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The Effects of Ergonomic Interventions

By: Melinda Montague, Elizabeth Schroeder,


Malissa Shull, and Katie Wilcox

Faculty Mentor: Jane Rues, EdD, OTR, FAOTA

Department of Occupational Therapy Education


Rockhurst University
Kansas City, MO
Previous Capstone Study (2003) By: Cara Gwartney, Christie Salszieder, and Stephanie Werner
Purpose
 Does an ergonomic program that
incorporates
1.proper workstation setup
2.rest break and exercise education
3.daily exercise reminders executed by
Stretch Break PRO computer
program
 effect pain and sick days
Other research questions
 Leading cause(s) of pain
 Pattern of errors in workstations
 Compliance with workstation
modifications
 Participants’ satisfaction
 Utilization of Stretch Break
 Effectiveness of weekly survey
Literature Review
 Omer, Ozcan, Karan and Ketenci (2003/2004)
– Studied the effect of training and exercise programs in the
management of cumulative trauma disorder (CTD).
» Treatment group showed a statistically significant improvement
in pain.
 Fenety and Walker (2002)
– Compared the amount of movement before and after an
exercise program.
» Subjects who exercised had decreased in-chair movement and
discomfort.
 Monsey et al. (2003)
– Investigated strategies for improving compliance with a
prevention program, the Stretch Break PRO.
» Treatment group stretched more than the control group (NS)
Methods: Subjects
 43 participants  Location
– 38 females – 19 participants from
– 5 males Rockhurst University
– 24 participants from
Lockton
 Ages
 Computer use
– Ranged between 20-
61+ – Mean 7-11 years
– mean age group of – Mean 6-10
26-30 hours/day
– 50% rest breaks
– 50% report fatigue
Method: Procedure
Assessment - Intervention
Assessments Interventions
 Educational meeting  Computer
workstation
 Pre-study
modifications
questionnaire  Stretch Break PRO
program (Para
Technologies, 2003)
 Computer – Program prompted
workstation analysis stretches every 60
minutes
Results
Does an ergonomic program that
incorporates
1. proper workstation setup,
2. rest break and exercise education, and
3. Stretch Break PRO computer program
 effect pain
– significant p = .002
 sick days
– non significant (NS)
Results
 Leading cause(s) of pain  Compliance with
– NS workstation
modifications
 Effectiveness of weekly – Modifications made
survey during the evaluation =
– Weekly too frequent highest compliance
 Pattern of errors in  Participants’
workstations satisfaction
– 2 most frequent errors – Workstation
» Foot position on floor modifications valued
» Phoning postures most
 Utilization of Stretch
Break
– Decreasing trend over 12
weeks
Discussion
 Overall participants reported decreased pain
 Participants valued workstation modifications
over the other two interventions and had
greater compliance with modifications made
versus those recommended.
 While participants verbalized liking and
learning from the Stretch Break PRO
computer program, the built in tracker did
not show congruence between stated and
actual behavior.
Implications for Future Research
 Develop research questions relevant to each work
place

 Educate both employers and employees

 Readily accessible ergonomic adaptations

 Weekly vs. monthly on-line surveys


References
 American Occupational Therapy Association. (2004). Ergonomics: Occupational therapy in the workplace. workplace.
Retrieved September 24, 2004, from www.aota.org.
www.aota.org.
 Balance Systems, Inc. (n.d(n.d.).
.). National statistics for carpal tunnel syndrome. Retrieved October 7, 2004, from
http://www.repetitive-strain.com/national.html.
http://www.repetitive-strain.com/national.html.
 Bayeh,
Bayeh, A.D. & Smith, M.J. (2003). Do ergonomics improvements increase computer workers’ workers’ productivity?: An
intervention study in a call centre. Ergonomics, 46, 46, 1-18.
 Ergonomics Today. (2004). Norwegian companies look to ergonomics to curb rising absenteeism. Retrieved
October 28, 2004, from http://www.ergoweb.com/news/detail.cfm?id
http://www.ergoweb.com/news/detail.cfm?id=978. =978.
 Fenety,
Fenety , A, & Walker, J. (2002). Short-term effects of workstation exercises on musculoskeletal discomfort and
postural changes in seated video display unit workers. Physical Therapy, 82, 82, 578-589.
 Monsey, M, Ioffe,
Ioffe, I, Beatini,
Beatini, A, Lukey,
Lukey, B, Santiago, A, & James, A.B. (2003). Increasing compliance with stretch
breaks in computer users through reminder software. Work, 21, 21, 107-111.
 Omer, S.R, Ozcan,
Ozcan , E, Karan,
Karan , A, & Ketenci,
Ketenci , A. (2003/2004). Musculoskeletal system disorder in computer users:
Effectiveness of training and exercise programs. Journal of Back and Musculoskeletal Rehabilitation, 17, 17, 9-
13.
 Occupational Safety and Health Administrations. (2002). Success with Ergonomics. Retrieved September 24,
2004, from http://www.osha.gov/SLTC/ergonomics/colby.html
http://www.osha.gov/SLTC/ergonomics/colby.html..
 Para Technologies. (n.d
(n.d.).
.). Stretch break: Software to prevent RSIs.
RSIs. Retrieved October 21, 2004 from
http://www.paratec.com/index.htm
http://www.paratec.com/index.htm..
 Pentikis,
Pentikis, J, Lopez, M.S. & Thomas, R.E. (2002). Ergonomics evaluation of a government office building. Work, 18, 18,
123-131.
 U.S. Department of Labor, Bureau of Labor Statistics. (2004). Repetitive motion results in longest work absences.
absences.
Retrieved September 24, 2004, from http://www.bls.gov/opub/ted/2004/mar/wk5/art02.htm.
 Vacek, Kris (n.d
(n.d.).
.). Back care: Posture - sitting. Rockhurst University Class Packet. Distributed 2003.

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