Reprinted with permission from Fisher Scientific
If you've been plagued by a variety of aches and pains or by tingling, numbness or burning sensations in your hands and forearms maybe even waking up at night with these symptoms you could be a victim of one of the fastest growing occupational illnesses: cumulative trauma disorders, commonly called CTDs.
CTD is an umbrella term used to cover a variety of musculoskeletal disorders involving tendons, muscles, nerves and bones of the upper extremities resulting from the stresses and strains of repetitive motions and static or awkward postures. Left untreated, these disorders can become crippling. However, experts tell us that chances of developing CTD can be reduced or eliminated by using proper work techniques and heeding the principles of ergonomics, the science devoted to making work compatible with human capabilities and limitations.
FROM MONKS TO MICROSCOPISTS
Workers on auto assembly lines, chicken pluckers, meat cutters, postal employees and bakers have long been plagued by injuries to the neck, elbow, shoulder, back and hands. Piano players and other musicians, as well as athletes, have suffered from cumulative trauma disorders. And one form of CTD writer's cramp was observed in monastic scribes as far back as the early eighteenth century.
Today, however, the frequency of CTDs is increasing dramatically. According to U.S. Department of Labor statistics, repetitive motion injuries now account for 60% of reported occupational illnesses; i.e., ailments resulting from exposure to particular occupational hazards over time, up from 15% in the early 1980s.
Much of this increase has been attributed by OSHA to changes in technology and resultant changes in how we do things. Neal Taslitz, executive director of the Chicago-based Repetitive Strain Injury Foundation, observes that today we are more apt to be glued in one place a desk, a computer or lab bench performing long, intensive tasks that require awkward and repetitive movements. But the body was not designed for the things we do today. Observes RSI Foundation's Neal Taslitz, "We humans are built to be on the move hunting, fishing and gathering. Now we're colliding with millions of years of evolution."
Using a computer is perhaps the best known example of CTD. Typists used to stop to move the return carriage or apply white-out. With computers, people let their fingers fly hour after hour without breaks. Consequently, carpal tunnel syndrome and tendinitis, common forms of CTD that afflict the hands and wrists of computer keyboard users, have become familiar words around water coolers and coffee machines.
Like most work places, laboratories are not immune to ergonomic stressors, with pipetting and microscopy cited as the main culprits.
RECOGNIZE THE RISK FOR CTD
OSHA has identified five specific situations which it says create significant risks for CTD, if incurred over a period of "more than two, three or four hours:"
So, what can you do to protect yourself from CTDs like carpal tunnel syndrome, low back and neck pain?
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HEED RECOVERY CYCLES
Ergonomists agree that the most important measures to prevent stress injuries are pretty straight forward. They are:
The theory behind this advice: providing recovery time; time for your body to recover from exertions. "It's important to listen to your body and obey its recovery cycle," says Vern Putz-Anderson, Ph.D. and senior ergonomist at NIOSH, the National Institute for Occupational Safety and Health, the research and training arm of the U.S. Department of Health and Human Services. He points out that awkward postures, repetitions and use of force are not bad in themselves. They are bad, however, when sustained over time so that your body doesn't have time to recover. The result: over-exertion, injury and perhaps permanent damage. That's why, he says, formal strength building programs allow 48 hours between episodes for recovery and preventing permanent damage.
It's also critical to recognize the "cumulativeness" of stresses and the need to balance tasks and activities, he explains. Without recovery periods, ergonomic stresses incurred during one activity become cumulative with those from another, similar activity. For instance, stresses you incur in leisure time activities, such as in gardening or aerobics, can be cumulative with those you may incur at work. Hence balancing these activities allows an adequate recovery period. As an example he cites a friend, a scientist, who takes care to balance his hobby of piano playing with intensive pipetting procedures in his lab.
THE PRESSUE OF PIPETTING
According to Dr. Putz-Anderson (Ph.D. and senior ergonomist at NIOSH, the National Institute for Occupational Safety and Health), pipetting involves several ergonomic stressors: thumb force, repetitive motions and awkward postures, especially of the wrists, arms and shoulders. And these can be exacerbated by the mental pressure resulting from the accuracy, precision and timing demanded in many pipetting procedures. In fact, he asserts, there is evidence indicating that when pipetting is done for more than 300 hours in a year, the prevalence of hand and should pain increases. Dr. Putz-Anderson recommends these protective measures:
POSTURING AT MICROSCOPES
Awkward postures while looking though microscope eyepieces over prolonged periods of time are ergonomic stressors for people using microscopes, Dr. Putz-Anderson asserts. He explains that people typically lean forward, away from the back of the chair so that head, upper back and lower back are all inclined beyond acceptable limits, leading to back and neck pain. As antidotes, he again stresses the importance of recovery time as well as ergonomic seating and arrangement of work.
BECOME AN ERGONOMIC SLEUTH
You can probably find many other ways to reduce ergonomic stressors in your work environment. Stay alert for situations involving high rates of repetition, awkward postures and lifting. Then find ways to reduce or eliminate them. The tips below, picked up in discussion with ergonomic experts, may help you. And finally, remember your body is designed to be constantly in motion, not glued to a desk or lab chair.
DON'T IGNORE SYMPTOMS OF CDT
If you have symptoms, see your doctor. The problem, according to Talitz, is that symptoms can gradually creep up on people without their noticing them. And because they often occur at night, people may not make the connection.
TIPS FOR RELIEVING THOSE ERGNOMIC STRESSES
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