Wednesday, May 22, 2019

Posture and Body Mechanics

Most back pain adults have can be prevented or decreased by using proper posture and body mechanics when completing everyday activities or lifting objects. Teaching clients proper posture and body mechanics can prevent injury. As OT's, we have the ability to educate clients in order to prevent future issues that can improve independence and quality of life. Adapting health habits can decrease the risk of further injury, back pain, nerve damage, deformities and risk for surgeries. Proper body mechanics will help a client lift something as safely and effectively as possible. Modifications can be made to accommodate different lifting circumstances to increase spinal alignment and good body mechanics. Teaching proper body mechanics reduces the strain and stress placed on the back muscles that get enough strain normally and do not need more placed on it. Proper posture can increase efficient respiration and organ function because the rib cage can fully expand. In addition, it requires minimal energy expenditure when using proper posture and mechanics. 
When teaching a client proper body mechanics, I would relate specific examples back to their personal daily routine. I would examine the activity demands of their occupation (job) and give clear demonstration and examples to show proper body mechanics and posture. For example, if a client sits at a computer for most of the day, I would explain how they might have exaggerated spinal curves that can overstretch muscles and connective tissues.I would suggest frequent breaks and incorporating exercise and walking into their day.  Over time, excessive thoracic kyphosis can produce weakness and tightness. I would demonstrate proper alignment and suggest any chairs, desks or equipment to encourage proper posture. While sitting, I would teach the client how to shift their weight frequently, as well as distribute their weight throughout both legs. 
If a client worked a physically demanding job such as construction or a mechanic, I would explain the importance of keeping a solid base of support and line of gravity. I would demonstrate how to properly lift an object by keeping it close to you, the spine straight, and lift from the legs.I would use a broom stick to visual show the client how to keep an erect, neutral spine when lifting. It should stay as close to the body when lifting. Any other visual aids, like videos, can be used.  I would encourage looking at their body mechanics in the mirror and then correcting. Proper posture and body mechanics is a habit that can be adapted over time. If they had problems when they are relaxing at home with back pain, we could introduce a pillow between the knees to alleviate pressure accompanied by side lying or a neutral position. trunk and core strength is vital in successful body mechanics when lifting. Exercising and strengthening should be done frequently to decrease the risk of injury. 

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