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Musculo-skeletal Risk
Audit
Question
How do you know the risk you are carrying of people
slapping a claim form on your desk for some sort of
personally-generated musculo-skeletal
dysfunction?
Answer
You measure the risk.
A couple of months ago I did just that for an
organisation. Whilst the staff didn't look in all that bad shape,
looks were indeed deceptive. The Musculo-skeletal Risk Factor
assessment found a lot people wanting.
In fact about 15% passed the test with flying
colours. In the main (though not in all cases) these are the people
who have a regular and systematic training program. The rest were
already putting up with discomfort, or were weak and tight to the
point where they posed risk to themselves and their organisation.
The results were consistent with our
2008 survey.
THE MUSCULO-SKELETAL RISK FACTOR PROFILE
Here's the assessment.
Give yourself a score out of ten,
appropriate for your performance on each of the ten questions below.
A good score is a high score. A bad score is a low score.
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1. |
Current musculo-skeletal condition
How would you rate the current
condition of your musculo-skeletal system?
Dreadful
Fantastic |
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0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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2. |
Body composition
How
close are you to your ideal weight? |
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>20 |
20 |
18 |
16 |
14 |
12 |
10 |
8 |
6 |
4 |
<2 |
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0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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3. |
Squat
From a standing position, how many times
can you squat down, with backside as close to your heels
as they will go, and stand up straight,
in 30 seconds. You may use a heel raise (as illustrated
if you need to.)
No.
……..
Poor Good |
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Less than 4 |
4 |
6 |
8 |
10 |
12 |
14 |
15 |
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0 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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4. |
Abdominal strength
How many situps can you do in 30 seconds. Lie down on
your back with feet flat, knees bent at 90 degrees and
arms outstretched on your thighs. Sit up to touch the
bottom of your knee caps. Don’t count those situps where
your fingers can’t reach the bottom of your knee caps or
your feet lift off the ground.
No.
……..
Poor Good |
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<3 |
3 |
5 |
7 |
10 |
13 |
15 |
17 |
20 |
23 |
<25 |
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0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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5. |
Upper body
strength
How many pressups can you do in 30 seconds; women on the knees and men on
the toes. For women make sure your knees, bottom and shoulders are in a
straight line; ie your backside shouldn’t be sticking up in the air. Don’t
count those pressups where the body flops onto the floor.
No. ……..
Poor Good |
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<3 |
3 |
5 |
7 |
10 |
13 |
15 |
17 |
20 |
23 |
>25 |
x |
x |
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0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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6. |
Flexibility
In a sitting position, with legs outstretched in front of you,
see how far down past your toes you can reach with your fingers.
Keep your knees straight. Score 4 if you can get your fingers to
your toes (T), 5 for the first knuckle, 6 for the second and 7
if you can get to the palms (P). Score 10 if you can get your
wrists past your toes (W).
Poor Good |
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Can't touch toes |
F |
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P |
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W |
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x |
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0 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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7. |
Functional mobility
How many times can you sit down and stand up in 30 seconds. Start standing
up with legs straight. Sit down on the floor (legs straight out) and stand
up.
No. ……..
Poor Good |
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0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10+ |
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0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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8. |
Shoulder function - wall test - a subjective
assessment
Stand with your back to the wall. Place your hands in the surrender position
with elbows, forearms, wrists and fingers flat back on the wall. Score 10 if
you can do this with ease. Score low if you have difficulty getting into
this position or lower still if your elbows and wrists are a long way from
the wall. |
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Elbows and wrists can't touch Wrists can't touch Easy |
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0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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9. |
Strength training behaviour
Do you have a regular and systematic strength
training program? No. of sessions per week |
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0 |
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1 |
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2 |
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3 |
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0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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10. |
Strength training behaviour
Do you have a regular and systematic flexibility
training program? No. of sessions per week |
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0 |
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1 |
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2 |
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3 |
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0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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Total |
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HERE ARE THE RESULTS
The overall pass mark is 70/100
The pass on individual items is 7/10
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Out of 93 people, 14 people got over
70/100 and 7/10 on each parameter. There is one exception,
in the flexibility test, if participants could just touch
their toes (and received a score of 4/10) I counted that as
a reasonable score.
In the main these are
people who train. They're in good shape. |
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Scored over 50, got a score of 5 or more for
the individual tests. |
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Scored between 50 and 69 but failed some of
the tests. |
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Scored less than 50 and failed many tests. |
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Sort
pass / fail |
Current condition |
Closeness
to
ideal weight |
Leg strength |
Abdominal strength |
Upper body strength |
Flexibility |
Functional mobility |
Shoulder function |
Strength training
behaviour |
Flexibility training
behaviour |
Total |
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PASS |
9 |
10 |
10 |
10 |
10 |
8 |
10 |
10 |
10 |
10 |
97 |
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P |
9 |
7 |
10 |
10 |
10 |
10 |
10 |
10 |
10 |
10 |
96 |
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P |
10 |
10 |
10 |
10 |
10 |
7 |
10 |
7 |
10 |
10 |
94 |
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P |
9 |
10 |
10 |
10 |
10 |
9 |
10 |
7 |
7 |
10 |
92 |
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P |
10 |
10 |
10 |
10 |
10 |
10 |
10 |
7 |
7 |
7 |
91 |
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P |
9 |
9 |
9 |
10 |
10 |
10 |
10 |
7 |
7 |
7 |
88 |
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P |
9 |
9 |
8 |
5 |
8 |
7 |
10 |
10 |
10 |
10 |
86 |
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P |
8 |
10 |
9 |
8 |
10 |
10 |
10 |
5 |
5 |
10 |
85 |
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P |
10 |
9 |
10 |
9 |
10 |
5 |
10 |
7 |
7 |
3 |
80 |
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P |
8 |
10 |
9 |
6 |
5 |
10 |
10 |
10 |
4 |
4 |
76 |
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P |
7 |
7 |
10 |
10 |
10 |
10 |
10 |
6 |
2 |
2 |
74 |
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P |
7 |
9 |
9 |
5 |
9 |
7 |
10 |
10 |
7 |
0 |
73 |
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P |
5 |
6 |
7 |
7 |
7 |
5 |
10 |
5 |
10 |
10 |
72 |
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P |
7 |
10 |
10 |
9 |
10 |
4 |
10 |
7 |
2 |
2 |
71 |
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P |
6 |
6 |
10 |
8 |
8 |
8 |
10 |
10 |
2 |
0 |
68 |
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P |
8 |
6 |
10 |
8 |
7 |
4 |
9 |
5 |
10 |
0 |
67 |
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P |
8 |
6 |
10 |
5 |
5 |
7 |
10 |
7 |
7 |
0 |
65 |
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P |
6 |
9 |
10 |
7 |
6 |
8 |
8 |
10 |
0 |
0 |
64 |
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P |
6 |
10 |
8 |
8 |
9 |
8 |
9 |
6 |
0 |
0 |
64 |
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P |
8 |
10 |
10 |
7 |
10 |
4 |
10 |
5 |
0 |
0 |
64 |
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P |
5 |
10 |
9 |
8 |
7 |
4 |
10 |
6 |
0 |
0 |
59 |
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FAIL |
7 |
10 |
6 |
6 |
6 |
0 |
10 |
10 |
0 |
0 |
55 |
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F |
6 |
5 |
8 |
8 |
8 |
2 |
10 |
5 |
0 |
0 |
52 |
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F |
8 |
10 |
8 |
10 |
10 |
3 |
10 |
6 |
7 |
5 |
77 |
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F |
6 |
5 |
10 |
8 |
10 |
0 |
10 |
10 |
7 |
7 |
73 |
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F |
7 |
9 |
10 |
9 |
10 |
0 |
9 |
5 |
7 |
0 |
66 |
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F |
9 |
7 |
10 |
8 |
8 |
3 |
10 |
10 |
0 |
0 |
65 |
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F |
3 |
8 |
10 |
10 |
10 |
7 |
10 |
10 |
10 |
7 |
85 |
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F |
9 |
10 |
9 |
4 |
10 |
7 |
10 |
10 |
8 |
8 |
85 |
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F |
10 |
10 |
10 |
8 |
8 |
3 |
10 |
4 |
3 |
3 |
69 |
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F |
5 |
10 |
8 |
8 |
8 |
10 |
9 |
10 |
0 |
0 |
68 |
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F |
7 |
2 |
8 |
6 |
7 |
8 |
8 |
10 |
7 |
3 |
66 |
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F |
9 |
10 |
0 |
9 |
10 |
0 |
0 |
10 |
9 |
9 |
66 |
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F |
9 |
9 |
9 |
0 |
8 |
10 |
10 |
10 |
0 |
0 |
65 |
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F |
8 |
9 |
9 |
6 |
4 |
9 |
10 |
10 |
0 |
0 |
65 |
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F |
7 |
10 |
10 |
7 |
10 |
10 |
9 |
0 |
0 |
0 |
63 |
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F |
4 |
10 |
10 |
7 |
3 |
8 |
10 |
10 |
0 |
0 |
62 |
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F |
8 |
6 |
10 |
9 |
6 |
10 |
8 |
4 |
0 |
0 |
61 |
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F |
3 |
0 |
10 |
10 |
10 |
7 |
7 |
1 |
10 |
3 |
61 |
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F |
7 |
3 |
9 |
5 |
7 |
0 |
9 |
10 |
8 |
3 |
61 |
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F |
7 |
8 |
10 |
0 |
8 |
8 |
8 |
10 |
1 |
0 |
60 |
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F |
8 |
9 |
9 |
8 |
5 |
8 |
8 |
3 |
0 |
0 |
58 |
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F |
5 |
3 |
0 |
8 |
10 |
7 |
2 |
10 |
10 |
3 |
58 |
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F |
6 |
4 |
10 |
9 |
4 |
5 |
10 |
10 |
0 |
0 |
58 |
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F |
8 |
9 |
7 |
4 |
4 |
3 |
9 |
10 |
0 |
3 |
57 |
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F |
7 |
6 |
8 |
4 |
6 |
8 |
10 |
7 |
0 |
0 |
56 |
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F |
8 |
8 |
7 |
7 |
6 |
8 |
0 |
3 |
3 |
6 |
56 |
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F |
7 |
1 |
9 |
9 |
3 |
7 |
10 |
10 |
0 |
0 |
56 |
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F |
7 |
8 |
10 |
7 |
10 |
4 |
6 |
2 |
0 |
0 |
54 |
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F |
6 |
9 |
8 |
7 |
6 |
5 |
7 |
3 |
0 |
2 |
53 |
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F |
5 |
1 |
10 |
2 |
8 |
10 |
9 |
7 |
0 |
0 |
52 |
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F |
7 |
9 |
4 |
0 |
4 |
7 |
8 |
10 |
0 |
3 |
52 |
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F |
8 |
8 |
7 |
0 |
4 |
7 |
10 |
6 |
2 |
0 |
52 |
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F |
8 |
7 |
10 |
0 |
8 |
5 |
7 |
7 |
0 |
0 |
52 |
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F |
6 |
8 |
2 |
2 |
7 |
0 |
9 |
3 |
9 |
6 |
52 |
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F |
8 |
7 |
5 |
0 |
3 |
9 |
7 |
7 |
2 |
3 |
51 |
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F |
8 |
10 |
6 |
3 |
4 |
5 |
5 |
7 |
0 |
3 |
51 |
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F |
5 |
8 |
8 |
4 |
1 |
4 |
10 |
10 |
0 |
0 |
50 |
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F |
5 |
8 |
9 |
6 |
7 |
1 |
8 |
4 |
1 |
1 |
50 |
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F |
4 |
1 |
10 |
8 |
4 |
9 |
9 |
4 |
0 |
0 |
49 |
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F |
5 |
0 |
9 |
6 |
3 |
8 |
8 |
10 |
0 |
0 |
49 |
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F |
6 |
7 |
7 |
1 |
5 |
4 |
9 |
10 |
0 |
0 |
49 |
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F |
7 |
6 |
0 |
5 |
5 |
6 |
10 |
7 |
0 |
2 |
48 |
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F |
8 |
5 |
10 |
0 |
7 |
7 |
5 |
5 |
0 |
0 |
47 |
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F |
2 |
1 |
9 |
7 |
8 |
0 |
4 |
6 |
10 |
0 |
47 |
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F |
8 |
8 |
10 |
0 |
2 |
4 |
10 |
4 |
0 |
0 |
46 |
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F |
5 |
8 |
6 |
0 |
7 |
2 |
10 |
6 |
0 |
0 |
44 |
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F |
5 |
6 |
0 |
0 |
4 |
10 |
8 |
10 |
0 |
0 |
43 |
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F |
5 |
2 |
8 |
0 |
6 |
7 |
8 |
6 |
0 |
0 |
42 |
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F |
8 |
9 |
8 |
3 |
0 |
6 |
2 |
6 |
0 |
0 |
42 |
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F |
5 |
10 |
7 |
0 |
2 |
4 |
6 |
4 |
2 |
2 |
42 |
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F |
8 |
1 |
10 |
8 |
0 |
2 |
6 |
6 |
0 |
0 |
41 |
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F |
3 |
2 |
8 |
4 |
3 |
4 |
9 |
7 |
0 |
0 |
40 |
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F |
2 |
7 |
8 |
1 |
2 |
6 |
7 |
6 |
0 |
0 |
39 |
|
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F |
5 |
7 |
6 |
4 |
3 |
0 |
7 |
5 |
0 |
0 |
37 |
|
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F |
5 |
5 |
10 |
0 |
0 |
4 |
7 |
5 |
0 |
0 |
36 |
|
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F |
5 |
8 |
7 |
0 |
0 |
4 |
7 |
5 |
0 |
0 |
36 |
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F |
4 |
6 |
8 |
0 |
10 |
0 |
0 |
4 |
2 |
2 |
36 |
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F |
4 |
0 |
5 |
0 |
1 |
8 |
5 |
5 |
3 |
3 |
34 |
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F |
3 |
1 |
5 |
5 |
5 |
0 |
5 |
1 |
9 |
0 |
34 |
|
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F |
4 |
1 |
10 |
0 |
3 |
4 |
5 |
6 |
0 |
0 |
33 |
|
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F |
4 |
0 |
9 |
0 |
0 |
7 |
2 |
10 |
0 |
0 |
32 |
|
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F |
3 |
4 |
8 |
2 |
0 |
5 |
0 |
10 |
0 |
0 |
32 |
|
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F |
7 |
3 |
10 |
0 |
0 |
7 |
0 |
4 |
0 |
0 |
31 |
|
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F |
2 |
8 |
0 |
0 |
4 |
0 |
9 |
4 |
0 |
2 |
29 |
|
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F |
6 |
0 |
0 |
0 |
0 |
4 |
7 |
6 |
2 |
3 |
28 |
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F |
3 |
9 |
5 |
0 |
0 |
0 |
10 |
1 |
0 |
0 |
28 |
|
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F |
5 |
8 |
0 |
0 |
0 |
0 |
10 |
3 |
0 |
0 |
26 |
|
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F |
4 |
0 |
0 |
0 |
4 |
0 |
6 |
10 |
0 |
0 |
24 |
|
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F |
5 |
0 |
6 |
0 |
5 |
0 |
4 |
3 |
0 |
0 |
23 |
|
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F |
5 |
5 |
0 |
0 |
0 |
0 |
10 |
1 |
0 |
0 |
21 |
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F |
5 |
1 |
0 |
0 |
0 |
7 |
0 |
4 |
0 |
0 |
17 |
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F |
5 |
2 |
0 |
0 |
0 |
4 |
0 |
0 |
1 |
1 |
13 |
THE MORAL OF THE STORY
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1. |
If you can
implement a daily strength and flexibility training program
your staff are going to become stronger and more flexible.
The risk to your workers compensation premium will decrease. |
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2. |
When
people's bodies are weak and out of alignment, their ability
to support themselves while they're sitting down for long
periods becomes diminished. The get a crook back sore
shoulder and stiff neck. They blame the chair.
If
they're outside working on the pick and shovel, lifting
pipes and bags of cement ..., if they're out of alignment,
already in pain and don't have a strength and flexibility
training program, there is a disaster lurking just around
the corner. |
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3. |
When
people's bodies are weak and out of alignment they can
hardly lift a feather into the back of a ute, without doing
their back in, let alone a bag of cement. They can't put
books in bookshelves without getting the 'cold' shoulder.
They can't type or move a mouse without getting the dreaded
OOZE! |
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4. |
Anyone more
than 20Kg over weight is at grave risk of musculo-skeletal
dysfunction, as is anyone who can't do a situp or a pressup. |
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5. |
But, regardless of where people start from,
there is a high likelihood that poor function can be
restored to good. In fact I'd go so far as to say that for
80% of people there's an 80% chance that they can get
themselves back to 80% good function if they're diligent.
It
just so happens that it's unlikely to happen in a surgery or
pharmacy. Indeed, it's a big ask expecting someone to get
better by having someone do something to them; sooner or
later they have to do something to themselves. |
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6. |
You've got
to put in a firewall to stop the personally generated
musculo-skeletal dysfunctions from being dressed up as
work-related injuries.

The firewall
is a regular and systematic strength and flexibility
training program - at work, at home and in the gym.
At the conclusion of one of my
CrookBack Clinic training programs, 95% of your staff will
willingly agree to taking part in a 10 minute strength and
flexibility training session each day, in work time. All you
have to do is organise it.
Those of your staff already experiencing
chronic musculo-skeletal pain and those who lack strength
and flexibility will willingly agree to attend a couple of 40 minute
strength and flexibility sessions a week to bring them up to
speed. |
THE GREAT CHALLENGE
The great challenge is to do what ever it takes to get all your
staff into the green zone. They'll feel better. They'll bless you.
Your risk will be lowered.
NEED HELP?

If you want help measuring the risk and firing your staff up to want
to take part in a musculo-skeletal health program, send me a note -
using the contact form - or ring me (02) 6288 7703.
During the CrookBack
Clinic I alert your staff to the likely causes of their
musculo-skeletal pain and teach them some of the key exercises they
need to do to get their bodies stronger, looser and back in better
alignment. When that's done there's a good chance the pain will go
away.
In the mean time stay tuned, highly tuned and remember, if it's
broke fix it. If
it ain't broke maintain it in good shape.
Regards
John Miller
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GLOBAL BACK CARE
I've established the
www.globalbackcare.com website so your staff can download my
ebooks on fixing the common musculo-skeletal dysfunctions.
If you'd like to provide your staff with
access to these books I can tell you one thing; I'll sharpen
the pencil down to a stub! |
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