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                      BEST WORK POSITIONS TO USE IN THE HOME | 
                     
                     
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                            Standing: | 
                           
                           
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                            Try
                                to straighten your body, stretch your neck (not
                                the head), pull your shoulders back and your
                                stomach in.  | 
                           
                           
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                            To go up a staircase: | 
                           
                           
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                                    AVOID: leaning
                                      your weight on your hips; bending your
                                      trunk forward, "climbing" up
                                        the stairs with your pelvis. 
                                    TRY: stretch your body up keeping your
                                      trunk straight and "climb" switching
                                      the weight of your body, step by step,
                                      from one foot to the other. You  
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                                  can hold the handrail
                                    if necessary, but avoid forcing your arms.
                                    (as it could cause shoulder pain). 
Breath in through your nostrils every two stairs; breath out through your mouth
every two stairs.  | 
                                 
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                            To descend a staircase: | 
                           
                           
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                            TRY: 
                                using the same method; stand on one foot
                                in each stair, shifting to your other foot as
                                you reach the next stair. 
                                Breath in through your nostrils every 2 stairs
                                and breath out through the mouth every 2 stairs. 
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                            In the grocery store
                            (to lift an item): | 
                           
                           
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                                  From a
                                      high shelf: 
                                      Straighten your body and stretch your arm
                                      without leaning forward.  | 
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                                  In a lower
                                      shelf: 
                                      Bend down your knees keeping your trunk
                                      straight and your arm well stretched.  | 
                                 
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                            Making your bed: | 
                           
                           
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                                  To spread
                                      bed sheets and blankets 
                                      Standing up, make several folds in the
                                      sheet or blanket, holding it with both
                                      hands. Move to one side of the bed, keeping
                                      your trunk straight (avoid bending) and
                                      your legs spread. Throw the sheet or blanket
                                      over the bed without effort. Then, to extend
                                      the sheets or blanket, go to the other
                                      side of the bed; kneel down with your trunk
                                      straight; turn your body to the left -without
                                      bending your back- and then turn to the
                                      right and do the same.  | 
                                    
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                                  To
                                        get the sheets or blanket under the mattress: 
                                      Stay kneeling down with your trunk straight,
                                      turn softly your body to the left; get
                                      the sheet or blanket under the mattress
                                      only using your arms; then turn to the
                                      right and do the same.  | 
                                 
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                            To sweep: | 
                           
                           
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                            Use a broom
                                with a long handle. Hold the handle with both
                                hands at a comfortable height for you. Avoid
                                bending your back or your knees. Sweep keeping
                                your trunk straight and switch the position of
                                your hands from time to time.   | 
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                            To "vacuum": | 
                           
                          
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                            Avoid leaning your trunk
                              forward while you vacuum in order to prevent back
                            pain. | 
                           
                          
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                            To talk over the phone: | 
                           
                           
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                            Avoid holding the receiver
                              while you lift your shoulder or bend your head
                              toward a side: It's the cause for contractures
                            and pain. 
                            Hold the receiver with just one hand. Or use an headset
                            with microphone connected to the telephone. | 
                           
                           
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                      | EVERYDAY TASKS | 
                     
                     
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                            How to move an object? | 
                           
                           
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                                  Always keep
                                      the object as close to your body as possible. 
                                      
                                    Carrying objects away
                                      from your body is not advisable as it would
                                    surely help lumbar pain appear.  | 
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                                  When
                                      the object is carried on one side of your
                                      body (a grocery bag or a suitcase for example)
                                      I suggest you carry a similar charge on
                                      the other side, to offset body weight.  | 
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                            How to drag a heavy weight? | 
                           
                           
                            
                                 
                                  | Dragging (pulling back) an
                                    object is always dangerous (A).
                                     It´s safer to push it forward (B). 
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                            How to sit well? | 
                           
                           
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                                  Avoid                                      the
                                      usual position of the trunk and pelvis
                                      bending forward as the lumbar spine flattens,
                                      the hump of the back worsens and shoulders,
                                      neck and head lean forward (A).  | 
                                 
                                 
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                                  Avoid sitting
                                      in the front of a chair with one leg behind
                                      the other. This
                                      position painfully decreases blood circulation
                                      to the muscles from compression by the
                                      edge of the chair (B). 
                                    To be seated in an ideal
                                      posture, it is preferable to sit well back
                                      in the chair. Keep your back against the
                                      chair back and place a cushion
                                      in the back of the seat. 
                                      If necessary, you may place another small
                                      cushion between your waist and the back
                                      of the seat (C). 
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