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Injury Prevention

Exercises to Injure-Proof Your Wrists

Keeping your wrists strong and flexible and alleviating strain on the carpal tunnel by stretching your wrists often during the day can help prevent injury. These exercises should be done three to five times a week. (A sixteen ounce soft-drink bottle or can of food can be used instead of a dumbbell.)

Note: Do not do these exercises if you already have pain or numbness. They are meant as a preventive measure and may aggravate an existing problem.

 

limbering up

1. Limbering up:

  • Massage the inside and outside of hand with thumb and fingers.
  • Grasp fingers and gently bend back wrist. Hold for five seconds.
  • Gently pull thumb down and back until you feel the stretch. Hold for five seconds.
  • Clench fist tightly, then release, fanning out fingers. Repeat five times.

wrist rotation

2. Wrist Rotation:
Stand or sit with your elbows close to your waist, your forearms extended in front of you and parallel to the floor, and your palms facing down. Make fists with both hands and make circles with your fists in one direction. Do 10 repetitions, then reverse the direction. Next, open your hands, extend your fingers and repeat the entire sequence.


wrist curl
3. Wrist Curl:
Stand or sit with your elbows close to your waist, your forearms extended in front of you and parallel to the floor, and your palms facing down. Grasp a one-pound dumbbell in each hand and slowly bend your wrists down, holding for five seconds. Do 10 repetitions.



Sideways Wrist Bend
4. Sideways Wrist Bend:
Stand or sit with your elbows close to your waist, your forearms extended in front of you and parallel to the floor, and your palms facing down. Grasp a one-pound dumbbell in each hand. Keeping your forearms still, slowly bend your wrists from side to side, moving the weights toward, then away from one another in a windshield wiper-like motion. Do 10 repetitions.


Wrist Twist
5. Wrist Twist:
Stand or sit with your elbows close to your waist, your forearms extended in front of you and parallel to the floor, and your palms down. Grasp a one-pound dumbbell in each hand and slowly turn your wrists and forearms until your palms are facing up, then turn them down again. Do 10 repetitions.

For more info on Carpal Tunnel and for computer exercises:
Link to Health Pages


UPPER BODY STRETCHES

Click here for a downloadable .pdf file showing pictures of upper body stretches

Stretching is a good way to help increase your flexibility and reduce some of the physical effects of stress.

Never bounce while stretching. Move into and out of each stretch slowly and fluidly, and hold each stretch steadily for at least ten seconds.

You might feel some slight discomfort in the area being stretched, but if it is painful stop immediately. Each person is built differently and has different flexibility levels. Never push your body further than it can comfortably and safely go.

  • NECK STRETCH - This is a four count stretch. Lift your head to a neutral position between each count; do not roll your neck.
  1. Put your chin to your chest, and let gravity pull the weight of your head forward. You should feel the stretch in the back of your neck.
  2. Let your head drop to the right toward your shoulder. Again, let gravity pull the weight of your head down. You will feel the stretch in the left side of your neck.
  3. Drop your head to the back, so that you are looking up. You should feel the stretch in the front of your neck.
  4. Finally, let your head fall toward the left shoulder, so that you feel the stretch on the right side of your neck.

  • SHOULDER STRETCH

    Take your right hand and, going over your shoulder, place it as far down your back as possible.
    Place your left hand on your right elbow and push backward.
    (You should feel the stretch in your right shoulder area. )
    Switch arms and repeat.

  • UPPER ARM STRETCH

    Cross your right arm across your chest toward your left side, keeping your elbow straight.
    With the inside of your left elbow or your left hand, push your right arm back toward your body.
    (You should feel the stretch in your right upper arm and shoulder. )
    Switch arms and repeat.

  • UPPER BACK STRETCH

    Clasp your hands together in front of your body.
    Straighten your elbows, keeping your hands clasped and your palms facing outward.
    Let your shoulders shift forward, and push your hands out away from your body.
    (You should feel a stretch in your upper back area.)

  • CHEST STRETCH

    Clasp your hands together behind your back, with your palms together.
    Keeping your elbows straight, lift your hands out and up behind you as far as possible. (You should be able to feel the stretch in your shoulders and chest. )

    For a deeper stretch, bend over at the waist, with your arms above you and elbows still straight.
    Let gravity pull your arms as far as possible.
    Slowly stand up and release your hands.

  • ABDOMEN STRETCH
    Clasp your hands together above your head.
    Straighten your arms up as much as possible, and pull your hands away from your body.
    You may bend back slightly to deepen the stretch.
    (You should feel the stretch in your abdomen area.)

  • SIDE STRETCH
    Clasp your hands together over your head with your arms slightly bent.
    Facing forward, bend to the right at the waist.
    (You should feel the stretch on the right side of your torso.)
    Return to the standing position with your hands above your head, and do the same to the left.

  • LOWER BACK STRETCH
    Start in a seated position, with your legs out in front of you.
    Bend your right knee to a 90 degree angle, and place your right foot on the outer side of your left leg so that your right leg is crossed over your left. Your left leg should remain straight.
    Twist your torso to the right, placing your left elbow on the outside of your right knee.
    Push your elbow against your knee as leverage to deepen the stretch if possible.
    (You should feel the stretch in your lower back.)
    Release and switch sides.

--Written by Blythe Leszkay, J.D.
Click here for more stretches from:
Mama'sHealth.com link


COMPUTER STRETCHES

Working Safely: Tips For The Office - The following tips can help you avoid CTS:

  • Make sure you are positioned properly at your computer. The computer screen should be about two feet away from you and the top of your document should be equal to or just below your line of sight.

  • Set up your keyboard so it is flat rather than slanted down. You can use a three-quarter inch support under the keyboard to accomplish this.

  • Keep your wrists straight, your forearms parallel to the floor and your elbows bent at right angles while typing.

  • Movable forearm rests that attach to the chair or a wrist rest to put in front of the keyboard can help keep your wrists straight and in place. However, you should never place your wrists on the pad while you work. Always let them hover about a half-inch above it.

  • You know your chair is the perfect height if you can sit at your computer with your knees bent at right angles and your feet flat on the floor.

  • Rest your wrists when you are not typing.

  • Take frequent short breaks. Several brief respites do your wrists a lot more good than a single long one.

  • Stretch your wrists before you start to work and during breaks, and strengthen your wrists with exercise.

  • Exercise regularly. Overall body conditioning seems to help guard against repetitive motion injuries.

REPETITIVE MOTION INJURY - WHERE TO LEARN MORE

The Basics

What is a repetitive motion injury?
Injuries from such activities as word processing, scanning groceries and grasping tools are called repetitive motion injuries, and they are the leading cause of absence from work in the United States. The Centers for Disease Control and Prevention (CDC) explains that repetitive motion injuries are caused by excessive and repeated physical stress on the musculoskeletal system - the hands, wrists, elbow, shoulders, neck and back (http://www.cdc.gov/od/ohs/Ergonomics/ergodef.htm). These injuries often affect people who do work such as sewing, typing or playing an instrument, using computers and interpreting.
(http://www.ninds.nih.gov/health_and_medical/disorders/repetitivemotion.htm).

What types of injuries are considered repetitive motion injuries?
The National Institute of Neurological Disorders and Stroke (NINDS) lists a variety of repetitive motion disorders, including carpal tunnel syndrome, bursitis, tendonitis, epicondylitis, ganglion cyst, tenosynovitis and trigger finger
(http://www.ninds.nih.gov/health_and_medical/disorders/repetitive_motion.htm).

What is carpal tunnel syndrome?
As the familydoctor.org article "Carpal Tunnel Syndrome: Preventing the Pain in Your Hands and Wrists" (http://familydoctor.org/023.xml) explains, carpal tunnel syndrome is a common type of repetitive motion injury. The symptoms are pain of the wrist and hand. The carpal tunnel is a narrow tunnel formed by the bones and other tissues in the wrist. When the tunnel tissues are swollen and inflamed, it can cause pain and numbness. If you have wrist pain, check out the flowchart at http://familydoctor.org/526.xml. This flowchart will help you determine the likely cause of the pain, which will help you determine whether or not you need to seek medical attention.

Prevention

How can I prevent this type of injury?
The CDC discusses a discipline called ergonomics, which is designed to remove these stresses from an employee's workspace. Ergonomics is used to fit the person into his or her environment in order to prevent repetitive motion injuries
(http://www.cdc.gov/od/ohs/Ergonomics/ergohome).
The CDC also provides a checklist so that you can evaluate your work area (http://www.cdc.gov/od/ohs/PDFFILES/evalcheck.pdf ; More information about PDFs).

What changes should I make in my work space?
The CDC offers advice such as leaving yourself enough room for a full range of motion, properly adjusting your chair, positioning your monitor so the top of your screen is at eye level, properly adjusting the keyboard to prevent soft tissue injuries, using the correct pointing device (whether a mouse or a trackball), and reducing the stress and strain inherent in laptop computers
(http://www.cdc.gov/od/ohs/Ergonomics/compergo.htm).
The CDC also recommends taking a break every 20 to 40 minutes to rest your upper body and eyes.

Are there any exercises I can do to help prevent an injury?
The CDC lists exercises, such as the hand shake and wrist shake, to help prevent problems and keep you limber at your keyboard
(http://www.cdc.gov/od/ohs/PDFFILES/exercises.pdf ; More information about PDFs).

Treatment

Can these injuries be treated?
NINDS reports that most people with repetitive motion disorders have a complete recovery and can avoid future injuries by changing the way and frequency with which they perform repetitive movements, and the amount of time they rest between movements. However, NINDS cautions that, left untreated, repetitive motion injuries can result in permanent injury and complete loss of function
(http://www.ninds.nih.gov/healthandmedical/disorders/repetitivemotion.htm).

cover

About the Authors
Howard and Judi Wolinsky are co-authors of "Healthcare Online for Dummies."


For this article and more info:http://familydoctor.org/x6497.xml


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