Occupational Health and Fitness

Audit

RESULTS INDEX

RESULTS AB1 SEPTEMBER 2005

 

The Lifestyle Prescription stands head and shoulders above all other prescriptions for keeping yourself healthy.

 

Remember, it's a big ask expecting to get better by having someone do something to you: sooner or later you have to do something to yourself.

 

 

CROOKBACK SEMINAR AND AUDIT PROGRAM

 

CONTEXT

The Crookback, seminar, assessment and program conducted by Miller Health is based on the premise that the health of key body systems depends on

 

•      physical fitness

•      diet and

•      an ability to manage the stress of both life and work.

              

Within the Australian community, there is currently an epidemic of musculo-skeletal dysfunction which when translated into the workplace is associated with increased absenteeism and workers compensation, and decreased work performance and productivity.

 

Based on my experience, there are very few organisations that are immune from this epidemic. And while the risk is high, few employers and few individuals are doing much about it. The problem is getting worse, the costs higher.

 

THE PROGRAM

The program consisted of a series of one and a half hour seminars, during which time people completed the musculo-skeletal risk factor and other health-related profiles.

 

Other profiles were included on the premise that people with low levels of health and fitness generally, people who are stressed and people who are not happy with their job are likely to be at greater risk of musculo-skeletal dysfunction.

 

Health Profiles

As well as the musculo-skeletal risk factor profile, we used the Mind and Body profile as a way of obtaining a snap shot of people’s health, fitness and stress levels. In the workplace it is also a good measure of the risk of absenteeism, presenteeism and workers’ compensation.

 

People in poor shape experience

•      headaches

•      poor sleep

•      lack of energy and vitality

•      musculo-skeletal dysfunction

•      frequent colds and flu

•      obesity

•      reduced libido

•      anxiety ...

 

Other profiles included

 

•      stress risk - based on the habits of unstressed people

•      career satisfaction

 

Sample

Because of the nature of the sample selection, it is not appropriate to make organisation-wide generalizations about health and fitness.

 

OH&S RISK MANAGEMENT

Overall we rated the health of the group as patchy and the risk of musculo-skeletal dysfunction as high.

 

THE AGING POPULATION

We believe (barring disability) there is nothing stopping anyone of working age from being in exceptionally good physical condition – except lack of training

 

RESULTS

 

1.  MIND AND BODY PROFILE

 

The Mind and Body profile provides people with a very good idea of how well the various systems of the body are functioning, particularly the

 

•      the mind

•      autonomic nervous system

•      immune system

•      digestive system

•      circulatory system

•      elimination system

•      musculo-skeletal system.

 

On this profile, the lower the score the better.

 

To complete the profile, circle the number appropriate to the degree to which you experience the symptoms on the left hand side of the page. The greater the symptom, the higher the score.

 

THE MIND AND BODY PROFILE

                                                           None          Not         A fair          A lot

                                                                                                                                        much          bit

 

   1.   Headaches

 

   2.   Migraines

 

   3.   Lack of energy and vitality

 

   4.   Candida – jock itch, thrush, tine, furry tongue

 

   5.   Poor sleep

 

   6.   Snoring and/or sleep apnea

 

   7.   Crook back, sore shoulders, stiff neck, RSI …

 

   8.   Frequent colds, flu and sinus

 

   9.   Unsettled stomach, reflux

 

  10.   Irritable bowel, constipation or diarrhoea

 

  11.   Overweight

 

  12.   Shortness of breath from asthma

 

  13.   Low level of aerobic fitness

 

  14.   Chest pain, palpitations

 

  15.    Rashes, zits, skin outbreaks, psoriasis ...

 

  16.   Mouth ulcers, cold sores ...

 

  17.   Elevated blood pressure (score 10 on tablets)

 

  18    Reduced libido

 

  19.   Shakes, nervous tics and mannerisms

 

  20.   Grinding teeth

 

  21.   Drinking too much alcohol

 

  22.   Smoking too much (1 point per  cigarette/day)

 

  23.   Drinking too much caffeine

 

  24.   Anxious about life in general

 

  25.   Insecure &/or apprehensive

 

  26.   Depressed &/or sad (score 10 if on medication)

 

  27.   In the wrong job for now

 

  28.   Under appreciated work

 

  29.   Under appreciated at home

 

  30.   Unhappy with family (and romantic) life

        0                 1                  2              3                4                5                6                 7                8               9   10

 

        0                 1                  2              3                4                5                6                 7                8               9   10

 

        0                 1                  2              3                4                5                6                 7                8               9   10

 

        0                 1                  2              3                4                5                6                 7                8               9   10

 

        0                 1                  2              3                4                5                6                 7                8               9   10

 

        0                1                  2              3                4                5                6                 7                8               9   10

 

        0                1                  2              3                4                5                6                 7                8               9   10

 

        0                1                  2              3                4                5                6                 7                8               9   10

 

        0                1                  2              3                4                5                6                 7                8               9   10

 

        0                1                  2              3                4                5                6                 7                8               9   10

 

        0                1                  2              3                4                5                6                 7                8               9   10

 

        0                1                  2              3                4                5                6                 7                8               9   10

 

        0                1                  2              3                4                5                6                 7                8               9   10

 

        0                1                  2              3                4                5                6                 7                8               9   10

 

        0                1                  2              3                4                5                6                 7                8               9   10

 

        0                1                  2              3                4                5                6                 7                8               9   10

 

        0                1                  2              3                4                5                6                 7                8               9   10

 

        0                1                  2              3                4                5                6                 7                8               9   10

 

        0                1                  2              3                4                5                6                 7                8               9   10

 

        0                1                  2              3                4                5                6                 7                8               9   10

 

        0                1                  2              3                4                5                6                 7                8               9   10

 

        0                1                  2              3                4                5                6                 7                8               9   10

 

        0                1                  2              3                4                5                6                 7                8               9   10

 

        0                1                  2              3                4                5                6                 7                8               9   10

 

        0                1                  2              3                4                5                6                 7                8               9   10

 

        0                1                  2              3                4                5                6                 7                8               9   10

 

        0                1                  2              3                4                5                6                 7                8               9   10

 

        0                1                  2              3                4                5                6                 7                8               9   10

 

        0                1                  2              3                4                5                6                 7                8               9   10

 

       0                1                  2              3                4                5                6                 7                8               9   10

 

 

 

TOTAL

 

 

The score of a normal, fit and healthy human being is less than 20

 

Higher scores are symptomatic of dysfunction of one or more body systems.

 

People with high levels of stress usually score well over 100.

 

For people with a score of more than 80, the ‘background noise’ of their life is becoming louder and louder. It is hard to concentrate on your work when body systems are dysfunctional.

 

Based on our experience with other organisations, the ResultsA1 scores can be classified as very poor indeed.  Only two people out of 79 scored less than 20 – the score of a normal, fit and healthy human being. The average score was 80. That is not good.

 

We know a fit and healthy group when we see the majority of scores below 40. This was not the case with the ResultsA1 group. By and large higher scores are usually a reflection of

 

•       low levels of fitness

•       elevated levels of life and work stress

 

The score of a normal fit and healthy person is less than 20. The scores under 40 can be classified as good. Too many people scored more than 40.

 

 

This profile of staff of ResultsA1 is not good.  Theoretically, for a fit and healthy group of people it should peak in the 30’s and then tail off to the 80’s.

 

How well you score on the Mind and Body profile will provide you with a good indication of how fit and healthy you really are.

 

I read somewhere that we don't see full blown body system dysfunction until the particular system is 70% dysfunctional. What the Mind and body profile does is pick up the dysfunctions at an early stage - (you know something's wrong and you feel dreadful but you can't put your finger on the particular system that's causing it. It doesn't matter that you don't know the precise system involved. What you are aware of is that one or more of your systems isn't working at full pitch. The good news is that you can restore function to normal by getting fitter, eating wisely, getting the job you'd love to do ...)

 

I said earlier that being vigorously physically active on a regular and systematic basis is the most powerful symbol of your ability to give back to your Self. On top of that it protects the body from a wide range of dysfunctions and contributes to an enhancement of the body's own recuperative powers.

 

There is an epidemic of body system dysfunction in our community and it is not caused by a lack of Panadol, Avpro, Diabex, Lipitor, Ventolin, Milantin, Celebrex, Valium, Viagra or Anusol!

 

The mind is an integral part of the body. Major body systems can be affected negatively by stress generated in the mind, and lack of vigorous physical activity. The body is incapable of dishonesty!

 

On the other hand, the mind and the body can both be positively affected by physical activity, a good diet, meditation and a low-toxic environment.

 

People who are physically fit are less likely to become depressed. They are also more likely to have a strong immune system and an autonomic nervous system that is balanced and healthy in its management of key physiological responses. They are healthy and happy. They have normal blood pressure, they sleep like logs, are about their ideal weighty, rarely, if ever get a headache and don't have a crook back.

 

As your fitness level improves you can be certain that your score on the Mind and Body profile will become lower.

  

2.       MUSCULO-SKELETAL RISK

 

Our musculo-skeletal risk factor profile looked at a range of parameters including mobility, strength and flexibility and whether people are training to keep themselves strong and flexible.

 

The musculo-skeletal risk factor profile is comprised of a mix of 10 objective and subjective assessments.

•      Current musculo-skeletal condition

•      Age

•      Closeness to ideal weight

•      Abdominal strength test

•      Upper body strength test

•      Flexibility

•      Functional mobility

•      Shoulder function

•      Involvement in a regular strength training program

•      Involvement in a regular flexibility training program

 

A score of 70% is attainable by those who have a regular and systematic training program.

 

Those scoring less than 70 are not doing sufficient in the way of strength and flexibility exercises. They are therefore exposing themselves to a high risk of musculo-skeletal dysfunction. (It is ‘bad luck’ that the workplace will have to eventually shoulder the cost!)

 

Most people rated their current musculo-skeletal status as poor.

 

A large number of people were lacking in abdominal muscle strength.  This is a big risk to the staff and the organisation. Crook backs go well with weak abdominal muscles.

 

The risk of shoulder and neck dysfunction is high because of the lack of upper body strength.

 

The most dramatic of results was the lack of systematic strength and flexibility training. People are setting themselves for future musculo-skeletal dysfunction.

 

This is one area the ResultsA1 needs to take seriously and monitor very carefully and put in place an organisation-wide strategy to improve musculo-skeletal function. By far and away the higher proportion of people do not have a strength and flexibility program. As a result they are getting weaker and tighter by the week, thereby exposing themselves and the organisation to risk. When push comes to shove and people become dysfunctional, it will be the ResultsA1 organisation that ends up paying the high cost of avoidable musculo-skeletal complaints.

 

In our opinion musculo-skeletal dysfunction caused by lack of a regular and systematic strength and flexibility program cannot be classified as an injury. Responsibility for musculo-skeletal dysfunction needs to be sheeted home to individual employees.

 

This risk is in line with the risk we see in all organisations that we survey. It is yet to be taken seriously by any of these organisations. Employers and their workers compensation insurers are exposing themselves to high costs associated with loss of time and rehabilitation services.

 

We recommend a range of strength and flexibility classes that are readily available around Australia.

 

•  Crookback Clinic   •  Posture and Flexibility   •  Yoga   

•  Tai Chi                 •  Pontius Pilates              •  Body Balance

 

SCORING GUIDELINES

Excellent, scoring 8 or more

Good, scoring 7 or more

Fair, scoring 5 or 6  

Poor, scoring less than 5

‘Pass mark’ on all parameters 7/10. 

 

MUSCULO-SKELETAL RISK FACTOR PROFILES

 

 

 

 

 

 

RECOMMENDATIONS

See the generic list of recommendations.