1. www.inl.gov Injury Prevention Presented by: Noelle M. Walker 3/24/2011

3. iStretch What is the program goal? Aims to improve the flexibility of employees. A series of DOM approved stretches are available for employees to use that will aid in achieving this company-wide goal.

4. iStretch cont. What are the benefits? After a few months most people find that they: - Have better posture - Move more easily - Improved balance Each of these factors aids in reducing the risk of slips, trips and falls

5. iStretch cont. Overview Completely voluntary (Supported by VPP Office) Simple exercises anyone can perform Safe and effective regimen Generally lead by a trained “Stretch Leader” Less than 10 minutes a day

6. iStretch cont. Stretch Break Forearm Shoulder 3-Point Triceps Calf

7. iBalance What is the program goal? To enhance employee spatial orientation through the routine practice of specific exercises. What are the benefits? Helps reduce the likelihood of injury by improving individual reaction time by allowing for more precise movement with less physical effort.

8. iBalance cont Program Overview 100% Voluntary Only requires a moderate level of muscular flexibility and upper body stability Recommended that iStretch training is used as a precursor to iBalance

9. iBalance cont iBalance Break Single Leg Stand Cross body leg swing

10. iStrength Goal - To enhance employee muscular strength through the routine practice of approved exercises Overview - Voluntary -Use of Thera-band s

11. iStrength cont. What are the benefits? - Increased metabolic rate - Increased bone mineral density - Reductions in body fat - Lowered resting blood pressure - Others

12. Safe Lifting Program Statement: Preventing the occurrence of back injuries is a complex issue that requires the combining of several different approaches to form an integrative program that is scientifically justifiable

13. How much do you know about back pain? Q-1 The most reliable predictor of future back pain at the worksite is whether or not the employee enjoys his/her job. True or False FALSE A common misinterpretation of the Boeing Back Study. The best predictor is present back pain or lost work in the last six months.

14. How much do you know about back pain? Q-2 A stretching program implemented during work is the most effective way to reduce back injuries. True or False FALSE Stretching programs are designed to increase flexibility and is an important component of fitness but proper back mechanics is the most effective way to reduce back problems.

15. How much do you know about back pain? Q-3 Lifting improperly or lifting too much weight are the primary causes of back injuries. True or False FALSE Not typically the primary cause but usually the event that aggravates the problem.

16. How much do you know about back pain? Q-4 Most back pain is due to a specific injury. True or False FALSE The majority of people who have back problems are unable to describe an associated incident or injury, but is the cumulative effect of many types of activities

17. How much do you know about back pain? Q-5 Maintaining good flexibility and back strength has been shown to be protective of future back problems True or False FALSE Muscle endurance as opposed to overall back strength has been shown to be protective of future problems. As you fatigue, poor back mechanics result.

18. How much do you know about back pain? Q-6 Most back injuries occur while picking up an object off the ground. True or False FALSE Twisting the torso appears to be the major biomechanical error.

19. Safe Lifting Cont. What are the causes? Individual Lack of sleep Stress Emotional instability Lack of physical activity Poor muscle endurance Excessive weight Poor ergonomics Occupational Heavy physical work Static posture Frequent bending & twisting Pushing, pulling & lifting Repetitive work Slipping, tripping & falling Mental fatigue

20. Safe Lifting Cont. Actions that can be taken to prevent back injuries Instruction on safe lifting techniques Improve physical fitness levels Learn stress reduction techniques Improve stability and balance

21. Safe Lifting Cont. Standard Lifting Procedure Step One – Approach Step Two – Descent Step Three – Ascent Step Four - Transfer

22. Safe Lifting Cont. Applying the Five “L’s” Lungs: Proper breathing Legs:Provide the strength Load:Know your limitations Lever: Manipulate internal/external levers to lighten the load Lordosis: Inward curvature of the spine

23. Questions or Comments