Which of the following signs is unlikely to indicate a patient is in pain or discomfort during a moving and handling manoeuvre?

Noticeable relaxation of the shoulders is indeed unlikely to indicate that a patient is in pain or discomfort during a moving and handling maneuver. Typically, when a person is experiencing pain, they may exhibit tense or rigid muscles as a response to discomfort. This tension can be reflected in a rigid body posture, facial grimacing, or vocalizations such as persistent moaning or groaning. In contrast, relaxed shoulders suggest a state of comfort and ease, which is the opposite of what one would expect from someone in pain. Therefore, this sign can help caregivers recognize that the patient may be feeling more at ease during the handling process.