1. Prof. Maj. Dr S Bakhtiar Choudhary MD Sports Medicine (Switzerland), D.Litt. PhD. Consultant Sports medicine, Ergonomics and Work place management E-mail: sbakhtiar@hotmail.com Tel: 9849136940 Occupational Health Fitness Ergonomics & Workplace management

2. Officer’s Health is Expensive

3. 1.90% Indoors 2.10% Outdoors Your Job

4. Current Health Management Current Health Practices Out Patient Treatment Hospital Admissions Health Checks Areas Neglected Insufficient Health education (Direction) Poor Ergonomics awareness Poor Nutritional awareness Fitness & Preventive attitude

5. 1.To increase work performance 2.To decrease the long term detrimental health effects. 3. Work Station Design( Situation) Ergonomics Issues Science > Man - Machine partnership for purposeful activities to do work more effectively

6. Ergonomics and Problems Repetitions Grip Reaching equipment Body Posture Loading and Lifting

7. Ergonomics and Posture

8. Abuse Posture

9. EMG radiation Defective Posture Accidents Tumors in the brain Headaches Sleeplessness Hypertension Anxiety Bigger the phone-more the radiation

10. Relaxing (axing the neck) : TV---viewing

11. Standing Jobs: Work Stations levels: Effect on Body

12. Sitting Ducks Excess Sitting Excess appetite Excess Calories Defective diet Inadequate exercise / activities Early Disease

13. Losses in One decade of Sitting Loss of Muscle: 10-15 kg Loss of Bone Calcium: 720 g Breathe Less: 20-30% oxygen during sitting Breathing oxygen of 7 years in 10 years Increase in Body fat: 10-15 kg Decrease in Plasma volume by 15% Decrease in ROM in major joints by 30 % Decrease in immunity by 20-30% Premature aging 3 years every decade

14. POOR SITTING Neck strain Shoulder strain Back Strain Hand strain

15. Tall-poor sitting No back support FHP

16. Poor Sitting No foot rest No back support FHP

17. Catastrophe

18. High Angle of tendon Biomechanics

19. Static Loading Dynamic loading Force Browne et al. Med J Aust 1984; March 17: 329-332.

21. EMGID0390 CONDITIONS ICH200µV/DIV HIGH CUT3KHz LOW CUT20Hz HUM FILTERON SWEEP TIME50mS/DIV Amp 3.50mV Trapezius : Awkward posture (Mouse)

22. EMGID0390 CONDITIONS ICH200µV/DIV HIGH CUT3KHz LOW CUT20Hz HUM FILTERON SWEEP TIME50mS/DIV Amp870  V Trapezius :Corrected posture (Mouse) Choudhary S. Bakhtiar at al. Ind Journal Occu Env Med 2002; 6(1) 10-11

23. Simple eye strain, dry eye syndrome Gaze angle problems Illumination Asthenopia; resulting from ocular muscles Visual fatigue from neck posture. Accommodation disturbances With myopia increased risk of glaucoma. Masayuki et al. Journal of epidem and com health 2004; 58:1021-1027. Work Related Eye Problems

24. Every body has beautiful Spine

25. Immediate Effects of Office Chair Sitting on the Lumbar Spine Normal Optimum curvature Tall Loss of curvature Short Exaggerated curvature

26. Wrong Lifting technique

27. SSS: Straight Spine Syndrome Choudhary S. Bakhtiar, Suneetha S. Deb PS: Forward head posture is the cause of Straight Spine Syndrome in many professionals, Ind J Ocu Env Med 2000 Sept; Vol 4,(3); 122-124.

28. 26 years 29 years Urban Neck Syndrome Reversible functional disorder

29. Lift With the Legs -- NOT THE BACK.

30. Fitness Promotion

31. Types of exercise 1. Mobility exercises 2. Walking / Cycling 3. Breathing exercises Based on your capacity Follow the right advice Stop when problem Start low intensity

32. Exercise Prescription (FITT principle) Frequency: 5 times a week Intensity: Start slowly increase Type: Choose suitable Time: Any Time Duration: 5-90 min 30----60-----90 min Strength exercises : thrice a week Doing is Must than Planning

37. Desk bond stretches

38. Personal Level Correct Ergonomics Correct Posture Detection of early Hypertension Control of Obesity Improving fitness Detection of early RSI Stress Coping skills RSI prevention Exercise Programmes Personal protection equipment

39. 1.Exercise: HDL 2.Gravity: Calcium 3.Sunlight : Vit D 4.Posture: MSD Four Natural protections

40. It’s never Too late Earlier the Better Exercise is a habit