1. KSC RehabWorks
Safety & Health Presentation
O&C Building, Room 1108
Phone: 867-7497
Fax: 867-1144
KSC-RehabWorks@mail.nasa.gov

3. RehabWorks Operations
 Monday - Friday, 7am-5pm
 Treat work, non-work, sport injuries
 Pre and post-operative rehabilitation
 Patient Treatment Days – M, W, F
 Each appointment last approx. 1 hour
 Avg. patient receives 2-3 appointments/week
 Tuesdays and Thursdays are for new patients and employee
outreach/training
 Employees can request a one-time consult

6. Rx for AT Services

7. Common Diagnosis Treated
Chronic
Post-Operative
 Neck and Back Pain
 Spinal Fusion
 DDD/OA
 Diskectomy/Laminectomy
 Carpal Tunnel Syndrome
 Epicondylitis/Tenosynovitis
 Shoulder Impingement
 ACL Reconstruction
 Meniscectomy/Debridement
 Fracture ORIF
 SAD/RCR
 Plantar Fasciitis
 Total Joint Arthroplasty
 Myofascial Pain Syndromes
 Nerve Release/Transposition

10. Sitting Disease
 What is it?
 Is it contagious?
 Is there a pill that can fix it?
 Is this the medical term for couch potato??

11. Sitting Disease???
 How many hours a day do you sit?




Driving
Work
Watching TV
At meals
 50% to 70% of people spend six or more hours sitting a
day
 20% to 35% spend four or more hours a day watching TV

14. Increased Risks
 Sedentary lifestyle is associated with increased risk for
type 2 diabetes, heart disease and certain cancers
(breast and colon).
 Physical activity seems to reduce risks by increasing
insulin sensitivity, reducing body fat, inflammation and
certain hormonal imbalances. So becoming more active
also makes life — in general — healthier and easier.

15. Sitting Disease
 3 out of 4 full time employees of large companies wish
they didn’t spend most of their working hours sitting
 67% of US office workers wish their employees offered
them desks that could be adjusted so they could work
either sitting or standing.

16. Life Expectancy
 A recent study revealed that Americans' sedentary
lifestyle shortens their life expectancy. If Americans
would cut their sitting time in half, their life
expectancy would increase by roughly:
 2 years (by reducing sitting to less than 3 hours a day)
 1.4 years (by reducing TV time to less than 2 hours a
day)

17. Sitting vs. Standing
 Sitting is harder on your back than standing.
 Sitting tenses the hamstrings and causes a flattening of
normal curve in the low back. This distortion of the spine
increases the compression of the discs in the low back
area. Sitting upright or sitting in a forward bent position is
even worse!

18. Lumbar Disc Pressure

19. Lumbar Disc Pressure

20. Tendonitis
 Repetitive wrist motions
 Repetitive shoulder motions
 Sustained hyper extension
of arms and wrists
 Prolonged load on shoulders
 Medial/Lateral
Epicondylitis
(Tennis/Golfers Elbow)
 DeQuervians

21. Trigger Points
 Taunt bands within a
muscle, creating a knot.
 TrPs creates referred pain.
 Usually due to poor posture
 Consistently stretched
muscle, contracted muscle,
or fatigued muscle.

25. NEAT
 Non-Exercise Activity Thermogenesis
 Includes stretching, turning, bending,
 Aim for 10 minutes each hour
 No excuses
 Even if you workout, you may be sitting too long and
suffering from the sitting disease.
 To prevent the sitting disease you have to look at the whole
day….what are you doing each hour?
 Turn TV time into a productive time.
 Iron while watching TV
 Walk on a treadmill/stationary bike
 Clean the room where the TV is

26. How to increase activity?
 Increased activity simply means
 Stand more (set a timer and stand hourly)
 Take microbreaks every 30 minutes while working at a desk
 Get a pedometer and count your steps — increase from
your baseline
 Take stairs vs. elevator
 Walk down the hall to co-workers instead of email
 Adopt new habits
 Stand during meetings, go for a walk with your co-worker as
you discuss ―abc‖.
 VIDEO

27. Summary
 If you can stand, don’t sit.
 If you can walk, don’t stand.
 If you can do something manually, don’t use a machine.

28. Thank You