Preview of the ‘No-Lost-Time’ Presentation
SPECIFIC TOPICS...
What, exactly, is taught in the MSD Prevention Schools?
Employee training focuses on how to take care of your working, aging body, how to avoid work pain problems, personal ergonomics skills, motivating employees to take care of themselves on and off the job.
Supervisor-manager training adds to this... how to address workplace politics, policies attitudes that can increase injuries and costs and conflicts over Worker Comp and injuries.
For the Upper Extremity School, we address anatomy... biomechanics of work... MSD risk factors... worker behaviors versus ergonomics design as separate risks... static posture is more of a risk than is repetitive motion... neck, shoulder, elbow, wrist risks... ergonomics tactics... job rotation... sit-stand option tactics... micro-stretching (it works!)... manager-supervisor classes discuss where do the costs come from (attitudes, politics, policies that magnify costs)... proper injury response policies... return-to-work strategies... assuring proper injury care... how to do Restricted Duty.
For the Back School, we address facet-disc-ligament-muscle anatomy and mechanical function... disc loading functions and breakdown (per the McKenzie principle)... work risks for forward bending, sitting, standing, posture, movement... lifting ergonomics demands risks and correction tactics... worker body mechanics risks... new definitions of "proper" lifting... micro-stretches for the low back... self-care at home after work... proper care and return-to-work from injury.
ALL WITH A SPECIAL EMPHASIS ON THE ‘AGING’ WORKER.
For the Office-Computer Ergo School, we address biomechanics of sitting... sustained posture versus repetitive motion hazards... neck hazards... wrist-hand hazards... proper setup at monitor, keyboard, mouse, proper seating... micro-stretching... posture variety tactics.
Teaching a Back School to workers
TOPICS LIST for the NO-LOST-TIME Back School or MSD School...
Supervisor classes include workplace politics-policies-attitudes that magnify claims and costs... proper injury response... return-to-work strategies... Restricted Duty methods... motivating workers to protect themselves. These are workplace politics issues that we do NOT discuss with the employees.
Employee classes emphasize how to take care of yourself... how to survive work comfortably... how to minimize and reverse musculo-skeletal aging... how to protect yourself from MSD problems... how to work smarter to minimize work pain problems. We avoid issues that will upset delicate workplace politics.
Slide-topics list for the supervisors' version of our NLT Schools...
(discussing several key workplace politics & policies)
The problem.. MSD claims-costs-productivity
MSD Tendinitis, carpal tunnel, back pain, overuse disorders
Worker health, worker fitness-for-work, the AGING worker!
MSD costs $1 million per 500 employees annually, 55% of Comp claims, 65% of costs
Company A average $5,000 per claim while company B averages $500 per claim ..WHY?
MSD risks work demands, work design, work technique, posture habits worker fitness, aging
MSD costs number of claims, timely reporting, management response, health care, attitudes
Workplace politics ..conflict increases costs
Faking.. only 7-10% are faking
What we mistake for faking is an attitude the worker has when the claim is not believed !
Work related? 20% are totally work-related.. 20% totally not work related ..60% are a mix
Ergonomics Injury.. poor terminology.. most MSD is not caused by poor job design
Ergonomics (work design & demands) VS The Worker (body mechanics and fitness for work)
The workplace needs to master the MSD issues.. what it is and how to fix it
WORK ..Movement ..Posture ..Loading
ANATOMY muscles tendons ligaments joints nerves blood supply
BLOOD SUPPLY IS THE KEY ..stressful work restricted blood supply
Reduced blood supply ..anaerobic work ..excessive acid waste products trapped in tissues
This causes inflammation tendinitis
MSD is a blood supply problem ...prevent MSD by improving tissue perfusion
Repetitive Motion ..Sustained Posture ..Work Health (and aging effects)
It is easier to improve posture than to reduce repetitive motion (without damage to production)
The AGING Worker
Wear damage scar tissue accumulation ..reversing musculoskeletal aging
Specific MSD risk factors
Forward Head Posture
Arm support
Shoulder; Cuff loads
Tennis Elbow Loads
Wrist and carpal Tunnel Stresses
Thumb MSD risks
Wrist flexion-deviation-supination-deQuervain's risks
Demographic Risks ..women, younger & older workers, new employees
Work demands risks ..production, turnover, piecework pay, workplaces stress
Work Design & Ergonomics: ..Posture ..Movement ..Loading ..Environment
Ergonomics problem-solving.. what's wrong with this job and how do we fix it
Computer workstation ergonomics
When Ergonomics is not a option... work variety, sit-stand, micro-stretching
MICRO-STRETCHING it works ! Rules for success
Our Micro-stretching Program
MSD COSTS STRATEGIES
Early reporting
Management's claims response
Health provider access ..quality care .. provider relations with workplace
Return-to-work strategies
Proper treatment and return to work
How to manage Restricted Duty
Health provider relations
Other prevention-treatment-recovery strategies
LOW BACK SCHOOL..
The human spine very mobile and very stable (at the same time)
ANATOMY of the Spine
Facet Joint;s how they work; problems
Discs; how they work; problems
Disc; bulging, herniated disc ,disc degeneration
Ligaments ..how they work problems
Muscles ..how they work problems
Loss of muscle protection and stability
Lifting is NOT the cause of most back injury
Workplace back injury risk factors
Forward bending
Tight hamstrings
Sitting posture risks
Standing posture risks
Lifting issues
Lifting ergonomics
Lifting techniques
Perfect posture is BAD for you when you sustain it for long periods
Posture variety is the key
MICRO-STRETCHES for low back protection
Self-Care of the low back
Proper treatment and return-to-work strategies
The company's NO-LOST-TIME Plan
Health care provider relations
How to manage Restricted Duty
Negotiating good health care creating your resources
EMPLOYEE UPPER EXTREMITY SCHOOL
employee class leaves out discussions on workplace politics and policies...
What is the musculoskeletal (MSD) problem
There is more to life than work
Ergonomics work design versus work technique versus worker health & aging
Musculo-skeletal blood supply is the key
MSD comes from reduced blood supply during work loading
Posture is the key
Repetitive motion versus sustained posture
The AGING worker
Neck posture & thoracic outlet
Shoulder patho-mechanics
Tennis elbow pathomechanics
Wrist and carpal tunnel pathomechanics
Thumb & deQuervain's risks
Grip-Pinch
Vibration
Tool Ergonomics
Seating ergonomics
Computer ergonomics
Ergonomics strategies & tactics
Upper body micro-stretching tactics (an emphasis)
BACK SCHOOL...
Low back disorders
Posture versus mobility demands at lumbar
The AGING worker
Facet joint anatomy-function-pathomechanics
Disc structure & function
Disc pathomechanics-bulge-rupture-degeneration
Ligament patho-mechanics
Muscle function and control
Muscle protection of discs-ligaments-joints
Forward bending risks
Hamstring risks
Sitting risks & corrections
Standing risks & corrections
Lifting ergonomics risks
Low back ergonomics tactics
Lifting habits
Lifting techniques & body mechanics tactics
Micro-stretching for the low back
Taking care of your own back
PLUS, we offer a separate dedicated OFFICE-COMPUTER VDT version of the MSD SCHOOL
What do the slides actually look like?
...a few examples (entire program contains ~120 slides)
UPPER EXTREMITY SCHOOLS SAMPLES...
BACK SCHOOL SAMPLE SLIDES...
Employee training focuses on how to take care of your working, aging body, how to avoid work pain problems, personal ergonomics skills, motivating employees to take care of themselves on and off the job.
Supervisor-manager training adds to this... how to address workplace politics, policies attitudes that can increase injuries and costs and conflicts over Worker Comp and injuries.
