| ERGONOMICS AND DRIVING |
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IS DRIVING REALLY BAD FOR YOU? It wouldn't seem that sitting in a moving vehicle would be hazardous to your health, but think... As many as 3000 uses of asbestos have been identified. Several of these uses are:
These are symptoms you would feel from exposure to the ergonomic risk factors of driving. If you work in a job where driving a vehicle is a major activity, you are encountering these risk factors every day. If you do not protect yourself, the health of your spine could deteriorate, possibly leading to chronic back pain in later months or years. This pamphlet informs you of the ergonomic risks from driving, and provides you with a few simple but important safety tips to help keep you healthy. TYPICAL PROBLEMS FROM FREQUENT DRIVING
WHO IS AT RISK?
Chronic back and neck injuries from driving are caused by
TWO MAIN RISK FACTORS:
When acting together, they create a considerable risk of chronic back injury! LONG TERM SITTING When you sit, your pelvis rolls backward and the small of your back flattens out. This increases the pressure in the discs of the spine. (In this position, the discs are less prepared to handle the vibrations from your car or truck.) Ligaments in your back help to hold the spine together as you move. These ligaments will stretch and slacken if you sit down for a long time. After standing up, they remain slack for a while and cannot support the spine as they normally do. f your seat is not correctly adjusted, you could develop pressure points in the buttocks and back of the legs, and muscle strain in the low back. Continuous upper back and neck muscle work is often required to hold the head in position, especially if vibration is present. Continuous muscle activity can lead to muscle strain. Holding a foot pedal down over a long period of time may cause stiffness and spasm in the legs and low back. WHOLE-BODY VIBRATION Bumps in the road cause up-and-down vibration of your automobile or truck frame along the length of your spine. Every object has a "resonant frequency" (the body's is 3-5 Hz). Vibration from the road is often in the body's resonant frequency range.Exposure to vibration at the resonant frequency increases the risk of injury. Whole-body vibration stimulates bursts of back muscle activity. This causes neck and back muscles to tire more quickly, and decreases the support these muscles can give to the spine. Even if the muscles are working very lightly, activity for an extended time without rest will lead to fatigue and increase the risk of back injury. Long term exposure to whole body vibration is a common way to herniate a disc in your back. The increased disc pressure from sitting speeds up this process. The International Organization of Standardization (ISO) has produced recommended limits for human exposure to whole-body vibration. Assessments can be performed to determine if your vehicle is within these safe standards. HOW CAN YOU AVOID THE HEALTH HAZARDS OF DRIVING? SAFETY TIPS
NOTICE Avoid lifting immediately after driving! Your muscles are tired, your ligaments are stretched, and the discs in your spine are at risk of injury. Give yourself one or two minutes to stretch and rest before trying to lift anything References Andersson, G.B.J., Ortengren, R., Nachemson, A. and Elfstom, G. Lumbar disc pressure and myoelectric back muscle activity during sitting. Studies on an experimental chair. Scandinavian Journal of Rehabilitation and Medicine. 3: 104-114 (1974). Boshuizen, H.C., Bongers, P.M., and Hulshof, C.T. Self-reported back pain in fork-lift truck and freight-container tractor drivers exposed to whole-body vibration. Spine. 17(1): 59-65 (1992). Bovenzy, M. and Zadini, A. Self-reported low back symptoms in urban bus drivers exposed to whole-body vibration. Spine. 17(9): 1048-1059 (1992). Chaffin, Don B. and Andersson, Gunnar B.J. Occupational Biomechanics; Second Edition. John Wiley & Sons, Inc. New York, 1991. Damkot, D.K., Pope, M.H., Lord, J. and Frymoyer, J.W. The relationship between work history, work environment and low-back pain in men. Spine. 9(4): 395-399 (1984). Hulshof, C. and van Zanten, B.V. Whole-body vibration and lowback pain. A review of epidemilogic studies. International Archives of Occupational and Environmental Health. 59(3): 205-220 (1987). International Standard ISO 2631/1-1985, Evaluation of human exposure to whole body vibration. International Organization for Standardization. (1985). Masset, D. and Malchaire, J. Low back pain. Epidemiologic aspects and work-related factors in the steel industry. Spine. 19(2): 143-146 (1994). Pope, M.H. and Novotny, J.E. Spinal biomechanics. Journal of Biomechanical Engineering. 115(4B): 569-574 (1993). Wilder, D.G., Pope, M.H. and Frymoyer, J.W. The biomechanics of lumbar disc herniation and the effect of overload and instability. Journal of Spine Disorders. 1(1): 16-32 (1988). |
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