4 JOINT PROTECTION/ENERGY CONSERVATION/ WORK SIMPLICATION

Question 1

STRESS

Answer 1

A person’s reaction to perceived threats, demands, or excessive pressure.
Fight or flight response.

Question 2

IF BODY REMAINS AT HIGH STRESS IT LEADS TO

Answer 2

Physical indicators.
Emotional indicators.
Behaviors indicators.

Question 3

STRESS CAN LEAD TO BURNOUT (3)

Answer 3

Physical and emotional exhaustion.
Depersonalization and detachment.
Reduces a sense of accomplishment and helplessness.

Question 4

WELLNESS

Answer 4

Positive health behaviours.

Question 5

SIX DIMENSION WELLNESS WHEEL

Answer 5

Physical.
Social.
Emotional.
Spiritual.
Intellectual.
Occupational.

Question 6

JOINT PROTECTION

Answer 6

Perform daily activities with minimal stress to joints.

Question 7

ERGONOMICS

Answer 7

Adapting jobs and work environments to human, anatomical, physiological, and psychological characteristics to enhance workers’ efficiency and well-being.

Question 8

WORK SIMPLIFICATION

Answer 8

Methods that provide easier ways of accomplishing work tasks, minimizing stress on joints and avoiding fatigue.

Question 9

ENERGY CONSERVATION

Answer 9

The application of energy-saving procedures to minimize energy output by the patient.

Question 10

JOINT PROTECTION GOALS

Answer 10

Reduce unnecessary loading on vulnerable joints.
Preserve joint structure / conserve energy.
Develop techniques.
Relieve pain during activity.
Reduce inflammation.

Question 11

RA & OA

Answer 11

Rheumatoid arthritis: illness breaking down joints.

Osteoarthritis: wear and tear breakdown.

Question 12

JOINT PROTECTION TECHNIQUES (6)

Answer 12

1. Respect pain.
2. Maintain muscle strength and joint ROM.
3. Avoid positions of deformity.
4. Avoid staying in one position for long periods.
5. Use the strongest / largest joints available.
6. Distribute the workload.

Question 13

1. RESPECT PAIN

Answer 13

Fear of pain leads to inactivity.
No pain and no gain can cause more damage.

Question 14

2. MAINTAIN MUSCLE STRENGTH + JOINT ROM

Answer 14

It prevents further injury and muscle pulling.
Recommend daily pain-free ROM/strength consistent with the disease.

Question 15

3. AVOID POSITIONS OF DEFORMITY

Answer 15

Avoid positions that put stress on involved joints.
Use joints in their most stable position.

Question 16

4. AVOID STAYING IN ONE POSITION FOR LONG PERIODS

Answer 16

Sustained muscle contraction = fatigue & stiffness.
Sustained joint compression = articular surface damage.

Recommendations: stretch, change positions, stopping the activity, and AT.

Question 17

5. USE STRONGEST/ LARGEST JOINTS AVAILABLE

Answer 17

Reduces stress on smaller joints.
Large joints can handle greater forces.

Question 18

6. DISTRIBUTE THE WORKLOAD OVER SEVERAL JOINTS

Answer 18

Body mechanics.
Use of AT and splinting.

Question 19

MCP JOINT

Answer 19

Use bilateral prehension.
Use palms instead of hands.
Use forearm.

Deformities: ulnar deviation, swan neck and boutonniere.

Question 20

WRIST JOINT

Answer 20

Avoid wrist flexion and rotation, heavy lifting or traction.
Wrist neutral where possible.

Question 21

SHOULDERS

Answer 21

Long sweeping circular movements vs abrupt back and forth.
Surface height.
Avoid WB through arms/hands.

Question 22

KNEES AND HIPS

Answer 22

Ensure feet are supported when sitting.
Move to the edge of the seat to rise.
Avoid flexed WB activities.
Avoid low chairs.
Avoid crossing your legs.

Question 23

FEET

Answer 23

Wear supported footwear.

Question 24

PRINCIPLES OF ERGONOMICS (2)

Answer 24

Static or unchanging loads on muscles lead to pain and fatigue.
Static or unchanging loads waste valuable energy.

Question 25

PRINCIPLES OF WORK SIMPLIFICATION

Answer 25

Use gravity.
Sit to work.
Raise the height of the work surface.
Wheeled cart.

Question 26

3 TYPES REST

Answer 26

1. For healing the body in general.
2. Required by single/ specific joints.
3. Mental rest.

Question 27

1. HEALING THE BODY

Answer 27

“Stealing” energy available for other activities.
Rest periods during the day and night are longer.

Question 28

2. RESTING SPECIFIC JOINTS

Answer 28

Splints: joint in exacerbation.
LE: limit WB; sit; limit walking.
Use assistive devices.

Question 29

3. MENTAL REST

Answer 29

Decrease stress, anxiety and social demands.
Treatment: progressive relaxation exercises, peer/support groups, and stress management techniques.

Question 30

ENERGY CONSERVATION

Answer 30

Finding the easiest way of doing your daily activities.
+
Learning to find a balance between work and rest.
=
More energy to be used for things you enjoy doing.

Question 31

PRINCIPLES OF ENERGY CONSERVATION (6)

Answer 31

1. Attitudes & emotions.
2. Body mechanics.
3. Work pace.
4. Leisure time.
5. Work methods.
6. Organization.

Question 32

THE 4 P’S (5&6)

Answer 32

1. Prioritizing.
2. Planning.
3. Pacing.
4. Positioning.
5. Problem solving.
6. Positive attitude.

Question 33

1. PRIORITIZING

Answer 33

Identify required tasks.
Order tasks to necessity.

Question 34

2. PLANNING

Answer 34

Daily, weekly, monthly, and annual tasks.
Disperse heavy tasks.

Question 35

3. PACING

Answer 35

Prevent exhaustion.
Alternate rest & activity.
Get enough sleep.

Question 36

4. POSITIONING

Answer 36

Save energy with correct posture.
Avoid straining muscles.
Sit to work.
Change positions.