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ALLIANCE OCCUPATIONAL MEDICINE 1 ________ ________ ___ ___ ____ ________ ________ ________ ___ ___ ____ ________ Ergonomic Solutions for the Aging Workforce.

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Presentation on theme: "ALLIANCE OCCUPATIONAL MEDICINE 1 ________ ________ ___ ___ ____ ________ ________ ________ ___ ___ ____ ________ Ergonomic Solutions for the Aging Workforce."— Presentation transcript:

1 ALLIANCE OCCUPATIONAL MEDICINE 1 ________ ________ ___ ___ ____ ________ ________ ________ ___ ___ ____ ________ Ergonomic Solutions for the Aging Workforce. Val Kshirsagar PT, OCS, CHT, CEAS Physical Therapist Alliance Occupational Medicine

2 ALLIANCE OCCUPATIONAL MEDICINE 2 Working population demographics. Need to keep the older worker employed. Relevant Aging Changes. Strategies.

3 ALLIANCE OCCUPATIONAL MEDICINE 3 According to the Bureau Of Labor Statistics: Between 1977 & & over increased by 101% compared to 59% total employment Men over 65 by 75% and women by147%

4 ALLIANCE OCCUPATIONAL MEDICINE BLS Over 75 increased by 172%, a small 0.8% of the employed. This growth will continue By 2016, 55-64yrs increase by 36.6% and over 75 by 80%.

5 ALLIANCE OCCUPATIONAL MEDICINE Baby Boomers 76 million start retiring beginning 2011 They make up about 1/3 of the US workforce Not enough skilled workers to take their place

6 ALLIANCE OCCUPATIONAL MEDICINE 6 By 2010 Workers aged will decrease by 19% Workers aged will decrease by 19% will increase by 21% will increase by 21% will increase by 52% will increase by 52%

7 ALLIANCE OCCUPATIONAL MEDICINE 7 Changes Worldwide Germany: age group will decrease by 27%Germany: age group will decrease by 27% UK by 19%UK by 19% Italy by 9%Italy by 9% Japan by 10%Japan by 10% China by 8%China by 8%

8 ALLIANCE OCCUPATIONAL MEDICINE 8 Research Shows: Learning AbilityLearning Ability IntelligenceIntelligence ProductivityProductivity Do Not Necessarily Decline with Age Employer Surveys show older workers have less job turnovers, less absenteeism and higher job satisfaction

9 ALLIANCE OCCUPATIONAL MEDICINE Relevant Aging Changes And Results EYES: Lens stiffens, becomes denser, yellows. Number of nerve cells decrease-depth perception affected. Less fluid dry eyes. Need for brighter lights, larger font size.Need for brighter lights, larger font size. Changes with color perception: Difficulty reading black letters on a blue background or blue letters.Changes with color perception: Difficulty reading black letters on a blue background or blue letters.

10 ALLIANCE OCCUPATIONAL MEDICINE 10 Relevant Aging Changes And Results Did you know: Most 60 year olds need 3 times more light than 20 year olds? Arial 36 vs. Times New Roman 12 Instructions on Labels and Dial in Arial at 3 times the size.

11 ALLIANCE OCCUPATIONAL MEDICINE 11 Aging changes contd. Hearing Changes: High pitched sounds harder to hear, consonants-k, t, s, p, ch. Alarms need to accommodate for that.Hearing Changes: High pitched sounds harder to hear, consonants-k, t, s, p, ch. Alarms need to accommodate for that. Articulating consonants more clearly helps more than speaking louder

12 ALLIANCE OCCUPATIONAL MEDICINE Aging changes contd. Hearing Loss : Difficulty w / sound discrimination or speech especially in noisy environments-misunderstand communication, miss important safety warnings. Increased effectiveness of Warning Alarms when combined with visual signals.

13 ALLIANCE OCCUPATIONAL MEDICINE 13 Aging Changes Contd. Skin Changes: Thinner, less elastic, tears more easily. Skin Changes: Thinner, less elastic, tears more easily. Decreased # of sweat glands and blood vessels-heat dissipations affected. Decreased # of sweat glands and blood vessels-heat dissipations affected. Bone less dense, weaker-reduce trip hazards like cords, wet/oily floors. Bone less dense, weaker-reduce trip hazards like cords, wet/oily floors.

14 ALLIANCE OCCUPATIONAL MEDICINE 14 Aging changes contd. Joint changes: Thinner cartilage, decreased flexibility more susceptible to injury. Joint changes: Thinner cartilage, decreased flexibility more susceptible to injury. Ligaments and Tendons: Weaker, less elastic-more susceptible to wear and tear and injury.Ligaments and Tendons: Weaker, less elastic-more susceptible to wear and tear and injury.

15 ALLIANCE OCCUPATIONAL MEDICINE 15 Aging changes contd. Muscle Mass and Strength decrease. Starts at 30 and continues throughout life. By age 75 at 50% of young adulthood. Regular exercising can partially overcome or significantly delay the loss.

16 ALLIANCE OCCUPATIONAL MEDICINE 16 Stretch Breaks Wrist Flexor Stretch Keeping elbow straight, grasp left hand and slowly bend wrist back until stretch is felt. Try this with fingers pointing down. Hold 10-15seconds. Relax. Repeat 3-5 times per set. Do 1 sets per session. Do 2 sessions per day.

17 ALLIANCE OCCUPATIONAL MEDICINE 17 Wrist Extensor Stretch Keeping elbow straight, grasp left hand and slowly bend wrist forward until stretch is felt. Hold seconds. Relax. Repeat 3-5 times per set. Do 1 sets per session. Do 2 sessions per day.

18 ALLIANCE OCCUPATIONAL MEDICINE 18 Shoulder Shrugs: Shrug shoulders up and down, forward and backward. Try rolls. Repeat 5-10 times per set. Do 1 sets per session. Do 2 sessions per day.

19 ALLIANCE OCCUPATIONAL MEDICINE 19 Upper Trapezius Stretch: DO NOT USE THE HAND ON THE HEAD. Gently bend your head towards the left shoulder while grasping your seat with your right hand or while bending your right arm behind you. You should feel a gentle stretch in your upper shoulder. Hold for seconds. Repeat 3-5 times per set. Do 1 sets per session. Do 2 sessions per day.

20 ALLIANCE OCCUPATIONAL MEDICINE 20 Levator Scapula Stretch Place left hand on same side shoulder blade. Gently turn your head to the opposite side and down. Hold for seconds. DO NOT USE THE HAND ON YOUR HEAD. Repeat 3-5 times per set. Do 1 sets per session. Do 2 sessions per day.

21 ALLIANCE OCCUPATIONAL MEDICINE 21 Neck Rotation: Turn head slowly to look over one shoulder, then the other. Hold each position 1-2 seconds. Repeat 5-10 times per set. Do 1 sets per session. Do 2 sessions per day.

22 ALLIANCE OCCUPATIONAL MEDICINE 22 Neck Retraction: Pull head straight back, keeping eyes and jaw level, AND LOOK UP. Repeat 3-5 times per set. Do 1 sets per session. Do 2 sessions per day.

23 ALLIANCE OCCUPATIONAL MEDICINE 23 Pectoral stretch: Standing in the DOORWAY step forwards till you feel a gentle stretch in your chest muscles. Hold for seconds. SECOND ARM POSITIONS-ELBOWS AT SHOULDER HEIGHT AND FOREARMS ON THE DOOR FRAME. Repeat 3-5 times per set. Do 1 sets per session. Do 2 sessions per day.

24 ALLIANCE OCCUPATIONAL MEDICINE 24 Posterior Capsule Stretch: Gently pull on right forward elbow with other hand until stretch is felt in shoulder. Hold seconds. Repeat 3-5 times per set. Do 1 sets per session. Do 2 sessions per day.

25 ALLIANCE OCCUPATIONAL MEDICINE 25 Inferior Capsule Stretch: Gently pull on right raised elbow with other hand until A gentle stretch is felt in the shoulder. Hold seconds. Repeat 3-5 times per set. Do 1 sets per session. Do 2 sessions per day.

26 ALLIANCE OCCUPATIONAL MEDICINE 26 Chest Stretch: Lace fingers behind back and squeeze shoulder blades together. Slowly raise and straighten arms. Hold seconds. Repeat 3-5 times per set. Do 1 sets per session. Do 2 sessions per day.

27 ALLIANCE OCCUPATIONAL MEDICINE 27 Lower Cervical / Upper Thoracic Stretch: Clasp hands together in front with arms extended. Gently pull shoulder blades apart and bend head forward. Hold seconds. Repeat 3-5 times per set. Do 1 sets per session. Do 2 sessions per day.

28 ALLIANCE OCCUPATIONAL MEDICINE 28 Thoracolumbar Side-Bend: Hands clasped, reach over head and bend to left side until stretch is felt. Then go to the other side. Hold 10 seconds in each position. Relax. Repeat 2-3 times per set. Do 1 sets per session. Do 1-2 sessions per day.

29 ALLIANCE OCCUPATIONAL MEDICINE 29 Gastroc Stretch: Stand with left foot back, leg straight, forward leg bent. Keeping heel on floor, lean into wall until a gentle stretch is felt in the calf. Hold seconds. Repeat 3-5 times per set. Do 1 sets per session. Do 2 sessions per day.

30 ALLIANCE OCCUPATIONAL MEDICINE 30 Quadriceps Stretch: (Standing) Pull right heel toward buttock until stretch is felt in front of thigh. Hold seconds. Repeat 3-5 times per set. Do 1 sets per session. Do 2 sessions per day.

31 ALLIANCE OCCUPATIONAL MEDICINE 31 Hamstring Stretch: (Standing) Place right foot on stool. Slowly lean forward, KEEPING BACK STRAIGHT until stretch is felt in back of thigh. Hold seconds. Repeat 3-5 times per set. Do 1 sets per session. Do 2 sessions per day.

32 ALLIANCE OCCUPATIONAL MEDICINE 32 Backward Bend (Standing): Arch backward to make hollow of back deeper. Stay in the comfortable range. Hold 2-3 seconds. Repeat 3-5 times per set. Do 1 sets per session. Do 2 sessions per day.

33 ALLIANCE OCCUPATIONAL MEDICINE Lower Back Stretch (Sitting): Sit in chair with knees spread apart. Bend forward to floor. A comfortable stretch should be felt in lower back. Hold 5-10 seconds. Repeat 2-3 times per set. Do 1 sets per session. Do 1-2 sessions per day.

34 ALLIANCE OCCUPATIONAL MEDICINE Piriformis (Supine): Cross legs, right on top. Gently pull other knee toward chest until stretch is felt in buttock/hip of top leg. Hold seconds. CAN BE DONE IN SITTING TOO. Repeat 3-5 times per set. Do 1 sets per session. Do 2 sessions per day.

35 ALLIANCE OCCUPATIONAL MEDICINE Stretching: Piriformis (Supine) Pull right knee toward opposite shoulder. Hold seconds. Relax. CAN BE DONE IN SITTING TOO. Repeat 3-5 times per set. Do 1 sets per session. Do 2 sessions per day.

36 ALLIANCE OCCUPATIONAL MEDICINE Strategies For Employers

37 ALLIANCE OCCUPATIONAL MEDICINE Strategies For Employers Proactive ergonomic changes Educating employees Mandatory micro stretch breaks Watching work hours and days Encouraging and enabling healthy habits-gyms, yoga classes

38 ALLIANCE OCCUPATIONAL MEDICINE Ergonomics

39 ALLIANCE OCCUPATIONAL MEDICINE Risk Factors Involved I. Force – pushing/pulling/gripping II. Awkward posture – head forward, rounded shoulder III. Repetition – continual typing/mousing IV. Duration – long days V. Contact Stress – resting forearms or wrists affecting circulation

40 ALLIANCE OCCUPATIONAL MEDICINE Force

41 ALLIANCE OCCUPATIONAL MEDICINE Proper Posture Standing in one place –Rest a foot on stool or low box –Switch feet often –Wear good shoes Driving –Sit close enough to the wheel, keep knees slightly bent –Fully support low back Walking –Stand tall, walk with head up –Wear good shoes Sitting –Feet flat on the floor or foot rest. –Support low back Sleeping –Sleep on side or back –Don’t sleep on stomach

42 ALLIANCE OCCUPATIONAL MEDICINE Avoid Awkward Postures Awkward postures stress joints and tissues encouraging injury –Keep wrist in neutral position –Keep elbows close to the body –Maintain 90 to 100 degree bend at the elbow –Minimize reaching over shoulder height –If reaching over shoulder height, keep shoulders back and down –Minimize forearm rotation –Minimize wrist side to side movements –Maintain correct sitting posture –Avoid bending forward at your back; use your legs!

43 ALLIANCE OCCUPATIONAL MEDICINE OFFICE ERGONOMICS

44 ALLIANCE OCCUPATIONAL MEDICINE

45 SMALL TOOL USE FOAM ON FINGER CONTACTS USE VARYING FINGERS, WHOLE HAND GRIP, OR TWO HANDS ALTERNATE HANDS KEEP OBJECTS CLOSE

46 ALLIANCE OCCUPATIONAL MEDICINELAB  Use a footstool if working close to the ground or to lessen need for standing while performing a long task

47 ALLIANCE OCCUPATIONAL MEDICINE Other Factors Aerobic fitness Muscular strength Flexibility Coordination Excessive volume of activity Inadequate recovery time Chronic Illness (diabetes, low thyroid) Smoking

48 ALLIANCE OCCUPATIONAL MEDICINE What Else Can You Do? Stay Healthy! Eat nutritious meals Exercise regularly Sleep until you’re rested (7-8 hours) Manage stress Don’t let hobbies and work tasks compete for your energy and recovery time

49 ALLIANCE OCCUPATIONAL MEDICINE BMW Plant In Dingolfing, Germany Production Workers-Aging -“Silver Tsunami”. 21.6% over 65 by 2020 Experience, patience, skill Less flexibility, strength and vision Could force workers to retire-BUT not the solution-Social Contract!+ Not enough younger worker to replace them

50 ALLIANCE OCCUPATIONAL MEDICINE BMW Turned one assembly line older- average age 47- projected average in 7 yrs. Worker input for improvement Feet hurt- put in wooden floors and special shoes Some place to sit- modified Hairdresser’s chair

51 ALLIANCE OCCUPATIONAL MEDICINE BMW Some tools improved, bigger type on computer screens About 70 small changes-to cut errors and reduce Physical Strain Cost about $50K including lost time Productivity went up7%, absenteeism below plant average, defect rate down to ZERO

52 ALLIANCE OCCUPATIONAL MEDICINE 52 Thank You Any Questions? Val Kshirsagar PT,CHT,OCS Physical Therapist Alliance Occupational Medicine 315 South Abbott Ave., Milpitas 2737 Walsh Ave., Santa Clara


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