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Total Back Care

Total Back Care. Darren Bayliss Workplace Physical Therapist Certified Ergonomic Specialist Injury Prevention Trainer. Back Facts. Back injury is not a bodyweight or lifting issue, its an accumulation of destructive force over time.

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Total Back Care

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  1. Total Back Care Darren Bayliss Workplace Physical Therapist Certified Ergonomic Specialist Injury Prevention Trainer

  2. Back Facts Back injury is not a bodyweight or lifting issue, its an accumulation of destructive force over time. Focus on body mechanics, posture habits, and physical fitness.

  3. How people think and feel about back pain is key to what they do about it and how it affects them.

  4. Back pain is a symptom that your back is simply not moving and working as it should. It is unfit or out of condition.

  5. What you do in the early stages is very important. Rest for more than a day or two usually does not help and may actually prolong pain and disability.

  6. Many times the site of the pain is not the site of the primary cause of the pain and the compensation

  7. The most important outcome is not any clinical measure of pain or disability but how the problem affects the patient’s life. The single most crucial impact of low back pain is on ability to work.

  8. What really matters with back care and treatments is whether they help you get active. Balance between being as active as you can and not putting too much strain on your back.

  9. Studies find that only 2 things truly aid the person with back pain: 1. Exercise, to promote strength, flexibility and endurance 2. Education about the proper way to sit, stand, lift and carry.

  10. 64% who report no back pain show abnormal disks with an MRI.

  11. Back pain can return over the following year in some 60 to 80 percent of people.

  12. A study shows the 68% of 65 studies showed no correlation between obesity and back pain.

  13. 80% of back pain injuries will resolve in 6 weeks or less without treatment.

  14. 95% of back pain is from ligament sprain between L4-L5.

  15. Very few back injuries result from a single event: more commonly occur because of cumulative trauma leading to the back injury.

  16. The best therapy will not produce results if the cause of the back troubles is not addressed, removing the source that exacerbates tissue overload cannot be overstressed.

  17. What causes injury? Your body can take on a certain amount of destructive forces on a daily basis. These forces cumulatively add up according to what you do at home, work, and play; when you exceed what your body can take it shows itself thru pain, inflammation, dysfunction and injury

  18. Destructive Forces 1. Aging

  19. Destructive Forces 2. Wear and tear

  20. Destructive Forces 3. Use and abuse

  21. Minimizing Destructive Forces 1. Never go barefooted

  22. Minimizing Destructive Forces 2. Positional changes • Disc is a pump • Minimize sitting/static bending at the waist

  23. Minimizing Destructive Forces 3. Sitting

  24. Minimizing Destructive Forces 4. Standing 5. Bedtype

  25. Minimizing Destructive Forces 6. Sleep Position

  26. Minimizing Destructive Forces 7. Proper shoes/orthotics 8. Ice/heat use 9. Driving position

  27. Minimizing Destructive Forces 11. Lying on the floor 12. Bed and car transfer

  28. Minimizing Destructive Forces 13. Wallet and purse use

  29. Minimizing Destructive Forces 14. Household chores Ex: Mopping, vacuuming, making the bed

  30. Minimizing Destructive Forces 15. Exercises: Do’s and Don’ts

  31. Minimizing Destructive Forces 16. Carrying, pushing and pulling 17. Diet: caffeine, alcohol, nicotine

  32. BioErgonomic LIFTING

  33. Lifting is a challenge; it can affect our pain and function at work, home, and with our leisure activities.

  34. The critical issue of behaviors and attitudes is introduced as alternatives to ergonomics, such as: ownership of their health, self-care prevention and injury management, proper body mechanics and posture (biomechanics).

  35. Behavior if far more often the problem than is ergonomics risks.

  36. Static posturing is far more often the problem than is repetitive motion.

  37. There is no one way to lift; you must rethink the “traditional” lifting thought processes for true success, which may explain why people continue to injure themselves despite learning the “proper” lifting techniques.

  38. Lifting is variable and not structured as traditionally taught.

  39. Understand that lifting is a 3 dimensional, bottom up and top down, all 70 joints, 400 muscles loading and exploding functional activity.

  40. The transverse plane is the most effective plane to produce power in lifting but it must be complemented by the sagittal and frontal planes.

  41. Typically the symptoms are not where the cause and compensations are with lifting injuries.

  42. High arched feet can cause “back overloading”; solve the foot problem to decrease the back loading affects which can lend to safer lifting.

  43. Posture Evaluation You must account for your head, shoulders, trunk, hip, pelvis, knee, ankle, and foot with effective lifting.

  44. Lift Training 1. Golfers lift

  45. Lift Training 2. BioErgonomic lifting

  46. Contact Darren Bayliss, P.T., CEAS • Workplace Physical Therapist • Certified Ergonomic Specialist • Injury Prevention Trainer Email- Darren@mipts.com

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