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2
Why is Back Safety
          Important ?
According to OSHA, workplace back
related injuries are the #1 safety problem
in the United States.
• Back injuries are very painful.
• Back injuries are long term or disabling.
• Back injuries are hard to diagnose and
  are expensive to treat.


                                              3
The Spinal Column
♦ The spine is made of
  24 vertebrae.
♦ The vertebrae are
  separated by
  individual discs.




                            4
The Spinal Column




                    5
The Spinal Column
♦ There are 31 pairs
  (62 bundles) of spinal
  nerves that serve the
  entire body.
♦ The adult spinal cord
  is approximately ½”
  in diameter.
♦ The spinal cord for
  average adult is
  approximately 18”
  long.

                            6
The Spinal Column
♦ A herniated or
  ruptured disc occurs
  when the nucleus of
  the disc bulges under
  pressure pushing the
  disc against the
  spinal column or one
  of the nerve bundles.




                           7
The Forces Involved
The amount of force you place on your
  back in lifting may surprise you!
Think of your back as a lever.
With the fulcrum
 in the center, it only
 takes ten pounds of
 pressure to lift a ten
 pound object.

                                        8
The Forces Involved
If you shift the fulcrum to one side, it takes much more
   force to lift the same object. Your waist acts like the
   fulcrum in a lever system, on a 10:1 ratio.
 Lifting a
 ten pound
 object puts
 100 pounds
 of pressure
 on your
 lower back.


                                                             9
The Forces Involved
When you add in the
                         1,050 lbs
  105 pounds of the
  average human upper
  torso, you see that
  lifting a ten pound
  object actually puts
  1,050 pounds of
  pressure on the
  lower back.

                                     10
The Forces Involved
If you were 25 pounds
overweight, it would add    1,300 lbs
an additional 250 pounds
of pressure on your back
every time you bend over.




                                        11
12
Common Causes of Back
Injuries
Anytime you find yourself doing one of
 these things, you should think:
DANGER! My back is at risk!

Try to avoid heavy lifting
 . . Especially repetitive
lifting over a long period
of time

                                         13
Common Causes of Back
Injuries
Twisting at the
 waist while
 lifting or
 holding a heavy
 load . . . this
 frequently happens
 when using a shovel.



                        14
Common Causes of Back
Injuries
Reaching and lifting . . .
  over your head, across
  a table, or out the back
  of a truck . . . .




                             15
Common Causes of Back
Injuries
Lifting or carrying
  objects with awkward
  or odd shapes . . . .




                          16
Common Causes of Back
Injuries

Working in awkward,
uncomfortable positions . . .




                                17
Common Causes of Back
Injuries
Sitting or standing
  too long in one
  position . . . sitting
  can be very hard
  on the lower back . . . .
  causing additional strain
  due to the natural curve
  of the back being
  straightened.
                              18
Common Causes of Back
Injuries
It is also possible
to injure your
back slipping on
a wet floor or ice . . .




                           19
20
Prevent Back Injuries
♦ Avoid lifting and bending whenever you can.
♦ Place objects up off the floor.
♦ Raise/lower shelves.
♦ Use carts and dolleys.
♦ Use cranes, hoists, lift tables, and other lift-
  assist devices whenever you can.
♦ Test the weight of an object before lifting by
  picking up a corner.
♦ Get help if it’s too heavy for you to lift it alone.

                                                         21
Prevent Back Injuries
♦ Use proper lift procedures . . . Follow
  these steps when lifting . . . .
   – Take a balanced stance, feet shoulder-
     width apart. Stand close to the object.

  – Bend at the knees




                                               22
Prevent Back Injuries
♦ Get a secure grip, hug the load.


♦ Lift gradually using your legs, keep load
 close to you, keep back and neck
 straight.




                                              23
Prevent Back Injuries
♦ Once standing, change directions by
  pointing your feet and turn your
  whole body. Avoid twisting at your
  waist.

♦ To put load down, use these
  guidelines in reverse.


                                        24
25
Things You Can Do
♦ Minimize problems with your back
  by exercises that tone the muscles in
  your back, hips and thighs.
♦ Before beginning any exercise
  program, you should check with
  your doctor


                                          26
Exercise!
♦ Exercise regularly, every other day.
  Warm up slowly . . . A brisk walk is
   a good way to warm up

  Inhale deeply before each repetition
   of an exercise and exhale when
   performing each repetition.

                                         27
Exercises To Help Your
Back
Wall slides to strengthen
 your muscles . . . .

 Stand with your back
 against a wall, feet
 shoulder-width apart.
 Slide down into a crouch
 with knees bent to 90 degrees.
 Count to 5 and slide back up
 the wall. Repeat 5 times.
                                  28
Exercises To Help Your
Back
Leg raises to strengthen back and hip muscles . . .
 Lie on your stomach.
 Tighten muscles in one leg and raise leg from
  floor.
 Hold for count of 10, and return leg to floor.
 Do the same with your other leg.
 Repeat five times with each leg.




                                                      29
Exercises To Help Your
Back
Leg raises to strengthen back and hip muscles
Lie on back, arms at your sides. Lift one leg off
  floor and hold for count of ten. Do the same
  with the other leg. Repeat 5 times with each
  leg. If this is too difficult…
keep one knee bent
and the foot flat on
the floor while raising
the other leg.

                                                    30
Exercises To Help Your
Back
Leg raises while seated . . .
 Sit upright, legs straight
 and extended at an angle
 to floor. Lift one leg waist
 high. Slowly return to
 floor. Do the same with
 the other leg.

 Repeat 5 times with
 each leg.
                                31
Exercises To Help Your
Back
Partial sit-up to strengthen stomach muscles . . . .
 Lie on back, knees bent and feet flat on floor.
  Slowly raise head and shoulders off floor and
  reach both hands toward your knees. Count to
  10. Repeat 5 times.




                                                       32
Exercises To Help Your
Back
Back leg swing to strengthen hip and back
  muscles . . . .

 Stand behind chair, hands
 on chair. Lift one leg back
 and up, keeping the knee
 straight. Return slowly.
 Raise other leg and return.

 Repeat 5 time with each leg.
                                            33
Exercises To Decrease the
Strain on Your Back
Lie on back, knees bent, feet flat on floor.
 Raise knees toward chest.
 Place hands under knees & pull knees to chest.
 Do not raise head.
 Do not straighten legs
 as you lower them.

 Start with 5 repetitions,
 several time a day.

                                                  34
Exercises To Decrease the
Strain on Your Back
Lie on stomach, hands under shoulders, elbows
  bent and push up. Raise top half of body as
  high as possible. Keep hips and legs on floor.
  Hold for one or two seconds. Repeat 10 times,
  several times a day.




                                                   35
Exercises To Decrease the
Strain on Your Back
Stand with feet apart.
  Place hands in small of
  back. Keep knees straight.
  Bend backwards at waist
  as far as possible and hold
  for one or two seconds.

 Repeat as needed.


                                36
Take care of your back…
♦ And it will take care of you
  – Exercise daily
  – Avoid Heavy Lifting
  – Get Help with heavy or bulky objects
  – If you must bend over, do it properly
  – Avoid twisting at the waist when carrying
    objects
  – Always watch where you’re going
  – Two years after back surgery, 80% fail
  – Once you’ve had back surgery you will have
    another, it is not a question of if but when
                                                   37
Proper Lifting Technique
1.   Keep the feet at least a foot apart to provide       a
     stable base.
2.   Bend at the knees to retrieve the item.
3.   Use a firm hold on the item.
4.   Tighten the abdominal muscles.
5.   Lift with the legs.
6.   Keep the item close to the body for extra support.
7.   Keep the back straight as you lift.
8.   Turn by pivoting the feet, not by twisting the trunk.



                                                              38
Back Safety
  What Does Safety Clyde Say?




Use Proper Lifting Techniques !!!
                                    39

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Back (2)

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  • 3. Why is Back Safety Important ? According to OSHA, workplace back related injuries are the #1 safety problem in the United States. • Back injuries are very painful. • Back injuries are long term or disabling. • Back injuries are hard to diagnose and are expensive to treat. 3
  • 4. The Spinal Column ♦ The spine is made of 24 vertebrae. ♦ The vertebrae are separated by individual discs. 4
  • 6. The Spinal Column ♦ There are 31 pairs (62 bundles) of spinal nerves that serve the entire body. ♦ The adult spinal cord is approximately ½” in diameter. ♦ The spinal cord for average adult is approximately 18” long. 6
  • 7. The Spinal Column ♦ A herniated or ruptured disc occurs when the nucleus of the disc bulges under pressure pushing the disc against the spinal column or one of the nerve bundles. 7
  • 8. The Forces Involved The amount of force you place on your back in lifting may surprise you! Think of your back as a lever. With the fulcrum in the center, it only takes ten pounds of pressure to lift a ten pound object. 8
  • 9. The Forces Involved If you shift the fulcrum to one side, it takes much more force to lift the same object. Your waist acts like the fulcrum in a lever system, on a 10:1 ratio. Lifting a ten pound object puts 100 pounds of pressure on your lower back. 9
  • 10. The Forces Involved When you add in the 1,050 lbs 105 pounds of the average human upper torso, you see that lifting a ten pound object actually puts 1,050 pounds of pressure on the lower back. 10
  • 11. The Forces Involved If you were 25 pounds overweight, it would add 1,300 lbs an additional 250 pounds of pressure on your back every time you bend over. 11
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  • 13. Common Causes of Back Injuries Anytime you find yourself doing one of these things, you should think: DANGER! My back is at risk! Try to avoid heavy lifting . . Especially repetitive lifting over a long period of time 13
  • 14. Common Causes of Back Injuries Twisting at the waist while lifting or holding a heavy load . . . this frequently happens when using a shovel. 14
  • 15. Common Causes of Back Injuries Reaching and lifting . . . over your head, across a table, or out the back of a truck . . . . 15
  • 16. Common Causes of Back Injuries Lifting or carrying objects with awkward or odd shapes . . . . 16
  • 17. Common Causes of Back Injuries Working in awkward, uncomfortable positions . . . 17
  • 18. Common Causes of Back Injuries Sitting or standing too long in one position . . . sitting can be very hard on the lower back . . . . causing additional strain due to the natural curve of the back being straightened. 18
  • 19. Common Causes of Back Injuries It is also possible to injure your back slipping on a wet floor or ice . . . 19
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  • 21. Prevent Back Injuries ♦ Avoid lifting and bending whenever you can. ♦ Place objects up off the floor. ♦ Raise/lower shelves. ♦ Use carts and dolleys. ♦ Use cranes, hoists, lift tables, and other lift- assist devices whenever you can. ♦ Test the weight of an object before lifting by picking up a corner. ♦ Get help if it’s too heavy for you to lift it alone. 21
  • 22. Prevent Back Injuries ♦ Use proper lift procedures . . . Follow these steps when lifting . . . . – Take a balanced stance, feet shoulder- width apart. Stand close to the object. – Bend at the knees 22
  • 23. Prevent Back Injuries ♦ Get a secure grip, hug the load. ♦ Lift gradually using your legs, keep load close to you, keep back and neck straight. 23
  • 24. Prevent Back Injuries ♦ Once standing, change directions by pointing your feet and turn your whole body. Avoid twisting at your waist. ♦ To put load down, use these guidelines in reverse. 24
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  • 26. Things You Can Do ♦ Minimize problems with your back by exercises that tone the muscles in your back, hips and thighs. ♦ Before beginning any exercise program, you should check with your doctor 26
  • 27. Exercise! ♦ Exercise regularly, every other day. Warm up slowly . . . A brisk walk is a good way to warm up Inhale deeply before each repetition of an exercise and exhale when performing each repetition. 27
  • 28. Exercises To Help Your Back Wall slides to strengthen your muscles . . . . Stand with your back against a wall, feet shoulder-width apart. Slide down into a crouch with knees bent to 90 degrees. Count to 5 and slide back up the wall. Repeat 5 times. 28
  • 29. Exercises To Help Your Back Leg raises to strengthen back and hip muscles . . . Lie on your stomach. Tighten muscles in one leg and raise leg from floor. Hold for count of 10, and return leg to floor. Do the same with your other leg. Repeat five times with each leg. 29
  • 30. Exercises To Help Your Back Leg raises to strengthen back and hip muscles Lie on back, arms at your sides. Lift one leg off floor and hold for count of ten. Do the same with the other leg. Repeat 5 times with each leg. If this is too difficult… keep one knee bent and the foot flat on the floor while raising the other leg. 30
  • 31. Exercises To Help Your Back Leg raises while seated . . . Sit upright, legs straight and extended at an angle to floor. Lift one leg waist high. Slowly return to floor. Do the same with the other leg. Repeat 5 times with each leg. 31
  • 32. Exercises To Help Your Back Partial sit-up to strengthen stomach muscles . . . . Lie on back, knees bent and feet flat on floor. Slowly raise head and shoulders off floor and reach both hands toward your knees. Count to 10. Repeat 5 times. 32
  • 33. Exercises To Help Your Back Back leg swing to strengthen hip and back muscles . . . . Stand behind chair, hands on chair. Lift one leg back and up, keeping the knee straight. Return slowly. Raise other leg and return. Repeat 5 time with each leg. 33
  • 34. Exercises To Decrease the Strain on Your Back Lie on back, knees bent, feet flat on floor. Raise knees toward chest. Place hands under knees & pull knees to chest. Do not raise head. Do not straighten legs as you lower them. Start with 5 repetitions, several time a day. 34
  • 35. Exercises To Decrease the Strain on Your Back Lie on stomach, hands under shoulders, elbows bent and push up. Raise top half of body as high as possible. Keep hips and legs on floor. Hold for one or two seconds. Repeat 10 times, several times a day. 35
  • 36. Exercises To Decrease the Strain on Your Back Stand with feet apart. Place hands in small of back. Keep knees straight. Bend backwards at waist as far as possible and hold for one or two seconds. Repeat as needed. 36
  • 37. Take care of your back… ♦ And it will take care of you – Exercise daily – Avoid Heavy Lifting – Get Help with heavy or bulky objects – If you must bend over, do it properly – Avoid twisting at the waist when carrying objects – Always watch where you’re going – Two years after back surgery, 80% fail – Once you’ve had back surgery you will have another, it is not a question of if but when 37
  • 38. Proper Lifting Technique 1. Keep the feet at least a foot apart to provide a stable base. 2. Bend at the knees to retrieve the item. 3. Use a firm hold on the item. 4. Tighten the abdominal muscles. 5. Lift with the legs. 6. Keep the item close to the body for extra support. 7. Keep the back straight as you lift. 8. Turn by pivoting the feet, not by twisting the trunk. 38
  • 39. Back Safety What Does Safety Clyde Say? Use Proper Lifting Techniques !!! 39

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