Ergo Forum Ergonomics: Whose Job is it Any Way? Cindy Burt, OTR, CEA I HAVE A HISTORY OF ENTERING PROFESSIONS through the backdoor. So, while working as an OT at UCLA and treating employees with reoccurring musculoskeletal disorders, the transition to ergonomics felt seamless. It was more satisfying to eliminate the root cause of injuries than to treat victims of poor workplace and/or job design. Once in the profession, I found myself involved in the controversy concerning who is qualified to call oneself an ergonomist. Members of many professions, including physical and occupational therapy, are increasingly involved with the world of ergonomics. Some of these newcomers are trained for the job, and some are not. We’ve all probably run into someone who considers him/herself an “expert” in ergonomics after reading an article or attending a weekend course. No wonder the public is confused about ergonomics. There is a huge range of good, bad, and “voodoo” ergonomics out there. | ErgoSolutions Magazine June 2003 So, are occupational therapists qualified to work in ergonomics? If not, how 30 can a therapist make a successful transition to ergonomics? Occupational therapy was founded on the premise that “occupying” one’s time with meaningful and purposeful activity can affect mental, emotional, and physical health. Occupations such as gardening and shop work were used in hospitals during patient treatment with the idea of transitioning skills to employment after discharge. Occupational therapists later expanded their practice to include activities of daily living as well as work. Evolving within a medical model, occupational therapists treat the disabilities that result from injuries and illnesses. Therapists believe that occupation promotes health and remedies dysfunction. Perhaps it’s an ideal blend? Well versed in anatomy, physiology, human development and psychology, therapists use task analysis to evaluate performance limitations, competencies, and work demands to establish intervention programs. The focus is on adapting the person or modifying the tools or the environment to maximize function and promote independence. Occupational therapists are specialists in determining how injury and disability affect work performance. This information is used to develop guidelines to fit the injured worker to a specific job by adapting a specific task or tool. The worker is the primary focus of this approach. Human factors/ergonomics focuses on guiding technology to improve performance for all populations, not just for the injured or disabled. Information on human behavior, abilities, and limitations is applied to the design of tools, machines, systems, tasks, jobs and environments to promote safe and productive human use. Thus, the ergonomists’ focus is on changing the things people use and the environment in which they use them to better match the capabilities, limitations and needs of people in general. The “As a growing science and discipline, ergonomics is attracting people from many fields including medicine, engineering and psychology. Each discipline brings special attributes, and yes, limitations.” “I consider myself an occupational therapist who works in the field of ergonomics, rather than an ergonomist. Perhaps a new term can be coined for medical practitioners like me who perform ergonomics services, such as ‘ergotherapist.’” ergonomist looks at the “bigger picture” and develops design changes to fit identified populations. The human is viewed as one component of a larger humanmachine system designed to affect some desired output within a physical environment. Ergonomists are trained in information systems and processing, anthropometry and environmental conditions, and have backgrounds in engineering and workflow design. Occupational therapists do not have this knowledge and must obtain it through professional programs or continuing education. However, occupational therapists do have specialized training in anatomy, disease and disability that ergonomists do not usually possess. Exposure to psychology, human development, and task analysis provides the occupational therapist with a detailed understanding of “activity” and the whole nature of work throughout the lifespan. This makes the OT a valuable addition to the ergonomics family, especially when working with individuals with injuries and disabilities. Even though occupational therapists play a role in the “ergonomics family”, they do not have sufficient skill sets to be considered ergonomists unless they obtain specific ergonomics training and experience. This is also true of other members of the medical community, including physicians, physical therapists, and chiropractors. I consider myself an occupational therapist who works in the field of ergonomics, rather than an ergonomist. Perhaps a new term can be coined for medical practitioners like me who perform ergonomic services, such as “ergo-therapist”. As a growing science and discipline, ergonomics is attracting people from many fields including medicine, engineering and psychology. Each discipline brings special attributes, and yes, limitations. As long as each member is aware of what he or she brings to the table, the human factors/ergonomics profession and society both benefit. Cindy Burt is the Ergonomics Program Manager at UCLA. Contact Cindy at 310.794.5590 and through cburt@ucla.edu. Visit the UCLA web site at www.ergonomics.ucla.edu. Feedback, Comments? E-mail them to ergoforum@ergosolutionsmag.com. Join ErgoForum ErgoSolutions Magazine is seeking ergonomics industry experts to join ErgoForum, share expertise and discuss ergonomic issues. Request more information by emailing: ergoforum@ergosolutionsmag.com.