A Different Look At Walking As A Job Demand

The majority of the time when an injured employee is sent for a Functional Capacity Exam (FCE), the provided job description is either two paragraphs long or is a multipage document generated by a state civil service commission. Often, neither of these descriptions provide any guidance on the actual postural and physical demands of the position. FCE teams are left to look for more information in the Dictionary of Occupational Titles or if they are lucky, they may get a job description request form returned that has been completed by the employee’s supervisor.

Unfortunately, the returned job description request forms can cause additional confusion about the demands. The individual completing the form may not have a solid understanding of the definition of certain postural tasks and how they are looked at by ergonomists, physical therapists, or physicians. A recent case in point was a job description that I reviewed that included only occasional sitting (marked as less than 33% of the work day) but included constant driving of delivery vehicles (67% to 100% of the work day). After a discussion with the employer, they had a better understanding of the disconnect in the job description that they had created.

In the case of barbers and hair stylists, we have seen forms that had been completed where walking was marked as seldom or occasional. Never marked as frequent or constant. On those forms, standing is normally denoted as a constant demand which is easy to understand. But, much of the day in a barbershop or hair salon is comprised of short walks of maybe 30 feet or less – walking to get supplies, walking a customer to the cash register, etc. But an even bigger part of the day is made up of even shorter walks in the 2 foot to 6 foot range. Barbers work their way around the chair from side to side as they cut hair and when they take that 6 foot walk from the back of the chair to the counter to grab scissors, change a guard on the clippers, or to grab the razor and hot shaving cream – if you are lucky enough to be in an old school barber shop. Those steps and those short walks add up over the course of a day, a week, a year, or many years. The evidence of these steps can be seen in the ring around the base of this barber chair.

When job description request forms need to be completed, there needs to be some basic education for the person assigned to complete the form in terms of definitions of postural and physical demands. In addition, there needs to be a review of the form and a dialogue between the evaluation team and the employer when these forms bring additional questions. Ideally, an ergonomics professional is available to evaluate and document the job demands to build a customized job description but this may not always be the case due to sensitivity of time constraints. However, we are available to help make this process as quick and painless as possible.

The path of many short walks at Calabrese’s Barber Shop in Keyport, NJ.

Friday Five – 8/2/19

The Friday Five is a set of five links that I have come across this week that pertain to ergonomics, occupational health, safety, human performance, or human factors.  For whatever reason, I found them interesting, but they are provided with minimal or no commentary and are not meant to be endorsement for a given product or research paper.

Diane Gyi et al. have created a new anthropometry data set for plus sized workers.  With increasing obesity levels, this new dataset is very important as many of the original data sets  that were utilized were based on measurements of military personnel.  A course from The Back School on ergonomics for plus sized workers was a good reminder for me that this category requires some different ergonomic considerations because there are some different biomechanical needs when setting up or correcting workstations.  It was also a good reminder that this category is not necessarily about obesity – the plus sized worker category includes anyone that is outside of the normative data sets, regardless of the reason why they fall outside of the normative data.  (When I originally took the course, it reminded me of The Incredibles when Bob tries to become a non-super hero, stuffing himself into the small car or into his cubicle at work).

Dominique Larouche et al. look at the issue of safe handling techniques for paramedics when transferring patients from stair chairs to stretchers.  One of the interesting points is that they believe that training needs to be oriented more towards the ability to adapt work techniques based on the environment and on the work teammates.

Joshua Zheng Rui Ting et al. investigated the effect of an ergonomics/exercise intervention compared to an ergonomics/health promotion intervention on workability levels in the office worker population.   For the general population, there was no significant difference in results.  But for a subgroup of office workers who reported neck pain (greater than 3/10 at start of study), the ergonomics and exercise intervention group demonstrated trending improvements in workability when compared to the ergonomics/health promotion group, if they completed at least 70% of the exercise sessions.

Peter Love et al. dealt with the difficulties in establishing operational guidelines for construction safety when the information on injuries is not readily available to use to set best practice guidelines.

Kaitlin Gallagher et al. noted that walking breaks can help to reduce low back pain that is induced by prolonged standing.   Walking and moving is something that I have been an advocate of for a long time.  Walking is not only great to break up prolonged postures (sitting or standing) but the overall movement is helpful for preventing other health issues as well.

 

Friday Five -7/26/19

 

The Friday Five is a set of five links that I have come across this week that pertain to ergonomics, occupational health, safety, human performance, or human factors.  For whatever reason, I found them interesting, but they are provided with minimal or no commentary and are not meant to be endorsement for a given product or research paper.

Jodi Oakman et al. performed a 6 year study looking at issues of workability and musculoskeletal pain in a Finnish food industry company. They looked at the relationship between workability and musculoskeletal pain, physical work conditions, and psychosocial work conditions as well as what interventions made changes to workability levels. (Of note, this study was interesting to me as I have been working with an employer that has performed a musculoskeletal discomfort survey with its employees to help to identify tasks that may be contributing to musculoskeletal discomfort.)

A study by Sherry Hassam et al. looked at a 24 month intervention using the “Walking Works Wonders” program to evaluate changes to office based participants in a standard walking program and a tailored intervention program when compared to a control group.  While both exercise groups demonstrated improvements in measures of well being and resting heart rate, those in the tailored intervention demonstrated additional improvements in BMI measures and waist circumference.

A companion study to the above walking intervention study by Kazi et al. notes that sitting at work for the 1120 participants in the study accounted for nearly 60% of their daily sitting time and that those is sales and customer service positions have higher BMI and poorer health than those in other employment sectors.

Jesse Jacobs et al. looked at employee attitudes towards acceptance of wearable devices in the workplace.  They found that employers who want to implement wearables “should (a) focus its use on improving workplace safety, (b) advance a positive safety climate, (c) ensure sufficient evidence to support employees’ beliefs that the wearable will meet its objective, and (d) involve and inform employees in the process of selecting and implementing wearable technology.”

Xavier Robert-Lachaine et al. looked at the feasibility of using magnetic and inertial measurement units for analyzing performance of manual material handling tasks.  They found that while visualization of the data collected for the head, arms, and legs did not demonstrate significant visual difference from data collected visually by observers, there was a greater difference between visualization of data and observer’s evaluation of trunk movement.  They found that using these units can be acceptable, visual verification of the data is still important to ensure validity as magnetic disturbances can increase measurement error and affect collected data.

Friday Five – 3/31/17

The Friday Five is a set of five links that I have come across this week that pertain to ergonomics, occupational health, safety, human performance, or human factors.  For whatever reason, I found them interesting, but they are provided with minimal or no commentary and are not meant to be endorsement for a given product or research paper.

This week’s five are courtesy of a PubMed search on the terms: applied ergonomics

Manghisi et al. look at the use of the Kinect V2  (the newer generation of the Kinect) for performing RULA assessments to evaluate awkward postures.  Devices like the Kinect are interesting to me as they may allow for more natural evaluations of human movement in real life work settings.

Sedighi Maman et al. look at the use of wearable technologies for evaluating a data driven model for physical fatigue in the workplace.

JA Dobson et al. provide a literature review of work boot design and the impact on how workers walk(This is an important topic area that came up yesterday when we were in the field performing assessments for a customized job description.  The particular job has a variety of varied tasks with some that require steel toed boots.  The biggest complaint of the employees is comfort of steel toed boots for the tasks performed.)

Kang and Shin performed a study to determine the impact on accuracy and muscle activation patterns when target location is varied on computer touch screens.  This is going to be an important area for human factors and user interface professionals as touch screens become more common in the workplace.

Plamondon et al. look at the differences in how male and female workers lifting palletized loads with the same relative weight.   This study uses a similar lifting load weight to remove strength from the equation when looking at how the task is performed biomechanically.  While patterns between male and female subjects were similar, interjoint coordination differs.  Understanding of these differences can help with interventions to better reduce material handling injuries.