sustained by members of the health care team are severe musculoskeletal strains. Many injuries can be avoided by the conscious use of proper body mechanics when performing physical work. DEFINITION
Body mechanics the term used to describe
the efficient, coordinated, and safe use of the body to move objects and carry out the Activities of Daily Living (ADL’s). • Body mechanics involves the coordinated effort of muscles, bones, and the nervous system to maintain balance, posture, and alignment during moving, transferring, and positioning patients. Proper body mechanics allows individuals to carry out activities without excessive use of energy, and helps prevent injuries for patients and health care providers PURPOSES
• To maintain good balance.
• To reduce the energy required. • To avoid excessive fatigue. • To avoid muscle strains or tears. • To avoid skeletal injuries. • To avoid injury to the patient. • To avoid injury to assisting staff members MUSCULOSKELETAL INJURIES Musculoskeletal injury (MSI) is an injury or disorder of the muscles, tendons, ligaments, joints or nerves, blood vessels, or related soft tissue including a sprain, strain, or inflammation related to a work injury. MSIs are the most common health hazard for health care providers FACTORS THAT CONTRIBUTE TO MSI • 1. Ergonomic risk factors -Repetitive or sustained awkward postures, repetition, or forceful exertion • 2. Individual risk factors - Poor work practice; poor overall health (smoking, drinking alcohol, and obesity); poor rest and recovery; poor fitness, hydration, and nutrition Elements of Body Mechanics • 1. Body alignment /Line of gravity is achieved by placing one body part in line with another body part in a vertical or horizontal line. Correct alignment contributes to body balance and decreases strain on muscle-skeletal structures. Without this balance, the risk of falls and injuries increase Elements of Body Mechanics • 2. Center of gravity is the centre of the weight of an object or person. A lower centre of gravity increases stability. This can be achieved by bending the knees and bringing the centre of gravity closer to the base of support, keeping the back straight. Elements of Body Mechanics • 3.Base of support is achieved by placing feet a comfortable, shoulder width distance apart. When a vertical line falls from the centre of gravity through the wide base of support, body balance is achieved. • If the vertical line moves outside the base of support, the body will lose balance. Principle of Body Mechanics • 1. Assess the weight of the load before lifting and determine if assistance is required. • 2. Plan the move; gather all supplies and clear the area of obstacles • 3. Avoid stretching, reaching, and twisting, which may place the line of gravity outside the base of support. Principle of Body Mechanics 4. Keep stance (feet) shoulder-width apart. • Tighten abdominal, gluteal, and leg muscles in anticipation of the move. • Stand up straight to protect the back and provide balance Principle of Body Mechanics • 5. Place the weight of the object being moved close to your centre of gravity for balance. • Equilibrium is maintained as long as the line of gravity passes through its base of support. Hold objects close to your centre of gravity Principle of Body Mechanics • 6. Facing the direction prevents abnormal twisting of the spine. • 7. Turning, rolling, pivoting, and leverage requires less work than lifting. • Do not lift if possible; use mechanical lifts as required. • Encourage the patient to help as much as possible. Principle of Body Mechanics • 8. Keep all work at waist level to avoid stooping. • Raise the height of the bed or object if possible. • Do not bend at the waist. Principle of Body Mechanics 9. Reduce friction between surfaces so that less force is required to move the patient. 10. Bending the knees maintains your centre of gravity and lets the strong muscles of your legs do the lifting. • 11. It is easier to push an object than to pull it. • Less energy is required to keep an object moving than it is to stop and start it.. Principle of Body Mechanics • 12. Use assistive devices (gait belt, slider boards, mechanical lifts) as required to position patients and transfer them from one surface to another • 13. The person with the heaviest load should coordinate all the effort of the others involved in the handling technique. Thank you