All Posts tagged Ergonomics

Contributing to a Healthy Canadian Workforce: Appropriate Care for Muscle, Bone & Nerve Conditions

Contributing to a Healthy Canadian Workforce: Appropriate Care for Muscle, Bone & Nerve Conditions
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We’ve said it before, but it bears repeating: low back pain (LBP) is at epidemic levels in Canada. Over 80% of Canadians can expect to suffer an episode of LBP in their lifetime, and it is a leading cause of disability and prolonged work absences.1 Chronic and recurrent low back pain is also responsible for the majority of MSK-related healthcare costs – an estimated $12 billion yearly – and that figure does not even include the economic impact to Canadian society resulting from lost productivity, absences and disability payments.2 Considering that by 2027, one in three Canadians will be over 55 years old and facing increased risk of developing MSK issues,3 it is vital to devise a comprehensive MSK strategy and ensure access to appropriate care sooner rather than later.

As we’ve discussed in past blog posts about Workplace Injuries and Healthcare Sustainability, chronic and recurring MSK conditions are by far the most financially taxing on Canada’s healthcare system – and they can have a devastating impact personally, whether it’s from lost income (absenteeism), or continuing to work through the pain (presenteeism). What is being done about it?

Low Back Pain: Medical Intervention

According to Statistics Canada, those in chronic pain are most likely to seek professional care from doctors, nurses, physiotherapists, and psychologists.4 Many patients are managed primarily through pharmaceutical options, diagnostic imaging and surgical referrals. But, is this the most appropriate care?

There is evidence that medical treatment of LBP in Canada, the US and England has very high healthcare costs, with limited patient outcomes. In Alberta, a 2009 review of the suitability of ordering MRI scans revealed that one-third of MRI requisitions were ordered to determine whether or not patients suffering from low back pain needed surgery. Researchers found that only 44% of the tests were deemed appropriate and that less than 1% of cases were, in fact, candidates for surgery.5 Within 10 years in Ontario, MRIs increased by 619% and CT scans increased by 199%,5 although data suggests that clinical assessments made by MSK experts decrease the overuse of MRIs. This not only results in significant healthcare savings, but spares patients from the stress and risks of undergoing unnecessary diagnostic imaging.

Similarly, those coping with chronic pain who seek medical intervention are likely to be prescribed opioids. Opioids may be appropriate for some, but certainly not all. Alarmingly, Canadians are the world’s second largest (per capita) consumers of prescription opioids.6 In 2012, approximately 410,000 Canadians self-reported abuse of psychoactive drugs, including opioids, stimulants, tranquilizers and sedatives.7 In the same year, in Ontario alone, over 60% of drug-related deaths were related to prescription opioids.8 It is conceivable that some of these cases could have been managed with appropriate and conservative care.

What is “appropriate” care?

Appropriate care is based on valid evidence, and the benefits of care need to exceed potential harm. Appropriate care is also cost effective and consistent with ethical principles that reflect individual preferences and show clear benefits to a community. Conversely, inappropriate care can complicate care or even have a detrimental impact on Canadians’ health.

For many Canadians, access to appropriate non-pharmaceutical options may help relieve pain but also manage the complexity of comorbidities and decrease the likelihood of opioid addiction. Early chiropractic intervention of MSK injuries and disorders addresses problems before they become chronic (lasting more than three months) and helps patients effectively manage pain and other disorders that increasingly plague the Canadian workforce.

Pain doesn’t have to be a part of work life and shouldn’t result in disability or early retirement. Work pain-free for longer, feel healthier and enjoy a better quality of life.

Sourced from the Canadian Chiropractic Association 


1. Dionne CE, Dunn KM, Croft PR. Does back pain prevalence really decrease with increasing age? A systematic review. Age Ageing 2006;35(3):229-34. Epub 2006 Mar 17 
 2. Brown A, Angus D, Chen S, Tang Z, Milne S, Pfaff J, Li H, Mensinkai S. Costs and outcomes of chiropractic treatment for low back pain [Technology report no 56]. Ottawa: Canadian Coordinating Office for Health Technology Assessment; 2005. 
 3. McGee R, Bevan S, Quadrello T. Fit For Work? Musculoskeletal Disorders and the Canadian Labour Market, 2009 The Work Foundation 
 4. Ramage-Morin P, Gilmour H. 2007/2008 Canadian Community Health Survey, Health Reports 2010:21(4), Statistics Canada 
 5. Emery D, Forster A, Shojania K, Magnan S, Tubman M, Feasby T. Management of MRI Wait Lists in Canada, Health Policy. Feb 2009; 4(3): 76–86 
 6. International Narcotics Control Board. (2013). Narcotics Drugs: Estimated World Requirements for 2013; Statistics for 2011. New York: United Nations. 
 7. HESA, Evidence, 2nd Session, 41st Parliament, 6 November 2013, 1530 (Robert Ianiro, Director General, Controlled Substances and Tobacco Directorate, Healthy Environments and Consumer Safety Branch, Health Canada). 
 8. HESA, Evidence, 2nd Session, 41st Parliament, 20 November 2013, 1530 (Michel Perron, Chief Executive Officer and Paula Robeson, Knowledge Broker, Canadian Centre on Substance Abuse).
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What is Perfect Posture?

What is Perfect Posture?
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The Importance of Good Posture

Good posture not only makes you look better, it also delivers increased energy, better breathing, improved circulation, and less wear-and-tear on your joints. It’s an investment in both your appearance and your health.

Posture

What is Perfect Posture?

The secret to good posture is maintaining the spine’s natural curves. If your spine is not properly aligned, your muscles and ligaments have to work harder to keep you upright and this can result in strain and pain.

When you slouch, you also put pressure on your lungs and stomach. This can affect breathing and digestion, as well as blood flow.

Does your posture pass the test?

Use a three-way mirror or have a friend help you check out these markers:

  • When standing: your head, shoulders, hips and ankles should line up, one comfortably above the other. Your knees should be slightly bent and your feet should be shoulder-width apart or more.
  • When looking at your back: are your shoulders and hips level or is one side higher than the other? Does your head tilt to one side or the other? Does one shoulder blade seem to be more prominent than the other? Do the muscles of the back seem more developed on one side, compared to the other? A healthy back should be symmetrical.
  • When looking from the side, your neck and low back should curve to the front of your body, and your mid-back and pelvis should curve to the back. Postural distortions in the curves of your spine mean stress and strain on your back.

Tips for Standing Tall

  • If you use a bag or briefcase with a single shoulder strap, choose a strap that is long enough to place over your head and rest on the opposite side from the bag. This helps distribute the weight of the bag evenly and prevents distorting your posture.
  • High heels throw your spine out of alignment, making good posture difficult and often leading to low back pain. A low-heeled, supportive shoe is best, but if you are devoted to your fashion footwear, try to restrict the height to no more than two inches.
  • Try not to sit in any one position for a long period of time. Take a quick stretch break or change positions every 30-45 minutes. For a quick and easy spinal stretch, stand up and raise your arms above your head.
  • Strengthening your core back and abdominal muscles will help promote good posture by keeping your spine well supported.
  • Check out the posture medic. It is a great tool to assist with proper form for the upper back.

Canada’s chiropractors are specialists in back health. If you are concerned about your posture, consider an evaluation.

-Provided by Ontario Chiropractic Association

 

Dr. Luciano Di Loreto graduated from the Canadian Memorial Chiropractic College (2010) as a Doctor of Chiropractic and obtained a certificate in Medical Acupuncture at McMaster University (2010). At his practice located in Vaughan, Ontario, Canada, Dr. Luciano Di Loreto combines evidence-based chiropractic care with a multidisciplinary and collaborative approach to health care. He is an approachable, passionate, and diligent practitioner with a focus on delivering exceptional acute, preventative, rehabilitative and supportive care for a variety conditions relating to the muscle, nerve, and bone. During his spare time, Dr. Luciano Di Loreto takes pleasure in spending time with his family and friends. He enjoys fishing and playing sports.

Fit for Life Wellness & Rehabilitation Centre is a health clinic located in Vaughan, Ontario, just north of Major Mackenzie on Weston Road (Located in the Vellore Medical Centre & Walk In Clinic). If you have questions for Dr. Luciano Di Loreto & Associates, please contact us and we will get right back to you promptly with information on your conditions/concerns.

MEDICAL DISCLAIMER: The following information is my personal notes about this subject matter. It is intended for informational purposes only. Consult a health practitioner to help you diagnose and treat injuries of any kind.

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Tips for Selecting an Ergonomic Office Chair

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TOP 5 TIPS FOR SELECTING AN OFFICE CHAIR

When shopping for the best ergonomic office chair, getting a chair that fits your unique needs should be the top priority. Not every chair labeled “ergonomic” has all the adjustment features necessary to truly be ergonomic. Here are the top 5 things you need to consider to help you make a better selection.

1. Seat pan comfort and shape

When you sit in the chair the seat pan should be at least one inch wider than your hips and thighs on either side. The seat pan should not be too long for your legs otherwise it will either catch you behind the knees or it will prevent you from leaning fully back against the lumbar support. Most ergonomic chairs have a seat pan with a waterfall front that prevents the seat from catching you behind the knees. The seat pan should also be contoured to allow even weight distribution and it should be comfortable to sit on.

2. Think adjustable

Always ensure that your chair is pneumatically adjustable so that you can adjust seat pan height while you are sitting on the chair.

You should be able to adjust the height of the seat pan so that the front of your knees is level or slightly below level and your feet are firmly on the ground. In most cases there should be no need for you to use a footrest. The mechanism to adjust seat height should be easy to reach and operate when you are seated.

3. Lumbar support is key

Many chairs have cushioned lumbar supports that can be adjusted up and down and forwards and backwards to best fit your shape. If the chair will be used by multiple users then this level of adjustment may be required. However if you are the primary user of the chair then a fixed lumbar support may be acceptable, if it feels comfortable.

4. Don’t forget about the hips

A chair that doesn’t provide enough hip room can make you sit too far forwards on the seat pan, which doesn’t provide so that you will not have enough thigh support.

5. Have a long-term strategy

Think about how the chair will feel after 60 or 120 minutes. Low-density foam seat pans can become permanently deformed after long term use which can affect cushioned support leading to discomfort, imbalance and hip and back fatigue.

And one bonus tip!

6. Chair covers 101

There is a whole range of upholstery materials available, each of which has benefits and concerns. Vinyl and vinyl-like coverings are easy to clean and spill resistant, but they don’t breathe and if the chair begins to heat up under the thighs uncomfortable amounts of moisture can accumulate. Cloth upholstery is the most common covering, but this is less resistant to spills and more difficult to clean. A cloth covered seat pan can also become warm and moisture laden, and cloth covered foam seat pans can be a significant source of dust mite allergen. When selecting your chair covering think about cleaning and maintenance issues and plan appropriately.

Provided by: Dr. Luciano Di Loreto, HBSc., D.C. & Associates

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Dr. Luciano Di Loreto graduated from the Canadian Memorial Chiropractic College (2010) as a Doctor of Chiropractic and obtained a certificate in Medical Acupuncture at McMaster University (2010). At his practice located in Vaughan, Ontario, Canada, Dr. Luciano Di Loreto combines evidence-based chiropractic care with a multidisciplinary and collaborative approach to health care. He is an approachable, passionate, and diligent practitioner with a focus on delivering exceptional acute, preventative, rehabilitative and supportive care for a variety conditions relating to the muscle, nerve, and bone. During his spare time, Dr. Luciano Di Loreto takes pleasure in spending time with his family and friends. He enjoys fishing and playing sports.

Fit for Life Wellness & Rehabilitation Centre is a health clinic located in Vaughan, Ontario, just north of Major Mackenzie on Weston Road (Located in the Vellore Medical Centre & Walk In Clinic at 10395 Weston Road, Unit A., Woodbridge Ontario L4H 3T4). If you have questions for Dr. Luciano Di Loreto & Associates, please comment or email us and we will get right back to you promptly with information on your conditions/concerns.

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Does your office setup meet these requirements?

Does your office setup meet these requirements?
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Sitting at a desk for even part of the day can be risky. Common office injuries include carpal tunnel syndrome (nerve compression at the wrist) and myofasical pain syndrome of the shoulder and back often caused by incorrect ergonomics. Muscle strains in the neck, back and shoulders can happen when we’re hunched over the a keyboard. It’s not just muscles, either. Staring at a computer screen for too long can cause headaches and swollen, irritated eyes. If any of these symptoms sound familiar, there are thankfully some easy ways to avoid workplace health issues.

Ergonomics-PBJMag

 

ERGONOMICIZE — YOUR ACTION PLAN

Some research suggests an ergonomic setup can alleviate symptoms of musculoskeletal disorders.

If muscle pain or vision problems are causing serious issues, it might be time to see a doctor. The steps below won’t reverse damage but can make for a spiffy, safer, Greatist-approved workspace.

  • Chair: There’s no need for a bejeweled royal throne, but the seat cushion should be comfortable and the chair should have armrests that allow elbows to rest at a 90-degree angle while typing. And one size does not fit all butts, so make sure it’s possible to adjust the height of the seat so arms are at the height of the desk, thighs are parallel to the floor, and feet rest flat on the floor. The backrest should be at a 90-degree angle to the desk (or farther forward depending on personal preference). Swiveling capabilities are also a plus so we don’t need to stretch and strain to reach the stapler in the corner of the desk. Or mix things up and try a sit-stand workstation, which some employees say reduces back and neck pain and helps keep them focused during the workday.
  • Desk: The desk space should be large enough to accommodate all the essentials — monitor, keyboard, mouse, notebook, water bottle, etc. For those who use a mouse instead of a track-pad, position the mouse and keyboard close together. When you look down, the “B” key should be right under your nose. And no fancy dance moves at the desk, either: Wrists should be in a neutral position, not extended up or down. It can also help to use a wrist rest, or a simple cushion that can help prevent contact stress from pressing wrists into the table edge.
  • Monitor: The computer screen should sit about an arm’s length away from you, and should face directly toward you (not angled to the right or left). To minimize glare, don’t wear shades, but align eyes with the top of the screen’s viewing area. Follow the rule: For every 20 minutes spent staring at Pinterest (er, a Word Doc), take 20 seconds to look away from the computer at something at least 20 feet in the distance. Or, alternatively, try taking a gym break or lunch hour away from the computer to give eyes (and mind) some reprieve.
  • Mouse: Consider using a trackball or a touchpad to minimize the repetitive motions of moving a mouse. For standard mouse fans, select a mouse that fits the shape of your hand but is still as flat as possible. Some people prefer to forgo a mouse pad, which can place the mouse at a higher angle and cause wrist strain. And this isn’t a Frisbee game: Move the mouse from the elbow and not the wrist.

Dr. Wendy Mok, HBSC., D.C.

Chiropractor & Acupuncture Provider

Fit for Life Wellness & Rehabilitation Centre

www.fitforlifewellnessclinic.com

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