Björn Kähler Basis for Prevention and Rehabilitation

1. Health Risks to the SkinHealth Risks to the Musculoskeletal Apparatus (MSE)in the Hairstyling Trade Björn Kähler Basis for Prevention and Rehabilitation

2. How do we handle skin diseases in the hairdresser trade? • Which strategy do we pursue regarding the matter of musculoskeletal disorders? • With which working tool do we provide businesses so that they get an idea of the health risks in their salons?

6. In caseofhairdresserswith • seriousskindiseases • 75.000,00 € • In caseof • qualification in personalhygienecompetencyskin • skinconsultation • 5.000,00 €

7. Health Risks to the Skin Primary preventionhairdresserswithhealthyskin objective: • avoidingskindiseases steps: • education • counselling • information • brochures • campaigns • seminars (Studio78) • tradeschool Secondary prevention hairdressers with skin diseases objective: • healing • keeping the job • steps: • qualification in personal hygiene competency skin • skin consultation • intensive seminars (SiP) • monitoring of workplace • essentials: creams, gloves etc. Tertiaryprevention hairdresserswith seriousskindiseases objective: • healing • rehabilitation • (keepingthejob) steps: • 3 weeksofstationarymedicaltreatment • qualificationof personalhealthcompetence • nutritional counselling • psychologicalsupport • smokingcessationcourse • ergonomics • attempttoreturntowork • essentials

10. Health Risks to the musculoskeletal Apparatus (currently in the research stage) • compared with international standards – systematic; • applicable to Germany: • Musculoskeletal apparatusdisorders are not occupational illnesses • in the hairstyling trade! • In Germany, the topic of ergonomics isonly about health prevention;never (not yet (?)) about rehabilitation!

11. Health Risks to the Musculoskeletal Apparatus • Literature in Germany shows: 15% and accordingly, 21% of absenteeism in the hairstyling trade is caused by musculoskeletal disorders (source: absenteeism report 2010; IKK Baden-Württemberg and Hessen survey, 2007) • International surveys report 41% - 92 % of hairdressers with shoulder pain • Only a limited number of examinations • 1 study (by means of measurement techniques) on posture (upper arm, 1 level) • No studies performed on differenciated activity analyses

12. Aims of the BGW Study • Identification of activities and posture that can be potentially harmful • Which activities and posture come into question? • How can one differentiate among the possibilities? • How often do they occur and how long do they last? • How do they have to be evaluated in terms of repetition, frequency, amplitude and strength • Determining the prevalence of musculoskeletal pain in the upper extremities in hairdressers in Germany • Deriving methods of prevention

13. Measuring the posture and force components during selected activities using theCUELA measuring system in Studio 78 CUELA measuring system Institute for German Social Accident Insurance (IFA)

14. Overview of Studies today Main Study „analysis of activities“ Preliminary Study „analysis of activities“ 09.2011 – 12.2012 Prevalence Study beginning 10.2012 • creating a list of activities • recording the number and length of individual activities • evaluation of posture • investigating the occurrenceof musculoskeletal pain in the upper extremities (Nordic questionnaire) • creating a typical working shift profile • ergonomic analysis of a typical working shift profile • deriving methods of prevention

15. Perspectivefor 2015: • Healthriskevaluationas an applicationfor mobile devices: • Smartphone • Tablet-PC • PC • Byfilling in thequestionnaire, thebusinessownercanclickthroughthehealthriskevaluationstepbystep. In doing so, he fulfilshisduty • tohaveproperlyarrangedhisbusinessaccordingtothe • healthandsafetymeasures.