REBA (risk scores of NAPPI skills)

Rapid Entire Body Assessment (REBA)

The REBA tool was developed to make a rapid evaluation of the risk of musculoskeletal disorders (MSD) associated with certain tasks. The tool uses a systematic process to assess both upper and lower parts of the musculoskeletal system, for biomechanical and MSD risks.

Original Worksheet Developed by Dr. Alan Hedge. Based on Technical note: Rapid Entire Body Assessment (REBA), Hignett, McAtamney, Applied Ergonomics 31 (2000) 201-205

The final output of the REBA test is a single score that represents the level of MSD risk for the task that is being assessed.

The minimum REBA Score = 1
The maximum REBA Score = 15

SCORE	LEVEL OF MSD RISK
1	Negligible risk, no action required.
2-3	Low risk, change may be needed.
4-7	Medium risk, further investigation, change soon.
8-10	High risk, investigate and implement change.
11+	Very high risk, implement change.

NAPPI physical skills have all undergone extensive assessment using REBA other assessment tools. The NAPPI risk assessment documents were developed by an Independent Biomechanical Expert who used REBA scores during the review as required every two years by the Restraint Reduction Network (RRN) Training Standards (2019).

Self-Protection Skills

Name of Skill	REBA Score
X-Shield	4
Grab Release	3
Hair Pull Release	3
Bite Avoidance	3
Front Choke Escape	4

NAPPI Restrictive Skills

Name of Skill	REBA Score
Capture Wrap	Staff 1: 4 – Staff 2: 4
Capture Wrap to Two Person Moving	Staff 1: 5 – Staff 2: 5
Two Person Moving	Staff 1: 6 – Staff 2: 6
Two Person Moving to Capture Wrap	Staff 1: 5 – Staff 2: 5
One Arm Body Wrap	4
Capture Wrap to Seated	Staff 1: 8 – Staff 2: 8
Seated	Staff 1: 8 – Staff 2: 8
Supine	Staff 1 & 2: 7 – Staff 3: 7 – Staff 4: 7
Recovery Position	Right Arm: 8 – Left Arm: 4 – Legs: 7

NAPPI Clinical Holding Skills

Name of Skill	REBA Score
One Person Stationary Laying	Staff 1: 8 – Staff 2: 7
One Person Stationary Seated	10
One Person Stationary Standing	5
Two Person Rolling Technique	Staff 1: 3 – Staff 2: 4
Two Person Stationary Laying	Securing Head: 3 – Securing Legs: 4
Two Person Stationary Seated	10
Two Person Stationary Standing	Right Side: 5 – Left Side: 5

Contact Us

For further information about NAPPI Restrictive Physical skills or Clinical Holding skills and how they link to the NAPPI PBS Model, please contact the team on:

Call 01723 353353 to speak to NAPPI uk

Click here to email NAPPI uk