Hi Wendy,
I once dated someone who was 6ft 7 .....! Anyway ;0)
You can buy DSE spec chairs with integral leg rests or buy leg rests on a trumpet base or on castors (castors are probably better as easier to move around). ASD sorted me out last time for a lady with one leg shorted than the other and a congenital circulation problem in one leg -
For raising - can get one leg, double leg and articulated etc freestanding:
http://www.healthyworkstations.com/ProductByGroup.asp?PrGrp=62
http://www.asd.co.uk/special_needs/options/leg_supports/leg-support2.htm
Use with or without a split seat if pressure on back of thigh is a problem (they can do a bespoke seat base and cut to you requirements as this doesn't work with a seat slide):
http://www.asd.co.uk/special_needs/splitseat/splitseat.htm
Or attachment to a chair:
http://www.asd.co.uk/special_needs/options/leg_supports/leg-support1.htm
Desk - You will need a deeper/bespoke shaped desk than usual or use a table with 4 legs at the appropriate height for him...... for situations like this you have a justifiable reason for working outside of the DSE regs when it comes to the desk.
Chair - get one with a rock mechanism that way he can recline and change posture relieving pressure on nerves and blood vessels which will improve circulation. Every time he is not doing keyboard work e.g. answer the phone, thinking or reading etc tell him to unlock and recline and rock etc,
Good luck!
Catherine
Catherine Tye RN SPOH PgDipOSH
Health, Safety and Wellbeing Practitioner
Harmony Health & Wellbeing | mobile: 07730 985926 | email: [log in to unmask] | www.harmonyhealthandwellbeing.com
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Date: Wed, 4 Jan 2012 15:15:48 +0000
From: Wendy Stimson Ladd <[log in to unmask]>
Subject: DSE user with leg ulcer
Hi All and Happy New Year!
Please can anyone offer any useful tips or share experience dealing with
above.
I have seen a 35 year old, 6' 7" guy, whose job is predominantly PC based.
He developed a leg ulcer a few months back which is very slowly healing.
PMH includes DVT and PE's.
He has been told he 'must keep his leg raised' so brought in a stool to
raise his leg under desk. Given his height, you can probably imagine his
posture and the risk of developing MSD problems. He had a couple of weeks
off sick, but long term sickness absence is not an option.
Any thoughts / advice gratefully received, thanks
--
Kind regards
Wendy
*Wendy Stimson* RGN RSCPHN (OH)
Director
*AWL Occupational Health Ltd
*Tel: 01293 532477
Mob: 07814 288642
www.awloh.co.uk
AWL Occupational Health Ltd is a company registered in England and Wales.
Registered number: 7380521
Registered office:The Meridian, 4 Copthall House, Station Square, Coventry
CV1 2FL
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Date: Wed, 4 Jan 2012 16:01:31 +0000
From: Susan Gorton <[log in to unmask]>
Subject: Re: DSE user with leg ulcer
Over the many, many years of doing DSE, I have learned to avoid being too dictatorial over people's sitting postions and looked to encourage frequent changes of postion as all the evidence points to this fact as being the most important to avoid the worst strains. Having a few more recommedations helps people to alternate. Even slouching , when done properly is good to take the strain off the back as long as you don't do it for too long and strain the neck.
One additional positon which I have found useful is the (sort of ergonomic) lay back position. Not to be adopted for long periods of time but quite useful as an alternate postion for someone with long legs. Having a keyboard lower than your wrists is quite comfortable and is what the US now promotes as they have taken away all wrists rests cos they became implicated in wrist problems when used improperly. Hard to do and still fit your legs under a desk.
This is best done with chair that has a long back or a neck rest and flexible arm rests.
Tilt the chair back so back and hopefully neck is supported as much as possible, Place keyboard on the lap with elbows resting on arm rests, (here's where you can elevate his leg or legs) and have screen dragged forward on desk to get right visually comfortable distance.
As long as the neck isnt in a postion of strain, its actually very comfortable for while (ever seen the postions of your children with their keyboards and wonder why they stay in them so long).
Hope that helps.
From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Wendy Stimson Ladd
Sent: 04 January 2012 15:16
To: [log in to unmask]
Subject: [OCC-HEALTH] DSE user with leg ulcer
Hi All and Happy New Year!
Please can anyone offer any useful tips or share experience dealing with above.
I have seen a 35 year old, 6' 7" guy, whose job is predominantly PC based. He developed a leg ulcer a few months back which is very slowly healing. PMH includes DVT and PE's.
He has been told he 'must keep his leg raised' so brought in a stool to raise his leg under desk. Given his height, you can probably imagine his posture and the risk of developing MSD problems. He had a couple of weeks off sick, but long term sickness absence is not an option.
Any thoughts / advice gratefully received, thanks
--
Kind regards
Wendy
Wendy Stimson RGN RSCPHN (OH)
Director
AWL Occupational Health Ltd
Tel: 01293 532477
Mob: 07814 288642
www.awloh.co.uk<http://www.awloh.co.uk/>
AWL Occupational Health Ltd is a company registered in England and Wales.
Registered number: 7380521
Registered office:The Meridian, 4 Copthall House, Station Square, Coventry CV1 2FL
******************************** Please remove this footer before replying.
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Date: Wed, 4 Jan 2012 16:02:25 -0000
From: Wayne Llewellyn <[log in to unmask]>
Subject: Re: DSE user with leg ulcer
Wendy, do you have any idea of the healing time prognosis?
Regards,
Wayne Llewellyn
Clinical Director
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From: [log in to unmask] [mailto:[log in to unmask]] On
Behalf Of Wendy Stimson Ladd
Sent: 04 January 2012 15:20
To: [log in to unmask]
Subject: [OCC-HEALTH] DSE user with leg ulcer
Hi All and Happy New Year!
Please can anyone offer any useful tips or share experience dealing with
above.
I have seen a 35 year old, 6' 7" guy, whose job is predominantly PC
based. He developed a leg ulcer a few months back which is very slowly
healing. PMH includes DVT and PE's.
He has been told he 'must keep his leg raised' so brought in a stool to
raise his leg under desk. Given his height, you can probably imagine his
posture and the risk of developing MSD problems. He had a couple of
weeks off sick, but long term sickness absence is not an option.
Any thoughts / advice gratefully received, thanks
--
Kind regards
Wendy
Wendy Stimson RGN RSCPHN (OH)
Director
AWL Occupational Health Ltd
Tel: 01293 532477
Mob: 07814 288642
www.awloh.co.uk <http://www.awloh.co.uk/>
AWL Occupational Health Ltd is a company registered in England and
Wales.
Registered number: 7380521
Registered office:The Meridian, 4 Copthall House, Station Square,
Coventry CV1 2FL
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Date: Wed, 4 Jan 2012 16:09:16 +0000
From: Sue Morley <[log in to unmask]>
Subject: Re: DSE user with leg ulcer
Hi Wendy and happy new year to all.
I would love to meet those that issue this 'must keep your leg raised advice' especially to someone with a history of DVT/PE.!!!
My recollection of leg ulcers was to promote ambulation and walk at least three miles every day. ( Could be showing my age here things may have changed but I can't think sitting with it elevated is the answer). Standing still is contra indicated but walking isn't.
Increasing protein in the diet and adding Vit C and Zinc used to be the recommendation to aid the healing process.
I would make sure he has a good ergonomic set up and at 6' 7" I would make sure his desk was raised by at least 3 inches (if he really is 6'7" and not just his best guess otherwise 2inches will be enough) and the seat pan on his chair supports the length of his thigh bones and has a high back. He will probably need one with a seat slide and possibly with an extended gas piston so it can be raised so his legs are at 90 degrees and be adjusted forward sufficiently.
Then he needs a mini break prompt to get up and move around once every thirty mins for a minute or two and then a longer break every two hours to walk and stretch his legs. WorkRave con be down loaded free from the internet or Time Out for Mac users.
Most desks have modesty panels prohibiting the elevation of legs so the individual ends up adopting all sort of bad postures at the desk and if this is going on for any length of time he will swap one problem for another.
Sue
From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Wendy Stimson Ladd
Sent: 04 January 2012 15:16
To: [log in to unmask]
Subject: [OCC-HEALTH] DSE user with leg ulcer
Hi All and Happy New Year!
Please can anyone offer any useful tips or share experience dealing with above.
I have seen a 35 year old, 6' 7" guy, whose job is predominantly PC based. He developed a leg ulcer a few months back which is very slowly healing. PMH includes DVT and PE's.
He has been told he 'must keep his leg raised' so brought in a stool to raise his leg under desk. Given his height, you can probably imagine his posture and the risk of developing MSD problems. He had a couple of weeks off sick, but long term sickness absence is not an option.
Any thoughts / advice gratefully received, thanks
--
Kind regards
Wendy
Wendy Stimson RGN RSCPHN (OH)
Director
AWL Occupational Health Ltd
Tel: 01293 532477
Mob: 07814 288642
www.awloh.co.uk<http://www.awloh.co.uk/>
AWL Occupational Health Ltd is a company registered in England and Wales.
Registered number: 7380521
Registered office:The Meridian, 4 Copthall House, Station Square, Coventry CV1 2FL
******************************** Please remove this footer before replying.
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End of OCC-HEALTH Digest - 3 Jan 2012 to 4 Jan 2012 (#2012-4)
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