Which description best defines log-rolling technique?

• A. Lifting the patient with one caregiver
• B. A team moves patient as a unit with head and spine aligned
• C. Turning patient without maintaining alignment
• D. Rolling the patient onto the stomach for imaging

Answer: (B)

Log-rolling is a technique used to turn a patient while keeping the spine in a straight, neutral position. It’s essential when spinal precautions are in place or a spinal injury is suspected. The move is performed by a team working together to shift the patient as a single unit, with the head stabilized to stay in line with the spine and the rest of the body following in the same alignment. This coordinated approach prevents twisting or bending of the neck and spine, reducing the risk of further injury and pain. In practice, one person typically controls the head and neck while others position the body and roll together using a sheet or equipment to maintain alignment throughout the turn and into the new position.

Other descriptions don’t fit log-rolling because they don’t preserve spinal alignment: lifting with one caregiver risks twisting or compressing the spine; turning without maintaining alignment can worsen injury; rolling onto the stomach for imaging is a specific repositioning not about preserving spinal alignment during a turn.