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LGC Shadow Title Master.pot
Workplace Ergonomics
2
Presentation Objectives
participants will be able to...
• Understand basic concepts of ergonomics
• Identify common musculoskeletal injury risks
• Learn strategies to decrease MSD injury risks
• Address questions on ergonomics and back
safety
3
Ergonomics
“Study of Work”
“The science of fitting the job to the
worker”
“ergo” = work
“nomics” = study of
4
What are the physical demands of your
job…
5
Job Risk Factors
• Working in awkward postures / positions
• Prolonged sitting and standing
• Bending, reaching, stretching
• Driving for extended periods of time
• Heavy lifting
• Awkward lifting
• Lifting in combination with twisting
• Pushing, pulling, carrying
• Accidents, slips, trips, falls
• Vibration
6
Goals of Ergonomics Program…
Reduce work-related musculoskeletal disorders developed by
workers when their jobs involve...
• Awkward postures
• Static positions
• Reaching
• Bending & Lifting
• Force
• Repetition
• Contact stress
• Vibration
• Repetition
U.S. Department of Labor Occupational Safety & Health Administration
7
What are MusculoSkeletal Disorders?
MSDs are injuries and illnesses that
affect muscles, nerves, tendons,
ligaments, joints or spinal discs.
U.S. Department of Labor Occupational Safety & Health Administration
8
Common Body Parts Prone To
Workplace MSDs
• Back - Lower
• Neck and Upper Back
• Upper Extremities - Arms and Hands
• Lower Extremities - Legs and Feet
9
Examples of MSDs
• Carpal tunnel
• Rotator cuff syndrome
• Lateral epicondylitis
- tennis elbow
• Low back pain
10
Musculoskeletal Disorders:
Signs and Symptoms
in general…
• Decreased ROM
• Decreased grip and/or
pinch strength
• Swelling
• Fatigue
• Loss of function
• Numbness
• Burning sensation
• Tingling
• Pain
• Cramping
• Stiffness
French & Zecha, 2005
11
Musculoskeletal Disorders: How & Why?
• Related to intensity of work
• Have biomechanical and physiological factors
• Can occur after weeks, months, years on job
• Can take weeks, months, years to resolve
• Have occupational and non occupational
causes
French & Zecha, 2005
12
Musculoskeletal Disorders: How & Why?
listening to our body…
• Disruption in balance between breakdown and
recovery
• 1st sx….fatigue (of body part)
• 2nd sx…ache
• 3rd sx…pain
• Leading to loss of function
French & Zecha, 2005
13
Adaptation vs. Injury
the fork in the road…
• Adapt
– Soft tissue remodels
– More strength
– More stability
– More endurance
– Discomfort
decreases
• Injury
– Soft tissue breaks
down
– Less strength
– Less stability
– Less tolerance for
use
– Discomfort increases
French & Zecha, 2005
14
QUESTIONS?
15
Part Two…
Some Ergonomic
Risk Factor Concerns
16
Introducing our 2nd focus area for
today…
• Back care
• Posture
• Contact stress
• Repetition
17
Posture check: reaching & bending
it’s all connected and it’s all about physics…
• Load & leverage
• 10# vs. 70# low back
• 15# vs. 45# head &
neck
• Think about posture
– Forward head
– Sitting
– Reaching
18
It’s all Physics…
leverage
19
Posture
Think of posture in terms of joint position
Static and awkward postures lead to:
 Decreased movement
 Decreased circulation
 Increased stress and fatigue
20
21
Posture check
Increased stress, decreased circulation…
Higher risk Lower risk
22
Posture check
ask yourself…
Do you use a headset rather than cradling the
telephone between your head and shoulder?
23
Posture check
ask yourself…
•Are you sitting against the back of your chair
while you work?
•Is your head/neck upright and centered over
your shoulders when you look at the screen or
documents?
•Are your shoulders relaxed when keying and
using the mouse?
•Are your arms close by your sides when you
use the keyboard or pointer?
24
Posture check
ask yourself…
•Are your elbows relaxed (100 degree angle)
when using the keyboard or mouse?
•Are your wrists in a neutral position (aligned
with your forearm) when keying or using the
pointer?
•Are you avoiding awkward postures such as
an extended finger or thumb when keying or
using the mouse?
25
Equipment set-up example
risk identification…
Elbow and shoulder away from body, reaching
increased strain on shoulder and wrist
26
Elbow and shoulder more relaxed and closer to body
decreased strain on shoulder and wrist
Equipment set-up example
risk identification…
27
Equipment set-up example
risk identification…
Forward placement of document holders and monitor
prevents excessive turning and bending stress in neck,
upper back and torso
Posture:
keeping it
straight!
28
A word on repetition
• Key issue is recovery time
- the time required for tissue to restore nutrition, replace
cells, dissipate byproducts
- rest breaks
• Some newer research demonstrates that repetition
is significantly less of a problem vs. posture
29
A word on contact stress
At your workstation notice where your body comes
into contact with objects…
Where are your:
•Front & back of knees
•Elbows
•Wrists
•Back
•Behind
•Calves, feet, ankles
30
QUESTIONS?
31
Part Three…
Workstation equipment
use and set-up!
32
33
Is my “ergonomic” potato chip really
ergonomic?
• To be ergonomic a design must…
• Fit the user
• Be easy to use
• Improve comfort
• Improve performance
• Improve health and safety
• Not just bells and whistles!
34
Computer workstation ergonomics
• Chair
• Monitor
• Keyboard
• Mouse
• Document holders
• Lumbar pads/pillows
• Arm rests
• Glare
• Eye strain
• Footrests
• Wrists pads
• Keyboard trays
• Laptops
35
Chair Basics
• Good lumbar (low back) support
• Comfortable sitting for at least 2 hours
• Chair has 5 point base
• Adjustable arm rests (or none)
• Seat pan is comfortable
• Easily adjustable while sitting
• Appropriate height & depth of seat pan
36
Monitor issues and glare
protect your eyes !
• Eye-to-screen distance at least 18 inches
• Top of screen at eye level or slightly below
• Don’t stare…blink frequently to lubricate
eyes
• Use blinds to control outside light
• Screen colors: dark letters on light
background (IBM blue)
37
Work technique
ask yourself…
•Do you avoid leaning on the wrist rest while keying and
mousing?
•Are you using a light touch to key?
•Are you holding your mouse loosely with your hand and
fingers in a relaxed position?
•Do you let go of the mouse when not using it?
•Do you take 20 second breaks after every 20 minutes
of keying?
38
Work technique
ask yourself…
•Do you take eye breaks and look at a distance every
20 minutes?
•Do you blink while you look at the screen?
•Do you take stretch breaks throughout the day?
•Have you set up your work to encourage alternating
sitting and standing throughout the day?
•Have you optimized your settings on your computer
to make your work easier? (i.e. flicker rate, mouse
speed, font size)
•Do you know how to adjust your keyboard tray and
chair?
39
Laptops
a few words…
Harder on eyes and neck
• Smaller screens
• Lower quality displays
• Lower viewing angle
Harder on wrists on arms
• Narrow keyboard
• Awkward postures
Harder on back
• Carrying can strain back
Risk Reduction Measures
• External keyboards
• Docking stations
• Practice good posture on road
Risk Factors
40
Watch those deadlines!
tension and stress - ask yourself…
41
Some final words
Let’s think about it…
42
Back Safety & Ergonomics
isn’t just a work thing!
The big picture…
43
Ergonomics isn’t just a work thing!
think “physics & leverage” working around home…
• Washing dishes, pots & pans
• Carrying and loading groceries
• Picking up and carrying kids
• Walking the dog
• Yard work
– Raking, shoveling, sweeping
– Lawn mowing, snow removal
– Wheel barrels
44
Ergonomics isn’t just a work thing!
think of driving your car…
• Elbow resting on door, center console
• Wrist over steering wheel
• Buttock and back pain
• Posture
• Nerve and tissue compression
• Position of legs while driving
• Muscle strain: hamstring tightness
• Decreased circulation
• Upper neck/back tension and pain
• Muscle strain:upper trapezius
• Stress reactions, trigger points
• Eye strain
• Glare
• Dehydration
45
Ergonomics isn’t just a work thing!
think of sleeping in your bed…
• Neck posture
• Shoulder and arm posture
• Wrist posture
• Knee and hip posture
• Back posture
For long periods of time: static and awkward positions,
decreased circulation, increased compression!
46
Ergonomics…
there is no magic solution…
we are all unique in certain ways
• Age
• Gender
• Anthropometrics – Body Size & Shape
– Equipment accommodates 5th% female to
95th% male
• Skill Level
• General Health and Condition
47
QUESTIONS?
48
Back Injury…
From an Ergonomic View
49
Common Back Disorders
• General joint stiffness
• Acute strains and sprains
• Degenerative disk disease
• Bulging disc
• Herniated disc
• Osteoarthritis
50
Anatomy Review…
the spine
• Bones
• Joints
• Discs
• Muscles and ligaments
• Nerves
51
Anatomy Review…
the curves of the spine
52
• Poor Body Mechanics
• Stressful Living & Working
• Loss of Flexibility
• Loss of Strength
Leading Causes of Back Problems
53
Another cause of back problems…
accidents
It is also possible to injure
your back due to accidents.
54
How do we take care of our back?
• Body Mechanics
• Proper Lifting Techniques
• Exercise
• Stretching
• Improved postures
55
“It’s not how much you lift or move, but the way you do it”!
1) Push vs. Pull
2) Keep Work Within “Strike Zone”
3) Keep Load Close To Body
4) Use Abdominal Bracing
5) Pivot with Feet - Avoid Twisting
6) Team Work vs. Mule Work
Body Mechanics
General Rules:
56
Power Position:
• Wide base of support
• Feet shoulder width apart
• Back straight
• Head and shoulders up
• Bend at hips and knees - NOT BACK!
• Keep load close to body
• Tighten stomach muscles
• Use leg, hip and buttock muscles
• Breathe out with lift
Proper Lifting Technique
57
QUESTIONS?

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Workplace Ergonomics

  • 1. 1 LGC Shadow Title Master.pot Workplace Ergonomics
  • 2. 2 Presentation Objectives participants will be able to... • Understand basic concepts of ergonomics • Identify common musculoskeletal injury risks • Learn strategies to decrease MSD injury risks • Address questions on ergonomics and back safety
  • 3. 3 Ergonomics “Study of Work” “The science of fitting the job to the worker” “ergo” = work “nomics” = study of
  • 4. 4 What are the physical demands of your job…
  • 5. 5 Job Risk Factors • Working in awkward postures / positions • Prolonged sitting and standing • Bending, reaching, stretching • Driving for extended periods of time • Heavy lifting • Awkward lifting • Lifting in combination with twisting • Pushing, pulling, carrying • Accidents, slips, trips, falls • Vibration
  • 6. 6 Goals of Ergonomics Program… Reduce work-related musculoskeletal disorders developed by workers when their jobs involve... • Awkward postures • Static positions • Reaching • Bending & Lifting • Force • Repetition • Contact stress • Vibration • Repetition U.S. Department of Labor Occupational Safety & Health Administration
  • 7. 7 What are MusculoSkeletal Disorders? MSDs are injuries and illnesses that affect muscles, nerves, tendons, ligaments, joints or spinal discs. U.S. Department of Labor Occupational Safety & Health Administration
  • 8. 8 Common Body Parts Prone To Workplace MSDs • Back - Lower • Neck and Upper Back • Upper Extremities - Arms and Hands • Lower Extremities - Legs and Feet
  • 9. 9 Examples of MSDs • Carpal tunnel • Rotator cuff syndrome • Lateral epicondylitis - tennis elbow • Low back pain
  • 10. 10 Musculoskeletal Disorders: Signs and Symptoms in general… • Decreased ROM • Decreased grip and/or pinch strength • Swelling • Fatigue • Loss of function • Numbness • Burning sensation • Tingling • Pain • Cramping • Stiffness French & Zecha, 2005
  • 11. 11 Musculoskeletal Disorders: How & Why? • Related to intensity of work • Have biomechanical and physiological factors • Can occur after weeks, months, years on job • Can take weeks, months, years to resolve • Have occupational and non occupational causes French & Zecha, 2005
  • 12. 12 Musculoskeletal Disorders: How & Why? listening to our body… • Disruption in balance between breakdown and recovery • 1st sx….fatigue (of body part) • 2nd sx…ache • 3rd sx…pain • Leading to loss of function French & Zecha, 2005
  • 13. 13 Adaptation vs. Injury the fork in the road… • Adapt – Soft tissue remodels – More strength – More stability – More endurance – Discomfort decreases • Injury – Soft tissue breaks down – Less strength – Less stability – Less tolerance for use – Discomfort increases French & Zecha, 2005
  • 16. 16 Introducing our 2nd focus area for today… • Back care • Posture • Contact stress • Repetition
  • 17. 17 Posture check: reaching & bending it’s all connected and it’s all about physics… • Load & leverage • 10# vs. 70# low back • 15# vs. 45# head & neck • Think about posture – Forward head – Sitting – Reaching
  • 19. 19 Posture Think of posture in terms of joint position Static and awkward postures lead to:  Decreased movement  Decreased circulation  Increased stress and fatigue
  • 20. 20
  • 21. 21 Posture check Increased stress, decreased circulation… Higher risk Lower risk
  • 22. 22 Posture check ask yourself… Do you use a headset rather than cradling the telephone between your head and shoulder?
  • 23. 23 Posture check ask yourself… •Are you sitting against the back of your chair while you work? •Is your head/neck upright and centered over your shoulders when you look at the screen or documents? •Are your shoulders relaxed when keying and using the mouse? •Are your arms close by your sides when you use the keyboard or pointer?
  • 24. 24 Posture check ask yourself… •Are your elbows relaxed (100 degree angle) when using the keyboard or mouse? •Are your wrists in a neutral position (aligned with your forearm) when keying or using the pointer? •Are you avoiding awkward postures such as an extended finger or thumb when keying or using the mouse?
  • 25. 25 Equipment set-up example risk identification… Elbow and shoulder away from body, reaching increased strain on shoulder and wrist
  • 26. 26 Elbow and shoulder more relaxed and closer to body decreased strain on shoulder and wrist Equipment set-up example risk identification…
  • 27. 27 Equipment set-up example risk identification… Forward placement of document holders and monitor prevents excessive turning and bending stress in neck, upper back and torso Posture: keeping it straight!
  • 28. 28 A word on repetition • Key issue is recovery time - the time required for tissue to restore nutrition, replace cells, dissipate byproducts - rest breaks • Some newer research demonstrates that repetition is significantly less of a problem vs. posture
  • 29. 29 A word on contact stress At your workstation notice where your body comes into contact with objects… Where are your: •Front & back of knees •Elbows •Wrists •Back •Behind •Calves, feet, ankles
  • 32. 32
  • 33. 33 Is my “ergonomic” potato chip really ergonomic? • To be ergonomic a design must… • Fit the user • Be easy to use • Improve comfort • Improve performance • Improve health and safety • Not just bells and whistles!
  • 34. 34 Computer workstation ergonomics • Chair • Monitor • Keyboard • Mouse • Document holders • Lumbar pads/pillows • Arm rests • Glare • Eye strain • Footrests • Wrists pads • Keyboard trays • Laptops
  • 35. 35 Chair Basics • Good lumbar (low back) support • Comfortable sitting for at least 2 hours • Chair has 5 point base • Adjustable arm rests (or none) • Seat pan is comfortable • Easily adjustable while sitting • Appropriate height & depth of seat pan
  • 36. 36 Monitor issues and glare protect your eyes ! • Eye-to-screen distance at least 18 inches • Top of screen at eye level or slightly below • Don’t stare…blink frequently to lubricate eyes • Use blinds to control outside light • Screen colors: dark letters on light background (IBM blue)
  • 37. 37 Work technique ask yourself… •Do you avoid leaning on the wrist rest while keying and mousing? •Are you using a light touch to key? •Are you holding your mouse loosely with your hand and fingers in a relaxed position? •Do you let go of the mouse when not using it? •Do you take 20 second breaks after every 20 minutes of keying?
  • 38. 38 Work technique ask yourself… •Do you take eye breaks and look at a distance every 20 minutes? •Do you blink while you look at the screen? •Do you take stretch breaks throughout the day? •Have you set up your work to encourage alternating sitting and standing throughout the day? •Have you optimized your settings on your computer to make your work easier? (i.e. flicker rate, mouse speed, font size) •Do you know how to adjust your keyboard tray and chair?
  • 39. 39 Laptops a few words… Harder on eyes and neck • Smaller screens • Lower quality displays • Lower viewing angle Harder on wrists on arms • Narrow keyboard • Awkward postures Harder on back • Carrying can strain back Risk Reduction Measures • External keyboards • Docking stations • Practice good posture on road Risk Factors
  • 40. 40 Watch those deadlines! tension and stress - ask yourself…
  • 41. 41 Some final words Let’s think about it…
  • 42. 42 Back Safety & Ergonomics isn’t just a work thing! The big picture…
  • 43. 43 Ergonomics isn’t just a work thing! think “physics & leverage” working around home… • Washing dishes, pots & pans • Carrying and loading groceries • Picking up and carrying kids • Walking the dog • Yard work – Raking, shoveling, sweeping – Lawn mowing, snow removal – Wheel barrels
  • 44. 44 Ergonomics isn’t just a work thing! think of driving your car… • Elbow resting on door, center console • Wrist over steering wheel • Buttock and back pain • Posture • Nerve and tissue compression • Position of legs while driving • Muscle strain: hamstring tightness • Decreased circulation • Upper neck/back tension and pain • Muscle strain:upper trapezius • Stress reactions, trigger points • Eye strain • Glare • Dehydration
  • 45. 45 Ergonomics isn’t just a work thing! think of sleeping in your bed… • Neck posture • Shoulder and arm posture • Wrist posture • Knee and hip posture • Back posture For long periods of time: static and awkward positions, decreased circulation, increased compression!
  • 46. 46 Ergonomics… there is no magic solution… we are all unique in certain ways • Age • Gender • Anthropometrics – Body Size & Shape – Equipment accommodates 5th% female to 95th% male • Skill Level • General Health and Condition
  • 48. 48 Back Injury… From an Ergonomic View
  • 49. 49 Common Back Disorders • General joint stiffness • Acute strains and sprains • Degenerative disk disease • Bulging disc • Herniated disc • Osteoarthritis
  • 50. 50 Anatomy Review… the spine • Bones • Joints • Discs • Muscles and ligaments • Nerves
  • 52. 52 • Poor Body Mechanics • Stressful Living & Working • Loss of Flexibility • Loss of Strength Leading Causes of Back Problems
  • 53. 53 Another cause of back problems… accidents It is also possible to injure your back due to accidents.
  • 54. 54 How do we take care of our back? • Body Mechanics • Proper Lifting Techniques • Exercise • Stretching • Improved postures
  • 55. 55 “It’s not how much you lift or move, but the way you do it”! 1) Push vs. Pull 2) Keep Work Within “Strike Zone” 3) Keep Load Close To Body 4) Use Abdominal Bracing 5) Pivot with Feet - Avoid Twisting 6) Team Work vs. Mule Work Body Mechanics General Rules:
  • 56. 56 Power Position: • Wide base of support • Feet shoulder width apart • Back straight • Head and shoulders up • Bend at hips and knees - NOT BACK! • Keep load close to body • Tighten stomach muscles • Use leg, hip and buttock muscles • Breathe out with lift Proper Lifting Technique