1212 R S I or how evolution cannot keep up with our progress ARBOCATALOGUS Nederlandse universiteiten ACNU KANS GP4b CANS presentation (UK version).ppt Subject: CANS Good Practice #4b: PowerPoint presentation CANS (UK)

1212  RSI in 3 stages  Ergonomics  Posture  Prevention  What is RSI?  Diagnose, Symptoms  Direct causes  Indirect causes (risk factors) Subjects

1212 RSIRepetitive Strain Injury  Repetitive=repeated  Strain =too much tension  Injury =damage The RSI syndrome is a collective name for complaints from overstraining as a result of repeated work

1212 Diagnose RSI?  Most common(80%) is a painful  hand, arm, shoulder and neck  A medical diagnose in only %  Tennis elbow, golf elbow  Inflammation of tendon or tendon sheath  Carpal tunnel syndrome

1212 Symptoms/Complaints  Local cramp and tiredness  Pain: nagging or sharp can radiate  Tingling (paraesthesia)  Loss of control and strength  Stiffness  Dysfunctions and restrictions

1212 Neck 20 % Elbow 6 % Shoulder 19% Wrist/hand/fingers 11% (Dutch Labour Inspection examined in 1997, 2000 civil servants.)

1212 Direct causes  Static load: continuous (over)straining of the muscles in neck, shoulder, arms and fingers  Dynamic load: Repeated movements in combination with extreme postures

1212 Indirect causes (Risk factors) 5 W ’s  Working times (duration)  Work pressure (deadlines, stress)  Work place (furniture, equipment)  Work method(visual aspects, instructions)  Work tasks (organising tasks)

1212 Causes may lead to  Nerve damage as a result of pressure  Straining of muscles and tendons

1212 RSI complaints in 3 stages:  Light to very serious  Temporary to permanent  While working to lasting after work

1212 Phase 1: Rookie  Pain during work or after extensive work  Complaints are local  Clear relation between work and pain  Phase 1 can last for years

1212 Phase 2: Experienced  Pain radiates  Pain and tiredness do not disappear entirely after work  Work can become restricted  Complaints occur during normal daily activities

1212 Phase 3: “Die hards”  Continuous pain even at night  Pain can transfer to other limbs  Work can become impossible  Injury can become permanent  Even light activities can be very painful

1212 Conclusion…  The problem is real  ”THE SOLUTION” doesn’t exist  Prevention is better than curing  Variation in activities  Awareness of (physical) stress  Balance in the 5W’s

1212 The 5 W’s  Working times (duration)  Work pressure (deadlines, stress)  Work place (furniture, equipment)  Work method(visual aspects, instructions)  Work tasks (organising tasks)

1212 Workplace, Posture and Method Ergonomics Ergon = work Nomos = rule, law “Learn from yesterday, live for today and hope for tomorrow. The important thing is to not stop questioning ” Albert Einstein

1212 Average people do not exist, neither does the average workplace People are  Short or tall  Thin or thick

Chair 2.Desk 3.Monitor 4.Visual aspects 5.Posture 6.Keyboard 7.Mouse

Chair  Seat (height, depth)  Back (support)  Armrests (height, width)

Desk  Depth  Height  Legroom: stretch, turn  Desktop: thickness

Monitor  Top of screen at eye height  Distance cm  Settings:  font size  colour, contrast, brightness  refresh rate ≥ 70 Hz

Visual aspects

Posture  Straight back  Relaxed  Right in front of your monitor  NOT twisted or turned at your desk

Keyboard  As flat as possible  Wrists relaxed and straight  Right in front of you  No wrist support

Mouse  Motion speed  Large movements  Double click speed  Large (or no) mouse pad (NO wrist support)  Fingers relaxed  Shortcut keys

1212 The ‘ideal’ work place 1.Chair 2.Desk 3.Monitor 4.Visual aspects 5.Posture 6.Keyboard 7.Mouse

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1212 RIGHT?WRONG?

1212 RIGHT?WRONG?

1212  Do not raise your shoulders  Relax while working! RIGHTWRONG

1212  Never bend forward  Always keep your back straight WRONGRIGHT

1212  Wrong posture (long term)  Always have your screen straight ahead WRONGRIGHT

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1212  Keep elbows relaxed  Keep hands and fingers relaxed WRONGRIGHT

1212  Wrist is carrying the weight of the arm  Caused by leaning forward WRONGRIGHT

1212  Keep fingers and wrists relaxed, not bent WRONGRIGHT

1212  To much tension in the hands  Will cause complaints rapidly WRONGRIGHT

1212  Work pace software  If you get used to it….. it really helps  Exercises to relax Sportswear not required.

1212 What can YOU do at your workplace Adjust workplace If desired with help from consultant Clean up deskCreate working space Beginning complaints Report immediately to workplace or OSHE consultant

1212 What can you do by yourself:  Don’t skip breaks  Avoid peak loads  Variation in activities  Loosen up from work  Keep yourself fit

1212 Workplace consultants NameTel

1212 R S I can change your life drastically