The
physical limitations that someone with a back injury might
experience varies with the level of the back injury and the
severity of the injury. Individuals with back injuries often
experience limitations in one or more of the following activities:
standing, sitting, reaching, lifting, carrying, pushing, pulling,
climbing, bending, stooping, crawling, kneeling, crouching,
running, driving, walking, and jumping. Individuals with back
injuries should identify the specific functional limitations
that are associated with their specific back injury. Based
on these limitations, one can then determine the types of
tasks around the farm that may be hazardous to perform or
that could result in further injury or deterioration of current
abilities.
Farming
safely with a back injury may be more difficult than farming
safely with a spinal cord injury or an amputation as the loss
of physical ability is not clearly visible or there may not
be a complete loss of a particular body function. An individual
may attempt to perform a particular task that may exceed his/her
abilities with the conscious or unconscious thought that "maybe
I can get away with it without getting hurt". In addition,
because the disability often is not visible, the individual
may feel that others perceive him/her as not disabled and
capable of performing normal activities. It is very important
to understand one's functional limitations and respect those
limitations. The following is a list of safety tips that have
been shared by various farmers who have experienced back injuries:
- Obtain
appropriate assistive technologies or labor-saving devices
to assist in performing tasks that exceed your physical
abilities.
- Add
additional steps made out of non-slip material to farm machinery
to assist in mounting and dismounting safely.
- An
independent suspension seat can be installed in some tractors
to help absorb shock and vibration. The type of suspension
systems may include pneumatic (air), hydraulic (oil), mechanical,
or a combination of any of these suspension systems. There
has been no specific research as to the best type of suspension
seat. However, many farmers have preferred a pneumatic seat
or a hydraulic seat over a mechanical suspension seat. Keep
in mind that mechanical suspension systems continue to be
improved. If an independent suspension seat cannot be installed
in the tractor, the current tractor seat suspension can
be overhauled or repaired to achieve its maximum suspension.
- Tractor
seat cushions themselves can be modified or replaced to
accommodate your back injury. Seat cushions that are being
installed in newer tractors are considered to be ergonomically
designed and better for your back. These seats often have
adjustable lumbar support, adjustable arm rests, and adjustable
thigh support to help distribute the weight across the seat.
They provide support for your back to reduce stress or pressure
to the lower back area. These cushions can also be purchased
and installed in many older model tractors with some adaptations
required.
- In
some tractors, a swivel seat pan can be added to assist
the operator in rotating to see behind the tractor. Unfortunately,
not all tractors will accommodate a swivel seat. Therefore,
it is important that the seat cushions do not restrict you
when you slide your legs and turn yourself to see behind
the tractor. To help eliminate the need for frequent upper
body turning, additional mirrors can be added inside and
outside of the tractor cab to see what is happening behind
the tractor. You might also consider using a separate back
support cushion. These cushions are available from durable
medical equipment dealers, chiropractors, or other health
care professionals who assist individuals with lowback injuries.
- Tractor
seating modifications made to accommodate a low back injury
may still not be sufficient. It is often recommended that
someone with a back injury take a break at least every two
hours to get out of the tractor, to stretch, and to increase
circulation to the lower back. Consult with your physician
regarding how often breaks should be taken.
- Various
outdoor mobility aids can be used to decrease fatigue and
further deterioration of your back. These mobility aids
include riding lawn mowers, used golf carts, and all-terrain
vehicles. It is important to note that, while the device
may reduce fatigue, it may cause additional problems because
of lack of suspension while riding around bumpy or rough
terrain. If you use a cane for mobility, a broad-based cane
tip or an ice tip should be considered to help prevent falls
while walking on icy or uneven terrain. Head gear should
be worn while operating ATVs.
- Automatic
hitching devices and automatic gate openers can reduce the
frequency of mounting and dismounting from a tractor.
- Direct
access to livestock should be avoided due to their unpredictable
behavior and your decreased mobility. Job restructuring
or modifications to livestock handling facilities should
be explored. These modifications might include: fence line
feeding, raised decks for hog facilities, or automated feed
systems.
- If
you cannot afford an automated feed system, use a feed cart
so that you don't need to carry feed. An auger wagon is
often used in feeding livestock located in outside facilities.
- A
combination sit/stand stool can be used when you perform
tasks that require standing for long periods of time. This
stool can be placed in the farrowing house to be used when
administering to health care needs of pigs, or placed in
the farm shop next to the workbench to help relieve stress
in the lower back area.
- There
are several back support devices that are available through
durable medical equipment dealers as well as through your
doctor. Consult with your doctor about whether or not a
back support device is recommended. There are also some
devices that help remind you not to bend in an incorrect
manner.
- Remember
to use proper lifting and body mechanics if you have back
problems. In addition, you should maintain your exercise
program as recommended by your physician.
- Any
adaptations or modifications intended for use by an individual
with a disability should be used by that individual only.
Use of a modification or adaptation by another individual
could result in an injury.
The information
shared is based on data gathered by the Easter Seal Society
of Iowa's Farm Family Rehabilitation Management (FaRM) Program
through financial support from the Injury Prevention Research
Center at the University of Iowa Grant #R49\CCR703640-02 funded
by the Center for Disease Control. No scientific research has
been conducted to determine if the above tips or suggestions
are safe or effective. The information shared is simply ideas
shared by farmers affected by disabilities of the staff at the
FaRM Program. For more information or clarification contact
the FaRM Program at (515) 289-1933 or submit comments or questions
to P. 0. Box 4002, Des Moines, Iowa, 50333.
Disclaimer and Reproduction Information: Information in
NASD does not represent NIOSH policy. Information included in
NASD appears by permission of the author and/or copyright holder.
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