When is spinal motion restriction preferred over immobilization?

Spinal motion restriction is preferred over immobilization when the person can move without pain. This approach is based on the principle that if a person is able to move freely and does not exhibit signs of a serious spinal injury, restricting unnecessary movement can reduce the risk of exacerbating any potential injuries. By allowing for some movement in cases where there is no pain, responders can avoid placing an individual in a rigid immobilization device that could be uncomfortable and may even restrict necessary medical evaluation or treatment.

In contrast, when someone cannot move, it usually indicates a need for careful handling and potential immobilization until the injury can be assessed. The choice to use spinal motion restriction or immobilization is guided by the individual’s condition, symptoms, and the context of the injury. Therefore, understanding the specific circumstances underscores the importance of assessing mobility and pain as part of effective response protocols.