Ergonomics for the

Early Intervention
Practitioner

Elisa Santizo & Julia Lytton

Why Ergonomics in EI?

Existing safe patient handling
guidelines and existing research
applies to adults in clinical settings
Children have different size,
proportions, and movement patterns
than adults
Early intention services must be
provided in the natural environment
Challenges of working in the field

Therapist/ Child Interaction

Engaging with children
ages 0-3 in their natural
environment
Home
Preschool
In the
Community

Commuting Time
Car Ergonomics:
Remove all items from pockets
Lumbar support- no gap between
back and seat, use pillow if needed
Adjust backrest to 90-110 degrees
Thighs parallel to the floor
Elbows relaxed to sides

Documentation
on the Go
Frequent use of car as office
Approximate desk ergonomics

Using car trunk as a

desk

iPad mounted on
steering wheel,
keyboard in lap

Car desks require

twisting, poor body
mechanics

Staying Fit for Long-Term Success

Strong muscles, especially core, to support back
when bending
Maintain flexibility needed for maneuvering &
positioning on the floor
Cardiovascular health for carrying supplies &
keeping up with kids!

Transportation of Materials
to Therapy Setting

Rolling suitcase v. bilateral

bags
Lighten the load
Divide materials by
developmental level into
modules
Select materials such as
plastic or foam over wood or
metal
Limit quantities of wooden
puzzles

Handling Techniques
Even though young children are
small, safe handling techniques are
important
Engage upper extremity and core
muscles to maneuver when seated
Engage hips and legs to lift when
standing
Keep child close to body
Adjust to height of child & task (sitting,
low/high kneel, standing)
Keep back straight; bend from hips

Floor Time
Sit close to child to limit reaching forward
Keep items within easy reach
Readjust position frequently
Cross legged
Side-sit
Long sit
High kneel

Lean against a steady

surface if possible (sofa)