Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most...

47
Should We Lift with our Legs? How to Train Postures for Injury Prevention © Optimum Ergo 2019

Transcript of Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most...

Page 1: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

Should We Lift with our Legs?

How to Train Postures for Injury Prevention

© Optimum Ergo 2019

Page 2: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

Your Guide:

Iolanthe “IO” Culjak

Physical Therapist

Certified Ergonomics Assessment Specialist

President, Optimum Ergo, LLC

© Optimum Ergo 2019

Page 3: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

Why is Posture Important?

© Optimum Ergo 2019

Page 4: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

Look Younger

© Optimum Ergo 2019

Page 5: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

Have a Better Golf Swing

© Optimum Ergo 2019

Page 6: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

Be Stronger and Avoid Back Pain Cycling

© Optimum Ergo 2019

Page 7: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

Have Better Balance

© Optimum Ergo 2019

Simone Biles

Page 8: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

Be More Powerful

© Optimum Ergo 2019

Page 9: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

Prevent Injuries at Work

© Optimum Ergo 2019

Page 10: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

Working Zone

© Optimum Ergo 2019

Page 11: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

Backpack on

Rock for safer

lift.

© Optimum Ergo 2019

Page 12: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

© Optimum Ergo 2019

Page 13: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

© Optimum Ergo 2019

U.S. Bureau of Labor Statistics

Most prevalent injuries

2016Back injuries: 38.5 percent of all work-

related musculoskeletal disorders

Shoulder Injuries: 14.9% of all reported

injuries

Leg Injuries 11.9% of all reported injuries

“Sprains and strains are the most

prevalent type of injury to the back,

shoulder, and knee.” (Bureau of Labor Statistics 2016)

Page 14: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

© Optimum Ergo 2019

Page 15: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

Shoulder

© Optimum Ergo 2019

The shoulder is one of the most mobile joints in the body.

Significant mobility occurs at the cost of decreased stability.

This great mobility makes the shoulder vulnerable to injury

Page 16: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

Shoulder

Complex

© Optimum Ergo 2019

Page 17: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

Rotator Cuff

© Optimum Ergo 2019

Page 18: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

Shoulder

Posture

© Optimum Ergo 2019

Best stability is with elbow by side

Scapular muscles are key for stability and control

Avoid overhead work and reaching away from body to lift

Page 19: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

The Shoulder

isn’t this

complex

© Optimum Ergo 2019

Page 20: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

Shoulder Working Posture

© Optimum Ergo 2019

Fortune 500 U.S. Manufacturer online photo

Page 21: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

Wrist/Hand

© Optimum Ergo 2019

Page 22: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

Wrist

Posture

© Optimum Ergo 2019

Neutral wrist-Make a fist

Flexed wrist-compresses nerves, tendons and arteries

Extended wrist-overstretch of tendons.

Sleeping at night-people tend to flex wrist and decrease circulation

Page 23: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

Wrist Poor working postures

© Optimum Ergo 2019

• Wrists in ulnar deviation

• Forearm pronatedWrist flexed and in ulnar deviation

Page 24: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

Wrist Good Working Postures

© Optimum Ergo 2019

Page 25: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

Neck/Back Posture

Head should be lined up with spine.

Ear lobe close to mid-shoulder

Normal S-Curve

© Optimum Ergo 2019

Page 26: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

© Optimum Ergo 2019

Lumbar

Spine

Page 27: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

Neck Posture-

Forward Head

Stress to soft tissue

Can cause fatigue

Can lead to pain

Neck

Upper Traps

Upper back

Arm

© Optimum Ergo 2019

Page 28: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

Standing

Posture

© Optimum Ergo 2019

Page 29: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

Sitting Posture

Straight back chair never

works

Prefer more open angle at

hips with slight backward

lean

Change positions (esp

driving)

© Optimum Ergo 2019

Page 30: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

© Optimum Ergo 2019

What is Largest Muscle

in the Body?

Page 31: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

Glutes

Gluteus Maximus is largest

muscle in our body

Glutes extend the hip.

Keeps us upright

Externally rotates hip

© Optimum Ergo 2019

Page 32: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

Knee postures

© Optimum Ergo 2019

Page 33: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

Hip Hinge and Glutes

© Optimum Ergo 2019

Page 34: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

Working

Athlete

© Optimum Ergo 2019

Warm-up before work

Hydrates and eats healthy

Uses micro-breaks

Stretches after work

Gets good sleep

Page 35: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

Everyday

Athlete

Posture

© Optimum Ergo 2019

Toes Forward

Press toes outward without moving foot. Notice knees rotate outward

Squeeze Glutes for neutral pelvis

Inhale/Exhale Engage Core

Rotate Shoulders Back into sockets

Neck/head aligned over spine

Page 36: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

Sit to Stand

© Optimum Ergo 2019

Quads extend the knee

Glutes extend the hip

Glutes align knees over feet

When Glutes work to extend hip need less contraction from quads and decreases forces on knees.

Page 37: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

Lifting

Posture

© Optimum Ergo 2019

Don’t just lift with your knees

Also Lift with you’re a## (I mean Glutes)

Page 38: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

Single Person

Lift:

Spine straight

Squat to object (prefer

objects be between

shoulder and thighs)

Object close to body

Push through heels, squeeze

butt to lift

If move requires any turning,

turn entire body, NOT at the

spine. (Turning spine is risk

factor)

© Optimum Ergo 2019

Page 39: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

Golfer’s Lift

© Optimum Ergo 2019

Page 40: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

Stretching

© Optimum Ergo 2019

Static

Dynamic

Ballistic-Please don’t go Ballistic!

Page 41: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

Static Stretching

© Optimum Ergo 2019

After exercise, work or end of day

Improves joint range of motion

Reduces muscle stiffness

Page 42: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

© Optimum Ergo 2019

“Frequent stretching is necessary to

improve the viscoelasticity of the muscle-

tendon unit. Muscle force decreased for 30

minutes after stretching; this should be

considered prior to activities requiring

maximal muscle strength.”

J Sport Rehabil. 2019 May 1;28(4):325-331. doi: 10.1123/jsr.2017-0203. Epub 2018 Dec 3.

Hamstring Stiffness Returns More Rapidly After Static Stretching Than Range of Motion, Stretch

Tolerance, and Isometric Peak Torque.Hatano G, Suzuki S, Matsuo S, Kataura S, Yokoi K, Fukaya T, Fujiwara M, Asai Y, Iwata M.

Page 43: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

Dynamic Stretching

© Optimum Ergo 2019

Start of day

Prior to sports, exercise, work

Increases blood flow to soft tissue

Prepares body for motion

Page 44: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

Train

Working

Postures for

Good

Habits

© Optimum Ergo 2019

Include good posture in daily warm-up.

Good ergonomics promotes good postures

Educate employees to monitor their own postures

Encourage employees to monitor co-worker postures.

Page 45: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

Kaizen:

Good

Change(Improvement)

© Optimum Ergo 2019

Make small steps towards positive change

Everyone participates (CEO to line workers)

See a problem (Bad posture), fix it right away

Page 46: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

Don’t be this

guy

© Optimum Ergo 2019

Page 47: Should We Lift with our Legs? - Section...© Optimum Ergo 2019 U.S. Bureau of Labor Statistics Most prevalent injuries 2016 Back injuries: 38.5 percent of all work- related musculoskeletal

© Optimum Ergo 2019

Iolanthe “IO” Culjak, PT, CEAS

President, Optimum Ergo, LLC

OptimumErgo.com