1. ERGONOMIC EXPOSURES AT THE GROCERY STORE
CASHIER JANITOR STOCKER

2. ERGONOMIC EXPOSURES AT THE GROCERY STORE cont.
OFFICE MANAGER CART ATTENDENT

3. POTENTIAL SYNDROME EXPECTED AND HIGHLIGHTED AT THESE INDUSTRIES
TOS

4. POTENTIAL SYNDROME EXPECTED AND HIGHLIGHTED AT THESE INDUSTRIES CONT.

5. SHOULDER WRIST BACK HAND FINGERS
BODY PARTS AFFECTED
SHOULDER
WRIST
BACK
HAND
FINGERS

6. CAUSES OF SUCH SYNDROMES
THORACIC OUTLET SYNDROME
Anterior scalene (C3, 4, 5, 6 to first rib) tightness or hypertrophy
Costoclavicular approximation
Pectoralis minor (3rd, 4th, and 5th ribs to coracoid process) tightness
CARPAL TURNAL SYNDROME
Pressure: The nerve has little padding over it.  Direct pressure (like leaning the arm on an arm rest) can press the nerve, causing the arm and hand — especially the ring and small fingers — to “fall asleep.”  
Stretching:  Keeping the elbow bent for a long time can stretch the nerve behind the elbow.  This can happen during sleep.
Anatomy:  Sometimes, the ulnar nerve does not stay in its place and snaps back and forth over a bony bump as the elbow is moved.  Repeated snapping can irritate the nerve. Sometimes, the soft tissues over the nerve become thicker or there is an “extra” muscle over the nerve that can keep it from working correctly.

7. CAUSES OF SUCH SYNDROMES CONT.
TRIGGER FINGER
Repetitive Strain Injury
Repetitive overuse of the fingers in activities that result in the "excessive" use of the fingers in any activities that require finger flexion. This can range from typing to driving.
Direct Trauma
Trigger Finger is often the result of direct injury to the tendon via micro-tears resulting from blunt trauma that cause immediate micro-tears in the flexor tendon(s).
SHOUDER BURSITIS
An injury, such as a fall
Bacterial infection
Overuse of the shoulder, such as when you paint or swim
Bony growths that rub against and irritate the bursa and tendon

8. CAUSES OF SUCH SYNDROMES
DEQUEVAIN’S DISEASE (UNKNOWN)
Direct injury to your wrist or tendon;
scar tissue as a result of healing can restrict movements
Inflammatory arthritis, like rheumatoid arthritis
HERNIATED DISC (LOWER BACK)
Lifting heavy things improperly
Injury
Aging
Spontaneous
overweight

9. Predisposing factors (Risk Factors and other variables)
1 TOS
Static posture
Arms overhead for long periods of time
2 CARPAL TURNAL SYNDROME
Prolonged elbow flexion and extension
Resting elbow on hard surfaces
3 TRIGGER FINGER
Middle aged adults, especially women
Repetitive gripping of objects associated with certain occupations
Chronic inflammatory disorder (rheumatoid arthritis)

10. Predisposing factors (Risk Factors and other variables)
4 DEQUEVAIN’S DISEASE
Repetitive movement of the hand
Twisting of the wrist
Use of force while handling objects with hands
5 HERNIATED DISC (LOWER BACK)
Repetitive lifting, pulling,
pushing, bending sideways and twisting
6 SHOULDER BURSITIS
work or hobby requires repetitive motion or pressure on particular bursae

11. Ergronomic work station from $350
PREVENTION AND FIXES
Ergronomic work station from $350

12. PREVENTION AND FIXES cont.
Wave work assist vehicle
Wave Work Assist Vehicle Reach working heights of up to 17 feet supported by a four-point safety system
Travel up to 5 miles per hour to reduce downtime between worksites
Simultaneously elevate operator and load for smoother, more efficient workflows
Maneuver through tight aisles and doorways as narrow as 32 inches -

13. PREVENTIONAND FIXES CONT.
Frequent breaks periods
Working surface elbow height
Comfortable standing pad $32 to $100

14. PREVENTION AND FIXES cont.
Electric Cart pushing machine about $$ 2000

15. PREVENTION AND FIXES cont.
Use of anti vibration gloves( $20)
Maintain machine

16. References
Who is at Risk for De Quervain's Syndrome?,(2016) About home . Retrieved 10/21/16 at
CARPAL TURNAL SYNDROME (2016),American society of hand surgery.Retrieved 10/24/16 at
Trigger Finger (oct 15,2015) DoveMed.Retrieved on 10/25/16 at
Herniated disk ( ) Mayo Clinic.Retrieved on 10/26/16 at conditions/herniated-disk/basics/risk-factors/CON
Bursitis,(2016).Mayo Clinic.Retrieved on 10/20/16 at conditions/bursitis/basics/risk-factors/CON
Idea bank (n.d)Washington state department of labor and industries.Retrived on 10/26/16 at y=35&intRiskFctrID=15
PIP Maximum Gunner Anti-Vibration Gloves(n.d).Full Source.Retrieved on 10/26/16 at s/?size=4&utm_source=bing&utm_medium=cpc&utm_campaign=Keep-1000%20- %20Shop%20%2F%20All%20Items&utm_term= &utm_content=PIP
Working Concepts Ergo Kneel Extreme Standing Mat 14 x 21 in (2016) PK safety.Retrieved on 10/26/16 at