CALI Ergonomics Presentation

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1 CALI Ergonomics Presentation Compliments of John DePierre, ARM Workers Compensation & Employment Risk Management Designed Employment Practice P.O. Box 172 El Dorado, CA Phone: Mobile: Fax:

2 Ergonomics Defined: The Science relating persons and their work, including the factors affecting the efficient use of human energy What is the Goal of an Ergonomics Program? To reduce or eliminate discomfort or physical problems that may lead to more serious Repetitive Motion Injury (RMI s) What are the Strategies to achieve the Ergonomics Program Goal? To identify environmental factors that would create Discomfort or physical problems To arrange the work area in order to reduce discomfort or physical problems

3 FACT OR FICTION: My hands are numb and tingle. I must have Carpal Tunnel Syndrome

4 Fiction! 95% of persons who experience hand numbness or tingling are performing repetitive jobs in a way that causes excessive neuro musculature discomfort

5 FACT OR FICTION: If I go to the Doctor when my job is causing discomfort to my hands, arms, elbow or shoulder, I will be cured by the Doctors Evaluation and Treatment.

6 Fiction! Doctors perform an evaluation and properly diagnose tendonitis or some form of reversible repetitive motion condition, but are unable to address the ergonomic cause of the condition.

7 Multiple Choice Choose the Right Answer(s) Prescriptions filled by the Doctor for Repetitive Motion Injuries include: A) Meds or Pharms (Anti-Inflammatories) B) Physical Therapy C) Ergonomic Assessment and Correction

8 Ergonomic Injury Prevention Lost Day Injuries Recordable Injuries First Aid Injuries ERGONOMIC ASSESSMENT At Risk Behaviors, Procedures & Conditions

9 Ergonomic Strains & Sprains OBSERVE FOR: Excessive or Ongoing Repetitive Motion Minimal Job Rotation Uncomfortable Work Positions Improper Posture Unusual Work Station Design or Use Head & Eye Position: View of work, Monitor, Phone Use, At Rest Position Hand & Arm Use: Grasp, Push, Movement, At Rest Position Shoulder Use: Reach Above or Below Shoulder & Lifting At Rest Position Back Use: Lift Frequency, Load Weight, Twisting, At Rest Position; Posture Forward, Supported Stretch for Circulation Rotation at Repetitive Tasks: Every 2 Hours Minimum Take Work Breaks Workstation & Equipment Design: Comfort, Automation, Fits Worker

10 JOB ERGONOMICS SURVEY Instructions To Complete Survey Employer: Employee Name: Job Position: Physical Tasks: Date of Assessment: Work Station Observations Record or Indicate: 1. Persons Height 2. Whether person is Right Handed, Left Handed or Ambidextrous 3. Number of phone calls /day (many #, moderate #, few #) 4. Problems or Discomforts 5. Whether Discomfort is a result of prior injuries or injuries incurred away from work. Employee Work Position 1. Legs - Legs are > 90º or < 90º to the main torso; stretched out, cramped 2. Arms Arms are > 90º or < 90º to the main torso; extended to or over keyboard 3. Hands Hands are at rest ; extended, resting on hard surface or wrist pad 4. Head - Head position is erect; examine eye position when reading or viewing Monitor 5. Posture: Reclined, Forward, Erect - Body position is erect in chair when using Computer or desktop Employee Vision 1. Reading Distance - Measure & record the reading distance (inches) to documents read while at workstation 2. Computer Screen Distance - Measure & record the reading distance (inches) to documents read at workstation 3. Contacts or Glasses (Nearsighted, Farsighted, Normal) - Indicate if these are worn or if None are worn 4. Last Eye Exam Indicate Date of last exam & if major adjustments to prescription were indicated Equipment Used 1. Computer, Mouse, Monitor & Keyboard Describe location & comment on observations with equipment use 2. Wrist Pad Indicate if a wrist pad is used at keyboard and calculator (for keying) 3. Chair Describe height adjustment for leg/torso angle, back support & incline, arm rest effectiveness 4. Calculator Indicate position on desktop; does position require an extended stretch 5. Easel Indicate if used ; could it help relieve eye strain / head extension, provide more desk top 6. Telephone Indicate where it is on desktop, how many calls/ day; answered with dominant hand; headset use 7. Printer If on desktop, describe location & its relation to other equipment Recommendations 1. What needs to be adjusted, moved 2. What equipment needs to be added 3. Behaviors that require modification

11 STRETCH TYPE STANDING TRUNK FLEXION STRETCH (20 Seconds) SHOULDER STRETCH (20 Seconds) SHOULDER STRETCH, TRUNK & BACK ROTATION (20 Seconds) FOREARM & THUMB STRETCH (20 Seconds) PRAYER STRETCH (20 Seconds) Approval: California Association of Licensed Investigators Ergonomic Conditioning: 20 Second "Micro Stretches" for Repetitive Motion Tasks DEPARTMENT: Field Tasks JOB FUNCTIONS: Active Exertion - Requiring Full Body Stretch MUSCLES IN STRETCH CALF HAMSTRING STOMACH LOWER BACK NECK SHOULDER UPPER BACK UPPER TRUNK INSTRUCTION & PRECAUTIONS 1) Foot Upward: (calf & hamstring) 2) Suck in Stomach 3) Round Lower Back 4) Bend neck downward 5) Switch Sides * Stretch should be felt in back of leg & lower back A) Gentle muscle tension with gentle release B) No Muscle Burning or Discomfort C) No Quick Motion to Tension D) Release Muscles slowly 1) Bend Arm-Grab Shoulder 2) Pull Elbow Gently to Stretch 3) Switch Sides * Stretch should be felt on upper back & shoulders. A) Gentle Muscle Tension With Gentle Release B) No Muscle Burning or Discomfort C) No Quick Motion to Tension D) Release Muscles slowly SHOULDER 1) Lock Wrists 2) Rotate to Left & to Right UPPER BACK 3) Bend to side gently UPPER 4) Switch Sides * Stretch should be TRUNK felt on side of trunk, ribs, shoulder & upper back A) Gentle muscle tension with gentle release B) No muscle burning or discomfort C) No quick motion to tension THUMB WRIST FOREARM UPPER ARM SHOULDER WRISTS FOREARMS THUMBS Department: D) Release muscles slowly 1) Straight Arm Slightly Flexed 2) Elbow Straight 3) Palm Up 4) Switch Sides * Stretch should be felt on top of forearm & elbow A) Gentle muscle tension with gentle release B) No muscle burning or discomfort C) No quick motion to tension D) Release muscles slowly 1) Hand "Prayer" Position 2) Extend Forearms Slightly 3) Stretch Thumbs Slightly * Stretch should be felt in forearm A) Gentle muscle tension with gentle release B) No muscle burning or discomfort C) No quick motion to Tension D) Release muscles slowly Job Positions: 20 Second MICRO STRETCH VISUAL AID Physical Therapist: Frank Fogal, US HealthWorks

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