به نام خدا

1. به نام خدا

2. بنام خدا عباس بهرامی عضو هیات علمی گروه بهداشت حرفه ای . دانشکده بهداشت دانشگاه علوم پزشکی کاشان Bahrami_a@kaums.ac.ir

3. اهداف یادگیری : انتظار میرود دانشجویان در پایان جلسه بتوانند: 1- ارگونومی را تعریف کنند. 2- اهداف ارگونومی را بیان کنند. 3- اجزای ارگونومی را توضیح دهند. 4- بیماریهای مرتبط با ارگونومی را نام ببرند. 5- عوامل مرتبط با مشکلات اسکلتی – عضلانی را شرح دهند.

4. An ounce of Prevention is worth a pound of cure !

5. Designs vs Needs

6. ERGONOMICS What it is and why you should be interested in it

7. ERGONOMICS comes from ERGOS = Greek for work NOMOS = natural law

8. Other words for Ergonomics • Human Factors (American) • Human Engineering

9. تعريف ارگونومی • ارگونومی علم و مهارت طراحی مشاغل و محيط های کار برای تطابق با توانائيها و محدويت های انسان. • ارگونومی به مفهوم “تناسب کار با فرد”است • ارگونومی علم متناسب کردن شرايط محيط کار و نيازمنديهای شغل با توانائيهای فرد است. • استراتژی: ارگونومی توانائيها و محدويت های جسمانی و روانی کارگر را که با ابزارآلات،تجهيزات،روشهای کار،وظايف و محيط کار در تعامل است مورد توجه و بررسی قرار می دهد.

10. Ergonomics is a study of work • Word “Ergonomics” coined in 1949 • Focus on man-machine interaction • Originally concerned with the military applications, particularly aeronautics

11. Human Factors “Human Factors” traditionally has focused on people’s behavior as they interact with equipment and their environment and on human size and strength capabilities. Human Factors has also been applied to the design of consumer products. Examples of products which have incorporated human factors principles include: • the “Reach” toothbrush; • automobile interiors/instrumentation; • adjustable chairs; • garden tools.

12. ارگونومی بيشتر بر روی اين موضوع بحث می کند که انجام کار چگونه بر انسان اثر می کند و برای پاسخ به پرسشهای مطرح واکنشهای فيزيولوژيک بدن در برابر کارهای جسمانی ،عوامل محيطی مانند گرما،صدا،روشنايی،ارتعاش،نوبت کاری و غيره را مورد مطالعه قرار می دهد. در ارگونومی بر روی روشهای کاهش خستگی تاکيد می گردد. .

13. اهداف ارگونومی بهبود کيفيت زندگی انسان رفاه ارگونومی بهره وری و کارايی توليد فيزيولوژيکی روانی سلامتی و ايمنی

14. برای دستيابی به اهداف ارگونومی بايد به ويژگيهای سه مولفه زير توجه شود: فرد محيط کار

15. ويژگيهای انسانی ويژگيهای انسانی را به سه دسته زير تقسيم می کنند: فيزيکی : اندازه و ابعاد بدن،قدرت جسمی فيزيولوژيک :دستگاه قلبی عروقی و تنفسی روانی:ادراک حافظه،پردازش اطلاعات انسانها در اين ابعاد متفاوت هستند. • ارگونومی اين ويژگيها را ارزيابی و اندازه گيری و از نتايج بدست آمده برای تناسب و تطابق بيشتر انسان و محيط و کارش استفاده می کند. • ميزان تطابق و تناسب

16. ارگونومی يک دانش چند رشته ای است • آناتومی و فيزيولوژی • روانشناسی • مهندسی • پزشکی • جامعه شناسی • بيومکانيک • ايمنی و بهداشت حرفه ای

17. Every year thousands of workers are injured while lifting, pushing, and pulling all manner of heavy and/or bulky objects.

18. Soft-tissue injuries can occur over many weeks or months (as with tendonitis) or can happen instantly (as in a car accident, during a fall, or while lifting heavy loads). Typically, recovery is slow, and in some cases full recovery is never realized.

19. The goal of this module is to present the reader with a number of ways to reduce soft-tissue injuries (such as muscle strain, tendonitis and low back pain), and to stress the importance of injury prevention through work practice changes, engineering solutions, and hazard awareness. Let’s start by taking a look at a common site of ergonomic injury - the back.

20. People involved in manual materials handling often experience low back discomfort or pain in the lumbar region of the spine. 7 cervical (neck) vertebrae 12 thoracic (middle back) vertebrae 5 lumbar (low back) vertebrae Lumbar Spine Sacrum Coccyx (tailbone)

21. Spinal Cord Vertebra Facet Joint Disc Inner - disc material Ruptured Disc Nerves This diagram depicts a herniated disk. Inner disk material (purple) may press on spinal nerves causing a variety of symptoms.

22. The risk of low back injury can be reduced by using the following lifting recommendations: • avoid placing objects either very high or very low. • purchase supplies in containers with reduced size and weight. • provide handles to improve grip. • design the job to reduce twisting. • eliminate bending and/or stooped postures. • provide mechanical assistance.

23. Too high Avoid high and low object placement, especially as the weight and/or size of the object increases. Too high Too low

24. The use of mechanized equipment is encouraged, but heavy equipment is not always available or suited to the site.

25. When lifting heavy and/or bulky objects manually, be sure to: • test the object’s weight before lifting it. • keep the object close to the body. • avoid twisting and bending. • avoid rapid, jerky movements. • ask for assistance from a co-worker when appropriate.

26. Keeping loads close to the body reduces forces on the low back.

27. Rapid, jerky, and/or twisting motions, as depicted here, should be avoided.

28. Poor lifting technique Good lifting technique

29. The safest lift is no lift. Look for ways to eliminate lifts altogether. In this case it may be practical to slide the seed bag to the truck tailgate, cut a hole in the bag, and let the seed fall into the spreader.

30. The lifting posture depicted at right is often referred to as a “squat lift.” The squat lift is a good choice for many lifting tasks. When using the squat lift, keep the spine “straight” (use the “tail out” posture), while bending at the knees and hips.

31. While a good choice for many lifting tasks and often recommended, the squat lift (right) has limitations and is not the best technique for every situation. People with weak leg muscles may not be able to use this technique and those with “bad” knees may be reluctant to lift in this manner.

32. A popular alternative to the squat lift is the “power” lift (near right). With the power lift, the legs are bent, but not as much as with the squat lift (far right). With the power lift there is minimal spinal flexion (bending). Most or all of the bending should occur at the knees and hips.

33. It’s also perfectly acceptable to break the load down and make several trips with more manageable loads.

34. The box at right weighs 57 pounds. The weight and bulk of this container makes it risky to handle manually. If a lift truck or hoist is not practical, the container size and weight should be reduced. Often a supplier will balk at making such changes - only to admit after instituting them - that the changes improved safety and productivity at their facility.

35. Occasionally lifting can be avoided by rolling or sliding the object.

36. With proper equipment, heavy loads can be easily manipulated with little strain placed on muscle-tendon units.

37. Bulky loads are inherently awkward to lift.

38. Good lifting technique can reduce the hazard.

39. Good technique, combined with assistance from a coworker, can significantly reduce the lifting hazard.

40. With any lifting task, a variety of risk-reduction strategies should be considered. Filling the bottom of this bin with a few inches of solid foam would reduce the amount of bending required.

41. Some lifting tasks are quite awkward due to object size and shape. Removing bench seats from vans is one such task. Minimize the force of the lift by lifting one end at a time. Let gravity assist with the lift by letting the bench slide over the bumper. 1 2 3

42. When installing the bench, avoid lifting the entire unit by sliding the bench up over the bumper. Lift with the legs, bend at the knees & hips, and use the “tail out” posture. Use slow steady motion. Jerking the object may lead to injury. Assistance from a coworker is encouraged. 1 2 3

43. As mentioned previously, the best lift is no lift. The task shown is tire rotation. Both tires are removed. Then, one at a time, the tires are rolled along the hydraulic lift platform. A very short lift (inset) gets the wheel back on the wheel hub.

44. “Hand” tools such as this drum dolly reduce lifting demands. This in turn reduces task time, the odds of injury, and the metabolic energy cost of the work.

45. Good housekeeping is just as important as good ergonomics. Slips, trips and falls account for a large percentage of workplace injuries.

46. Awkward postures (inset) can be tough on the body if they must be maintained. This oil-filling operation is kept short by using an efficient oil-delivery system. Task automation often simultaneously improves task ergonomics and reduces labor costs.

47. Of jobs that are tough on the low back, “scooping” is one of the worst. Straight knees and rounded back are a recipe for trouble.

48. To reduce the risk of low back injury, take small scoops and use legs for at least some of the lifting. Keep the spine “straight” (tail out) and bend with knees and hips rather than with the spine.

49. A variety of techniques are available to reduce the likelihood of soft-tissue injury. Back, arm and shoulder strains can be reduced by pushing objects vs. pulling them. Pushing reduces risk. Pulling increases risk.

50. Human thumbs are not well suited to high forces. The pinch grip (1 & 2) should be minimized or avoided altogether. A two handed fingertip grip (3) is an improvement, but it would be best to place the fingers under the container (4). 1 2 3 4 1