osteopaths for industry ltd damon peterson bsc (hons) ost med osteopaths for industry ltd...

Osteopaths For Industry Ltd

Damon Peterson BSc (Hons) Ost Med


Musculoskeletal Disorders Management and Prevention


“If we could give every individual the right amount of nourishment and exercise, not too little and not too much, we would have found the safest way to health”

Hippocrates 460 – 377 BC


Rehabilitation – case study

Musculoskeletal Disorders - Management and Prevention

MSD – understanding the issues

Legal framework/Health and Safety Law

Strategies for risk reduction and injury management


Musculoskeletal disorders

49% of adults report low back pain annually

30% of adults become chronic sufferers

85% of sufferers receive no specific diagnosis

The cost to the NHS is £512million per year

MSD’s cost society £5.7 billion (1995/1996)


Musculoskeletal disorders in the workplace

Upper limb disorders

Where do the problems exist?

Are all MSD’s work related?

Manual handling

Display screen equipment


Accidents causing injury


Site of handling accidents


Type of handling injury


Commonest factors behind MSD

Force: forceful movement

Posture: awkward/sustained or static

Repetition: focusing to specific tissue

Duration: body tissue unable to recover

Vibration: whole body or upper limb


7 Cervical Vertebrae

12 Thoracic Vertebra

e5 Lumbar Vertebrae

Sacrum and Pelvis

The spine


Spinal Cord

Vertebrae

Nerves Emerging from Spinal Canal

Discs

The spine


Mechanical loading and the process of injury

Most musculoskeletal disorders have a multifactorial aetiology and focusing on the culminating event may give a false picture of the causes

The majority of MSD’s are cumulative and occur over time

Specific tissue or groups of different tissue working in combination can become irritated by repeated or prolonged loading


Warning signs

Injury and illness records

Jobs which workers are reluctant to do

Jobs where workers complain of discomfort

Workers having made adaptations to workstations, tools or chairs

Workers requesting to be deployed or taken off a job

Splints or bandages being warn, and/or

Use of pain-killers

Adapted from: Upper Limb Disorders in Workplace, HSE publication


Legal requirements

Health and Safety at Work etc. Act 1974

Management of Health and Safety at Work Regulations 1999

Workplace (Health, Safety and Welfare) Regulations 1992

Health and Safety (Display Screen Equipment) Regulations 1992

Provision and Use of Work Equipment Regulations 1998

Personal Protective Equipment at Work Regulations 1992

Manual Handling Operations Regulations 1992

Reporting of Injuries, Diseases and Dangerous Occurrences Regulation 1995 (RIDDOR)


HSE initiative for 2005


Seven-stage approach to the holistic management of MSD

II

I

IV

III

VI

V

VII

Understand the issues and commit to action

Create the right organisational environment

Assess the risk of MSDin your workplace

Reduce the risk of MSDin your workplace

Educate and inform your workplace

Manage any episodes of MSD

Carry out regular checks on programme effectiveness



Manual Handling Operations Regulations 1992 (as amended)


A VOID - hazardous manual handling operations where reasonably practicable

A SSESS - hazardous manual handling operations which cannot be avoided

R EMOVE - identified risk factors

R EDUCE - the risk of injury

M ONITOR - changes made

M HT - manual handling training

Duties of Employers


Risk assessment filter

10 kg

(22 lb)

5 kg

(11 lb)

10 kg

(22 lb)

20 kg

(44 lb)

25 kg

(55 lb)

15 kg

(33 lb)

20 kg

(44 lb)

10 kg

(22 lb)

10 kg

(22 lb)

5 kg

(11 lb)

3 kg

(7 lb)

7 kg

(15 lb)

13 kg

(29 lb)

7 kg

(15 lb)

10 kg

(22 lb)

13 kg

(29 lb)

16 kg

(35 lb)

7 kg

(15 lb)

3 kg

(7 lb)

7 kg

(15 lb)

Full height

Shoulder heightElbow height

Knuckle height

Mid lower height

3 3 kgkg

(7 (7 lb)lb)

3 3 kgkg

(7 (7 lb)lb)


Manual Handling Assessment Charts - MAC


Training – myths and reality

Habits of a lifetime

Technique vs. principles

‘Real world’ training

Cultural change


Reporting and recording

Referral

Diagnosis and return to work

Surveillance

Manage any episodes of MSI



Healthcare provider relationships

general practice

rhematology

osteopathy/physiotherapy

orthopaedicsurgery

pain management

occupational health

psychology

M S I

rehabilitation medicine


British Polythene Industries plc (bpi) – Case Study

“This rehabilitation scheme created the solutions we needed in terms of health and safety and occupational health. It was popular with the workforce and their representatives, and it

made excellent business sense”

Andy Collinson, Group Health & Safety Manager, bpi

“Savings of £12 for every £1 spent”


• ‘Champion’ of the Service is in place at outset

• fast and convenient access to treatment centre(s)

• case by case feedback progress reporting (free from confidentiality constraints)

• centralised efficient administration support with referrals managed through to resolution

• advice and assistance from supplier in implementing the service especially with educating the workforce

Ensure:

Select the Right Supplier:



Musculoskeletal Injury Management

access to treatment


• define process of referral and escalation process

• ensure proper clear lines of communication and responsibility with service provider

• ensure site management is supported by service provider (medical advice on individual cases)

• facilitate graduated return to full duties for those employees who require it

• readdress prevention if necessary


Practicalities of Rehabilitation


Rehabilitation Statistics

• over 90% of injuries assessed and treatment started within 72 hours

• between 60% - 80% of employees do not take time off, even though they have been referred for treatment

Taken from MMS National Ltd yearly collated figures for all industries 2004/2005



Total Number of Treatments for Concluded Referrals

87%

12%1%

0%

5 or fewer

6 to 10

11 to 15

Over 15



Work-Related Breakdown


21%

47%

32%

Work-related

Non Work-related

Unspecified


Fit For Work Analysis


90%

4% 6%

Yes

No

Restricted

Osteopaths For Industry LtdAdapted from: Upper Limb Disorders in Workplace, HSE publication

What are the consequences of not managing MSI’s

Loss of earnings

Loss of ability to work

Problems in quality control and productivity

Decrease in efficiency

Sickness absence

Costs of staff replacement and training

The risk of litigation

The risk of bad publicity

A rise in insurance premiums and costs of compensation to injured workers

The human cost of pain



Rehabilitation and Return to Work

Prevention:Assess and Reduce the

Risk

Feedback:Monitor and Improve

Musculoskeletal Disorders - Management and Prevention

osteopaths for industry ltd damon peterson bsc (hons) ost med osteopaths for industry ltd...

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