Coffee Shop Ergonomics

I love coffee. I started drinking it in high school on cold mornings after swim practice. I always drank it black because that’s how they made it. I still love coffee, stopping at a coffee shop almost every day. There are always people working on their laptops at the tables, and I think, “What a great way to work.” Just plop down my laptop and I’m good to go. Working at a coffee shop would be an ideal way to get out of the office, away from the kids, or both.

Unfortunately, working on a laptop at a coffee shop appears more idyllic than it really is. In fact, using a laptop in a coffee shop can potentially increase the risk of injury. Not only can sitting in a wooden chair be pretty uncomfortable, but the furniture at coffee shops is designed for hanging out and drinking coffee, not working on a laptop. Continue reading

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“Ergo Breaks” for the Industrial/Office/Health Care Athlete

For those of us who specialize in health, wellness, exercise and fitness we have the long held opinion/belief that workplace fitness/exercise programs assist workers in being less prone to work-related injury, require less medical care, use less sick time and are more productive at work and home. Unfortunately, the literature specific to worksite exercise programs that are implemented to control for work related musculoskeletal disorders (WMSDs) do not always show successful results.

In a research literature review by Raymond W. McGorry and Theodore K Courtney, “Worksite Exercise Programs,” in Professional Safety, April 2006, they concluded that the lack of sufficient evidence for the success of worksite exercise programs might be due to insufficient focused, peer-reviewed research in this area.

The most positive support for worksite fitness/stretching/exercise continues to be in those studies in which exercise was included as part of a more comprehensive ergonomics program. The approach to controlling WMSDs that includes engineering and administrative controls in addition to onsite exercise programs continue to show the greatest promise of a positive return.

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Too Many PDA’s, Too Little Time

“I am a CEAS level I OTR, working for a large hospital system that has been tasked to complete physical demands assessments on 20 positions for a plant locally in VA. I have been allotted three days for this project and they want it completed before the end of the year due to budget. I have a meeting set up to meet the HR managers on Monday (meet and greet, and tour of the facility).

“What advice can you give to help me in making this a successful first attempt?” Continue reading

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Removing the Fear From Industrial Rehabilitation: Fact v. Fiction; Reality v. Myth

The therapist said, “I didn’t know there was so much legal stuff involved with Industrial Rehab.  I don’t think I want to do it….”  This was a statement made by a FCE course attendee in 2011.  While a seasoned Industrial Rehab (IR) OT or PT practitioner may view this position as overcautious, conservative, or naïve, this is an attitude pervasive in the therapy community at large.  No one  entering the helping professions wants or expects to be involved with lawyers and worried about the potential for litigation so the very thought of having to do so just doesn’t seem worth the hassle.  Many therapists working in Industrial Rehab switch specialty areas because of potential legal entanglements.  No one leaving the Industrial Rehab specialty ever considered the possibility of burning out on OT or PT and then having to re-ignite skills long since dormant like in home health or working in a hospital.  Continue reading

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How to approach an employer who you know needs an ergonomist

An Industrial Therapy Physical Therapist sent this question: “I have had a number of recent clients from a local electronics/medical facility. I am quite sure that the assembly line work environment is responsible for these patients, as they are coming under worker’s comp referrals, but I want to try and speak directly to the company. Is there a good or proper way to approach an employer who you know needs an ergonomist, and yet who also likely knows they have a problem that they’re not dealing with? They are multi-national, big fish, but aren’t dealing with some serious issues.”

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“Tingling” in the hands

I recently had someone send me the following question: “I sleep on my stomach, and most mornings I wake up with either my arm or hand or both numb from my weight being on it as I slept. Have you heard of someone getting a long term injury from something like this?”

My best guess as an ergonomics consultant and a Physical Therapist without more information on this individual is that the tingling is due to posture & pressure on the clients arm when he sleeps with it underneath him. This causes decreased blood flow to the arm and hand and the resultant symptoms of “tingling.” I assume once he moves the arm around the tingling disappears.

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Sit / Stand Product Suggestions?

There are a number of products on the market to help in the creation of a sit/stand workstation. Height-adjustable tables seem to be a good solution, but are pricey. Have you had any positive feedback/good results in utilizing other types of sit/stand options? Anything in particular you’d recommend?

Thanks,
Cathryn L.

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Anterior Support

Would like to suggest the concept of anterior support to alleviate muscle overuse in situations where positions are sustained for more than brief periods. This is most obvious in dentistry and surgery but also occurs in industry as well. Dentists for example work in a forward incline position for extended periods and have an extremely high rate of early retirement due to back pain. The position itself is well within the normal parameters of spine movement and is rarely the problem. Sustaining the position however is a problem and back pain is already a problem by the 2nd and 3rd year of dental school according to professors at numerous dental colleges.
We know that sustained muscle contraction decreases blood flow which leads to inadequate oxygen/nutrition in the tissue. This results in trigger point formation that often becomes a self-sustaining or even escalating situation. Attempts at maintaining ideal “posture” (doing dentistry while sitting fully erect) have failed as the incidence of pain and dysfunction have increased over the decades. Sitting upright has also taken the practitioner away from direct visualization of their worksite.
So what’s the solution? Continue reading

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Exercise Ball Chairs As An Ergonomic Option For Seating

Some folks seem to want a silver bullet for the ergonomically correct seated work station.

In past years it was a kneeling chair. More recently it has been treadmill workstations, spring based stools and exercise ball chairs. After analyzing all of these options, it seems that SAFETY must be the major consideration in choosing the correct seat.

The workstation, including the chair should not introduce a hazardous condition for the worker.

Some risks of sitting on an exercise ball include instability, possibility of collapse, as well as fatigue from trying to keep balanced while performing other tasks.

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Personal Or Business Liability Insurance

The recommendation is for an ergonomics/industrial therapy consultant to purchase BOTH business and personal liability insurance. This is primarily because it is a good business practice. Most often liability or error and omission lawsuits will be against both the individual and their employer.

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