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Reductionist barriers to seeing the whole – why can’t the King’s Men put Humpty together again?
Published in Johanna Lynch, A Whole Person Approach to Wellbeing, 2020
Instead: What if, when anyone saw a distracted child, they could see it was not a disorder in them but in their home? Or, when someone with angina came into the clinic, the clinicians knew it was only a little to do with his cholesterol and a lot to do with his financial stress? What if the whole community could see that suicidality was not about mood but about hope? Or that sadness wasn’t a psychiatric diagnosis but grief? Or obesity was due to intergenerational trauma and injustice and not just calories? Or, when someone had repeated neck pain, it wasn’t their spine that needed an X-ray but they who needed a new office chair? Or, when someone was jumpy at work, it was nothing to do with their workmates and something to do with their controlling partner? What if, as a community, we committed to addressing and resourcing the whole, rather than focusing on (perhaps the more manageable) parts?
Balance Disorders in Children
Published in John C Watkinson, Raymond W Clarke, Christopher P Aldren, Doris-Eva Bamiou, Raymond W Clarke, Richard M Irving, Haytham Kubba, Shakeel R Saeed, Paediatrics, The Ear, Skull Base, 2018
Louisa Murdin, Gavin A.J. Morrison
Neurological examination of the limbs should be undertaken to seek signs of spasticity, myopathy, sensory neuropathy or other causes of gait abnormality. Rotation testing is easily carried out on an office chair with the child on the parent’s lap. Cerebellar ataxia is seen on heel-toe tandem gait with dysmetria, but with normal ranges of lower limb motion and unchanged gait velocity and stride length. Characteristically, gait is wide based with dys-synergia and dysrhythmia, and balance is poor.4
Rehabilitation Engineering in the Workplace
Published in Raymond V. Smith, John H. Leslie, Rehabilitation Engineering, 2018
Raymond V. Smith, John H. Leslie
The solution — Janet visited a local office supply business that sells office furniture and tried several office chairs that provide good lumbar support. After using one particular chair for a few hours, she purchased a used chair of the same type. The base was removed and modified such that it could be mounted to the Amigo® base; however, the installation of the office chair did not affect the operation of the Amigo® (Figure 14). Janet was then able to tolerate sitting at her desk all day. Soon after receiving the chair, her attendance improved. The total cost of the new chair and the modifications was less than $1000.
The effects of chair intervention on lower back pain, discomfort and trunk muscle activation in office workers: a systematic review
Published in International Journal of Occupational Safety and Ergonomics, 2022
Sirinant Channak, Thaniya Klinsophon, Prawit Janwantanakul
Office chairs vary in design, material and function. To our knowledge, no study has classified the type of office chair. In this review, office chairs were classified as: a standard office chair (SOC); a modified SOC; and a dynamic office chair (DOC). A SOC is a chair that typically has a fixed or adjustable seat, armrests, back support or height adjustment. It is usually a swivel chair, with a set of caster wheels for mobility. The SOC is generally designed to be used in an office. A modified SOC is a SOC with several modified components of chair, such as the seat pan or backrest. Typically, specific accessories are added to the SOC to maintain a neutral sitting position, or to prevent pain/discomfort while sitting. A DOC is a chair whose seat pan and/or backrest is moveable, either in a fixed ratio or independently. The movement of the seat pan and/or backrest is facilitated by the mechanism of the dynamic chair or is provided by the sitter. An example of the DOC is a therapeutic ball.
Feasibility and user-experience of virtual reality in neuropsychological assessment following stroke
Published in Neuropsychological Rehabilitation, 2022
Lauriane A. Spreij, Johanna M.A. Visser-Meily, Jacqueline Sibbel, Isabel K. Gosselt, Tanja C.W. Nijboer
The CM was a 24 inch monitor with a resolution of 1920 × 1200 pixels. A wired controller was used to navigate (Xbox 360©). Participants were seated on an office chair in front of the CM, which was placed at approximately 90 cm from their eyes. Two types of HMDs were used in this study. Participants included in between June 2016 and February 2017 were tested with the Oculus Rift DK2© with a 100° field of view, a resolution of 960 × 1080 per eye, and a refresh rate of 75 Hz. A wired controller (Xbox 360©) was used to navigate. Participants included in between January 2018 and July 2019 were tested with the HTC Vive© with a 110° field of view, a resolution of 1080 × 1200 per eye, and a refresh rate of 90 Hz. The HTC Vive contained two controllers to navigate and two base stations with a tracking system for participants to navigate through real-time movement in the virtual environment (maximum space of 3 × 3 metres). Since balance deficits are common in stroke patients (Geurts et al., 2005), participants (healthy controls also) were seated on an office chair for safety reasons.
Musculoskeletal pain and its relation to individual and work-related factors: a cross-sectional study among Turkish office workers who work using computers
Published in International Journal of Occupational Safety and Ergonomics, 2022
Guzin Kaya Aytutuldu, Tansu Birinci, Ela Tarakcı
Ergonomic conditions and workplace physical exposures such as repetitive work, improper work postures and awkward computer workstation set-up were associated with musculoskeletal pain in office workers who work using computers [2,8,28,29]. Beyond the statistical significance, our findings demonstrated that office workers with musculoskeletal pain had worse workplace ergonomics than those without pain in terms of average eye–screen distance, foot rest and adjustable office chair. Gathered information from visuals containing necessary arrangements in workplace ergonomics showed that the keyboard, mouse and wrist straight alignment was highly improper, especially in office workers with upper-extremity pain compared to those without pain. On the other hand, our findings showed that upper-extremity pain worsens with BMI increase. It might be that it becomes challenging to maintain proper posture and reach objects as the body becomes disproportionate. These are significant findings because ergonomic conditions and workplace physical exposures are modifiable risk factors; therefore, ergonomics training consists of setting up computer workstations to suit individual needs and the type of work performed at the workstation is vital to prevent musculoskeletal pain.