How to Do a Log Roll

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A log roll is a technique used to move yourself or someone else after a back, spinal, or abdominal injury. Log rolling limits the movement of your torso area, so as not to further injure the area. It can be extremely difficult and painful to move around, specifically getting in and out of bed, if you've suffered an injury to your back, spine, or abdomen. The log roll technique will help you get on (or off) your feet with much less pain or chance of re-injury.

Things You Should Know

  • Enlist 3 or 4 people to help, with a leader positioned at the injured person’s head, other helpers kneeling to one side, and one in charge of sliding the stretcher under the person.
  • Roll the injured person onto their side, keeping the head and neck aligned with the body, and place the injured person on the stretcher.
  • To log roll into bed, sit on your bed before lowering yourself onto your side, moving slowly as you pull your legs up and roll onto your back.
  • To log roll out of bed, bend your knees while lying flat on your back before rolling onto your side, and then rise into a sitting position.
Method 1
Method 1 of 3:

Log Rolling an Injured Person

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  1. This method is used when a person is injured and needs to be moved or transported by other people. Find detailed step by step instructions in Logroll an Injured Person During First Aid .
  2. Keeping the spine stabilized and maintaining consistent motion is vital to a successful log roll, and a minimum of 4 people is needed to do that.
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  3. The leader will be in charge of coordinating movement and maintaining the patient’s head and neck alignment.
    • The other helpers will take orders from the leader and perform tasks such as rolling the injured person onto their side, inserting a stretcher underneath them, or performing bandaging if necessary.
  4. The leader will be positioned at the head. The leader will place their hands on each side of the injured persons head, making sure their head is facing straight ahead. It is very important to keep their neck and head stable.
    • The other 3-4 helpers should be kneeling on one side of the injured person. Each helper will be in control of moving a different portion of the injured person's body, and the helpers should be spread out evenly.
    • One helper should be designated to slide a stretcher under the injured person as the rest of the helpers roll them on their side. This helper should be kneeling on the opposite side of the injured person's body.
  5. On the leaders command, the helpers will roll the injured person onto their side. Each helper must place one hand under the injured person's back, and reach their other arm across the top of the injured person's body to grab the side opposite side of them. The helpers will then roll the injured person toward them, so that the injured person ends up on their side.
    • As the helpers move the injured person, the leader must keep the head and neck aligned with the body. As the body turns, so should the head.
  6. Once the injured person has been rolled onto their side, the designated helper will slide the stretcher underneath them. The rest of the helpers will then roll the body back down onto the stretcher.
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Method 2
Method 2 of 3:

Log Rolling Into Bed

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  1. Place yourself closer to the head of the bed than to the foot of the bed so that you'll be in the proper position when you lay down. Scoot back as far as you can so that you are not sitting on the edge of the bed.
    • To determine where you should sit, picture your bed divided into thirds. You should sit within the top 1/3 section of your bed. [1]
  2. Move very slowly and keep your body as steady as possible. It is important to keep your spine straight, so use your arms to help guide and control your body.
    • As you start to lean your body sideways, place your bottom elbow onto the bed underneath your shoulder. Then, place your top hand onto the bed in front of your chest.
    • As your body reaches the bed, lie on top of your bottom arm, and place your top arm at your side.
  3. As you're lowering your body onto the bed, bend your knees and pull your legs onto the bed. Keep your knees bent and your legs together as you pull them onto the bed.
  4. After you've pulled your legs onto the bed, you should end up lying on your side, facing the outside of the bed. Your knees should remain bent, one lying on top of the other.
  5. Keep you knees bent as you very slowly roll onto your back. Use your bottom arm to push your body onto your back. Be sure to keep your shoulders and hips together as a unit as you roll, so as not to twist your spine or torso. Picture your body as a rolling log.
    • Your shoulders, hips, and knees should stay aligned at all times. To be sure you're doing this, keep your knees and shoulders pointed in the same direction.
  6. At this point, you should be lying on your back with your knees bent and pointed toward the ceiling. Your shoulders and hips should be aligned. [2]
  7. Slowly slide your legs down so that you are lying completely flat. Avoid any twisting or excessive movement one laying down.
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Method 3
Method 3 of 3:

Log Rolling Out of Bed

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  1. You should always lie flat on your back if you have an injury that requires stabilization, as keeping your back flat presents the smallest risk of re-injury. To get out of bed, you will start by bending your knees so that they are pointing toward the ceiling.
    • As you move, keep your knees and shoulders pointing in the same direction.
  2. Move slowly and be very careful as you do this to avoid further injury. Roll onto your side by turning toward the outside of your bed. Let your knees slowly fall to the side and use that momentum to turn your body. Be sure to keep your shoulders, hips, and knees facing the same direction. Keep your knees bent as you roll onto your side.
    • It is sometimes helpful to visualize your body as an actual log. This technique is called a log roll because your torso is supposed to move as one solid unit - just like a log would move.
  3. You should now be laying on your side, facing outward, with your knees bent. Your bottom arm should be underneath you, and your top arm should be at your side.
  4. Use your arms for support and move very slowly. Take your top hand and place it flatly on the bed in front of you at chest level. Begin to push your body up while keeping your back straight.
  5. As your body lifts from the bed, take your bottom hand and place it on the bed underneath your shoulder. You'll use this arm to push up for additional support.
  6. As you slowly raise your body to a sitting position, move your legs off of the bed, lower them toward the ground, and set your feet on the floor. You should now be in a natural sitting position. [3]
  7. If you've been laying down for a long period of time, standing up too quickly may make you feel dizzy or disoriented.
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      References

      1. ↑ https://healthonline.washington.edu/document/health_online/pdf/Activities-Daily-Living-After-Abdominal-Surgery.pdf
      2. ↑ http://www.upmc.com/patients-visitors/education/rehab/Pages/bed-transfer-log-roll-method.aspx
      3. ↑ http://www.upmc.com/patients-visitors/education/rehab/Pages/bed-transfer-log-roll-method.aspx

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