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Why do we need to know how much the weight she lifts?

There are maximum weights lifting for men and women. If applying these, no
man should attempt to lift anything heavier than 25kg and a womans maximum limit
is 16kg.
If lifting above shoulder height (stocking high shelves for example)
men should not lift items heavier than 10kg and women, 7kg
but this maximum weight drops yet again for objects that need to be held away from
the body 5kg for men and 3kg for women.
But its important to take into account other factors which can change the
maximum safe weight - such as how high an object will need to be lifted.
Employers should carry out risk assessments for all lifting since the safe limit
depends on so many variables such as the individual involved, the height that you
will be lifting and the distance you will be required to carry the object.
Never assume that because a larger workmate can lift an object without injury that it
is a safe weight for you to attempt. Everyone is a different size and we all differ in
body strength.
Is the weight of the item within your physical capability?
Have you been given reasonable rest periods between manual lifting tasks?
Is there adequate space to lift safely?
Biomechanics determines the loading on different parts of the body; the interplay
between the body position, posture, load, gravity, and inertia need to be considered.
http://www.workplacesafetyadvice.co.uk/guide-manual-handling-lifting-techniques.html

Discuss the reasons behind the day and night variation of


pain.
Pain is the most common presenting complaint. Chronology of the pain and aggravating factors provide
clues to origin. These include prior trauma for example, or even preceding infections causing reactive
arthritis. Pain can be acute, for example, as in gout where the onset may be almost instantaneous or
over hours, compared to pseudogout, which may occur over weeks and osteoarthritis, which can be
gradual over years.
Pain fluctuate over time.
The physician is looking for clues as to the etiology of the pain.

Arthritic conditions may be worse in the mornings and during cold seasons.
Reasons:
1)

barometric pressure the force exerted by the weight of the atmosphere.


Some researchers have proposed that a drop in barometric pressure, which tends to accompany
cooler, damper weather, could allow tissues in joints to swell and put pressure on nerves that
control pain signals.

2)

The nervous system is essentially "misbehaving"; pain signals travelling along nerves from their
joint are amplified in the brain by signals carried on separate nerves called sympathetic nerves.
These sympathetic nerves are part of the body's system for maintaining its internal functioning
without us having to think about it. When it's cold, these nerves constrict blood vessels in the limbs,
to minimise heat loss and help keep warm the core of the body, where vital organs are.
But the increased activation of these nerves around joints in response to cold weather might also
lead to an increase in the pain a person feels, Vagg argues.

http://www.helpforpain.com/articles/pain-assess/assessment.htm

Inflammatory pain is usually maximal in the morning and increases again at the end of the day.
Mechanical pain is maximal with use, and activity.
Night pain and rest pain may be frequently seen with bone diseases such as Pagets disease ( a
localized disorder of bone remodeling that typically begins with excessive bone resorption followed by an
increase in bone formation. ), but also is seen with malignancy.

Prolonged immobilization of a joint has been shown to cause several detrimental pathophysiologic
findings including: decreased collagen length, fibrofatty infiltration into the capsular recess,
ligament atrophy resulting in decreased stress absorption, collagen band bridging across recesses,
random collagen production, and altered sarcomere number in muscle tissue

http://www.arthritis.co.za/the%20clinical%20examination%20technique.html

Discuss the reasons of stiffness of the shoulder in the morning.

The duration of the stiffness, especially morning stiffness is proportional to the amount of
inflammation. Degenerative process results in short duration morning or post rest stiffness. The
stiffening of the joints is called "gelling". Inflammatory disease causes prolonged morning stiffness.
In the case of Rheumatoid arthritis this usually exceeds an hour.
In Polymyalgia, the stiffness is also typical in the morning and is usually proximal in the shoulder
girdle, neck and thigh region.

Sleeping posture Poor pattern


Sleeping on your side generally pushes the shoulder together on the side that you are lying on and
the shoulder on top is generally being overstretched. In addition, our bodies are not designed to
stay in certain positions for over extended periods of time. Staying in one position for a period of
time can cause muscles to tighten up and cause stiffness in your shoulders in the morning.

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