1.
Office Ergonomics
Principles and Practice in a Multi-
Tiered System

2.
Objectives
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3.
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4.
Myths that travel…
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• Office Ergonomics: Elementary
• Listen to People; Issues Disappear
• Sit-Stand Desks Should be Universal
• Doctor’s Rx are Unimpeachable
• New Equipment Drives Copycats
• Stretching Feels Good
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5.
Dispelling Myths with Truth
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• Office Ergonomics: Not Elementary
Changing Demographics
Complex WC Claims
- Symptoms Don’t Match Case
Special Cases
Doctors’ Misdirected Rx
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6.
Dispelling Myths with Truth
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• Listen to People, Then Solve Puzzle
Interview is Vital
What Experience Says
Insights on Attitude & Risks
Keys to Fixes
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7.
Dispelling Myths with Truth
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• Sit-Stand Workstations: Proceed with Care
Pressure to Install
Percentage of Use
Who Uses Them?
Optimizing an Investment
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8.
Dispelling Myths with Truth
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• Doctors’ Recommendations are Fallible
Nerve Conduction Testing Concerns
Surgical Rx
Wrist Splint Limits
Shotgun Ergonomics Hardware
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9.
Dispelling Myths with Truth
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• New Equipment: Drives Resistance
Operators Often Skeptical
Client History & New Equipment
Management is the Challenge
‘Doctors’ Orders’ Conundrum
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10.
Dispelling Myths with Truth
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• Stretch Exercises Do Not Feel Good
Stretching Naturally Uncomfortable
Sensations Help Gauge Stretch
Proper Stretches Necessary
The Stretch ‘Test”
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11.
Best Practice Tool Examples
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• Cardinus Software
− Work Safety Plus
− Manual Handling Plus
− Healthy Working – Computers, Smartphones, Tablets
− SitStandCoach Desk Use
− CtrlWork for Rest Breaks
− AltMouse: Keyboard Shortcut Training

12.
Multi-Tiered Ergonomics System
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Tier One
- Software - Employee Training & Evaluation Component
- Auto-Generated recommendations
Tier Two
- ESIS Follow-up via email or phone
- Remote phone assessment performed (as needed)
Tier Three
- Onsite evaluation

13.
Emerging Issues & Consequences
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14.
False Symptoms of CTS
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• Postural Issues
• Slumped Torso
• Neurovascular Compression
- - Zacharkow

15.
Postural Deviation
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• Impaired Associates Use ~15% More Force
• Fatigue Can Contribute to Injury
• Dehydration May Be Linked to Muscle Tears

16.
Postural Deviation
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17.
Postural Deviation - Slump
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Neurovascular
Compression =
False CTS Diagnosis
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18.
Mouse Rest Trauma Avoidance
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• Is It Needed?
• Placement

19.
Nerve Conduction Testing
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• Not Practical
• False Positives
• False Negatives
• Case History
- Risk Management Magazine

20.
The Physical Conditioning Challenge
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• Wrist Band Trauma
• 250 Kg. Operator – Chair Collapse
• Multiple Organic Issues
• Eighth Circuit Ct. Ruling

21.
MPI: What is It?
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• Illnesses: Out of Control
• Case History
• Ergonomics & IH Link
• Outcome: Full Recoveries

22.
What Benefit, These Modifications?
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500 – 1000 Lux Common & Accepted
Readings Here < 50 Lux

23.
Success for the History Books
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• Success in a Multi-Tiered Ergonomics System
- Implemented Cardinus Software
- Utilized ESIS-Trained Trainers
- Supervisor-guided Evaluations
- ESIS Intervention with Higher Challenges
- Design Stage Input: ESIS & Client
- CFO Review: Millions Saved

24.
Best Practices: Multi-Tiered Ergonomics System
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• Quality Ergonomics Training
• Good Software Systems
• Ergonomics Evaluations
• Program Overview
• Specialist Assistance
• Guidance: Design & Setup
• Engage Employees
• Metrics
• Program Review
Capabilities Demands

25.
Can Exercise Balls Function as Chairs?
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- Disc Pressures
- Stability
- McGill

26.
Kneel Chairs
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For Review:
- Contact Stress
- Stability
- Support
- Dual Seating

27.
Treadmill Workstations
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Factors of Interest
• Productivity & Error Rate
• Cognitive Function
- BYU Study
• Space Factor
• Injury Potential

28.
“2000 Yr. Old Treatment To Decompress Spine; Eliminate Pain”
- Ad Quote
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29.
The Ultimate Workstation?
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30.
Exercise Factors
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• Differentiating Exercises
• Programs’ Consequences
• What Companies?
• Current Interest