SECTION I. Techniques of Body Mechanics
4-1. INTRODUCTION
Some of the most common injuries 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 labor.
4-2. DEFINITION
Body mechanics is the utilization of correct
muscles to complete a task safely and efficiently, without undue strain on
any muscle or joint.
4-3.
PRINCIPLES OF GOOD BODY
MECHANICS
Maintain a Stable Center of
Gravity.
-
Keep your center of gravity low.
-
Keep your back straight.
-
Bend at the knees and hips.
Maintain a Wide Base
of Support. This will provide you
with maximum stability while lifting.
-
Keep your feet apart.
-
Place one foot slightly ahead of the other.
-
Flex your knees to absorb jolts.
-
Turn with your feet.
Maintain the Line of
Gravity. The line should pass
vertically through the base of support.
-
Keep your back straight.
-
Keep the object being lifted
close to your body.
Maintain Proper Body
Alignment.
-
Tuck in your buttocks.
-
Pull your abdomen in and up.
-
Keep your back flat.
-
Keep your head up.
-
Keep your chin in.
-
Keep your weight forward and supported on
the outside of your feet.
4-4.
TECHNIQUES OF BODY MECHANICS
Lifting.
-
Use the stronger leg muscles for lifting.
-
Bend at the knees and hips; keep your back
straight.
-
Lift straight upward, in one smooth motion.
Reaching.
-
Stand directly in front of and close to the
object.
-
Avoid twisting or stretching.
-
Use a stool or ladder for high objects.
-
Maintain a good balance and a firm base of
support.
-
Before moving the object, be sure that it
is not too large or too heavy.
Pivoting.
-
Place one foot slightly ahead of the other.
-
Turn both feet at the same time, pivoting
on the heel of one foot and the toe of the other.
-
Maintain a good center of gravity while
holding or carrying the object.
Avoid Stooping.
-
Squat (bending at the hips and knees).
-
Avoid stooping (bending at the waist).
-
Use your leg muscles to return to an
upright position.
4-5.
GENERAL
CONSIDERATIONS FOR PERFORMING PHYSICAL TASKS
-
It is easier to pull, push, or roll an
object than it is to lift it.
-
Movements should be smooth and coordinated
rather than jerky.
-
Less energy or force is required to keep an
object moving than it is to start and stop it.
-
Use the arm and leg muscles as much as
possible, the back muscles as little as possible.
-
Keep the work as close as possible to your
body. It puts less of a strain on your back, legs, and arms.
-
Rock backward or forward on your feet to
use your body weight as a pushing or pulling force.
-
Keep the work at a comfortable height to
avoid excessive bending at the waist.
-
Keep your body in good physical condition
to reduce the chance of injury.
4-6.
REASONS FOR THE USE
OF PROPER BODY MECHANICS
Use proper body mechanics in order to avoid
the following:
-
Excessive fatigue.
-
Muscle strains or tears.
-
Skeletal injuries.
-
Injury to the patient.
-
Injury to assisting staff members.
4-7.
STEPS INVOLVED IN PROPERLY MOVING AN OBJECT TO A NEW LOCATION
The following paragraph takes you through the
process of moving (lifting, pivoting, squatting, and carrying) a heavy
object. (The same rules would apply to moving a patient.) The object will be
moved from a waist high area to a lower area five to ten feet away. The
procedure will combine all the rules of body mechanics previously discussed.
Identify the object to be moved.
Adopt a stable base of support.
-
Your feet are separated.
-
One foot is behind the other.
-
Your back is straight.
Grasp the object at its approximate center of
gravity.
Pull the object toward your body's center of
gravity using your arm and leg muscles.
Re-establish your base of support and
appropriate body alignment.
-
Your back is straight.
-
You have a stable base of support.
-
You are holding the object approximately at
waist height and close to your body.
Pivot toward the desired direction of travel.
-
Turn on both feet at the same time.
-
Maintain a stable balance.
Re-establish a stable base of support and
appropriate body alignment.
-
Your back is straight.
-
Your feet are apart, one slightly behind
the other.
-
The object is at hip level, close to your
body.
Squat and place the object onto the lower
area.
-
Bend at the knees and hips.
-
Maintain a straight back.
-
Maintain a stable base of support.
-
Use your arm and leg muscles (as needed)
for guidance.
-
Use your leg muscles to resume an upright
position.
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