INJURY PREVENTION AT THE DESK Ron Schenk PT, PhD Dean of Health
and Human Services Associate Professor Physical Therapy Daemen
College Slide 2 Objectives Identify the anatomical areas
susceptible to injuries and differentiate the causes, signs and
symptoms of musculoskeletal disorders. Identify and implement
correct methods for controlling risk factors. Understand the
importance of posture in reducing risk. Apply repeated movement
principles to prevent injury Slide 3 Talking Points Musculoskeletal
disorders (MSDs) are injuries and disorders that affect human
movement or the musculoskeletal tissues (muscles, tendons,
ligaments, nerves, discs, blood vessels) Work related MSDs include
carpal tunnel syndrome, tendonitis, thoracic outlet syndrome, neck
and low back tension syndromes. Work related MSDs are also referred
to as repetitive motion injuries, repetitive strain injuries,
cumulative trauma disorders, occupational cervicobrachial
disorders, overuse syndrome, regional musculoskeletal disorders,
soft tissue disorders. Slide 4 Slide 5 Natural history Slide 6
Implications of back pain Slide 7 Management Little evidence to
support bed rest Slide 8 Short-term relief in acute back pain Not
clearly better than simple analgesics Not proven to help chronic
back pain NSAIDs Slide 9 ...or modalities Slide 10 Some evidence
for: Education Manipulation Exercise Behavioral therapy Slide 11
Risk Factors Back pain History of back pain Vibration Posture Bend/
twist Lifting Slide 12 Predisposing Factors: Poor posture Slide 13
Frequency of flexion Slide 14 Loss of extension Poor posture
Frequency of flexion + = Slide 15 Slide 16 Possible sources of pain
Disc Facet Ligament Bone Dura Nerve root Muscle Capsule ? ? ? ? ? ?
? ? Slide 17 Slide 18 Slide 19 Flexion Slide 20 Extension Slide 21
Centralization Slide 22 Directional Preference is the phenomenon of
preference for postures, movement, exercise in a particular
direction. Slide 23 To classify and treat all musculoskeletal
conditions Slide 24 Low Back Anatomy Slide 25 Lumbar extension
Standing backward bend The Pressup Slide 26 Can standing back
extension exercise improve or prevent low back pain in Japanense
care workers? Matsudaira K, Hiroe M, Kikkawa M, Takayuki S, Suzuki
M, Isomura T, Oka H, Hiroe, K, Hiroe K. Journal of Manual and
Manipulative Therapy, 23(4):205- 209, 2015. Slide 27 Neck anatomy
Slide 28 Slide 29 Headache Slide 30 Neck injury prevention Slide 31
Extremities: Wrist flexor stretch Slide 32 Extremities: Wrist
extensor stretch Slide 33 Ergonomics The study of peoples
efficiency in their work environment. Fitting a person to a job
that helps lessen muscle fatigue, increases productivity, and
reduces the likelihood of injury. Matching the job to the worker
and the product to the user. Slide 34 Effects of postural
correction Slide 35 Lumbar flexion Spinal Publications NZ Ltd Slide
36 Long term strategies Slide 37 flexion Balance...during a typical
day extension Slide 38 Leonardo da Vinci Simplicity is the ultimate
sophistication Simplicity is the ultimate sophistication
