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ERGONOMICS
Muhammad Fahad Ansari 12IEEM14
ERGONOMICS-What is it?


 Derived from two Greek words:
 “Nomoi” meaning natural laws
 “Ergon” meaning work
 Hence, ergonomists study human
 capabilities in relationship to work
 demands
History

• As early as 18th century doctors noted that
  workers who required to maintain body
  positions for long periods of time
  developed musculoskeletal problems.
• Within last 20 years research has clearly
  established connections between certain
  job tasks and RSI or MSD.
What two elements
               are at work?

1) Static work: musculoskeletal effort required to
   hold a certain position, even a comfortable
   one.
   Example: sit & work at computers;
   keeping head and torso upright requires small
   or great amounts of static work depending on
   the efficiency of the body positions we chose.
Elements at work (cont)

• Force: amount of tension our muscles generate
 Example: tilting your head forward or backward
 from a neutral, vertical position quadruples the
 amount of force acting on your lower neck
 vertebrae

• Increased force is d/t increase in muscular
  tension needed to support head in a tilted
  position
3 Main Ergonomic Principles:

1. Work activities should permit worker to adopt
     several different healthy and safe postures.
2.   Muscle forces should be done by the largest
     appropriate muscle groups available
3.   Work activities s/b performed with joints at
     about mid-point of their ROM (esp.
     head,trunk,UE)
FACTS
• The average person working at a
    keyboard can perform 50,000 to 200,000
    keystrokes a day
•   Overexertion, falls & RMI are the most
    common cause of workplace injury
•   An average of 125,000 back injuries due
    to improper lifting each year.
•   Muscles overuse results in tiny tears in
    the muscles and scarring; these
    contribute to inflammation and muscle
    stiffness
What causes Nerve
 Compression or Entrapment?
1) Repeated motions

2) Tight muscles

3) Inflammation of surrounding tissues

4) Misalignment of the nerve
What are 4 Common Nerve
              injuries?

I.    Thoracic Outlet Syndrome: brachial
      plexus compression d/t muscle
      tightness side of neck from poor head
      position or slumped posture.
     S/Sx: numbness/tingling in hand, made
      worse w/overhead activities or cradling
      phone b/w ear and shoulder
Nerve injuries (cont)

II. Radial tunnel syndrome: compressed
    radial nerve @ outside of elbow d/t
    repetitive wrist & finger extension or
    turning of forearm
   S/Sx: Sensations from elbow to base of
    thumb w/ wrist weakness a common sx
Nerve injuries (cont)

III. Cubital tunnel syndrome: ulnar nerve
    compression inside of the elbow d/t
    repetitive bending of elbow or resting
    your elbow on a hard surface
   S/Sx: numbness or tingling and
    inside of arm w/ tingling to ring & little
    fingers
Nerve injuries (cont)
IV. Carpal tunnel syndrome: compression of
    median nerve at level of carpal tunnel
   Where is carpal tunnel? Formed @ wrist by
    ligament over the carpal bones in hand
    S/Sx: numbness or tingling in thumb, index,
    or middle finger & ½ of ring finger; often
    awakened @ night by hand “falling asleep”
    Sx increased by driving or attempting to hold
    objects; dropping objects is a common
    complaint
Tendons and Tendonitis
• Tendons are connective tissue that attach
    muscle to bone; have little stretch or rebound
•   Tendon overuse, static or prolonged
    position=inflammation or tendonitis
•   Tendons of wrist & hand very small; @ high risk
    for injury w/ overuse
•   “Tennis elbow” or lateral epicondylitis affects
    finger extensor tendons outside of elbow
•   “Golfer’s elbow” or medical epicondylitis affects
    finger flexor tendons inside of elbow
What to do ??

     PREVENT, PREVENT, PREVENT !!!

a) Warm up & stretch before activities that are
     repetitive, static or prolonged
b)   Take frequent breaks from ANY sustained
     posture every 20-30 minutes
c)   Respect pain-       positions or stop painful
     activity
d)   Recognize early signs of inflammatory
     process, & tx early
Maintain
                   Neutral
                   Posture

a) Maintain erect position of back
     & neck w/ shoulders relaxed
b)   Position equipment & work directly in front of
     and close to your major tasks
c)   Keep upper arms close to the body, elbows
     90-100 degrees
d)   Keep feet flat on floor, upper body weight
     resting on “sits bones”
e)   Wrists as neutral as possible; safe zone for
     wrist movement is 15 degrees in all directions
You
                           talking to
                              me?




f) Avoid bending neck forward for
   prolonged periods of time (*remember
   quadruple the force); use a copy holder
g) Avoid static positions for prolonged time;
   muscles fatigue---MOVE to            circulation!
Modify Tasks:
a) Alternate activities frequently; rotate heavy
     &/or repetitive tasks w/ lighter less repetitive
     ones.
b)   If sx become worse REASSESS task setup &
     look for alternative methods
c)   Avoid repetitive or prolonged grip activities
d)   Avoid pinching w/ wrist in flexion or wrist
     deviation (bending to side)
e)   Take frequent breaks to stretch & rest hands
Body
                 Mechanics
• Use the largest joints & muscles to do the job
• Use 2 hands to lift rather than one, even with light
    objects and tasks.
• Avoid lifting w/ the forearm in full pronation (palm
    down) or supination (palm up)
•   Slide or push & pull objects instead of lifting
•   Keep reaching to a minimum
•   Carry objects close to body at waist level
Correct & Incorrect Techniques
Good and Bad of “TIL
                    T”
ERGO REMINDERS from
   Stretchbreak.com
Practice Wellness at Work and Home !

Exercise                         Relaxation
                 Nutrition




                                       Spirit

                     Mind
   Body
MOVE



B
R          STRETC
E          H
A
T

H
An ounce of Prevention is worth a
        pound of cure !

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  • 2. ERGONOMICS-What is it?  Derived from two Greek words:  “Nomoi” meaning natural laws  “Ergon” meaning work  Hence, ergonomists study human capabilities in relationship to work demands
  • 3. History • As early as 18th century doctors noted that workers who required to maintain body positions for long periods of time developed musculoskeletal problems. • Within last 20 years research has clearly established connections between certain job tasks and RSI or MSD.
  • 4. What two elements are at work? 1) Static work: musculoskeletal effort required to hold a certain position, even a comfortable one. Example: sit & work at computers; keeping head and torso upright requires small or great amounts of static work depending on the efficiency of the body positions we chose.
  • 5. Elements at work (cont) • Force: amount of tension our muscles generate Example: tilting your head forward or backward from a neutral, vertical position quadruples the amount of force acting on your lower neck vertebrae • Increased force is d/t increase in muscular tension needed to support head in a tilted position
  • 6. 3 Main Ergonomic Principles: 1. Work activities should permit worker to adopt several different healthy and safe postures. 2. Muscle forces should be done by the largest appropriate muscle groups available 3. Work activities s/b performed with joints at about mid-point of their ROM (esp. head,trunk,UE)
  • 7. FACTS • The average person working at a keyboard can perform 50,000 to 200,000 keystrokes a day • Overexertion, falls & RMI are the most common cause of workplace injury • An average of 125,000 back injuries due to improper lifting each year. • Muscles overuse results in tiny tears in the muscles and scarring; these contribute to inflammation and muscle stiffness
  • 8. What causes Nerve Compression or Entrapment? 1) Repeated motions 2) Tight muscles 3) Inflammation of surrounding tissues 4) Misalignment of the nerve
  • 9. What are 4 Common Nerve injuries? I. Thoracic Outlet Syndrome: brachial plexus compression d/t muscle tightness side of neck from poor head position or slumped posture. S/Sx: numbness/tingling in hand, made worse w/overhead activities or cradling phone b/w ear and shoulder
  • 10. Nerve injuries (cont) II. Radial tunnel syndrome: compressed radial nerve @ outside of elbow d/t repetitive wrist & finger extension or turning of forearm S/Sx: Sensations from elbow to base of thumb w/ wrist weakness a common sx
  • 11. Nerve injuries (cont) III. Cubital tunnel syndrome: ulnar nerve compression inside of the elbow d/t repetitive bending of elbow or resting your elbow on a hard surface S/Sx: numbness or tingling and inside of arm w/ tingling to ring & little fingers
  • 12. Nerve injuries (cont) IV. Carpal tunnel syndrome: compression of median nerve at level of carpal tunnel Where is carpal tunnel? Formed @ wrist by ligament over the carpal bones in hand S/Sx: numbness or tingling in thumb, index, or middle finger & ½ of ring finger; often awakened @ night by hand “falling asleep” Sx increased by driving or attempting to hold objects; dropping objects is a common complaint
  • 13. Tendons and Tendonitis • Tendons are connective tissue that attach muscle to bone; have little stretch or rebound • Tendon overuse, static or prolonged position=inflammation or tendonitis • Tendons of wrist & hand very small; @ high risk for injury w/ overuse • “Tennis elbow” or lateral epicondylitis affects finger extensor tendons outside of elbow • “Golfer’s elbow” or medical epicondylitis affects finger flexor tendons inside of elbow
  • 14. What to do ?? PREVENT, PREVENT, PREVENT !!! a) Warm up & stretch before activities that are repetitive, static or prolonged b) Take frequent breaks from ANY sustained posture every 20-30 minutes c) Respect pain- positions or stop painful activity d) Recognize early signs of inflammatory process, & tx early
  • 15. Maintain Neutral Posture a) Maintain erect position of back & neck w/ shoulders relaxed b) Position equipment & work directly in front of and close to your major tasks c) Keep upper arms close to the body, elbows 90-100 degrees d) Keep feet flat on floor, upper body weight resting on “sits bones” e) Wrists as neutral as possible; safe zone for wrist movement is 15 degrees in all directions
  • 16. You talking to me? f) Avoid bending neck forward for prolonged periods of time (*remember quadruple the force); use a copy holder g) Avoid static positions for prolonged time; muscles fatigue---MOVE to circulation!
  • 17. Modify Tasks: a) Alternate activities frequently; rotate heavy &/or repetitive tasks w/ lighter less repetitive ones. b) If sx become worse REASSESS task setup & look for alternative methods c) Avoid repetitive or prolonged grip activities d) Avoid pinching w/ wrist in flexion or wrist deviation (bending to side) e) Take frequent breaks to stretch & rest hands
  • 18. Body Mechanics • Use the largest joints & muscles to do the job • Use 2 hands to lift rather than one, even with light objects and tasks. • Avoid lifting w/ the forearm in full pronation (palm down) or supination (palm up) • Slide or push & pull objects instead of lifting • Keep reaching to a minimum • Carry objects close to body at waist level
  • 19. Correct & Incorrect Techniques
  • 20. Good and Bad of “TIL T”
  • 21. ERGO REMINDERS from Stretchbreak.com
  • 22. Practice Wellness at Work and Home ! Exercise Relaxation Nutrition Spirit Mind Body
  • 23. MOVE B R STRETC E H A T H
  • 24. An ounce of Prevention is worth a pound of cure !