. Conclusions: Pending further studies, it may be advisable to utilize this variation in patients with suspected thoraco-lumbar trauma.

Original languageEnglish (US)
Pages (from-to)133-138
Number of pages6
JournalPrehospital and Disaster Medicine
Volume7
Issue number2
DOIs
StatePublished - Jan 1 1992
Externally publishedYes

Fingerprint

Traction
Arm
Moving and Lifting Patients
Spinal Injuries
Thigh
Pelvis
Individuality
Thorax
Fats
Wounds and Injuries

ASJC Scopus subject areas

  • Emergency Medicine
  • Emergency

Cite this

Thoraco-Lumbar Spinal Instability During Variations of the Log-Roll Maneuver. / Suter, Robert E.

In: Prehospital and Disaster Medicine, Vol. 7, No. 2, 01.01.1992, p. 133-138.

Research output: Contribution to journalArticle

@article{618f5cb16bc0474c9c38f8883dc58539,
title = "Thoraco-Lumbar Spinal Instability During Variations of the Log-Roll Maneuver",
abstract = "Introduction: The “log-roll” maneuver is a common method of moving patients with suspected spinal injuries despite the fact that there is very little published information concerning its effectiveness. Methods: Lateral thoraco-lumbar motion and rotation during five variations of the log-roll maneuver were examined radiographically in fourteen healthy adults. Variations included the addition of axial traction and alterations in subject arm position. Results: While no rotational differences were noted between variations, substantial differences in lateral displacement were identified between individual subjects and techniques. This variability seemed to be due to differences in individual body habitus, particularly the shoulder/thorax to pelvis proportions and the amount of periabdominal fat. The addition of traction decreased motion in 59{\%} of attempts but increased motion in 18{\%}. While definitive recommendations cannot be made based upon these data, only one variation of the log-roll techniques examined consistently minimized lateral spinal motion in subjects tested. This variation involved positioning the subject with arms fully extended at their sides with palms resting on the lateral portion of their thighs and maintaining this position throughout the procedure. Conclusions: Pending further studies, it may be advisable to utilize this variation in patients with suspected thoraco-lumbar trauma.",
author = "Suter, {Robert E}",
year = "1992",
month = "1",
day = "1",
doi = "10.1017/S1049023X00039364",
language = "English (US)",
volume = "7",
pages = "133--138",
journal = "Prehospital and Disaster Medicine",
issn = "1049-023X",
publisher = "World Association for Disaster and Emergency Medicine",
number = "2",

}

TY - JOUR

T1 - Thoraco-Lumbar Spinal Instability During Variations of the Log-Roll Maneuver

AU - Suter, Robert E

PY - 1992/1/1

Y1 - 1992/1/1

N2 - Introduction: The “log-roll” maneuver is a common method of moving patients with suspected spinal injuries despite the fact that there is very little published information concerning its effectiveness. Methods: Lateral thoraco-lumbar motion and rotation during five variations of the log-roll maneuver were examined radiographically in fourteen healthy adults. Variations included the addition of axial traction and alterations in subject arm position. Results: While no rotational differences were noted between variations, substantial differences in lateral displacement were identified between individual subjects and techniques. This variability seemed to be due to differences in individual body habitus, particularly the shoulder/thorax to pelvis proportions and the amount of periabdominal fat. The addition of traction decreased motion in 59% of attempts but increased motion in 18%. While definitive recommendations cannot be made based upon these data, only one variation of the log-roll techniques examined consistently minimized lateral spinal motion in subjects tested. This variation involved positioning the subject with arms fully extended at their sides with palms resting on the lateral portion of their thighs and maintaining this position throughout the procedure. Conclusions: Pending further studies, it may be advisable to utilize this variation in patients with suspected thoraco-lumbar trauma.

AB - Introduction: The “log-roll” maneuver is a common method of moving patients with suspected spinal injuries despite the fact that there is very little published information concerning its effectiveness. Methods: Lateral thoraco-lumbar motion and rotation during five variations of the log-roll maneuver were examined radiographically in fourteen healthy adults. Variations included the addition of axial traction and alterations in subject arm position. Results: While no rotational differences were noted between variations, substantial differences in lateral displacement were identified between individual subjects and techniques. This variability seemed to be due to differences in individual body habitus, particularly the shoulder/thorax to pelvis proportions and the amount of periabdominal fat. The addition of traction decreased motion in 59% of attempts but increased motion in 18%. While definitive recommendations cannot be made based upon these data, only one variation of the log-roll techniques examined consistently minimized lateral spinal motion in subjects tested. This variation involved positioning the subject with arms fully extended at their sides with palms resting on the lateral portion of their thighs and maintaining this position throughout the procedure. Conclusions: Pending further studies, it may be advisable to utilize this variation in patients with suspected thoraco-lumbar trauma.

UR - http://www.scopus.com/inward/record.url?scp=84971995735&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84971995735&partnerID=8YFLogxK

U2 - 10.1017/S1049023X00039364

DO - 10.1017/S1049023X00039364

M3 - Article

VL - 7

SP - 133

EP - 138

JO - Prehospital and Disaster Medicine

JF - Prehospital and Disaster Medicine

SN - 1049-023X

IS - 2

ER -