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Impact of Rescuer Position, Arm Angle, and Anthropometric Variables on Muscle Fatigue During Cardiopulmonary Resuscitation: An international multicentric randomized crossover simulation study

Publiceringsår

2025

Upphovspersoner

Sa-Couto, Carla; Sa-Couto, Pedro; Nicolau, Abel; Lazarovici, Marc; Ericsson, Christoffer; Vieira-Marques, Pedro; Bispo, Ingrid

Abstrakt

Background There is a lack of studies using surface electromyography (sEMG) to objectively assess the impact of rescuer position and arm angle on muscle fatigue during CPR. Additionally, the relationship between anthropometric variables (height and weight) and muscle fatigue remains underexplored. Aim This study aims to objectively assess muscle fatigue during CPR by analysing triceps brachii sEMG activation during continuous chest compressions (CCs) across different rescuer positions and arm angles. A secondary objective is to examine correlations between anthropometric variables and muscle fatigue, while also evaluating the impact of CCs quality on fatigue levels. Methods This international, multicentric, randomized crossover simulation trial included healthcare professionals assigned to one of four rescuer positions: kneeling on the floor, standing, standing on a step stool, and kneeling on a bed. Participants performed two 3-minute trials of continuous CCs at 90° and 105° arm angles. Muscle fatigue was assessed via sEMG, while compression quality was evaluated using manikin-derived data. Results A total of 72 participants were included. The 105° arm angle significantly increased muscle fatigue compared to 90° (p<0.001) across all rescuer positions. Taller and heavier rescuers exhibited lower fatigue for both arm angles (p<0.05); however, fatigue levels were consistently higher at 105° than at 90°. Conclusion Arm angle is a key determinant of rescuer muscle fatigue, with 105° increasing fatigue compared to 90°. Rescuer position alone was not significant, though fatigue was more pronounced in kneeling and elevated positions. Taller and heavier rescuers demonstrated greater endurance but remained affected by suboptimal arm angles.
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Organisationer och upphovspersoner

Yrkeshögskolan Arcada

Christoffer Ericsson Orcid -palvelun logo

Publikationstyp

Publikationsform

Artikel

Moderpublikationens typ

Tidning

Artikelstyp

En originalartikel

Målgrupp

Vetenskaplig

Kollegialt utvärderad

Kollegialt utvärderad

UKM:s publikationstyp

A1 Originalartikel i en vetenskaplig tidskrift

Publikationskanalens uppgifter

Förläggare

Elsevier

Volym

24

Artikelnummer

100971

Publikationsforum

89333

Publikationsforumsnivå

1

Öppen tillgång

Öppen tillgänglighet i förläggarens tjänst

Ja

Öppen tillgång till publikationskanalen

Delvis öppen publikationskanal

Licens för förläggarens version

CC BY

Parallellsparad

Ja

Övriga uppgifter

Vetenskapsområden

Vårdvetenskap; Medicinsk bioteknologi

Nyckelord

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Förlagets internationalitet

Internationell

Språk

engelska

Internationell sampublikation

Ja

Sampublikation med ett företag

Nej

DOI

10.1016/j.resplu.2025.100971

Publikationen ingår i undervisnings- och kulturministeriets datainsamling

Ja