This document discusses office ergonomics and sports injuries. It begins with an introduction to Dr. Hemendra Kumar Agrawal and his qualifications. It then covers topics like how a lack of exercise and treatment during COVID can impact bone health. The majority of the document provides information on office ergonomics, including definitions, purposes, risk factors for repetitive strain injuries, and prevention strategies. These involve adjusting one's workstation, posture, taking breaks, and using ergonomic products. The document also discusses common sports injuries like knee injuries such as ACL tears and their treatment, as well as ankle injuries and treatments.

1. WELCOME ALL

3. DR.HEMENDRA KUMAR AGRAWAL
MBBS MS(ORTHO) DNB (ORTHO) MNAMS
FELLOW SHOULDER SURGERIES,JAPAN
FELLOW HIP & KNEE,GERMANY
CONSULTANT ORTHOPEDIC
JOINT REPLACEMENT &
SPORTS ARTHROSCOPY SURGEON
NARAYANA HOSPITAL ,JAIPUR

7. COVID & BONE
HEALTH -A
DISCUSSION
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8. Lack of Excercises
Lack of Sports
Lack of treatment
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9. Office Ergonomics
Adjusting Your Workstation to Fit Your Body
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10. What is Ergonomics?
ERGO=
“work”
Ergonomics
literally means
“the laws of work”
NOMICS=
“rules” or
“laws”
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11. Purpose of Ergonomics?
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Prevention
Makes the job safer by preventing injury
and illness
Makes the job more pleasant by reducing
physical and mental stress
Improves productivity
Prevents loss
Saves money $$$

12. Ergonomic Factors
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Two Categories of Ergonomic Factors
Environmental
Physical

13. Environmental Factors
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Environmental factors may affect :
Hearing
Vision
General comfort and health

14. Environmental Factors
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Some examples of ergonomic
environmental problems are:
Indoor Air Quality
Excessive noise
Improper lighting
Temperature extremes

15. Physical Stressors
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Physical stressors place pressure or stress
on parts of the body:
Joints, muscles, nerves, tendons, bones
These injuries are sometimes referred to as
 “Repetitive Strain Injuries”(RSIs)

16. Repetitive Strain Injuries
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Cumulative
occurring gradually over a period of
weeks, months, or years
Trauma
bodily injury to nerves, tissues, tendons,
or joints
Disorders
physical ailments or abnormal conditions

17. Risk Factors
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The main risk factors for office related RSI’s
are:
Repetition
Awkward positions or posture
Excessive pressure or force
Another risk factor for RSIs would be:
Vibration

18. Risk Factors: Repetition
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The majority of RSIs are caused by
repetitive motions that would not result in
injury if only performed once.
Thousands of keystrokes typing
Hours of filing, day after day
Stamping dozens of papers
Frequent lifting
Repeated motions with mouse

19. Risk Factors: Awkward Positions
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 Leaning forward at your desk
 Typing with wrists at an odd angle
 Raising shoulders while typing
 Reaching to use mouse
 Twisting neck to look at monitor or phone
 Lifting objects from below waist or above
shoulders

20. Risk Factors: Excessive Force
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Typing with too much force
or “pounding” the keys
Stamping
Lifting heavy boxes of paper
Carrying office equipment

21. But the good news is....
There are simple ways to help yourself!
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22. Prevention Strategies
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The elbows should be at a comfortable angle while
"hanging" at the sides from the shoulders.
The shoulders should remain relaxed in a lowered
position while typing.
The mouse should be at the same level as the
keyboard;
Avoided unsupported “mouse reach”.

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24. Prevention Strategies
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Avoid leaning forward
at your desk
Maintain natural “s”
curve of your spine
Support lower back
Keep feet supported
on the floor or use a
foot rest

25. Prevention Strategies
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Avoid typing with wrists at an odd angles
keep them in the neutral position
not bent up or down, or side to side

26. Prevention Strategies
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The keyboard should be slightly lower than
normal desk height.
Use an adjustable keyboard tray
If it is not low enough, try raising your chair
height.
Prevent your legs from dangling by using a
footrest.
Adjust your chair!
Most people never adjust their new adjustable
chairs!

27. Prevention Strategies
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Do not pound the keys. Use a light touch.
Use two hands to perform double key
operations like Ctrl-C or Alt-F instead of
twisting one hand to do it.
Position frequently-used equipment so
that you don’t have to reach for it.

28. Prevention Strategies
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Place monitor in front of you,
not off at an angle.
Take lots of breaks to stretch and relax.
Recommended: Take a 15 minute break
for every HOUR of computer use!
Hold the mouse lightly.
Keep your hands and arms warm.

29. Prevention Strategies
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Pay attention to the signals your body
provides you.
If your neck hurts at work, examine your
body position to try to figure out what might
be causing the soreness.
Are you holding your neck at an awkward
angle while you type or talk on the phone?
Are you (over-) extending your reach?
Is your reaching arm unsupported?

30. Prevention Strategies
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If you are experiencing symptoms of RSIs such
as:
Tingling or numbness in the hands or fingers
Pain in fingers, hands wrists, or even shooting
up into the arms or forearms
Loss of strength or coordination in the hands
Numbness or discomfort in the hands that
wakes you up at night....
SEE A DOCTOR!

31. Eyestrain
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Position monitor at a comfortable distance
Avoid glare
Adjust brightness and contrast
Keep screen clear of dust
Look up and away every few minutes or so!
Focus on objects at different distances, to
exercise your eye muscles
Clean your eyeglasses

32. Ergonomic Products
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There are a variety of affordable,
adjustable, ergonomic products available
on the market, including:
Keyboards & keyboard trays
Wrist rests, foot rests
Mouse pads
Chairs
Adjustable desks
Glare screens …

33. SPORTS INJURIES
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34. SPORTS INJURIES
 Injuries happening while playing sports is very common.
 Shoulder and knee joints are major sufferers
 Sports injuries may lead to minor sprains to major
musculoskeletal dysfunction
 Players playing Contact sports like basketball, football,
kabaddi etc are major sufferers.

35. KNEE INJURIES
 Knee is most commonly suffered joint in sports person.
 Most common knee injuries ranges from sprains to multi-
ligamentous injuries
 Common knee ligament injuries-
 Acl tear
 Mcl tear
 Pcl tear
 Meniscus tear

36. ACL TEAR
 M/C Torn ligament.
 Mainly needs surgery.
 Open surgery is almost absolete now.
 ARTHROSCOPIC SURGERY is widely accepted.
 Single bundle repair
 Double bundle anatomical repair
 Post operative physio protocol.
 My dept. is one among few centres in INDIA
where Arthroscopic double bundle ACL
Reconstruction is routinely done.

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38. ANKLE
 Ankle sprain is most common injuries happening but most
commonly neglected.
 Internal twisting of ankle leads to lateral ligament
insufficiency ranging from partial to complete tear.
 Needs supervised appraoch.
 Mainly heals with conservative approach.
 Rarely needs surgery in ankle instability

39. ANKLE
 Ankle arthroscopy for ligament reconstruction
 Rarely needed but rarely available
I am happy to share that my department of Sports
medicine, Narayana hospital is first in Rajasthan to
perform some ARTHROSCOPIC ANKLE LIGAMENT
RECONSTRUCION SURGERY

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44. MOBILE NO:- 8130475730, 9210696045

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