What things do you commonly educate people in regards to their work station and foot placement?
Answer
Once we determined if the foot stool is needed or not, I try and remind the client on what to avoid. One of the things to avoid is the placing feet underneath the castors. It's very common. But again, what does that do? It takes the knee into a lower knee to hip position which then changes the curvature of the back. Typically it encourages you to sit at the edge of your chair. That can make a significant change on your efforts necessary to perform upper extremity tasks. In addition, I do talk to females and males on the types of shoes that they wear because if I set your work station and you have got on flat shoes for the day and tomorrow you come in, (more the reason I needed to educate you on how to sit in your chair) with a 6" heel, it is going to change the height necessary of your chair to sit properly for that day. You really do need to spend as much educating the person as you do modifying the station because something as simple as a change in shoes will make them have to change their station and the height of their station as it relates to the seat. The other area that we talk about is changing feet position. Unless they are crossing legs for a stretching reason (to stretch the piriformis, etc), it should not occur. It is okay to extend the legs out for a little stretch for up to 5 or 10 minutes. But it isn't okay to put your legs behind the castors, or on the castors, or perform sitting on the feet or crossing the legs.
Kelly Ingram-Mitchell, PT, MPT, CEAS, CWcHP
Kelly Ingram-Mitchell holds a Masters degree in Physical Therapy and a Bachelors degree in Exercise and Sports Medicine. Her experience exceed 20 years in prevention services and injury management. Kelly previously served as Executive Director of a national therapy provider network and Director of Operations for over 20 plus outpatient therapy centers.
Mrs. Ingram-Mitchell spent many of her industrial years developing and implementing client specific prevention and rehab programs including post offer testing, physical demand analysis, ergonomics, early intervention, and onsite therapy models. Working overseas enabled her to gain a significant understanding of the national needs related to the industry as well as the similarities and differences there maybe. In 2000, she developed a FCE Certification Program and for years trained her profession. This year she has co-partnered with ISPA for a new comprehensive protocol to include disability and compensation. Her focus is on research and education allowing market place leverage to best impact client results.
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