Section 5 Ergonomics Blitz Personnel - Ergonomics Definition: The study of fitting the task to the human. Goal: To prevent musculoskeletal disorders by taking preventative steps, relying on employee input, and addressing problems early. This section will cover the following: • Musculoskeletal Disorders (MSDs). • Recognizing signs and symptoms of MSDs and how to report it. • Common causes of MSDs. • Computer Ergonomics. • Safe Lifting Principles. Musculoskeletal Disorders are caused by the overuse or repetition involving: • Muscles • Nerves • Tendons • Ligaments • Joints • Spinal disks • Cartilage The following symptoms should be reported to your supervisor early: • Muscle fatigue • Aching • Burning • Numbness • Stiffness • Tingling The following signs should be reported to your supervisor immediately: • Decreased range of motion • Decreased grip strength • Loss of function • Loss of balance • Deformity • Swelling • Cramping • Redness • Color loss Common causes of MSDs • Lifting – continuously lifting and/or moving • Repetitive motion – angle alignment, force, length of time without break – ex. assembly line. • Contact stress – ex. Hammering • Extreme force – ex. Tightening objects • Vibration – ex. Drilling • Awkward postures – pulling carts 1 Section 5 Ergonomics Goal: To configure your workstation properly, in order to minimize the demands placed on your body while working. To maintain posture at the wrist, elbow, and neck. Support your back, legs and feet. Maintain an optimal line of sight. Muscles, Ligaments, and Tendons We have three different types of muscles in our body: • Cardiac • Visceral • Skeletal Skeletal muscles are most important when considering the arrangement of your workstation in the office. Skeletal muscles are attached to your skeleton and are termed voluntary muscles because we can move then on command. These muscles are responsible for moving our joints when they contract. For example, contracting our bicep muscle will flex our elbow joint. Muscles, Ligaments and Tendons Ligaments connect bone to bone. Tendons connect muscle to bone. In our hands and wrists we have many ligaments and tendons. The forearm muscles are connected to the bones in our fingers via tendons. The muscles and tendons work to move our fingers and hands. These tendons, along with nerves and blood vessels, pass through the “Carpal Tunnel” at our wrist. This is a high risk area for injury for computer based office tasks, because if the tendons in this tunnel are irritated, they may swell and pinch the blood vessels and nerves, creating pain and numbness in the hand and fingers. The Spine Our spine is made up of vertebrae (bones) that are stacked on top of each other. Between each vertebra are discs, which act as shock absorbers to help decrease any stress in our spine. There are three natural curves in our back: • Cervical • Thoracic • Lumbar Our back is in its neutral position when all three curves are present. The lower lumbar curve requires support from our chair to keep its shape and to decrease the effort required by our back to maintain its neutral position. 2 Section 5 Ergonomics Ergonomic analysis involves applying three main principles: • Force • Repetition • Posture Each of these factors alone poses a risk of injury. However, it is the interaction between all three factors that poses the greatest risk of injury. Therefore, by optimizing posture, controlling repetition rate, and minimizing force for most tasks, you can minimize the risk of injury and enhance your task performance. When we apply high forces to our body, we stress our muscles, tendons and ligaments. The level of force that our body can tolerate is relative to the strength and condition of the muscles and joints we are using. It is important that the keys on the keyboard can be pressed easily and with little force. High finger forces combined with high repetition rate increases the risk of injury. When lifting, whether at home or at the office, it is important to keep your back straight and to use your arms and legs to lift. Repetition Each time a muscle contracts, we are placing stress on that muscle, its tendons, and nearby ligaments. Therefore, if we control the amount and duration of repetitive tasks, we can give our muscles, tendons, and ligaments a break and ensure they are not injured. For office tasks, especially typing, it is recommended that a break be taken after one hour of continuous typing or data entry. A break can simply mean performing a different task, such as filing or reviewing a document. Posture Our body functions best when each body segment is in its neutral posture. The neutral posture for any body segment: • • • Provides the greatest strength and stability Places the least stress on muscles and tendons Results in the lowest risk of repetitive strain injury The illustrations below show correct neutral postures for the lumbar spine, the neck, the elbow and the wrist. These are the primary focus of office ergonomics. Seated posture The first area to consider is how you are sitting on your chair. The goal is to have your knee between a 90-110-degree angle while seated, with your feet fully supported (whether on the floor or on a footrest). There should be a 90-degree angle between the calf and the sole of the foot. Your seat pan (the part of the chair you sit on) should give a slightly rounded and padded front edge and should not be pressing into the back of your knee. If it does, you probably need a smaller chair. A B A. Adjust your chair so that your knee is at a 90-110-degree angle when your feet are resting flat on the floor. B. Adjust your chair so that your knee is at a 90-110-degree angle when your feet are resting on a footrest. 3 Section 5 Ergonomics Back Support One of the most important principals in office ergonomics is to keep your back in its neutral position. In order to maintain the lumbar curve, it is important that the chair’s lumbar support be positioned in the correct part of your back. The goal is to align the curve on that chair back with the curve in your back. A. Adjust your chair back up and down to position the lumbar support to the correct height. B. Adjust your chair forward and backward (if possible) to get the lumbar support pressed against your back. This may be required if your current natural seated position does not allow your back to touch the backrest. A B Typing posture The best typing posture keeps the elbow and the wrist in a neutral position. The optimum typing posture has the following characteristics: • 90-110-degree elbow angle • Neutral wrist posture (in line with the horizontal forearm). Do not rest wrists on desk or wrist rest while typing. This can reduce blood flow to the hands/wrists, creating symptoms of tingling, numbness and/or pain. • No interference with chair arm rests. Arm rests should fit comfortably underneath the desk work surface. A. Raise your chair to the correct typing height and use a footrest if maintain support to your feet. necessary to B. Use an adjustable keyboard tray to set your correct typing height correct seated posture. while keeping a A B 4 Section 5 Ergonomics Monitor Height The monitor is at the correct height when your neck is in its neutral posture. Our relaxed line of sight is about 10-15 degrees below horizontal. To optimize monitor height, the goal is to place the top of the viewable area of the screen in line with your eyes when looking straight ahead. • For bifocal wearers, the top of the viewable area of the screen should be placed 5-10 cm below eye level. A. If your monitor is too low, place something under it to raise it. You can use an old phonebook, a slab type monitor support or a monitor arm. B. If your computer is too high because is situated on top of your hard drive (CPU), use a CPU stand and place your monitor on the desk (use a monitor rise if required.) C. If your monitor is simply too high, remove the base of the monitor. A B Viewing Distance The monitor should be placed 45-61 cm from your eyes. Move the monitor forward and backward as necessary to achieve the correct viewing distance. Reach Zones Frequently accessed items should be placed close to the body, in Zone A in the diagram below. Less frequently accessed items and emergency items should be placed further out from the body, in Zone B in the diagram. Very infrequently used items should be located on the periphery of the work surface, in Zone C. The keyboard and mouse should be located at the same height within Zone A. Monitors should be located straight in front, at the Zone A/B border. If you use the phone frequently, it should be located in Zone A, or on the closer side of Zone B. If you frequently cradle the phone between your ear and your shoulder, consider using a headset. Less frequently used items should be placed at the back of the work surface. If you refer to papers regularly while typing they should be placed in Zone A. This may require the use of a keyboard tray to position your keyboard and mouse off of your desk. If you use a document holder, it should be placed at the same viewing distance and as close to the computer monitor as possible. The document holder may eliminate the need to change focus when viewing documents while typing. 5 Section 5 Ergonomics Material handling, lifting, and back safety There are safe ways to complete all types of manual material handling. One of the most important things you must do is take an active role in preparing yourself properly for the task. In general, if you follow these principals you will be able to safely handle any load. Manual material handling can be broken down into: • Lifting • Pushing/pulling • Carrying/holding Safe Lifting Tips You are practicing safe lifting if: • The lift is performed between knuckle and elbow height. • There is a minimal horizontal distance between the load and the body. • You avoid twisting when lifting or lowering a load. • You alternate lifting tasks with lighter work to give your body a chance to recover. • You bend at your hips, not your back, if you have to bend. • You use handles. • You do not lift a load alone if it is too heavy or awkward. Remember to: • Test the weight of the load and make sure your path is clear. • Rotate your hips (keep curve in low back). • Bend your knees • Get close to the load • Contract your stomach muscles • Position you feet in a “V” instead of twisting. • Lift with both hands. Safe Pushing / Pulling Tips Remember to: • Grasp handles or items slightly below your elbow height. • Maintain a minimum horizontal distance from the item. • Avoid twisting • Try to push rather than pull • Find good foot traction • Stagger your feet for a stable base. • Use your body weight as force – lean in to it. Remember to: • Keep a minimal horizontal distance between the load and your body • Avoid twisting when lifting or lowering a load • Use handles • Try to push or pull rather than carry the load • Use both hands • Use handles if they are there 6 Section 5 Ergonomics It is recommended that you complete stretches 2 to 3 times a day. It important to read the instructions carefully and only stretch to the point when you feel pressure – not pain. If you have an injury, you should see your doctor before completing stretches of the affected area. Reach above your head, grasp your hands together, turn your elbows in and press up. Hold for 5 seconds and repeat 3-5 times. Roll your shoulders up and back. Hold for 5 seconds and repeat 3-5 times. Reach one hand behind your head (toward the other shoulder blade) and use your other hand to increase the stretch. Hold for 5 seconds and repeat 3-5 time. Sitting in a chair, lean forward and reach for the floor. Hold for 5 seconds and then slowly sit up. Repeat 3-5 times. Bring knee up towards your chest, while keeping your back against the backrest of the chair. Hold for 5 seconds and repeat 3-5 times. Place your hands on the small of your back (just above your buttocks) and bend backwards. Keep you knees straight. Hold for 5 seconds and repeat 3-5 times. 7 Section 5 Ergonomics Stand facing the wall (close enough to lean on it) with toes pointed straight forward. Move one leg forward and bend your knee as in picture. While leaning on wall and keeping back heel on floor, press hips forward to get stretch in back calf muscle. Hold for 5 seconds and repeat 3-5 times. Place your palms on the wall, at shoulder height, straddling the corner. S lowly step into the corner and stretch chest muscles by moving shoulder blades together. Hold for 5 seconds and repeat 3-5 times. Raise your shoulders up towards your ears. Hold for 5 seconds and repeat 3-5 times. Look straight ahead; tilt your head moving your chin towards your chest. Hold for 5 seconds and repeat 3-5 times. Look straight ahead; tilt your head, moving your chin towards your chest. Hold for 5 seconds and repeat 3-5 times. Bring arm across your body and use other hand to increase the stretch. Hold for 5 seconds and repeat 3-5 times. 8