The document outlines principles and practices of office ergonomics, emphasizing the need to dispel myths surrounding ergonomic solutions such as sit-stand desks and doctor recommendations. It presents a multi-tiered system for addressing office ergonomics, including software tools and training for employees, as well as onsite evaluations. Additionally, it discusses the importance of proper posture, the effects of false symptoms related to carpal tunnel syndrome, and the implementation of successful ergonomic interventions that resulted in significant cost savings.

1. Office Ergonomics
Principles and Practice in a Multi-
Tiered System

2. Objectives
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4. Myths that travel…
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• Office Ergonomics: Elementary
• Listen to People; Issues Disappear
• Sit-Stand Desks Should be Universal
• Doctor’s Rx are Unimpeachable
• New Equipment Drives Copycats
• Stretching Feels Good
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5. Dispelling Myths with Truth
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• Office Ergonomics: Not Elementary
Changing Demographics
Complex WC Claims
- Symptoms Don’t Match Case
Special Cases
Doctors’ Misdirected Rx
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6. Dispelling Myths with Truth
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• Listen to People, Then Solve Puzzle
Interview is Vital
What Experience Says
Insights on Attitude & Risks
Keys to Fixes
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7. Dispelling Myths with Truth
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• Sit-Stand Workstations: Proceed with Care
Pressure to Install
Percentage of Use
Who Uses Them?
Optimizing an Investment
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8. Dispelling Myths with Truth
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• Doctors’ Recommendations are Fallible
Nerve Conduction Testing Concerns
Surgical Rx
Wrist Splint Limits
Shotgun Ergonomics Hardware
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9. Dispelling Myths with Truth
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• New Equipment: Drives Resistance
Operators Often Skeptical
Client History & New Equipment
Management is the Challenge
‘Doctors’ Orders’ Conundrum
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10. Dispelling Myths with Truth
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• Stretch Exercises Do Not Feel Good
Stretching Naturally Uncomfortable
Sensations Help Gauge Stretch
Proper Stretches Necessary
The Stretch ‘Test”
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11. Best Practice Tool Examples
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• Cardinus Software
− Work Safety Plus
− Manual Handling Plus
− Healthy Working – Computers, Smartphones, Tablets
− SitStandCoach Desk Use
− CtrlWork for Rest Breaks
− AltMouse: Keyboard Shortcut Training

12. Multi-Tiered Ergonomics System
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Tier One
- Software - Employee Training & Evaluation Component
- Auto-Generated recommendations
Tier Two
- ESIS Follow-up via email or phone
- Remote phone assessment performed (as needed)
Tier Three
- Onsite evaluation

13. Emerging Issues & Consequences
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14. False Symptoms of CTS
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• Postural Issues
• Slumped Torso
• Neurovascular Compression
- - Zacharkow

15. Postural Deviation
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• Impaired Associates Use ~15% More Force
• Fatigue Can Contribute to Injury
• Dehydration May Be Linked to Muscle Tears

16. Postural Deviation
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17. Postural Deviation - Slump
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Neurovascular
Compression =
False CTS Diagnosis
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18. Mouse Rest Trauma Avoidance
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• Is It Needed?
• Placement

19. Nerve Conduction Testing
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• Not Practical
• False Positives
• False Negatives
• Case History
- Risk Management Magazine

20. The Physical Conditioning Challenge
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• Wrist Band Trauma
• 250 Kg. Operator – Chair Collapse
• Multiple Organic Issues
• Eighth Circuit Ct. Ruling

21. MPI: What is It?
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• Illnesses: Out of Control
• Case History
• Ergonomics & IH Link
• Outcome: Full Recoveries

22. What Benefit, These Modifications?
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500 – 1000 Lux Common & Accepted
Readings Here < 50 Lux

23. Success for the History Books
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• Success in a Multi-Tiered Ergonomics System
- Implemented Cardinus Software
- Utilized ESIS-Trained Trainers
- Supervisor-guided Evaluations
- ESIS Intervention with Higher Challenges
- Design Stage Input: ESIS & Client
- CFO Review: Millions Saved

24. Best Practices: Multi-Tiered Ergonomics System
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• Quality Ergonomics Training
• Good Software Systems
• Ergonomics Evaluations
• Program Overview
• Specialist Assistance
• Guidance: Design & Setup
• Engage Employees
• Metrics
• Program Review
Capabilities Demands

25. Can Exercise Balls Function as Chairs?
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- Disc Pressures
- Stability
- McGill

26. Kneel Chairs
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For Review:
- Contact Stress
- Stability
- Support
- Dual Seating

27. Treadmill Workstations
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Factors of Interest
• Productivity & Error Rate
• Cognitive Function
- BYU Study
• Space Factor
• Injury Potential

28. “2000 Yr. Old Treatment To Decompress Spine; Eliminate Pain”
- Ad Quote
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29. The Ultimate Workstation?
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30. Exercise Factors
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• Differentiating Exercises
• Programs’ Consequences
• What Companies?
• Current Interest