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ERGONOMICS IN
MUSCULOSKELETAL
DISORDERS
Mubarak Aminu Ibrahim
Physical Therapist
NNPC Medical Services Limited
Kaduna Medical Zone
22/06/2022
Ergonomics 1
OUTLINE
 Definition
 Significance
 Poor ergonomics
 What is MSD
 Signs of MSD
 Symptoms of MSD
 Risk factors of MSD
Ergonomics 2
Introduction
 Awareness of ergonomics is poor among
health worker and general public in Nigeria
 Leading cause MSD
 Decrease productivity
 Routine workplace assessment and education
is key in prevention of WRMDs
Ergonomics 3
Definition
• Ergonomics is derived from 2 Greek words
 Ergo + Nomos =Ergonomics
 Work + Laws = Laws of Work
• It is the scientific study of human at work
Ergonomics 4
Definition
• designing the job to fit the worker, not forcing
the worker to fit the job
• Is the science that deals with designing and
ongoing things, so that people can use them
easily and safely.
Ergonomics 5
Ergonomics
Ergonomics 6
Objectives of Ergonomics
 To improve the relationship between
equipment, work place and
environments
 To increase work efficiency and
productivity
 To promote safety and comfort at the
work station
 To reduce physical workload
 To minimize the risk of injury, illness,
accidents, and errors without
compromising productivity
Ergonomics 7
Types of ergonomics
 Physical ergonomics- repetition, force,
vibration, poor postures
 Cognitive ergonomics- mental strain
from work load, decision making,
human error, training
 Organizational ergonomics-shifts,
scheduling, job satisfaction,
supervision, teamwork, ethics
Ergonomics 8
Significance of Ergonomics
 To reduce work related injuries
 To increase workers productivity
 Increase work quality
 Reduced absenteeism
 Increase morale
Ergonomics 9
Poor ergonomics
 poor ergonomics is the leading cause of
musculoskeletal disorders (MSDs)
 WRMDs are fastest growing injury category
Ergonomics 10
Poor ergonomics
Ergonomics 11
MSD
 MSDs are injuries caused by sustained
exposure to stressors or repeated motion.
 They may affect Muscles, Tendons,
Ligaments, Bones, Blood vessels and
Nerves
 Some well known MSDs are:
◦ Carpal tunnel syndrome
◦ Tennis elbow
◦ Trigger finger
◦ Wallet syndrome
◦ Low Back pain etc…. Ergonomics 12
MSD
 Carpal tunnel syndrome
Ergonomics 13
Risk factors
 Awkward postures
 Static loading or contraction
 Contact stress
 Force
 Vibration
 Repetition of same motion
 Insufficient rest time
 Psychological stress
Ergonomics 14
Symptoms of MSD
 Pain
 Muscle fatigue
 Burning sensation
 Numbness
 Stiffness
 Tingling sensation
Ergonomics 15
Signs of MSD
 Decreased ROM
 Loss of function
 Deformity
 Cramping
 Loss of color
 Decreased grip strength
 Loss of balance
 Swelling
 Redness
Ergonomics 16
Management
 Review your work area
◦ You spend most of your day in work area
◦ You don’t want your work area to
contribute to your ergonomic problems
◦ WORK COMFORTABLY
Ergonomics 17
ergonomics
Ergonomics 18
Management
 Monitor
 Place the computer monitor directly in
front of you
 The top of the screen should be at eye
level
Ergonomics 19
Monitor
Ergonomics 20
Management
 Key board
Ergonomics 21
Mouse
 Mouse trays can bring a mouse to better
position.
 Mouse should be close to the key board or
slightly higher
Ergonomics 22
Management
 Phone placement
 image
Ergonomics 23
Management
 Document placement
Ergonomics 24
Management
 Arranging your workplace
Arrange the tool around your desk so you
minimize distance you have to reach for
them.
Divide your work zone into 3 zones
Primary work zone : The distance from your
elbow to hand things you touch on daily
basis.
Secondary zone : within arms reach use this
zone to positions those items that you use
frequently but don’t need them all the time.
Ergonomics 25
LIGHTING AND MONITOR GLARE
 Lighting should be indirect and adequate
 Not too much light it may cause glare,
headache and eye fatigue.
 If there is glare on your eyes as you work
adjust window blinds or glare screen on
your computers.
 image
Ergonomics 26
Glare screens
Ergonomics 27
Ergonomic stressor
Noise can be a stressor
 If your office is near a noise source, close
your doors, or wear ear plugs
 Besides causing ear damage, constant
noise can create muscle tension in the body
causing fatigue and making it easier for
ergonomic injury.
Ergonomics 28
Tempereture
 People are more prone to ergonomic
injuries in cold environment, Muscles and
other tissues are more tense because of
decreased circulation
 Dress appropriately
 Stretch your hands, to loosen your finger
muscle before keyboarding.
Ergonomics 29
Mechanical contact stress
 A hard or sharp surface or object pressing
 Example
resting wrist on your desk edge while
typing or using mouse
Leaning your elbow on armrest or work
surface
Sitting in chair that places pressure on the
back of the thigh
Ergonomics 30
Vibration
 Hand- arm vibration
 Whole body vibration
 Even if these do not occur in your work
environment, what about home activities.
Ergonomics 31
Solutions
avoid repetition
 Performing the same or similar motion
repeatedly for extended periods without
time for rest and recovery can lead to
discomfort and trauma
 Example:
◦ Key boarding, moussing
◦ Flipping through files
◦ Punching
◦ hammering
Ergonomics 32
Avoid long duration of same
task
 The longer the uninterrupted duration of a
task, the more potential for discomfort or
injury.
Ergonomics 33
Stretch breaks
 Small frequent stretches go a long way in
preventing MSDs
Ergonomics 34
A few break idea
 Organize task around built in breaks
 Eye breaks – blink to moisten eyes every 5-
10mins. Every 15mins look away from the
screen to a distant object in the room
 Micro breaks
 Rest breaks: every 30-60 mins take a brief
5mins break.
 Exercise break every 1-2 hours do gentle
stretching exercise
Ergonomics 35
Lifting
 use a step stool or platform
Ergonomics 36
Proper work postures
Ergonomics 37

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Ergonomics nmsl.pptx

  • 1. ERGONOMICS IN MUSCULOSKELETAL DISORDERS Mubarak Aminu Ibrahim Physical Therapist NNPC Medical Services Limited Kaduna Medical Zone 22/06/2022 Ergonomics 1
  • 2. OUTLINE  Definition  Significance  Poor ergonomics  What is MSD  Signs of MSD  Symptoms of MSD  Risk factors of MSD Ergonomics 2
  • 3. Introduction  Awareness of ergonomics is poor among health worker and general public in Nigeria  Leading cause MSD  Decrease productivity  Routine workplace assessment and education is key in prevention of WRMDs Ergonomics 3
  • 4. Definition • Ergonomics is derived from 2 Greek words  Ergo + Nomos =Ergonomics  Work + Laws = Laws of Work • It is the scientific study of human at work Ergonomics 4
  • 5. Definition • designing the job to fit the worker, not forcing the worker to fit the job • Is the science that deals with designing and ongoing things, so that people can use them easily and safely. Ergonomics 5
  • 7. Objectives of Ergonomics  To improve the relationship between equipment, work place and environments  To increase work efficiency and productivity  To promote safety and comfort at the work station  To reduce physical workload  To minimize the risk of injury, illness, accidents, and errors without compromising productivity Ergonomics 7
  • 8. Types of ergonomics  Physical ergonomics- repetition, force, vibration, poor postures  Cognitive ergonomics- mental strain from work load, decision making, human error, training  Organizational ergonomics-shifts, scheduling, job satisfaction, supervision, teamwork, ethics Ergonomics 8
  • 9. Significance of Ergonomics  To reduce work related injuries  To increase workers productivity  Increase work quality  Reduced absenteeism  Increase morale Ergonomics 9
  • 10. Poor ergonomics  poor ergonomics is the leading cause of musculoskeletal disorders (MSDs)  WRMDs are fastest growing injury category Ergonomics 10
  • 12. MSD  MSDs are injuries caused by sustained exposure to stressors or repeated motion.  They may affect Muscles, Tendons, Ligaments, Bones, Blood vessels and Nerves  Some well known MSDs are: ◦ Carpal tunnel syndrome ◦ Tennis elbow ◦ Trigger finger ◦ Wallet syndrome ◦ Low Back pain etc…. Ergonomics 12
  • 13. MSD  Carpal tunnel syndrome Ergonomics 13
  • 14. Risk factors  Awkward postures  Static loading or contraction  Contact stress  Force  Vibration  Repetition of same motion  Insufficient rest time  Psychological stress Ergonomics 14
  • 15. Symptoms of MSD  Pain  Muscle fatigue  Burning sensation  Numbness  Stiffness  Tingling sensation Ergonomics 15
  • 16. Signs of MSD  Decreased ROM  Loss of function  Deformity  Cramping  Loss of color  Decreased grip strength  Loss of balance  Swelling  Redness Ergonomics 16
  • 17. Management  Review your work area ◦ You spend most of your day in work area ◦ You don’t want your work area to contribute to your ergonomic problems ◦ WORK COMFORTABLY Ergonomics 17
  • 19. Management  Monitor  Place the computer monitor directly in front of you  The top of the screen should be at eye level Ergonomics 19
  • 22. Mouse  Mouse trays can bring a mouse to better position.  Mouse should be close to the key board or slightly higher Ergonomics 22
  • 23. Management  Phone placement  image Ergonomics 23
  • 25. Management  Arranging your workplace Arrange the tool around your desk so you minimize distance you have to reach for them. Divide your work zone into 3 zones Primary work zone : The distance from your elbow to hand things you touch on daily basis. Secondary zone : within arms reach use this zone to positions those items that you use frequently but don’t need them all the time. Ergonomics 25
  • 26. LIGHTING AND MONITOR GLARE  Lighting should be indirect and adequate  Not too much light it may cause glare, headache and eye fatigue.  If there is glare on your eyes as you work adjust window blinds or glare screen on your computers.  image Ergonomics 26
  • 28. Ergonomic stressor Noise can be a stressor  If your office is near a noise source, close your doors, or wear ear plugs  Besides causing ear damage, constant noise can create muscle tension in the body causing fatigue and making it easier for ergonomic injury. Ergonomics 28
  • 29. Tempereture  People are more prone to ergonomic injuries in cold environment, Muscles and other tissues are more tense because of decreased circulation  Dress appropriately  Stretch your hands, to loosen your finger muscle before keyboarding. Ergonomics 29
  • 30. Mechanical contact stress  A hard or sharp surface or object pressing  Example resting wrist on your desk edge while typing or using mouse Leaning your elbow on armrest or work surface Sitting in chair that places pressure on the back of the thigh Ergonomics 30
  • 31. Vibration  Hand- arm vibration  Whole body vibration  Even if these do not occur in your work environment, what about home activities. Ergonomics 31
  • 32. Solutions avoid repetition  Performing the same or similar motion repeatedly for extended periods without time for rest and recovery can lead to discomfort and trauma  Example: ◦ Key boarding, moussing ◦ Flipping through files ◦ Punching ◦ hammering Ergonomics 32
  • 33. Avoid long duration of same task  The longer the uninterrupted duration of a task, the more potential for discomfort or injury. Ergonomics 33
  • 34. Stretch breaks  Small frequent stretches go a long way in preventing MSDs Ergonomics 34
  • 35. A few break idea  Organize task around built in breaks  Eye breaks – blink to moisten eyes every 5- 10mins. Every 15mins look away from the screen to a distant object in the room  Micro breaks  Rest breaks: every 30-60 mins take a brief 5mins break.  Exercise break every 1-2 hours do gentle stretching exercise Ergonomics 35
  • 36. Lifting  use a step stool or platform Ergonomics 36