MSD Prevention Process Overview

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“Workplace Athlete” Modelfor

MSD Prevention

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INTRODUCTION

Established 1989

Mark Middlesworth MS, ATC, CEES

Overview: A “Best Practice” Approach to Workplace MSD Prevention and Cost Containment


MSD Definition & Causes MSD Prevention Philosophy E+ System – How it works Workplace “Athletic Trainer” Roles & Responsibilities

MSD PREVENTION PROCESS - OVERVIEW

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Musculo-Skeletal Disordersor

Movement System Disorders

Other terms used for MSDs include: Repetitive Motion Disorder Repetitive Strain Injury Repetitive Trauma Disorder Overuse Injury Ergonomic Injury

MSD

Ergo Plus MSD Definition: Movement System Disorders or MSDs are injuries and disorders that affect the human body’s movement or musculoskeletal system.

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MSD COSTS

MSDs represent 40% of claims and 68% of costs. Direct costs are estimated at 300 billion per year in US. Indirect costs such as lost productivity and quality from

MSD costs US companies $60 billion each year. High human cost - unnecessary pain & suffering. The average person who suffers a disabling MSD loses

40% of their income over five years.


Musculo-Skeletal Disordersor

Movement System Disorders

MSD


Muscle/Tendon Strain Tendonitis Ligament Sprain Tension Neck Syndrome Thoracic Outlet Compression Rotator Cuff Tendonitis Epicondylitis Radial Tunnel Syndrome

Radial Tunnel Syndrome Digital Neuritis Trigger Finger/Thumb DeQuervains Syndrome Carpal Tunnel Syndrome Mechanical Back Syndrome Degenerative Disc Disease Rupture/Herniated Disc

MSDs are caused by exposure to a number of different risk factors over a period of time, leading to chronic muscle/tendon fatigue outpacing the human body’s ability to recover. If fatigue outruns recovery over time… inflammation, discomfort, pain, and lost function is the result.

FATIGUE VS. RECOVERY BALANCEFATIGUE VS. RECOVERY BALANCEFATIGUE VS. RECOVERY BALANCE

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MOVEMENT SYSTEM HEALTH

WHEN BALANCE IS ACHIEVED… …OPTIMAL HEALTH IS MAINTAINED

IF FATIGUE = RECOVERY… …BALANCE IS ACHIEVED

FATIGUE VS. RECOVERY BALANCEFATIGUE VS. RECOVERY BALANCEFATIGUE VS. RECOVERY BALANCE


MOVEMENT SYSTEM DISORDER

WHEN IMBALANCE OCCURS… …HEALTH IS COMPROMISED

IF FATIGUE OUTRUNS RECOVERY… …AN IMBALANCE OCCURS

FORMATION OF MSD

LOSS OF FUNCTION

FATIGUE

PEAK HEALTH

RESULT: In this case, fatigue and discomfort eventually led to a musculoskeletal disorder – a lost time injury, OSHA recordable, doctor visit & possibly surgery or prescribed medication.

LOST TIME INJURY

AVERAGE

DISCOMFORT

PAIN

TIME

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Just as your car burns fuel for the energy needed to move it, muscle energy (ATP) is produced by the burning of fuel… glycogen.

Just as your car produces toxic waste from this fuel burning for energy, your body’s muscles also produce a toxic waste product called lactic acid.

Lactic Acid accumulation causes muscle fatigue and will eventually prevent the muscles from contracting if not removed.

CAUSE OF MUSCLE FATIGUE


DECREASE FATIGUE&

INCREASE RECOVERY

MSD PREVENTION

DECREASE FATIGUE: Ergonomics Proper Body Mechanics Proper Lifting Techniques Pre-shift Stretching Reverse Stretching

INCREASE RECOVERY: Proper Hydration Good Nutrition Vitamin Supplements Good Physical Fitness Proper Sleeping Habits


MSD Risk Factors?

Not everyone with ergonomic exposures at work develops a MSD, and not everyone that develops an MSD has ergonomic exposures at work.



A comprehensive “whole person” strategy is needed for effective injury and MSD prevention. Why? Because a variety of risk factors are involved. Some of these risk factors are the responsibility of the workplace, while others are the responsibility of the worker.

E+ System Establishment Education Early Intervention Ergonomics Evaluation


FATIGUE

PEAK HEALTH

AVERAGE

DISCOMFORT

PAIN

PREVENTION OF MSD

RESULT: In this case, as the worker began to experience fatigue & discomfort they employed the tools provided to them by their injury prevention specialist to prevent the MSD from occurring.

TIME

EARLY INTERVENTION

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LOSS OF FUNCTION

ELIMINATION OF MSD

FATIGUE

PEAK HEALTH

AVERAGE

DISCOMFORT

PAIN

RESULT: When the components of an effective injury prevention program are properly executed, maximum productivity & performance are achieved.

TIME

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LOSS OF FUNCTION


Football Teams Head Coach Coordinators Position Coaches Team Captains Special Teams Athletes / Players Athletic Trainer

Workplace CEO / Plant Manager Operations Managers Process Managers Group Leaders / Team Leads Safety / Ergonomics Team Athletes / Employees Athletic Trainer

WORKPLACE “ATHLETIC TRAINER”


CEO / Plant Manager Communicates and demonstrates management's leadership and commitment. Provides authorization of adequate resources.

Health & Safety Manager Facilitates and monitors the implementation of the MSD prevention process.. Works with athletic trainer to identify methods of reducing exposure to MSD. Assists in educating and communicating to all levels of the facility. Conducts periodic trend reviews and program evaluation.

Supervisors Facilitate the implementation and direction of the MSD prevention process within manager's area or responsibility. Encourages early reporting of excessive fatigue, discomfort, or MSD signs and symptoms. Responds appropriately

and promptly when an employee reports.

Safety Team Attend MSD prevention & ergonomics training programs. Identify opportunities for reduction or elimination of known job-related MSD risk factors . Assist in the investigation, prioritization, and solution development for ergonomic improvement opportunities that

have been identified. Assist in communication and education about MSD risk factors and ergonomics to all employees. Work with management to insure that all new job tasks and processes are designed with ergonomics in mind.

Employees Report any early signs and symptoms to department managers to initiate early intervention. Provides suggestions for controlling ergonomic risk factors. Accepts responsibility for personal risk factors related to MSD.


ROLES AND RESPONSIBILITIES


Athletic TrainerEstablishment

Works with management to determine goals, objectives, and structure of the MSD prevention process. Assist with review and identification of priority departments and jobs. Review MSD prevention process with safety and/or ergonomics teams. Work with management to develop and implement a best practice pre-shift stretching program.

Education Conduct training programs as needed for supervisors & team leads. Conduct training programs as needed for safety/ergonomics team & engineers. Conduct general MSD prevention & wellness training for employees by area on priority basis. Conduct work methods and body mechanics training with employees.

Early Intervention Address team member early reports of fatigue/discomfort as they appear. Provide self-care counseling of team members regarding any fatigue/discomfort. Provide at least weekly follow-up with team members reporting fatigue and document compliance with self-care

program elements.Ergonomics

Perform job demands and ergonomic analysis by area on an priority basis. Document ergonomic improvement opportunities and work with management and safety/ergonomics team to cost

justify and implement practical solutions. When engineering controls are not practical, work with management to determine whether administrative controls

such as job rotation would be effective in reducing MSD risk while maintaining quality and productivity objectives. Measure and document effectiveness of implemented controls.

Evaluation Evaluate MSD process components to ensure they are effective.


ROLES AND RESPONSIBILITIES


Dehydration Malnutrition Inflammation Fatigue & stress Poor physical fitness Poor health habits

LIFESTYLE DISEASE CAUSES


BUILDING WELLNESS PRINCIPLES

Accept Responsibility Water & Hydration Rest & Recovery Nutrition Exercise Fat Loss Workplace Lifestyle Habits Building a Wellness Plan


BUILDING BLOCKS

Face the Truth Identify the Reasons Decide Study Wellness Set Goals Plan for Wellness Keep Score Win the Inner Battle Execute the Plan


A comprehensive “whole person” strategy is needed for effective injury and MSD prevention. Why? Because a variety of risk factors are involved. Some of these risk factors are the responsibility of the workplace, while others are the responsibility of the worker.

E+ System Establishment Education Early Intervention Ergonomics Evaluation



Any Comments or Questions?


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MSD Prevention Process Overview

Health & Medicine

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