Managing Musculoskeletal issues in the workplace
description
Transcript of Managing Musculoskeletal issues in the workplace
Managing Musculoskeletal issues in the workplace
Sophie DrakeGraduate Sports Therapist
Occupational Health Papworth Hospital NHS
Foundation Trust
Who am I?
Papworth Hospital NHS Foundation Trust
Papworth Hospital NHS Foundation Trust
Number of episodes & WTE days by Qtr
Qtr 32013/14
Qtr 2 2013/14
Qtr 1 2013/14
Reason
All Musculo-skeletal
124 episodes 1493.35 WTE days
110 episodes 1351.93 WTE days
97 episodes 1001.82 WTE days
Anxiety/stress/depression/other psychiatric illnesses
61 episodes986.6 WTEdays
63 episodes 1351.93 WTE days
38 episodes 520.19 WTE days
Cold, Cough, Flu 309 episodes 866.45 WTE days
105 episodes234.37 WTE days
146 episodes 392.21 WTE days
Occupational Health Musculoskeletal Clinic
• Onsite – OH department• Aim triage – appointment in 2 weeks or less• 1st appointment 45 mins, Review 30 mins• Referred via OH advisor or Self referral• 1 free assessment, 3 free treatments• Work closely with OH advisors, OH physician
Occupational Health Musculoskeletal Clinic
What is offered?– Assessment and diagnosis
– Sports Massage– Exercise Prescription
– Ultrasound– Taping and strapping– Postural education
– Loan of tens machines– Work station assessments and recommendations
– Task analysis in work place / support return to work
Occupational Health Musculoskeletal Clinic
Clinic Metrix
MonthNumber of appointments
New Assessments Follow ups WPA Massages
Apr-13 18 10 7 0 1May-13 35 10 19 3 1Jun-13 23 7 12 3 1Jul-13 38 15 23 3 0
Aug-13 33 13 18 2 2Sep-13 45 10 30 4 1Oct-13 65 29 29 3 4Nov-13 56 9 44 3 3Dec-13 46 17 24 4 1Jan-14 72 24 39 7 2
Clinic Metrix
Month Self referral? OH referral?Clinical staff
Non clinical staff
Apr-13 10 8 12 6May-13 16 19 24 11Jun-13 3 5 4 4Jul-13 7 8 10 5
Aug-13 6 7 7 6Sep-13 6 4 7 3Oct-13 17 12 9 20Nov-13 4 5 5 4Dec-13 12 5 13 4Jan-14 15 8 18 6
Clinic Metrix
Apr-13 May-13 Jun-13 Jul-13 Aug-13 Sep-13 Oct-13 Nov-13 Dec-13 Jan-140
5
10
15
20
25
30
Common injuries
Feet/anklesKneeHipWristElbowNeck/ShoulderLower back
Nu,
ber o
f new
refe
rrak
s see
n
Clinic Metrix
New Assessments Work related injury?
May-13 10 9Jun-13 7 0Jul-13 15 8
Aug-13 13 7Sep-13 10 5Oct-13 29 13
Nov-13 9 5Dec-13 17 15Jan-14 24 10
Audit resultsTable 5 : Breakdown of the impact of injury on various strength of activities
As can be seen in the above illustration, there is a decline in those reporting that their activity is affected “a lot” post referral compared to those numbers pre-referral. Conversely there is also a rise in the combined number of those who report their activity is affected either “a little” or “not limited” post referral to the Injury Clinic
Audit results Table 8: Impact of injury on capacity to work
Again there is a clear trend of increased number of people reporting no difficulties and decreased number reporting difficulties in capacity at work post clinic.
Audit resultsTable10: Whether the reported injury has impacted on social life
As can be seen this graph shows improvement again pre to post clinic both in increased numbers of those reporting “not at all” to social impact questions and those reporting decreased numbers of “slightly” and “moderately”.
Prevention
• Induction Presentation• Introduce clinic
• Encourage early referral to OH• Manual Handling Advice
• Advertise staff gym
Prevention
Prevention
• Squats• Core activation• Static load – 3-4 seconds and how it is
detrimental– Think about your workers and how long they sit,
carry out an activity for.
Prevention Key Points• Keep up to date with manual handling• Good communication• Speak up if there is a problem• Risk assess all tasks – TILE• Avoid manual handling if able – use equipment• Maintain posture• Bend your knees, using your legs not your back• Look after yourself – eat well, exercise, manage stress levels• Think about your footwear, clothing• Highlight problems as early as possible even if you feel they
are insignificant!
Future Plans
• Health and Wellbeing • Drop in clinics• Lifestyle Clinics• On site exercise classes• Improve on site gym• Encourage getting away from desk
Back to you• Could you start something similar?• Look at NHS OH local services • Could you pay a private physio/therapist/masseuse to come in, set up deal• Bring in an ergonomist from time to time• Look into purchasing desk based programmes e.g desk yoga• Look at local gyms, could you set up schemes to encourage H&W• Internet – free resources to hand out to colleagues – Back Care, Arthritis UK,
other charities• Could you put on/ arrange exercise classes (Pilates)• Start a company walking group, after work running club, Perkins half
marathon• Come up with an induction pack/ generic office stretches/ prevention advice • Ask other companies, what do they do?• Ask the staff …. What do they want? What would help them?
Thank you for listening!
Any Questions?