Tuesday, May 15, 2007

Effect of OCCUPATIONAL INJURY

Spinal problems: One of the commonest areas which get problem due to Lifting activities, prolonged standing, lengthened walking and frequent stair climbing. The common problem area is at the Neck and Back. Low back pain is more prevalent in physiotherapist. It is about 48 % of the physiotherapy population. ( Mary .w. kelly. 2005). 
Neck pain is also one of the common problems encountered by physiotherapists, It occurs due to prolong bending of the neck during treatment or during computer operation for discharge summary or documentation. About 33% of individuals are suffering with Neck pain
Hand & Fingers: Hand and fingers are the other common area which gets involved following physiotherapeutic treatment. Finger strain occurs as a result of massage application for a long duration or Quite a lot of patients. Thumb strain occurs as a result of the application of manual therapy techniques for a long time. Approximately 23% affected following thumb injury. Wrist problems occur as a result of application of massage technique or by administration of Chest physical therapy techniques (Clapping). 
Large Joints: Weight bearing or large joints go for degenerative changes following prolong occupational hazard. Standing for a long duration causes abnormal loading in joint tends to cause damage to the articular surface (Structure present in the bony ends) which results in degeneration. PREVENTIVE MEASURES: Variety of measure taken to prevent occupational Hazards in Physiotherapy practice. There are certain things therapist can do to combat their risk of injury. Simple steps done before and during tasks can help the body counter strains that come with the occupation. 
Stretching : Warming up prior to the activity makes general body conditioning and prevent fatigue and muscle strains. 
Correct Posture and Positions: Performing each Task in correct posture and position prevent excessive stress in the joints. Frequent break between the work. Outsourcing : Obtain assistance from another individuals to reduce load during task like transferring patient or working with heavy patients. 
Modify : Modifying techniques or environment to avoid stress put on the therapist body prevent injury. Make adjustment to posture by modifying Bed height, Pause to stretch and frequent change in positions. Avoid bending activities which cause Low back pain. 
Reactive : Respond to discomfort or injury. If use of thumb mobilization cause pain then change to Knobbler (A hand held plastic equipment use to treat) which replace role of thumb, Choose an Electro modality to treatment for replacing manual therapy techniques. Reducing the working hours till the wound gets healed. 
Use of Aids : Use belts for transfer as well as treatment. Use stool to obtain any equipment from the upper berth. Use Mask while treating patient in ICU. Earth circuit should connect to prevent shock. Proper aid should be used for prevention from exposure of radiations like wearing Goggles, aprons, Ect...

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