RTD Injury Prevention Program Daily Bulletins Shoulder Injury Prevention Bus Operations: Please cut and paste daily bulletin and graphic and insert on daily bulletins on dates listed. Maintenance: Please read and discuss daily bulletins in crew meetings on dates listed. Thank you! Know you limits – avoid carrying heavy objects. Be sure to get help if the load is too heavy or too awkward to handle. Avoid awkward or unbalanced postures - keep arms in close to body with elbows below the shoulder joint as much as possible when working. SHOULDER SHRUG - Slowly raise shoulder to the rear & squeeze at top of movement, then lower. Keep ears over shoulders. Can be performed with or without weight. Perform 10 repetitions 3 times. Consult your physician before beginning an exercise program. Be careful with overhead movements- when possible bring work below shoulders. Modify work done above shoulders by keeping your elbows below your shoulders and your arms close to your body and utilize a shoulder width stance for balance. Cockpit ergonomics – Adjust seat to fit your personal body type. Adjust seat forward so you do not have to reach for the pedals or steering wheel. Keep elbows at your side whenever possible while driving. Posture – Maintain proper posture while driving. Keep ears over shoulders, shoulders against seat, belly button pulled in placing low back against seat. Utilize lumbar support if necessary. SHOULDER BLADE RETRACTION - Arms to your side and rotate your palms out and squeeze shoulder blades together. Keep ears over shoulders. Can be performed with or without weight. Perform 10 repetitions 3 times. Consult your physician before beginning an exercise program. Take Breaks – take a break from overhead work. Whenever possible alternate overhead work with below shoulder work to relieve stress on the shoulders. Tricep Stretch - Point elbow to ceiling. Gently pull towel down using towel and other arm. Warm up shoulder and stretch until you feel slight discomfort and hold for 15 seconds. Consult your physician before beginning an exercise program. Proper luggage lifting – utilize arms and legs to lift luggage vs. back and shoulders. Keep luggage close to body and push into cargo bay. Always ask the weight of luggage and try to balance the load whenever possible. NECK AND SHOULDER STRETCH - Keep an upright posture and lightly grab chair. To feel the stretch in your neck lean head in direction you are pulling arm. Warm up shoulder and stretch until you feel slight discomfort and hold for 15 seconds. Consult your physician before beginning an exercise program. Stay healthy – maintain shoulder fitness by adding stretching and strengthening exercises to your daily routine. Consult your physician before beginning an exercise program. Never continue any exercises which cause pain. Shoulder Circles - Bend at waist with slightly bent knees and support back with arm. Let arm hang and complete circles in both directions 10 times each. Consult your physician before beginning an exercise program. Warm up & stretches – take a moment to warm up and stretch the shoulder joint if you are going to be working with your shoulders or using them for a sporting event. 5-10 minutes of warm up and stretches may prevent injury. Encourage co-workers or teammates to join you. REAR DELTOID STRETCH –Gently pull arm across chest by placing hand slightly above elbow. Do not twist torso. Warm up shoulder and stretch until you feel slight discomfort and hold for 15 seconds. Consult your physician before beginning an exercise program. Neck rotations - Slowly turn your head until you feel a gentle stretch. The stretch may be felt on either side of the neck, but is usually felt on the side opposite to which you are turning. Hold for 3 seconds and repeat 10 times each way. Consult your physician before beginning an exercise program. Work in your healthy lifting zone – keep work loads in between shoulders and waist and close to body whenever possible. Rotator Cuff Exercises – Use little or no weight to begin. Perform 10 repetitions 3 times with each arm. *Consult your physician before beginning an exercise program. ROTATOR CUFF OUTWARD ROTATION Lie on your side and keep elbow tucked on ribs. Place arm at a 90-degree angle. Keep shoulder blade retracted. Do not allow elbow to move. Use no weight at first and rotate arm up and down slowly. ROTATOR CUFF INWARD ROTATION - Lie on your side and keep elbow tucked on ribs. Place arm at a 90-degree angle. Keep shoulder blade retracted. Do not allow elbow to move. Use no weight at first and rotate arm up and down slowly.