Wednesday, February 1, 2012
Excercise as if your life depended on it!
It had not been a problem in the past and the way it presented suggested to me that it might be a result of how she moves at work. (Refer back to this after reading the rest of this Post: This fits the description of a "screening.") I asked her about having to get up and down off of the ground. She said "yep" and often. I asked whether or not anyone at work taught her how to do that properly. She said "no one". So I finished adjusting the patient and then asked her to show me how she gets up and down off the ground. (In the workplace setting, this would be called a screening. The employee simply demonstrates the move; they either do it well or they don't. If they don't do it well then it indicates their risk of injury is higher than if they do do it well.) It took about 15 seconds. She got up fine. She consistently got down using the same right knee to support her on the way down. She broke the Knee Rule every time she went down. It was her right knee that showed up as needing work in the exam. I pointed out what she was unaware of and explained why it put extra stress on her knee, and showed her how to do it correctly. (That took about a minute.) In their article on Leading and Lagging Indicators, the Injury Free people use the example of wearing safety glasses as a Leadiing Indicator. It's easy enough to measure how many people who should be wearing safety glasses are (a lot of people wearing them would be good, indicating a reduced risk of eye injury potential; a very low number of people wearing them would be bad). It's easy enough to understand that even if there have not been a lot of eye injuries at work lately (that measurement would be a Lagging Indicator – the significant event has already happened), if very few people are wearing eye protection, the risk is unnecessarily high. What if your employer screened all the employees who have to get up and down off the ground and measured the result: a high percentage do it well = risk is somewhat lower for related injury and health care costs, time loss costs, and loss of productivity costs; a high percentage do it poory, well… I think you understand. The \"Line\" (Ignore the hands, this is not Beginning Tai Chi Style) As the arms go up and move through their circular arc, the shoulders relax and sink. As the hands and hips simultaneously descend, ending their decent at the same time, the hands separate. They follow a path around the body and back, eventually circling back around to the front – as the hands separate, the weight of the body is shifted to one side (in the Right Handed Form it would be to the right). With the weight shifted to one side and the hands as far back as flexibility allows, the hands now move forward. As the hands go forward the foot without weight on it steps forward. The leg remains straight, and the foot is set down without any weight on it – the heels are remain shoulder width apart, in other words the foot steps straight ahead. This is Back Stance.
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