An ergonomic workplace assessment is a systematic evaluation of the work environment to identify potential ergonomic risks and make necessary adjustments to improve the overall well-being and comfort of employees. It involves assessing various factors such as workstation setup, equipment design, lighting, temperature, and workflow to ensure that they are ergonomically optimized for the employees' physical and mental health.
An ergonomic workplace assessment can benefit employees in several ways. Firstly, it helps identify and address ergonomic issues that may cause discomfort, pain, or musculoskeletal disorders. By making necessary adjustments, such as adjusting chair height, improving lighting, or providing ergonomic equipment, employees can experience reduced physical strain and improved comfort. This, in turn, can lead to increased productivity, as employees are less likely to experience fatigue or discomfort that can hinder their performance. Additionally, an ergonomic workplace assessment can also contribute to the overall well-being and job satisfaction of employees, as it shows that their employer values their health and safety.
Collagen Supplementation for Joint Pain and Arthritis: Does it Really Work?By Dr. Sean M.Wells, DPT, PT, OCS, ATC/L, CSCS, NSCA-CPT, CNPT, Cert-DNRecently I was presenting at the annual conference of Athletic Trainers' Association of Florida (ATAF) and I was overwhelmed by one consistent question: why didn't you talk about collagen supplementation? My talk was specifically on orthopedics for older adults and naturally I focused on osteoarthritis (OA) and how important exercise and diet are for that condition. I did touch on some supplementation, but I left off collagen because my last examination of this supplement, using one of my favorite websites Examine.com, yielded mediocre results. However the participants at the sports medicine conference piqued my interest and convinced me that perhaps I had missed something -- almost every single one of these participants had some form of joint pain or stiffness and felt significantly better after taking collagen daily. So, back to the literature, and asking some of my clients, I went!What is Collagen?Collagen is a protein found in the body that provides structure and support to various tissues, including joints, bones, tendons, and ligaments. It may play a role in maintaining joint health and may have potential benefits for individuals with joint pain. A few small-scale studies have shown positive results in reducing joint pain and improving joint function when individuals with osteoarthritis took collagen supplements. These studies often used specific collagen formulations, such as collagen peptides or hydrolyzed collagen, which are broken down into smaller peptides for better absorption by the body. However, it's important to note that the findings of these studies are not yet conclusive, and more robust research is necessary.The ResearchIt's worth mentioning that joint pain can have various causes, and collagen supplementation may not be effective for everyone. Factors like age, underlying health conditions, overall diet, and lifestyle habits can also influence joint health. For instance, a meta-analysis on collagen supplementation for OA showed improvements in the WOMAC, a functional score for knee arthritis, but it didn't yield significant results for knee pain. Meanwhile, another review article looking at collagen supplementation for joint pain, muscle protein synthesis, and body composition found that collagen did significantly reduce joint pain (it had effect on the other metrics). Here's a nice table listed in the article:The joint pain included in the review included knee pain and Achilles tendinopathy, all predominately in an athletic population. Another glaring observation is several of these studies included physical therapy and exercise prescriptions with the supplementation (Yay! Nutrition and Physical Therapy), which can also alter the results and effects of collagen as well. It's important to see the doses varied in the studies from 5, 10, to 40 grams per day; moreover, the collagen can come in varying form from peptides, hydrolyzed proteins, to denatured collagen. Having such variability in the type of collagen also likely explains the variability in responses and data.DosingSo, roughly how much and what type of collagen should a client take? Well, many studies have used dosages ranging from 8 to 12 grams of collagen peptides or hydrolyzed collagen per day for joint-related benefits. Research suggests that type II collagen supplementation may help reduce joint pain and improve joint function in individuals with arthritis, particularly osteoarthritis. It is believed to work by helping to restore and support cartilage health, potentially reducing inflammation and promoting joint mobility. It's important to note that collagen supplements are available in various forms, such as powders, capsules, and liquids, and their concentration of collagen can vary. Therefore, it's crucial to follow the manufacturer's instructions and consult with a healthcare professional to determine the appropriate dosage for your specific needs.It's also worth mentioning that collagen supplements are often combined with other ingredients, such as vitamins, minerals, or herbal extracts, which may influence their effectiveness. If you decide to try collagen supplementation for joint pain, it's a good idea to choose a reputable brand and look for products that have been tested for quality and safety. I suggest using Labdoor.com to help you or your client find a high-quality collagen supplement, if and when appropriate.SummaryIn the end, perhaps the participants at the ATAF conference were right -- there is something to say about collagen and joint pain. Not every study is exact and more research needs to be done on what dose, what age, what condition, and what exercises should be done with the collagen -- but that's why we practice physical therapy! Love to hear your thoughts and maybe some of your clients' responses to collagen. If you like what you see here then know there is more in our 3 board-approved continuing education courses on Nutrition specific for Physical Therapists. Enroll today in our new bundled course offering and save 20%, a value of $60! Earn CEUs in most states for PTs! Want to learn in person? Attend a #manualtherapyparty! Check out our course calendar below! Learn more online - new online discussion group included! Want an approach that enhances your existing evaluation and treatment? No commercial model gives you THE answer. You need an approach that blends the modern with the old school. NEW - Online Discussion Group Live cases webinars lecture Live Q&A over 600 videos - hundreds of techniques and more! Check out MMT Insiders Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog
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Posted by on 2023-07-24
In this episode, Erson goes over a tough case of constant and flared up cervical pain with radiating complaints. What do you think of his solution? Have you ever had a similar case that responded to sustained holds better than repeated loading or traditional techniques? Untold Physio Stories is sponsored byThe Eclectic Approach Network - Check out Dr. E's all new private, non tracking and ad free network for rehab pros! It's free to join, has chat, feed, and all the features of other social networks without the creeping tracking.Check out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.comCurv Health - Start your own Virtual Clinic Side Hustle for FREE! Create your profile in 3 minutes, set your rates, and Curv will handle the rest! From scheduling to payments, messaging, charting, and a full exercise library that allow for patient/clinician tracking, it's never been easier! Click to join Dr. E's new Virtual Clinic Collective to help promote best online practices. Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog
Posted by on 2023-07-17
Erson tells a story of getting back to rock climbing after a 20 year break. After a finger injury that wasn't healing, he got some totally unexpected great advice from another climber. What do you think of the solution and has anything similar ever happened to you? Untold Physio Stories is sponsored byThe Eclectic Approach Network - Check out Dr. E's all new private, non tracking and ad free network for rehab pros! It's free to join, has chat, feed, and all the features of other social networks without the creeping tracking.Check out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.comCurv Health - Start your own Virtual Clinic Side Hustle for FREE! Create your profile in 3 minutes, set your rates, and Curv will handle the rest! From scheduling to payments, messaging, charting, and a full exercise library that allow for patient/clinician tracking, it's never been easier! Click to join Dr. E's new Virtual Clinic Collective to help promote best online practices. Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog
Posted by on 2023-07-06
Tension-type headache (TTH) is a prevalent and burdensome condition that affects many individuals. Recent research suggests that the cervical spine, specifically the trigemino-cervical nucleus caudalis, may play a role in the development of TTH. This nucleus facilitates the exchange of pain signals between the upper cervical spine and the trigeminal nerve, which is involved in headache generation. Links between the upper cervical spine and TTHStudies have shown that individuals with TTH often exhibit musculoskeletal impairments. Common findings include forward head posture and restricted cervical range of motion. These physical dysfunctions may contribute to the headache symptoms experienced by TTH patients. Neck pain and sensitivity in the cervical spine are frequently reported alongside TTH and may worsen the clinical presentation of the headache. These symptoms could be epiphenomena resulting from the sensitization of the trigemino-cervical nucleus caudalis.While forward head posture is a common observation in TTH, its direct relevance to the headache remains a topic of debate. Similarly, the relationship between restricted cervical range of motion and TTH is not well understood. It is uncertain whether these musculoskeletal impairments are causative factors or consequences of the headache.Clinicians often use the cervical flexion-rotation test to assess upper cervical spine mobility, which has proven useful in diagnosing cervicogenic headache. However, its application and significance in TTH are not extensively studied. Further research is needed to elucidate the role of this test in TTH diagnosis and management.Another intriguing observation is the reproduction of headache pain through manual stimulation of the upper cervical spine in both cervicogenic headache and TTH. This suggests that referred pain from the cervical spine may be involved in the pathophysiology of primary headaches. Understanding this mechanism could lead to novel therapeutic approaches for TTH.Additionally, trigger points in the neck-shoulder muscles may contribute to TTH symptoms by generating muscle referred pain. These trigger points can refer pain to other areas, including the head, and may exacerbate the headache experienced by individuals with TTH. Managing TTH in practiceA multidisciplinary approach involving physical therapy interventions targeting musculoskeletal impairments, exercise, and psychological aspects is essential for the management of TTH. The effectiveness of cervical treatment approaches varies, and personalized strategies should be tailored to individual patients. Understanding the role of the cervical spine in TTH and differentiating between cervical components and sources can aid in the recognition and treatment of diverse headache presentations. Our cervical spine models help professionals manage the connections between TTH and the role of the cervical spine. Check out my exclusive blue nucleus anti-nocebo version!via Dr. Jerome Fryer - Dynamic Disc Designs Want to learn in person? Attend a #manualtherapyparty! Check out our course calendar below! Learn more online - new online discussion group included! Want an approach that enhances your existing evaluation and treatment? No commercial model gives you THE answer. You need an approach that blends the modern with the old school. NEW - Online Discussion Group Live cases webinars lecture Live Q&A over 600 videos - hundreds of techniques and more! Check out MMT Insiders Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog
Posted by on 2023-07-05
Erson goes over an interesting TMJ case of posterior disc subluxation and severe pain with opening and eating. It turns out after significant improvement the patient was still checking for tenderness a bit too much. Untold Physio Stories is sponsored byHelix Pain Creams - I use Helix Creams in my practice and patients love them! Perfect in combination with joint mobs, IASTM and soft tissue work. Get your sample and start an additional revenue stream for your practice. Click here to get started. https://modmt.com/helixCheck out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.comCurv Health - Start your own Virtual Clinic Side Hustle for FREE! Create your profile in 3 minutes, set your rates, and Curv will handle the rest! From scheduling to payments, messaging, charting, and a full exercise library that allow for patient/clinician tracking, it's never been easier! Click to join Dr. E's new Virtual Clinic Collective to help promote best online practices. Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog
Posted by on 2023-06-26
Through an ergonomic workplace assessment, several common ergonomic issues can be identified. These may include poor workstation setup, such as incorrect chair height or monitor placement, which can lead to neck, back, or eye strain. Other issues may include inadequate lighting, which can cause eye fatigue and headaches, or improper use of equipment, such as keyboards or mice, which can lead to repetitive strain injuries. Additionally, workflow issues, such as excessive reaching or bending, can also be identified and addressed through an assessment.
The key components of an ergonomic workplace assessment typically include a thorough evaluation of the workstation setup, equipment design, lighting, temperature, and workflow. This may involve assessing the height and positioning of chairs, desks, and monitors, as well as the design and adjustability of keyboards, mice, and other equipment. Lighting levels and glare are also evaluated, along with the temperature and humidity of the workspace. The workflow is examined to identify any repetitive or awkward movements that may contribute to ergonomic issues.
The duration of an ergonomic workplace assessment can vary depending on the size of the workspace and the complexity of the tasks performed. In general, a comprehensive assessment can take anywhere from a few hours to a full day. This allows the assessor to thoroughly evaluate all relevant factors and make appropriate recommendations for improvement.
To conduct an ergonomic workplace assessment, individuals typically require qualifications or certifications in ergonomics or occupational health and safety. These certifications may be obtained through specialized training programs or courses that cover topics such as ergonomic principles, risk assessment, and workplace design. Additionally, individuals conducting assessments should have a good understanding of human anatomy and physiology, as well as knowledge of relevant regulations and guidelines.
Yes, an ergonomic workplace assessment can help prevent work-related injuries and improve productivity. By identifying and addressing ergonomic issues, such as poor workstation setup or improper equipment use, the risk of musculoskeletal disorders and other work-related injuries can be reduced. This can lead to fewer absences due to injury or discomfort, resulting in increased productivity. Additionally, by creating a more comfortable and ergonomic work environment, employees are likely to experience improved job satisfaction and overall well-being, which can further contribute to increased productivity and reduced turnover rates.
Several psychological factors can influence adherence to home exercise programs in older adults. One important factor is self-efficacy, which refers to an individual's belief in their ability to successfully complete a task. Older adults with higher levels of self-efficacy are more likely to adhere to their exercise programs as they have confidence in their ability to perform the exercises correctly and achieve the desired outcomes. Another factor is motivation, which can be intrinsic (internal) or extrinsic (external). Intrinsic motivation, such as the enjoyment of physical activity or the desire to improve one's health, can positively influence adherence. On the other hand, extrinsic motivation, such as rewards or social support, can also play a role in maintaining adherence. Additionally, older adults' attitudes and beliefs about exercise, including perceived benefits and barriers, can impact their adherence. For example, if an individual believes that exercise can improve their overall well-being and prevent health problems, they are more likely to adhere to their home exercise program. Conversely, if they perceive exercise as boring or too challenging, they may be less likely to adhere. Finally, social support from family, friends, or healthcare professionals can provide encouragement and accountability, which can enhance adherence to home exercise programs in older adults.
Sensory integration therapy is a beneficial intervention for children with attention deficit hyperactivity disorder (ADHD) as it helps address their sensory processing difficulties. This therapy focuses on improving the integration and interpretation of sensory information, such as touch, movement, and sound, which can be challenging for children with ADHD. By engaging in activities that stimulate the senses, such as swinging, jumping, or playing with textured materials, children with ADHD can develop better sensory processing skills. This therapy also helps regulate their arousal levels and enhance their attention and focus. Additionally, sensory integration therapy can improve their motor skills, coordination, and overall self-regulation, leading to improved academic performance and social interactions.
Patellar tendinopathy, also known as jumper's knee, is a common overuse injury that affects the patellar tendon. Several biomechanical factors contribute to the development of this condition. These include excessive load on the tendon, poor lower limb alignment, decreased flexibility, and muscle imbalances. Excessive load can result from activities that involve repetitive jumping or running, placing increased stress on the patellar tendon. Poor lower limb alignment, such as excessive pronation or valgus collapse, can also lead to abnormal forces being transmitted through the tendon. Decreased flexibility in the quadriceps and hamstring muscles can further contribute to the development of patellar tendinopathy. Additionally, muscle imbalances, particularly weak hip and core muscles, can alter the biomechanics of the lower limb and increase the risk of this condition. Management of patellar tendinopathy typically involves a combination of conservative treatments, such as rest, ice, and non-steroidal anti-inflammatory drugs (NSAIDs), to reduce pain and inflammation. Physical therapy is also commonly used to address the underlying biomechanical factors contributing to the condition. This may include exercises to improve lower limb alignment, stretching and strengthening of the quadriceps and hamstring muscles, and correction of muscle imbalances. In severe cases, surgical intervention may be necessary to repair the damaged tendon.
Therapists employ various techniques to address muscle imbalances in individuals with scoliosis. They may utilize exercises that target specific muscle groups, such as the erector spinae, quadratus lumborum, and obliques, to help strengthen and balance the muscles surrounding the spine. These exercises may include stretching, resistance training, and core stabilization exercises. Additionally, therapists may incorporate manual therapy techniques, such as myofascial release and trigger point therapy, to address tight or overactive muscles and promote relaxation. By addressing muscle imbalances, therapists aim to improve posture, reduce pain, and enhance overall function in individuals with scoliosis.
Cryotherapy plays a crucial role in the acute management of sports injuries by providing immediate pain relief, reducing inflammation, and promoting tissue healing. The application of cold therapy, such as ice packs or ice baths, helps to constrict blood vessels, which in turn reduces blood flow to the injured area and minimizes swelling. Additionally, cryotherapy helps to numb the affected area, thereby alleviating pain and discomfort. The cold temperature also slows down metabolic activity, which can help prevent further tissue damage and promote the healing process. Furthermore, cryotherapy has been found to have a positive impact on muscle spasms and muscle stiffness, allowing athletes to regain their range of motion more quickly. Overall, cryotherapy is an effective and widely used modality in the acute management of sports injuries due to its ability to reduce pain, inflammation, and promote tissue healing.
Proprioceptive neuromuscular facilitation (PNF) is a stretching technique used in physiotherapy that differs from other stretching techniques in several ways. Firstly, PNF involves a combination of passive stretching and isometric contractions, which helps to increase the range of motion and flexibility more effectively than other techniques. Additionally, PNF utilizes the proprioceptive system, which involves the body's ability to sense its position and movement in space, to enhance the effectiveness of the stretches. This technique also incorporates the neuromuscular system, which focuses on the relationship between the nerves and muscles, to improve muscle strength and coordination. Moreover, PNF involves specific patterns of movement and muscle activation, making it a highly targeted and individualized approach to stretching. Overall, PNF stands out from other stretching techniques in physiotherapy due to its unique combination of passive stretching, isometric contractions, utilization of the proprioceptive and neuromuscular systems, and specific movement patterns.