Work Related Musculoskeletal Injury In Radiographers. Ross McGhee SOR H&S Rep BWoSCC. MSD. The term MSD covers any injury, damage or disorder of the joints or other tissues in the upper/lower limbs or the back. (HSE) http://www.hse.gov.uk/msd/
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Work Related Musculoskeletal Injury In Radiographers Ross McGhee SOR H&S Rep BWoSCC
MSD • The term MSD covers any injury, damage or disorder of the joints or other tissues in the upper/lower limbs or the back. (HSE) • http://www.hse.gov.uk/msd/ • Painful limb movements, muscle tenderness, spontaneous pain
WRMSD • Most common work related illness in Britain 9 – 26% of population • Average of 15 days lost per case
Physiology • Patient strains muscle • Muscle inflames as natural response • Inflamed muscle traps associated nerve • Nerve cells fire pain signals at small movements and light pressure
New Problem? • NO!! • Bernadino Ramazzini (1633 – 1714) “Incessant driving of the pen over the paper causes intense fatigue of the hand and the whole arm because of the continuous strain on the muscles and tendons” • Samuel Solly 1864 said it was rare “notwithstanding the fact that the greastest part of the middle classes of London get their bread by the use of the pen” • Increase in manual tasks at work have increased WRMSD
Contributory Factors • Poor posture • Exertive force • Repetition • Poorly developed environment • Psychosocial factors • Something's gotta give
SOR Radiographer Survey (2011) • 56.6% of respondents suffer aches and pains • 94.8% of respondents carry out work with a headache • 99.1% of respondents feel excessive fatigue at the end of a working day • 60.9% have never received training on reducing MSD • 92.3% find it difficult to keep up with the work they are expected to do • 95.6% feel under pressure • 99.2% twist or bend in their body to do work • 97% adopt awkward positions
SOR Rad Survey (2011) (Recovery) • 15.8% take an hour to recover from discomfort • 31.4% take 1-6 hours to recover • 13.9% take 8-24 hours to recover • 12.5% take 24 hours or more • 9.7% do not recover!!!
Why Radiographers? • Awkward positions • Heavy patients • High working height • Time constraints / pressure • Lack of recovery time • “Ignoring pain to get the job done”
What Can Help? • DATIX!! - Responsibility to report incidents • Risk register – list of risks out with managerial influence that have been identified to minimise problems and make staff aware of potential hazard
What Can Help • Ergonomics – designing equipment around the user • ONE SIZE DOES NOT FIT ALL
What Can Help? • Keep active outside work • Talk to your managers and reps • If symptoms develop don’t suffer in silence SEEK HELP!!
What Can Help? Pilates – Improves flexibility and strength Relaxes and lengthens muscles Increases strength in abdominals and back muscles Reduces Stress Improves sex life
Alexander Technique • Method of self improvement and re-education • Makes us more aware of the way we move • “When you stop doing the wrong thing the, right thing does itself” F M Alexander
Alexander Technique • Helps with – back, neck & joint pain, muscle tension & stiffness, poor posture, stress & anxiety, breathing problems
Bad Habits • “Curious things habits. People themselves never know they have them” Agatha Christie • Inconvenience • Quick & easy use • Ineffective practice • Habit
Rules • Avoid – risky procedures • Assess – if necessary assess the situation • Reduce – the risk • Monitor – the situation for future risk
Things to Remember • Humeral–Scapular Rhythm – do not lead arm movement with the hand. Unlock the shoulder then move • H&S is everyone's job – duty of care to yourself. If you don’t look after yourself you might inadvertently compromise your patient • Know yourself – listen to your body
THE FUN BIT!!! • EXERCISES FOR PREVENTION AND RECOVERY
References • Health & Safety at Work Act 1974 • Health & Safety (Display Screen Equipment) Regulations 1992 • Provision & Use of Work Equipment Regulations 1998 • Workplace (Health, Safety & Welfare) Regulations 1992 • Industry Standards for the Prevention of Work Related Musculoskeletal Disorders in Sonography (SOR (2006)) • The Causes of Musculoskeletal Injury Amongst Sonographers In The UK (SOR (2002)) • Prevention of Work Related Musculoskeletal Disorders in Sonography (SOR(2007)) • A Study of the Experiences of Participants Following Attendance at a Workshop on Methods to prevent or reduce Musculoskeletal Disorders Amongst Sonographers; V. Gibbs, P. Young; Radiography; 17 (2011) 223-229 • The Alexander Technique; A. Cavallone (2011) • Pro-active or Re-active Health & Safety: Issues Faced by Managers; A Francis (2011) • MSD Risk Management: its what you do dn how you do it; L Nicholls (2011) • Understanding Symptom Production In RSI; A, Dilley (2011) • Musculoskeletal Disorders in Therapeutic Radiographers (SOR) (2011) • Stop Yourself Becoming a Patient: Exercises for Prevention & Recovery; J, Burnage (2011)