fishing for physiotherapists
TRANSCRIPT
8/7/2019 Fishing for Physiotherapists
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Harbourside PhysiotherapyHarbourside Physiotherapy
Working with theWorking with the
FISHING INDUSTRY FISHING INDUSTRY
Claire Stevenson MCSPClaire Stevenson MCSP
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TypeType of fishing involved in injuriesof fishing involved in injuriesType of fishing
39 %
30 %
18%
5%8%
trawl ing
pots & nett ing
ne t t ing
handlining
other
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Preparation of fishPreparation of fish~24% cause of injury~24% cause of injury
Sloping floor alongSloping floor along
length of vessel.length of vessel. Sharp knives/ tools.Sharp knives/ tools.
Speed and agilitySpeed and agility
requiredrequired Slimy wet & repetitiveSlimy wet & repetitive
Prolonged positionsProlonged positions
The Gutting TableThe Gutting Table
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Slips Trips and Falls.Slips Trips and Falls.
~13% cause of Injury~13% cause of Injury
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Manual Handling:~24 % cause of injuryManual Handling:~24 % cause of injury
Stand with feet apart and bend your knees in order to keepStand with feet apart and bend your knees in order to keepyour back straight when lifting..your back straight when lifting..
Take a firm grip and keep the load as close to your body asTake a firm grip and keep the load as close to your body aspossible..possible..
Lift smoothly and dont twist your body. If you need to turn toLift smoothly and dont twist your body. If you need to turn toone side move your feet..one side move your feet..
Do not reach and lift, slide the load towards you beforeDo not reach and lift, slide the load towards you beforelifting..lifting..
Get help with heavy or awkward items; do not be tempted toGet help with heavy or awkward items; do not be tempted tolift too much.lift too much.
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Manual HandlingManual Handling
Follow correct handling whenever possible as advised in mcaFollow correct handling whenever possible as advised in mcahandbook. HOWEVER..handbook. HOWEVER..
Have to handle gear as able, This is Not a Factory or Office,Have to handle gear as able, This is Not a Factory or Office, DEAL SENSIBLY WITH WEATHER, SEA CONDITIONS, VESSELDEAL SENSIBLY WITH WEATHER, SEA CONDITIONS, VESSEL
LAYOUT.LAYOUT. Be prepared, before going onto deck,Be prepared, before going onto deck, As a Physiotherapist be aware of the job requirements, As a Physiotherapist be aware of the job requirements, Often the correct way is not possibleOften the correct way is not possible
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Gear Handling ~24% cause of injuryGear Handling ~24% cause of injury
Awkward loads Awkward loads
Easily caught inEasily caught inlines wires and netslines wires and nets
Deck space not Deck space not always clear foralways clear forcorrect handlingcorrect handling
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The Skipper.The Skipper.
The Relief Skipper.The Relief Skipper.
Wheel houses are
usually adaptedfor the skipper;often a problemfor the relief
skipper
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Compared to the generalCompared to the generalpopulation Fishermen tend topopulation Fishermen tend to
demonstrate:demonstrate:
Marked increased spinal flexion with decreaseMarked increased spinal flexion with decreasespinal extension.spinal extension.
Hypertrophy of spinal extensors.Hypertrophy of spinal extensors. Poor scapula control, with poor posture.Poor scapula control, with poor posture.
Poor fine balance.Poor fine balance.
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BalanceBalance..
A tendency for poor fine A tendency for poor finebalance and stability.balance and stability.
fixing at end of range,fixing at end of range,hips, knees, lumbarhips, knees, lumbarspine; especially in badspine; especially in badweather for safety and toweather for safety and tocomplete taskscomplete tasks
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Spinal extensionSpinal extension Extensions inExtensions in
lying encouragedlying encouragedwhere possiblewhere possible
before going andbefore going andon returning fromon returning fromdeckdeck
Extension inExtension instanding whilst standing whilst on deck.on deck.
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Bunks areBunks are
limited in spacelimited in space
Have to be able to get in and out of theHave to be able to get in and out of thebunk easilybunk easily
Space limited by size of vessel, and abilitySpace limited by size of vessel, and ability
to sleep in rolling seasto sleep in rolling seas
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Fishermen tend to trivialise injury,Fishermen tend to trivialise injury,eg when they are hit by a boom oreg when they are hit by a boom or
pulley, caught by wires.pulley, caught by wires.
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Need to work and attitude to injuryNeed to work and attitude to injury
A Trawlerman came to the clinic :- unable to gut quick enough.
Presented with a 2 week right radial nerve palsy and was going back to sea.Cause slept heavily on leave already been on 2 trips since.
Left hand showing loss of fingers and long term damage from gear.
A simple cock up splint at least allowed return to sea, with follow up on return.Need; monetary, self employed, essential part of the team.Attitude; just a stuffed wrist, dont want to slip with the knife. Had worse.
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ermenermen
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For further advice please contact usFor further advice please contact us
[email protected]@[email protected]@tiscali.co.ukwww.harboursidephysiotherapy.co.ukwww.harboursidephysiotherapy.co.uk