Free2move Physiotherapy

Category: Ergonomics

Ergonomics and Occupational Health are physiotherapy services of Free2move Physiotherapy North Perth

  • 5 Ways to Counteract Sitting at Work

    5 Ways to Counteract Sitting at Work

    back pain - young woman in office with laptop

    Five Ways to Counteract Sitting at Work

    1. Micro-breaks

    Eye breaks – every 20 minutes spend 20 seconds focusing your eyes on something 20 feet away from you (the 20 – 20 – 20 exercise). You should also blink the eyes a few times to lubricate them.

    woman sitting on an office chair with her hands interleaved over her head stretching

    Deep breathing with an overhead stretch (sitting or standing). Interlace the fingers. Take a deep breath in as you raise your hands overhead and turn the palms towards the ceiling, looking upwards slightly. Repeat 3 times.

    2. Walking breaks

    Once every 30 to 60 minutes move away from your desk and walk briskly around the office. These short periods of activity that are simply part of your daily routine are known as ‘incidental exercise’. They are useful for preventing stagnation of the circulation. They help to raise your metabolic rate. There are many apps available to help remind you to get out of your chair.

    You may simply get up, walk to another room and drink a glass of water or use the bathroom. It doesn’t necessarily mean that you stop working either. The break could be used, for example, to discuss something with a colleague or use the photocopier. Walking or jogging on the spot can provide an additional boost for your circulation. A short but brisk walk during the lunch break is another possibility.

    3. Walking meetings and walking phone calls

    Standing or walking during meetings helps increase activity level and lifts metabolic rate. If you use a mobile phone at work, make sure you have earphones with an inbuilt microphone. This way you can remain mobile while talking with colleagues or clients.

    4. Walk to work

    If you live too far from work to walk there, try parking your car further away and walking for the last 10 or 20 minutes. Taking public transport usually involves walking to and from the train or bus, which could be an improvement on taking your car. Research shows that we need an absolute minimum of 150 minutes a week of cardio-vascular exercise. This can be made up of any blocks of exercise that are at least 10 minutes long.

    5. Active computer work stations and fit desks

    Active work stations and fitdesks are a fantastic way to increase activity levels during the working day. Treadmill work stations allow you walk while you work. Cubii is an under desk elliptical that you can use while you work, without your knees hitting the desk. It has bluetooth connectivity so you can keep track of how far you have pedaled on your phone. Here is an interesting article that compares cycling desks with treadmill desks. The treadmill desks are more expensive but don’t interfere as much with productivity and the ability to work on a computer.

    Stretches you can do at your desk

    Stretches at work are helpful for reducing muscular tension and feelings of stiffness.

    The following stretches can be done without leaving the vicinity of your desk. They target the most common places people feel tension after being at a computer.

    READ OUR DISCLAIMER Please seek medical advice before commencing exercises, if you have a painful or medical condition.


    woman sitting in office chair wisting round to the left looking behind

    Spine twist – Sitting in your chair, twist around to one side and look behind you, hold for a few seconds and repeat to the other side. This exercise helps stretch the shoulders, lengthen the back and fills the lungs with air, expanding the chest.


    woman sitting on an office chair bending forward and touching her ankles

    Forward bend – Sitting in your chair, slide your arms down your legs and let you head hang forwards, hold for 2 or 3 breaths in and out, then return to sitting. This gently stretches the lower back if it has been arching or compressed. It may help to help relieve lower back tension.


    woman tanding near office chair with hands interleaved behind her back doing a pectoral stretch

    Pectoral stretch – Stand up, interlace the hands behind your back and raise the arms slightly towards the ceiling. The pectoral muscles at the front of the shoulders often become tight while using a keyboard. This exercise helps to lengthen them.


    woman standing up from chair and doing a back bend exercise

    Back bend standing – Stand up, tighten the buttock muscles, use the hands to support the lower back and gently lean backwards, while looking upwards. Repeat several times without holding. This helps to counteracted a rounded lower back that can occur from slouching.


    woman sitting on office chair with her hands out in front doing the stop sign stretch

    Stop sign stretch – Stretch one arm out in front of you with your elbow straight and your palm facing forwards, as in a policeman’s stop sign. Use the other hand to gently stretch the fingers back. Hold for a few seconds then repeat on the other side. This forearm stretch helps prevent Golfer’s Elbow (pain on the inside of the elbow).


    woman sitting in office chair with arms out front doing a forearm stretch

    Forearm stretch – Make a soft fist with one hand and extend it out in front of you, elbow straight. Turn the thumb side of the hand slightly towards the floor. Use the other hand to gently bend the wrist downwards. Do not do this stretch if you feel strain in the wrist. You may feel a stretch in the forearm if the extensor muscles which attach to the outside of the elbow are tight. Tight wrist extensors can lead to Tennis Elbow.


    Also refer to our article “The Risks of Prolonged Sitting”

  • The Risks of Prolonged Sitting

    The Risks of Prolonged Sitting

    The Risks of Prolonged Sitting

    businesswoman stretching after prolonged sitting at her computer and doing breathing exercises
    A business woman stretching at her computer

    Prolonged sitting at a computer endangers your health

    Do you feel stiff and sore after prolonged sitting at a computer for a few hours?

    Along with poor posture, sitting at a computer can contribute to Occupational Overuse Injuries. These were previously called Repetitive Strain Injuries or RSI. Neck and shoulder pain, carpal tunnel syndrome and lower back pain are common in people who sit too much. Screen brightness and constant focal length can also cause eye strain. Many businesses now offer ergonomic work station assessments to help reduce these workplace injuries.

    How many hours do you sit each day?

    Try this calculation.

    1. Consider your morning routine on a average work day. How many hours are you sitting before you arrive at work? Include time spent sitting during breakfast, mobile phone or computer use, watching television and traveling to work by car, bus or train.
    2. Estimate the number of hours you sit at work each day. Include your lunch break.
    3. Finally consider the time you spend sitting between leaving work and going to bed. This includes sitting while you travel home, use your computer, mobile or TV. It might also include sitting while you read, eat or just relax.
    4. Add the 3 numbers together. You may be surprised at the total number of hours you are sitting on the average work day.

    Research reveals serious health risks of prolonged sitting

    Stiffness, pain and tension may not be the most serious risks faced by people in sedentary occupations. There is now scientific evidence that prolonged sitting is even more harmful.

    An Australian government site warns that sitting for more than 11 hours per day can increase the risk of death within the next 3 years by 40 percent. Regular prolonged sitting is related to a higher incidence of diabetes, heart disease, obesity, fatty liver disease and some forms of cancer. The risks may also be present for those who exercise regularly before or after work.

    Another large study at was done at Columbia University. This research involved almost 8,000 participants. Those who sat for at least 13 hours a day combined with multiple sedentary bouts of 60 to 90 minutes had nearly twice the risk of dying within 4 years.

    This highlights the need to get up from your chair at least once an hour.

    Metabolic syndrome

    The main problem with sitting is that it is sedentary. You may be in one position for several hours, with little muscular activity. This results in stagnation of the circulation, pooling of blood in the legs. During periods of inactivity there if often shallow breathing or breath holding.

    Your body is always burning energy. Even during sleep the body requires energy in order to carry out processes such as digestion and tissue repair. The metabolic rate is the number of kilojoules (calories) the the body burns per hour. When you sit for long periods the metabolic rate is low.

    A reduced metabolic rate means that relatively fewer calories per hour are being used by the body. A possible outcome is Metabolic Syndrome. This condition involves a collection of signs and symptoms:

    • increased blood pressure
    • high cholesterol
    • elevated blood sugar levels
    • weight gain (especially around the abdomen).

    Getting up regularly for a short brisk walk can help raise the metabolic rate. Research shows following vigorous exercise that the metabolic rate remains higher for up to 24 hours afterwards.

    Mental health problems and prolonged sitting

    A further problem with prolonged sitting is its effect on mental health. Research is now starting to show that it is related to higher levels of depression and anxiety. It is also known that regular exercise can be an effective treatment for mild to moderate depression.

    Read about how the Feldenkrais Method can help mental health.

    How to counteract prolonged sitting

    The best way to counteract these problems is to break up your sitting with frequent short periods of activity. This so called ‘incidental exercise’ can help to counteract the health risks of sitting.

    Breaks from sitting in front of a screen are vital for the musculo-skeletal, cardio vascular and respiratory systems as well as for weight management and mental health. The question is, how can these be incorporated into a busy schedule?

    Active work stations and active offices – way of the future

    Some offices are now creating activity centres or outdoor exercise areas. These are places where staff can participate in short periods of vigorous exercise, for example one to two minutes of cycling on a stationary bike or walking on a treadmill.

    Sit stand desks are becoming common. Although there is more muscle use in standing, it is still relatively sedentary and can cause pooling of blood in the legs.

    As a result, active work stations are currently being developed. These including cycling computer work stations and treadmill computer work stations. In the future perhaps we will all have the option of being more active, even while working on a computer for much of the day.

    5 Ways to Counteract Sitting at Work

     

  • Improving Posture

    Improving Posture

    three diagrams of a man sitting on a chair, the first 2 are bad posture the last is goog posture

    Improving Posture

    Have you ever tried to improve your posture? How well did that work for you? If you are not satisfied with the results, consider attending Feldenkrais classes. The Feldenkrais Method can help you achieve comfortable and effortless posture through ingenious and mindful movement exercises.

    The changes become integrated into your every-day life. Soon you will find yourself sitting, standing and moving in ways that you never imagined could be so easy or comfortable.

    Body Scan Exercise in Sitting

    Sit on a firm chair with your feet flat on the floor. Come forward in the chair a bit so you are not using the back rest. Sit normally and close your eyes for a few moments. Notice your posture. Stay there for a minute or two just observing yourself. Then open your eyes again.

    When you observed your posture, what is the first thing that came into your awareness? What parts of the body did you sense? Perhaps you thought about whether you were sitting or standing up straight? You might have become aware or your head, neck and back. Perhaps you sensed your spine and checked its alignment. Maybe you tried to correct yourself. These are things many of us were taught to do growing up.

    Consider that parts of your body that may not have been included in your awareness. Your hands and feet? Your chest and rib cage? Was your abdomen free to move with the breath? How long could you sustain this posture comfortably

    3 minutes to Better Posture

    Now try this short exercise with Ruthy Alon. Then go back to the sitting body scan above and feel the difference.

    About Ruthy Alon

    Ruthy is an international Feldenkrais trainer who studied and taught with Moshe Feldenkrais for over 20 years. It is hard to believe that in this video she is 85 years old. Ruthy is still teaching, a huge inspiration for those of us interested in healthy ageing.

    4 Reasons why trying harder to sit or stand up straight doesn’t work

    1. When we try to straighten the spine we often increase effort in the muscles of the back without releasing the flexor muscles in the front of the body. The result is one muscle group working against another. This causes spinal compression.

    2. Some of us work so hard in our back muscles to maintain good posture that we end up bowed backwards, thinking that we are actually straight. This ‘military’ style of posture can lead us to be stiff and stuck in our movements. People who do this are usually unaware of it.

    3. A common frustration in trying to improve posture is that the changes only work while you are consciously paying attention. As soon as you stop doing that, you slip back into old habits.

    4. Yet another problem with this method is that the effort to straighten can result in restriction of the breathing.

    4 Ways that Feldenkrais helps improve posture

    1. Focusing on dynamic, not static posture

    Moshe Feldenkrais described good posture as ‘the ability to move equally easily in all directions’. This is dynamic posture. By contrast, static posture may involve trying to hold yourself still when you are sitting or standing. This may cause breath holding. It’s also literally impossible be completely still. We actually maintain our balance in upright positions by using subtle swaying movements.

    2. Reducing effort

    As you learn where to let go of unnecessary effort, you will discover how to find more efficient support from your muscles and bones. Learning to move easily in and out of a particular position is just as important as maintaining good alignment.

    3. Learning first while lying down

    To learn a new way of supporting the body against gravity Moshe Feldenkrais first taught a variety of movement lessons lying down. The reason is that lying down makes it easier to reduce muscular effort. This helps you sense what you are doing more clearly so you can make small adjustments towards greater efficiency. It means you are less likely to fall into inefficient habitual patterns and postures.

    4. Expanding the self-image

    In the Feldenkrais Method you will learn to bring your attention to each part of the body that is involved in an action. You will learn how even seemingly unrelated parts of the body such as your hands, feet, eyes, ribs and hip joints can influence your posture. The more parts of your body that can be included in your self-image, the more clearly you will know what you are doing. In the words of Moshe Feldenkrais ‘When you know what you’re doing you can do what you want’.

    “When you know what you’re doing you can do what you want” – Moshe Feldenkrais.

  • Ergonomic Computer Work Stations

    Ergonomic Computer Work Stations

    xray of person sitting at the computer from the side

    Ergonomic Computer Work Stations

    Ergonomic computer work station set up is relatively simple. Doing things in the correct sequence is the key to getting it right. This helps minimise strain on your joints, muscles and soft tissues while working at your computer and reduces the risk of occupation overuse syndromes.

    Adjust your chair first

    1. Adjust seat height
    2. Adjust the height of your back rest
    3. Adjust the back rest angle
    4. Adjust the seat slope
    5. Sit to the back of your chair
    6. Do you need a foot rest?

    Adjust your monitor height  next

    1. Adjust monitor height—eyes approximately 5cm below top of screen
    2. Do you need a monitor raiser?
    3. Position monitor arms length from your seated position
    4. If you have 2 monitors, position them to avoid twisting

    Keyboard and Mouse  

    1. Normal keyboard and mouse—suitable for most people
    2. Frequent use of numbers—numeric keypad
    3. Frequent use of mouse, but not numbers—mini keyboard
    4. An ergonomic mouse and or gel wrist / mouse support or a negative tilt keyboard may help some people

    Laptops  

    1. Avoid prolonged work (more than one hour)
    2. Use an external keyboard, laptop ramp, or plug your laptop into an external monitor

    Other ergonomic considerations  

    1. Your phone should be within close reach
    2. Wear a headset if you will be typing while on the phone.
    3. Use a document holder to reduce twisting of your neck.
    4. Excessive brightness, glare or inadequate light can strain your eyes
    5. Inadequate ventilation or being too cold or too hot at work can impair your performance.

    Home visit and site visit services

    Free2Move offer a home or site visit service to provide individual solutions to ergonomic computer work station issues

    Please note: The above suggestions are a guide only. If you are experiencing pain or any other difficulties with your workstation, please seek the guidance of a health professional with an understanding of ergonomics.

  • Repetitive Strain Injury

    Repetitive Strain Injury

    man holding his back inpain

    Repetitive Strain Injury

    Repetitive Strain Injury (RSI)

    Repetitive Strain Injury is also known as Occupational Overuse Syndrome (OOS). These terms cover a group of separate disorders, all of which are related to repetitive trauma to the nervous and musculo-skeletal system.

    The trauma can occur because of working for prolonged periods in a poor posture. It may be related to poor ergonomics or inefficient bio mechanics. An example would be over-use of the relatively small muscles of the wrist and forearm when performing heavy or repetitive lifting, while under-using the large stabilising or core muscles of the trunk. Although frequently referring to conditions of the arms, RSI can also occur in the lower limbs or trunk.

    How We Can Help

    At Free2Move we offer a customised treatment programme using a combination of Physiotherapy, Clinical Pilates and / or Feldenkrais. This process begins with a comprehensive 40 minute individual assessment. We examine the bio mechanics of your movement, looking for possible underlying causes, or factors which may be aggravating your pain. Our aim is to promote independent self-management in the shortest possible time frame.

    Many of our clients have computer based work and we frequently treat conditions such as Thoracic Outlet Syndrome, Carpal Tunnel Syndrome, Tendonitis, Tendonosis, De Quervain’s Syndrome, Tennis Elbow (Lateral Epicondylitis), Golfer’s Elbow (Medial Epicondylitis) and Trigger Finger.

    We can also visit your workplace to perform ergonomic workstation assessments.

    Request an Appointment