Ergonomics: Optimizing human well-being & system performance

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Ergonomics: Optimizing human well-being & system performance

Overview & Objectives Office Ergo Rep Training: UBC s safety policy and legal requirements Role and responsibilities as an Office Ergo Rep Musculoskeletal injuries (MSI)signs and symptoms Identify potential risk factors at computer workstations Recommend action plans to eliminate or reduce the risks identified

WSBC Ergonomics (MSI) Requirements WorkSafeBC OHS Regulations: Sections 4.46-4.53 Purpose: to eliminate or, if that is not practicable, minimize the risk of musculoskeletal injury to workers. UBC s Safety Policy (#7) the University s responsibility to ensure that health, safety and person security form as integral part of the design, construction, purchase and maintenance of all buildings, equipment and work processes (1.1.3)

WSBC 7 Step Process: 1. Consultation 2. Education 3. Risk Identification 4. Risk Assessment 5. Develop & Implement Control 6. Training 7. Evaluation

Tech Guidelines Section 12001 (Furnishings) 1.2.3. Coordination Requirements UBC Workplace Health Services, HR, 2-9040 1.4.4 Design Requirements General Ergonomics: to meet ANSI/BIFMA and CSA standards, contact UBC Workplace Health Services, HR

Office Ergo Rep Roles & Responsibilities Be a resource for ergonomics in your department Educate co-workers on MSI risk factors and prevention strategies Assist your co-workers in the optimal set of their workstation Act as a liaison to the Ergonomics Advisor in HR

Common MSIs Muscle Strain (Neck & Back) Rotator Cuff Tendonitis (Shoulder) Epicondylitis (Medial & Lateral Elbow) Carpal Tunnel Syndrome (Wrist)

Common Symptom Reports 40 to 50% of those requesting an ergo assessment reported moderate to high symptoms in their neck, shoulder and/or mid/low back Symptom Reports low-back 54.8% 24.0% 21.2% Low mid-back 56.2% 23.0% 20.7% Moderate shoulder 41.9% 24.4% 33.6% High neck 38.5% 28.0% 33.5% 0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0% 80.0% 90.0% 100.0%

Degree Symptoms Interfere with work Based on 235 discomfort surveys completed over a 1.5 year period (2011 to 2012); For those requesting an ergo assessment Degree of Interference 38.0% % No Interference 36.2% 22.2% % Some Interference 14.0% % Significant Interference 25.7% % Time Off

MSI Signs and Symptoms Signs: Redness Heat Swelling Reduced range of motion Symptoms: Pain and/or localized discomfort Stiffness/Heaviness Tender to Touch Weakness Numbness/Tingling Report Signs & Symptoms Early

How musculoskeletal injuries occur Repetitive Strain & Overexertion Injury can occur from: repeated loading, weakening tissues to failure (RSI) Or a one time load if the force is excessive (overexertion) LOAD INJURY TIME

Risk Factors Awkward Postures Force Repetition and Static loads Duration Contact Stress Environment & Vibration Psychosocial

Stand up Straight Neutral Standing Posture: Ears over shoulders Shoulders relaxed Shoulders over hips Neutral pelvis Knees relaxed Used with permission from Dr. Aker, Sarasota Chiropractors

Neck Posture The further your head sits forward, the greater the strain on your neck and shoulders http://painfreeposturemnandpilatesintegration

Engage your Transverse Abs (TA) Engaging your TAs is considered critical in providing stability. To locate your Transverse Abs: 1. Place your hands on hips (bony part) 2. Move your hands 1 towards your belly button & 1 towards your toes Used with permission from: Pilates Success When you contract your TAs you should feel tension under your fingertips and not a contraction that pushes your fingers out

Discs when sitting Leaning forward flattens out the curvature of the low back which can lead to the following: Uneven pressures on the discs of the spine Ligaments that support the spine become over-stretched Muscles of the back in a stretched position making them weaker

Seated Desk Posture Self- Assessment Form Used with permission from WorkSafe NB

Anything wrong:

Chair Fit ergocentric Backrest: Adjust backrest height to support lower back (curve in backrest should match with curve in lower back) Tilt backrest between 95-110 Arm Rests: Adjust armrest height to support arms when shoulders relax. Elbows should be at 90-100 Make sure arm rests do not restrict access to desk or computer Seat: Allow 2-4 fingers of space between the edge of the seat and the back of legs Ensure user is sitting with buttocks all the way to the back of the chair Adjust seat height so elbows are 90-100 when working on desk and knees are 90-100 Use footrest if feet are not fully supported on floor

Seat Height Adjust height so that: Feet are firmly supported Knees ~90 Courtesy of: Global Total Office if you are not able to reach your keyboard and mouse you may need a keyboard tray or raise your chair and use a footrest When standing, the seat height should be just below crease at the back of your knee

Seat Pan Should have rounded, waterfall edge Allow 2-4 fingers of space between the edge of the seat and the back of legs Courtesy of: Global Total Office Sit with buttocks all the way to the back of the chair

Backrest Height & Lumbar Support: Courtesy of: Global Total Office Adjust lumbar support to fit the small of your back Note: on some chairs the lumbar support is adjusted independently of the backrest and on others the backrest is raised up and down Backrest height should be 17 (WSBC)

Backrest Angle: Tilt/recline backrest up to ~13ᵒ Courtesy of: Global Total Office A reclined back posture reduces pressure on the disc but you must also be able to reach your keyboard and mouse

Armrests: Adjust armrest height to support arms when shoulders relax. Elbows should be at 90-100 Courtesy of: Global Total Office Ensure arm rests do not restrict access to desk or computer Rotate armrests in as needed

Selecting a Chair: Various Checklists: Cornell University Seating Evaluation Chair Checklist ANSI/HFES 100-2007 These are not a suitable office chairs

Anything Wrong: Shoulder hiking

Anything Wrong Keyboard above elbow level promote awkward arm or shoulder postures

What s wrong with these pictures

What does correct look like Keyboard just below elbow Hover when typing (avoid planting your wrists) Place keyboard flat or on slight negative tilt (positive tilt promotes wrist extension

Keyboard Trays Humanscale keyboard tray UBC Bookstore Allen Ching: allen.ching@ubc.ca Keyboard trays should be: height adjustable Equal Height Palm rest not required MMM AK60LE Staples e-way

Anything Wrong? Mouse above elbow Awkward reach with armrest in the way Shoulder external rotation to reach to the side

Correct Positioning Mouse below elbow ~level with armrest In line with shoulder

Mouse Place the mouse directly beside the keyboard Consider keyboard without numeric keypad Avoid resting the wrist on work surface Clean or replace sticky mice Contoured mice-encourage neutral wrist postures

Mouse Settings 1. Pointer Options-Speed 2. Primary/Secondary Button 3. Scroll Wheel Speed

Mouse Settings Start Menu---Control Panel

Mouse Settings: Pointer Options Pointer Options --- Fast

Types of Keyboards Separate Numeric Keypad: facilitates keeping the mouse closer to the body Split Keyboard: facilitates a more neutral forearm posture when typing From: Staples.ca From: Ergocanada.com A4Tech: $15.00 at UBC Bookstore From: Staples.ca Microsoft Sculpt Ergonomic Desktop From Staples.ca

Types of Mice: Contoured/Vertical Mice: facilitate a more neutral forearm posture Trackball: may be useful for those with graphic/drawing applications From: Ergocanada.com *although useful, trackballs can place a high workload on the fingers/thumb; therefore, users must be careful when using tackballs

Anything Wrong? Trade-off between arm and neck positioning Make positional changes frequently If using laptop >2hrs/day then use external keyboard & mouse

Laptop Positioning If you are working on a laptop >2hrs/day then: use a separate keyboard and mouse Raise your chair and use a footrest Position keyboard and mouse below elbow level Raise screen: top line of text at eye level Make frequent positional changes

Anything Wrong?

Monitor Height Height: Top line of the text ~ eye level Line of sight: 15 degrees below the horizontal *Bi/Tri focal users: Place the monitor so that the head is straight when viewing the monitor (or use reading glasses)

Correct Monitor Positioning: Top line of text at eye level Approximately arm s length away Adjust font size (generally it is better to increase font size and position monitor further away)

Monitor Points to Remember: Lighting: Minimize glare: position monitors perpendicular to window and between banks of light; adjust blinds as needed If it is too bright around your monitor, consider turning off 1 bulb and using task lighting (you need more light for paper based work than for the computer) Adjust screen brightness (external buttons on bottom/side of monitor)-preferred brightness will depend on your vision and your environment, 70 to 80% tends to be comfortable for most people

Dual Monitors Two Monitors: Generally, if you have 2 monitors position them slightly further away to increase your field of view If one is primary, center that one and place the other one on an angle (if you use your mouse on the right it will likely be easier if your secondary monitor is placed on the right) If both monitors are used equally, center both and angle in slightly Look away from the screen 20 seconds for every 20 minutes

Outlook Settings Outlook defaults to an 8pt font in your inbox display window. Larger font can promote sitting back in your chair while reading the computer screen 1. View View Settings 2. Other Settings 3. Click on Column & Row Font to Adjust

Display Settings: Font Start Menu Control Panel

Leg Clearance Generally, there should be: 15 depth clearance for the knees 24 depth clearance for the feet

Accessories: Phone Telephone: Avoid cradling the phone between the ear and shoulder, this posture can cause neck strain and headaches. If phone use is frequent: speakerphone hands-free headset Place on Left Side of Desk

Accessories Document holders: useful when referring to documents. They help reduce awkward neck postures Wrist rests-occasional use only. Available from: Staples, Ergovancouver.com; Ergocanada.com; Staples.ca

Desk Organization Frequently used items, such as the phone and notebooks etc. should be kept within an arms length Rarely used items should be placed further away

Positive Psychosocial Factors Positive factors such as autonomy, rewards/recognition and co-worker/supervisory support have a protective effect What can you do to improve the positive factors within your work environment? Available Resources: Staff & Faculty UBC EFAP Program Employee & Family Assistance Program Responding with Respect Free interactive training for departments Thrive.ubc.ca Building mental health at UBC Healthy UBC Newsletter Free Newsletter Students UBC Counseling Services (Brock Hall) UBC Mental Health Network Thrive.ubc.ca Building mental health at UBC Live Well to Learn Well Student resources for healthy living

Why Psychosocial? Perceived ability to cope with demands Physiology Increased cortisol levels Increased muscle tension Influences mechanical load Sleep Disturbance Behaviour Skipping breaks (insufficient recovery time) Drinking too much caffeine, alcohol or smoking

Mental Workload Humans have limited information processing capacity; What is often called multi-tasking (performing tasks simultaneously) is actually task switching. Task alternation results in switching time costs Consider turning off Pop-Up Emails Provide other ways to ensure you can focus on one task at a time Require Software vendors to conduct Usability Testing prior to purchasing

Stretch Breaks Research suggests that taking an extra 5 minute break every hour can significantly reduce symptom reports without negatively impacting productivity Those who didn t take breaks were found to work at a slower rate and make more errors in the last hour (7.5hour shift) UBC Stretch Guide WorkSafe Sam (computer program stretch break)

Identify the Risks:

For more information Ergonomics, Workplace Health Services (HR) Ergonomics.info@ubc.ca 604-822-9040 6 th Floor, 6190 Agronomy Rd