Ergonomics Education For Injury Reduction
Jan 06, 2016
Ergonomics Education
For Injury Reduction
Goals:
1. Define ergonomics and its benefits
2. Identify work activities that can lead to injury
3. List examples of ergonomic principles that reduce risk of injury
4. Participate in your company’s ergonomic efforts
5. Identify parts of the body that get injured at work
6. Recognize and report signs and symptoms of injury early
Definitions
• Work-related: caused, aggravated, exacerbated by work place exposures (WHO, 1985)
• WMSD: A acronym for disorders and diseases of the musculoskeletal system… tendon, muscle, nerve, & joints (Hagberg, 1995)
Definition of ergonomics
• Ergonomics means
““fitting the job to the worker”fitting the job to the worker”
“Ergonomics is the science and practice of designing jobs and workplaces to match the capabilities and
limitations of the human body.”
Ergonomics @ Work
Risk of injury - Heavy lifting Cart reduces risk of injury
Benefits of ergonomics
• Ergonomics helps to prevent injuries
• Ergonomics has other benefits
– Improved quality of work
– Improved quality of life
– Reduced fatigue and discomfort
Injuries and risk factors
Injuries and Risk Factors
In this section:
• What are WWork-related MMusculo SSkeletal DDisorders (WMSDsWMSDs)?
• Common types and symptoms of injury
• Causes and prevention of injury
Work-related Musculo Skeletal Disorders (WMSDs)?
• Also known as:– CCumulative TTrauma DDisorders (CTDsCTDs)– RRepetitive SStrain IInjuries (RSIsRSIs)– Overuse injuries
• Soft tissue injuries• Usually develop gradually, but sometimes can
appear suddenly• Can be serious, if not taken care of early
What are some of the symptoms of WMSDs?
• Discomfort
• Pain
• Numbness
• Tingling
• Burning Sensation• Swelling• Change in color• Tightness, loss of
flexibility
Reporting In the Workplace
• Overall, research found that – 22% of all office workers reported pain to the
workplace
• Among those workers with pain (599), 362 (the majority) did not report pain to the workplace
• So there is a threshold for reporting pain.• Of the 362 with pain in the last year:
– Most did not give a reason– 85 did not report because symptoms were mild or not
considered a problem
(Hogg-Johnson et al., in preparation)
What causes WMSDs?
Risk Factors– Awkward Postures– High Hand Force– Repetitive Motions– Repeated Impacts– Heavy, Frequent, or Awkward Lifting– Moderate to High Hand-Arm Vibration
Risk Factors
Risk of injury depends upon:– Duration (how long)– Frequency (how often)– Intensity (how much)– Combinations of risk factors
Risk Factors
Duration – usually need hours of exposure before risk
factors become a concern
– Can be all at one time or cumulative over the day
Focus on our Core
What's the spine for anyway?
• Primary stabilizer of the body
• Shock absorber
• Increases agility and range of motion
• Protects the spinal cord
Causes of Back injuries
• Trauma– Any outside force to the body causing injury such
as a car accident or fall incident
• Overuse– The body is not designed to perform the same
motion over and over for an extended period of time so muscles and tendons can get irritated and ligaments can break down
• Postural dysfunction – adaptive changes in muscle length ( too short or too
long) decrease its ability to function properly– Creates joint compression leading to cartilage and
disc breakdown
Some Numbers
• In an office setting, (Polanyi et al., 1997): – 60% of workers reported having neck or
upper limb pain over the past year
• In an auto parts manufacturing company, (Wells et al., 2000): – 80% of workers reporting some
musculoskeletal (MSK) pain (includes back and legs as well) over the past year
Risk factors for WMSDs
Awkward posturesAwkward postures
Standing neutral posture Seated neutral posture
Head level
Shoulders relaxed
Feet supported
Wrists straight
Elbows at sidesLow back supported
Neutral postures
Posture and Spinal Pressure
Great! Resting on Back Very Bad – Posture & Force
For more than 2 hours per day
Hands over head or elbows above shoulders
For more than 2 hours per day
Neck bent more than 30°
For more than 2 hours per day
Back bent more than 30°
For more than 2 hours per day
Squatting
For more than 2 hours per day
Kneeling
Wrists bent
Reducing awkward postures
• Change workstation heights & display heights
• Tilt or rotate the work
• Use platforms
• Bring items within easy reach
• Pause to stretch
Case Study
Reducing awkward postures
The Key to Good posture
• Standing– Neutral head position– Shoulders and spine square over the
hips– Hips square over the feet– Non-heeled shoes
• Sitting– Feet flat on the floor– Hips and spine at a 90° angle– Spine supported against the back
rest
Risk factors for WMSDs
Heavy, frequent or awkward liftingHeavy, frequent or awkward lifting
• Lifting 75 lbs. once per day
• Lifting 55 lbs. more than 10 times per day
Heavy lifting
• Take smaller loads at one time
• Use mechanical assistance - handtrucks, carts, hoists, conveyors
• Get help from a co-worker
Reducing heavy lifting
• Lifting more than 10 lbs., more than twice per minute, for more than 2 hours per day
Frequent lifting
• Use mechanical assistance
• Slide objects instead of lifting them
• Rotate lifting tasks with co-workers if possible
Reducing frequent lifting
• Lifting more than 25 lbs. above the shoulders, below the knees or at arms’ length more than 25 times per day
Awkward lifting
• Store items where you won’t have to bend or reach to lift them
• Use rolling stairs to get items down from high shelves
Reducing awkward lifts
Oliver-Tolas Observations
• Poor standing and sitting posture
• Work stations too high and too low
• Poor body mechanics– Bending from the back and over reaching– Leaning on one leg– Lifting and twisting
Lifting positions
• Squat– Generally used for heavy lifting
• Staggered– Generally used for heavy lifting as an alternative to the squat position
• Golfers lift– Named after the technique golfers used to pick up their tee’s. Used for very light
objects
Safer Lifting
Always lift from the legs…never from your back
Keep your spine in a neutral position by contracting your abdominals
The closer you hold the object to you, the less strain it will place on your spine
Far from Torso
No leg muscles used!
Exhale on the way up when lifting extremely heavy objects
What youyou can do:
• Recognize and report symptoms early. early.
• Get involved in ergonomics
Symptom recognition and reporting
• Report symptoms if:–Pain is persistent, severe or
worsening–Pain radiates–Symptoms include numbness or
tingling–Symptoms keep you from sleeping
at night
Why is it important to report symptoms earlyearly?
• Chronic injuries sometimes lead to disability, even surgery
• The earlier treatment is rendered the more successful it can be in preventing lifelong problems
Getting involved
• Look at jobs and help identify problems
• Come up with solutions
• Work with solutions
• Take part in training
• Take responsibility for changing the way you do your job
• Help to make sure efforts are successful
…YouYou can play an important part
• YouYou may be asked to participate in:– Analyzing caution zone jobs for hazards
– Finding solutions to these hazards
– Evaluating the success of the solutions
• Later, youyou may…– be given job specific training on proper use of solutions
– keep in touch with ergonomics efforts through the safety committee or at safety meetings.
Key points to remember
Ergonomics can help you on your jobRisk factors can be reduced and WMSDs
preventedYou can help your company put
ergonomics changes into placeWMSDs can happen in jobs with risk
factorsReporting symptoms earlyearly is important
Thank you
Quiz Time!!