Occupational Health, Fitness and Wellbeing Newsletter

Newsletter                                                                                 March 2010

 

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.

         

1.

Current musculo-skeletal condition

How would you rate the current condition of your musculo-skeletal system?

 

Dreadful                                                                          Fantastic

     
 

0

1

2

3

4

5

6

7

8

9

10

 

 

 
         

2.

Body composition

How close are you to your ideal weight?

 

>20

20

18

16

14

12

10

8

6

4

<2

     
 

0

1

2

3

4

5

6

7

8

9

10

     

 

       

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

 

Less than 4

4

6

8

10

12

14

15

     
 

0

4

5

6

7

8

9

10

     
         

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

 

<3

3

5

7

10

13

15

17

20

23

<25

     
 

0

1

2

3

4

5

6

7

8

9

10

     
                             

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

 

 

<3

3

5

7

10

13

15

17

20

23

>25

x

x

 
 

0

1

2

3

4

5

6

7

8

9

10

     
                             

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

 

Can't touch toes

F

   

P

   

W

 

x

 
 

0

4

5

6

7

8

9

10

     
                             

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

   

 

0

1

2

3

4

5

6

7

8

9

10+

 

 

 
 

0

1

2

3

4

5

6

7

8

9

10

     
                             

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.

 

Elbows and wrists can't touch     Wrists can't touch              Easy

     
 

0

1

2

3

4

5

6

7

8

9

10

 

 

 
                             

9.

Strength training behaviour

Do you have a regular and systematic strength training program? No. of sessions per week

     

 

0     1     2       3      

 

0 1 2 3 4 5 6 7 8 9 10      

 

                           

10.

Strength training behaviour

Do you have a regular and systematic flexibility training program? No. of sessions per week

     
  0     1     2       3      
  0 1 2 3 4 5 6 7 8 9 10      
                             
                    Total      

 

 

HERE ARE THE RESULTS

 

The overall pass mark is 70/100

The pass on individual items is 7/10

 

 

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.

 

 

 

Scored over 50, got a score of 5 or more for the individual tests.

 

 

 

Scored between 50 and 69 but failed some of the tests.

 

 

 

Scored less than 50 and failed many tests.

 

 

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

PASS 9 10 10 10 10 8 10 10 10 10 97
P 9 7 10 10 10 10 10 10 10 10 96
P 10 10 10 10 10 7 10 7 10 10 94
P 9 10 10 10 10 9 10 7 7 10 92
P 10 10 10 10 10 10 10 7 7 7 91
P 9 9 9 10 10 10 10 7 7 7 88
P 9 9 8 5 8 7 10 10 10 10 86
P 8 10 9 8 10 10 10 5 5 10 85
P 10 9 10 9 10 5 10 7 7 3 80
P 8 10 9 6 5 10 10 10 4 4 76
P 7 7 10 10 10 10 10 6 2 2 74
P 7 9 9 5 9 7 10 10 7 0 73
P 5 6 7 7 7 5 10 5 10 10 72
P 7 10 10 9 10 4 10 7 2 2 71
P 6 6 10 8 8 8 10 10 2 0 68
P 8 6 10 8 7 4 9 5 10 0 67
P 8 6 10 5 5 7 10 7 7 0 65
P 6 9 10 7 6 8 8 10 0 0 64
P 6 10 8 8 9 8 9 6 0 0 64
P 8 10 10 7 10 4 10 5 0 0 64
P 5 10 9 8 7 4 10 6 0 0 59
                     
FAIL 7 10 6 6 6 0 10 10 0 0 55
F 6 5 8 8 8 2 10 5 0 0 52
F 8 10 8 10 10 3 10 6 7 5 77
F 6 5 10 8 10 0 10 10 7 7 73
F 7 9 10 9 10 0 9 5 7 0 66
F 9 7 10 8 8 3 10 10 0 0 65
F 3 8 10 10 10 7 10 10 10 7 85
F 9 10 9 4 10 7 10 10 8 8 85
F 10 10 10 8 8 3 10 4 3 3 69
F 5 10 8 8 8 10 9 10 0 0 68
F 7 2 8 6 7 8 8 10 7 3 66
F 9 10 0 9 10 0 0 10 9 9 66
F 9 9 9 0 8 10 10 10 0 0 65
F 8 9 9 6 4 9 10 10 0 0 65
F 7 10 10 7 10 10 9 0 0 0 63
F 4 10 10 7 3 8 10 10 0 0 62
F 8 6 10 9 6 10 8 4 0 0 61
F 3 0 10 10 10 7 7 1 10 3 61
F 7 3 9 5 7 0 9 10 8 3 61
F 7 8 10 0 8 8 8 10 1 0 60
F 8 9 9 8 5 8 8 3 0 0 58
F 5 3 0 8 10 7 2 10 10 3 58
F 6 4 10 9 4 5 10 10 0 0 58
F 8 9 7 4 4 3 9 10 0 3 57
F 7 6 8 4 6 8 10 7 0 0 56
F 8 8 7 7 6 8 0 3 3 6 56
F 7 1 9 9 3 7 10 10 0 0 56
F 7 8 10 7 10 4 6 2 0 0 54
F 6 9 8 7 6 5 7 3 0 2 53
F 5 1 10 2 8 10 9 7 0 0 52
F 7 9 4 0 4 7 8 10 0 3 52
F 8 8 7 0 4 7 10 6 2 0 52
F 8 7 10 0 8 5 7 7 0 0 52
F 6 8 2 2 7 0 9 3 9 6 52
F 8 7 5 0 3 9 7 7 2 3 51
F 8 10 6 3 4 5 5 7 0 3 51
F 5 8 8 4 1 4 10 10 0 0 50
F 5 8 9 6 7 1 8 4 1 1 50
F 4 1 10 8 4 9 9 4 0 0 49
F 5 0 9 6 3 8 8 10 0 0 49
F 6 7 7 1 5 4 9 10 0 0 49
F 7 6 0 5 5 6 10 7 0 2 48
F 8 5 10 0 7 7 5 5 0 0 47
F 2 1 9 7 8 0 4 6 10 0 47
F 8 8 10 0 2 4 10 4 0 0 46
F 5 8 6 0 7 2 10 6 0 0 44
F 5 6 0 0 4 10 8 10 0 0 43
F 5 2 8 0 6 7 8 6 0 0 42
F 8 9 8 3 0 6 2 6 0 0 42
F 5 10 7 0 2 4 6 4 2 2 42
F 8 1 10 8 0 2 6 6 0 0 41
F 3 2 8 4 3 4 9 7 0 0 40
F 2 7 8 1 2 6 7 6 0 0 39
F 5 7 6 4 3 0 7 5 0 0 37
F 5 5 10 0 0 4 7 5 0 0 36
F 5 8 7 0 0 4 7 5 0 0 36
F 4 6 8 0 10 0 0 4 2 2 36
F 4 0 5 0 1 8 5 5 3 3 34
F 3 1 5 5 5 0 5 1 9 0 34
F 4 1 10 0 3 4 5 6 0 0 33
F 4 0 9 0 0 7 2 10 0 0 32
F 3 4 8 2 0 5 0 10 0 0 32
F 7 3 10 0 0 7 0 4 0 0 31
F 2 8 0 0 4 0 9 4 0 2 29
F 6 0 0 0 0 4 7 6 2 3 28
F 3 9 5 0 0 0 10 1 0 0 28
F 5 8 0 0 0 0 10 3 0 0 26
F 4 0 0 0 4 0 6 10 0 0 24
F 5 0 6 0 5 0 4 3 0 0 23
F 5 5 0 0 0 0 10 1 0 0 21
F 5 1 0 0 0 7 0 4 0 0 17
F 5 2 0 0 0 4 0 0 1 1 13

 

 

THE MORAL OF THE STORY

 

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.

 

 

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.

 

 

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!

 

 

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.

   

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.

 

 

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

 

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!