Your doctorate level source for injury information in professional sports/everyday life.

Tuesday, June 7, 2011

Workplace Wellness (via APTA)

Just wanted to share with you all the APTA's recommendation for workplace wellness.  Click HERE or read below for the same info. (This info is copied and pasted directly from the APTA website)


Working at a computer work station all day can take a toll on the body.  Repetitive activities and lack of mobility can contribute to aches, pains, and eventual injuries. 
Sitting at a desk while using the keyboard for hours on a day to day basis can result in poor circulation to joints and muscles, it can also create an imbalance in strength and flexibility of certain muscles, and muscle strain.  These issues can be easily remedied by taking frequent short breaks, or “micro breaks,” throughout your day.
  • Get out of your chair several times a day and move around—even for 30 seconds 
  • Roll your shoulders backwards
  • Turn your head side to side
  • Stretch out your forearms and your legs 
Additionally, specific guidelines for your work station can help maximize your comfort and safety. 
Your chair should have the following:
  • Wheels (5 for better mobility)
  • The ability to twist freely on its base
  • Adjustable height
  • Adjustable arm rests that will allow you to sit close to your desk
  • Lumbar support
  • Seat base that adjusts to a comfortable angle and allows you to sit up straight
The position of the keyboard is critical: 
  • The keyboard should be at a height that allows you to have your forearms slightly below a horizontal line—or your elbows at slightly more than a 90 degree angle. 
  • You should be able to slide your knees under the keyboard tray or desk. 
  • Avoid reaching for the keyboard by extending your arms or raising your shoulders. 
  • Try to avoid having the keyboard on top of your desk.  That is too high for almost everyone—-unless you can raise your seat.  The elbow angle is the best test of keyboard position. 
The position of your computer monitor is important:
  • The monitor should be directly in front of you.   
  • The top of the monitor should be at your eye level, and at a distance where you can see it clearly without squinting, or leaning forward or backward.
  •  If you need glasses for reading, you may need to have a special pair for use at your computer to avoid tipping your head backward to see through bi-focals or other types of reading glasses.
 How can a physical therapist help?
Many physical therapists are experts at modifying work stations to increase efficiency and prevent or relieve pain.  Additionally, if you are experiencing pain that isn’t relieved by modifications to your work station, you should see a physical therapist who can help develop a treatment plan to relieve your pain and improve your mobility.
See a Physical Therapist Demonstrate Exercises for the Workplace



Buster Posey Injury Update Part 2

via MLB.com:


"Buster Posey underwent surgery Sunday to repair three torn ligaments in his left ankle and has been ruled out to return for the rest of the season, Giants head athletic trainer Dave Groeschner said.

Posey had two screws inserted into his leg, but should make a full recovery and be ready to participate in Spring Training next year, Groeschner said.
"It's a good prognosis," he said in a conference call with reporters in Milwaukee. "It's a long road from here. He just had a very devastating injury, had to have surgery and has a long rehab process to go."

In reference to our previous Buster Posey injury update, the scenario that seems to have played out is number 2 (complete tear of the ligaments/broken fibula).  The good news for Posey, is that the surgery performed was a relatively minor one, in comparison to some of the more complicated ORIFs, secondary to the way the fibula was treated.  If the fibular fracture had been more severe, they would have required additional hardware to be inserted into the ankle for stability.  Posey had two screws inserted into the ankle, which will be removed in about 8 weeks, and the fibula was left to heal on its own.  With this in mind, Posey is done for this season, but with a good rehabilitation program, he should hopefully be back at the beginning of next season.  
I apologize again for the delay in updates.  As the resort season has ended out in the California desert, the patient load has started to pick up.  Again, I will try to keep my updates coming every 2-3 weeks.  Expect to see a thorough post on barefoot running within the month.  I hope everyone is having a great day.  

-Dr. Joshua Cacho, PT, DPT