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The cartoon below reminds be both of my job as an ergonomist and of my job as a posture therapist.  The ergonomist works mainly with companies (B2B). For many of them, improving working conditions takes time and energy. However, in thinking so they forget future gains in terms of productiviy, quality, motivation, lower absenteeism, etc.
The posture therapist works more with private people (B2C). He also meets many who believe that they lack the time (or the energy, or both) to think about the new behaviours that they need to repeat in order to anchor new habits. In doing so, they also ignore future gains in health, quality of life, performance (e.g., in sports), and even energy and immunity as several clients of ours reported. Hence, yes: we always have other priorities than to correct an unhealthy state of things, which violates the laws of physics and anatomy. But do we really have a choice when we are not the ones who set the rules? A recurring question usually comes when I train office workers: what is the right distance to the desk when sitting? The picture below illustrates 3 situations that I will comment below: at the right distance, a bit too close, much too close.  "Text neck" is an umbrella concept to describe the neck (and head) symptoms of those spending too much time on their smartphone (typically to write text messages). The March 2017 issue of the Spine Journal rings the alarm bell: practitionners notice an increase in the prevalence of the issue. We absolutely agree on the fact that mobile screen devices (smartphones, tablets, etc.) are a health hazard. Our main and most effective recommendation is therefore to limit their usage time. One way to do so is to call rather than to text, another one is to send vocal messages (e.g., via Whatsapp) rather than to type. Teenagers need particular attention from adults in this respect. Once this is done, it is indeed true that raising the phone helps avoiding a forward head posture. However, holding the phone at eye level may also create strain in the neck and shoulders area. Hence, placing the phone on an elevated surface (e.g., shelf), inclined if possible, is surely a healthier option. Finally, a good body awareness will help you keeping the neck aligned: make sure that your thoracic spine is not rounded, that your shoulders are not pushed forward, and that you keep your chin drawn slightly inwards. It will also help you slowing down when your body tells you it has enough...  Many people and companies purchase office chairs without really knowing how to recognize good ones from less good ones. Let's have a look at what field experience teaches us. First of all, there is a difference between buying a chair for one person and buying a chair for a population. If you buy it for one, the chair may be less adjustable, as long as it is adjusted! If you buy it for a population, it needs to fit a wider range of morphologies. Hence, the adjustement ranges may need to be larger. Secondly, you should bear in mind that the more adjustment possibilities, the bigger the risk that it is not adjusted properly. One may rightfully ask whether more is always better. These technical specifications will help you choose a chair for a population. On the video below, you will discover the usual adjustments for a good quality chair. [...] For the last 10 years we have been giving numerous conferences and workshops. More often than not, participants asked why we were not intervening in primary schools to teach children early on. Today we are officially launching a pilot project in Switzerland to achieve this. It was time: a large number of teenagers already suffer neck and shoulder pain, before even entering the job market! [...]  A study published this year in the JAMA describes the evolution of the healthcare costs in the US since 1996. The results are clear: "spending on diabetes, ischemic heart disease, and low back and neck pain account for the highest amounts of spending by disease category".  The same trend can be observed in all Western countries. This shows the societal relevance of a new prevention paradigm, based in our opinion on
Dr. Vera Baadjou (university of Maastricht, the Netherlands) has been granted a prestigious award for a scientific study that was designed and performed in close cooperation with the TIPM and Mrs. Ans Samama: she will receive the Alice G. Brandfonbrener Young Investigator Award at the June 2017 conference of the Performing Arts Medicine Association. The Presto project aims at measuring the health impact of a prevention program based on the "Mensendieck 3.0 method". The target population consists of conservatory musicians in the Netherlands. The intervention program is compared to a traditional physical activity program. Participating in such projects shows our commitment to reinforcing the scientific documentation of the mechanisms and benefits of posture therapy.  I always explain that my job is to teach people how to use their body well. I am well aware that this sounds very abstract at first, so let us see a practical example.
One of my patients recently asked whether he may snowboard during his holidays, despite his bad back (he has seriously damaged lumbar disks, with chronic radiating pain). What are the risks inherent to snowboarding, and the potential damage to his back in view of his condition? [...] |
A Swiss expert for posture therapy, ergonomics and occupational health. My clients are based in Lausanne, Geneva, Fribourg or Neuchâtel, as well as abroad (US, UK, France, etc.).
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