how basic movement reduced workplace injuries, health care costs
DESCRIPTION
“An Injury Prediction Tool for Physically Active Employees,” presented by Larry Cassella Jr., program manager for HealthFitness, working on-site at the town of Cary in Cary, N.C., at the Health Benefits Conference & Expo, Jan. 29-30, 2013. To read a blog post with details about this presentation, visit http://healthfitness.com/blog/how-basic-movement-can-decrease-employee-health-care-costs/TRANSCRIPT
Can Improvements in Basic Movement Patterns Lower the Cost of Workplace Injuries
copy 2012 Health Fitness Corporation
2
Demographics
Poor Nutritional Habits
Lots of Stress Physically Active
Trying to be Healthy
copy 2012 Health Fitness Corporation
3
The Challenge
copy 2012 Health Fitness Corporation
4
Workersrsquo Compensation Cost Overview Musculoskeletal Injuries (MSIrsquos)
Public Works (all divisions)
bull 735 MSIrsquos totaling $29M
Police Department
bull 258 MSIrsquos totaling $14M
Fire Department
bull 338 MSIrsquos totaling $11M
1608 MSIrsquos during last 10 years totaling $6M
copy 2012 Health Fitness Corporation
5 copy 2012 Health Fitness Corporation
5
50 of Total Costs are Preventable
$K
$100K
$200K
$300K
$400K
$500K
$600K
$700K
$800K
$900K
$1000K
FY 09 FY 10 FY 11
$757 $788
$1M
$426 54 $387
56
$691 77
Total Workers Comp Costs
Musculoskeletal Injuries (MSI) Costs
copy 2012 Health Fitness Corporation
6
Gaining Leadership Support
1 Identify movement-based cost drivers
2 Solution must be based on sound science and
a easy to implement
b quickly identify movement limitations
c measurable
d provide instant feedback
e goal-orientated
3 Can be applied in the worksite or fitness environment
4 Identifies movement needmdashcreates customized treatment plan
copy 2012 Health Fitness Corporation
7
Gaining Participant Support
1 Voluntary program
2 Never punitive
3 Short time to complete
4 Easy to improve
5 Simple goal of balanced flexibility and strength allowing participant to create realistic goals
copy 2012 Health Fitness Corporation
8
Participant Flow
Scoring of Assessment
Physical Labor Screening
Low Risk Moderate Risk High Risk
copy 2012 Health Fitness Corporation
9
How do we treat other health care issues
copy 2012 Health Fitness Corporation
10
Is this a bad movement or have we just become bad squatters
copy 2012 Health Fitness Corporation
11
Screen for Fundamental Movement Ability
copy 2012 Health Fitness Corporation
12
What has been observed Overall Workers Comp Cost Orange Co Fire Service
Provided by Mike Contreras CSCS
copy 2012 Health Fitness Corporation
13
Injury Validity Functional Movement Screening
Study Journal Population n Cut point
+LR (95 CI)
Kiesel et al 2007
NAJSPT
Professional Football
46
le 14
59 (20 - 184)
OrsquoConnor et al 2011
MSSE
Marines in Basic Training
874
le 14
ge 18
18 (13 - 27)
11 (09 ndash 14)
Chorba et al 2009
NAJSPT
College Fem Athletes
38
le 14
39 (09 - 51)
Butler et al 2013
Work
Firefighter trainees
108
le 14
22 (16 - 32)
copy 2012 Health Fitness Corporation
14
Marines FMS Score Association with Attrition
Cycle FMS Score Number Attrition Risk Ratio P-value
Injury Attrition
FMS Score lt14 57 123
390 (160-949) lt001
FMS Score gt14 381 31
Marines with FMS scores lt14 had nearly four times the risk of injury attrition when compared to Marines with scores gt14
copy 2012 Health Fitness Corporation
15
Local impact application
copy 2012 Health Fitness Corporation
16
Participant Flow
Scoring of Assessment
Physical Labor Screening
gt 14 Has no asymmetries
Scores a le14 a 1 or has a +- 2 asymmetry
ldquo0rdquo = Pain on any clearing exam or
movement
copy 2012 Health Fitness Corporation
17 copy 2012 Health Fitness Corporation
17
Firefighters lsquoAt Riskrsquo Who Completed Intervention Improved
copy 2012 Health Fitness Corporation
18 copy 2012 Health Fitness Corporation
18
copy 2012 Health Fitness Corporation
19 copy 2012 Health Fitness Corporation
19
Movement Limitations across Patterns
copy 2012 Health Fitness Corporation
20 copy 2012 Health Fitness Corporation
20
Greatest Movement Limitations Align with Essential Functions of Job (FD T1 was January 2011) (PD T1 was January 2012)
copy 2012 Health Fitness Corporation
21 copy 2012 Health Fitness Corporation
21
$K $20K $40K $60K $80K
$100K $120K $140K $160K $180K $200K
2000 - 2007
2008 - 2009 2009 - 2010 2010 - 2011 2011 - 2012
$3 $10
$89
$156
$34
$3
$189
$4
$83
$0
Fire Department Police Department
Program Impact Clear Reduction in Number and Severity of MSIrsquos In One Year
FD 318 MSIrsquos totaling $1M average cost per MSI $3145 PD 251 MSIrsquos totaling $807K average cost per MSI $3215
copy 2012 Health Fitness Corporation
22
How Would You Start an FMS Program
bull Create a detailed business plan
bull Follow all HIPAA ADA and other employment laws
bull Get top-down leadership support
bull Communicate effectively to employees eg why is this important to me How will this benefit me
bull Create a detailed tracking procedure
bull Measure success eg musculoskeletal injuries severity of injuries time away from work etc
copy 2012 Health Fitness Corporation
23
Contact Information Larry P Cassella Jr MS Kinesiology Program Manager HealthFitness Phone 9193804449
Fax 9193194567 wwwhealthfitnesscom
Robert J Butler PT PhD Assistant Professor Division of Physical Therapy Department of Community Health and Family Medicine
Associate Director Michael W Krzyzewski Human Performance Lab FIFA F-MARC Center of Excellence Department of Orthopaedic Surgery
Duke University Durham NC 27705 Phone 9196817225 Fax 9196681957
- Can Improvements in Basic Movement Patterns Lower the Cost of Workplace Injuries
- Demographics
- The Challenge
- Workersrsquo Compensation Cost OverviewMusculoskeletal Injuries (MSIrsquos)
- 50 of Total Costs are Preventable
- Gaining Leadership Support
- Gaining Participant Support
- Participant Flow
- How do we treat other health care issues
- Slide Number 10
- Screen for Fundamental Movement Ability
- What has been observed
- Injury Validity Functional Movement Screening
- Marines FMS Score Association with Attrition
- Local impact application
- Participant Flow
- Firefighters lsquoAt Riskrsquo Who Completed Intervention Improved
- Slide Number 18
- Movement Limitations across Patterns
- Greatest Movement Limitations Align withEssential Functions of Job(FD T1 was January 2011) (PD T1 was January 2012)
- Program ImpactClear Reduction in Number and Severityof MSIrsquos In One Year
- How Would You Start an FMS Program
- Contact Information
-
copy 2012 Health Fitness Corporation
2
Demographics
Poor Nutritional Habits
Lots of Stress Physically Active
Trying to be Healthy
copy 2012 Health Fitness Corporation
3
The Challenge
copy 2012 Health Fitness Corporation
4
Workersrsquo Compensation Cost Overview Musculoskeletal Injuries (MSIrsquos)
Public Works (all divisions)
bull 735 MSIrsquos totaling $29M
Police Department
bull 258 MSIrsquos totaling $14M
Fire Department
bull 338 MSIrsquos totaling $11M
1608 MSIrsquos during last 10 years totaling $6M
copy 2012 Health Fitness Corporation
5 copy 2012 Health Fitness Corporation
5
50 of Total Costs are Preventable
$K
$100K
$200K
$300K
$400K
$500K
$600K
$700K
$800K
$900K
$1000K
FY 09 FY 10 FY 11
$757 $788
$1M
$426 54 $387
56
$691 77
Total Workers Comp Costs
Musculoskeletal Injuries (MSI) Costs
copy 2012 Health Fitness Corporation
6
Gaining Leadership Support
1 Identify movement-based cost drivers
2 Solution must be based on sound science and
a easy to implement
b quickly identify movement limitations
c measurable
d provide instant feedback
e goal-orientated
3 Can be applied in the worksite or fitness environment
4 Identifies movement needmdashcreates customized treatment plan
copy 2012 Health Fitness Corporation
7
Gaining Participant Support
1 Voluntary program
2 Never punitive
3 Short time to complete
4 Easy to improve
5 Simple goal of balanced flexibility and strength allowing participant to create realistic goals
copy 2012 Health Fitness Corporation
8
Participant Flow
Scoring of Assessment
Physical Labor Screening
Low Risk Moderate Risk High Risk
copy 2012 Health Fitness Corporation
9
How do we treat other health care issues
copy 2012 Health Fitness Corporation
10
Is this a bad movement or have we just become bad squatters
copy 2012 Health Fitness Corporation
11
Screen for Fundamental Movement Ability
copy 2012 Health Fitness Corporation
12
What has been observed Overall Workers Comp Cost Orange Co Fire Service
Provided by Mike Contreras CSCS
copy 2012 Health Fitness Corporation
13
Injury Validity Functional Movement Screening
Study Journal Population n Cut point
+LR (95 CI)
Kiesel et al 2007
NAJSPT
Professional Football
46
le 14
59 (20 - 184)
OrsquoConnor et al 2011
MSSE
Marines in Basic Training
874
le 14
ge 18
18 (13 - 27)
11 (09 ndash 14)
Chorba et al 2009
NAJSPT
College Fem Athletes
38
le 14
39 (09 - 51)
Butler et al 2013
Work
Firefighter trainees
108
le 14
22 (16 - 32)
copy 2012 Health Fitness Corporation
14
Marines FMS Score Association with Attrition
Cycle FMS Score Number Attrition Risk Ratio P-value
Injury Attrition
FMS Score lt14 57 123
390 (160-949) lt001
FMS Score gt14 381 31
Marines with FMS scores lt14 had nearly four times the risk of injury attrition when compared to Marines with scores gt14
copy 2012 Health Fitness Corporation
15
Local impact application
copy 2012 Health Fitness Corporation
16
Participant Flow
Scoring of Assessment
Physical Labor Screening
gt 14 Has no asymmetries
Scores a le14 a 1 or has a +- 2 asymmetry
ldquo0rdquo = Pain on any clearing exam or
movement
copy 2012 Health Fitness Corporation
17 copy 2012 Health Fitness Corporation
17
Firefighters lsquoAt Riskrsquo Who Completed Intervention Improved
copy 2012 Health Fitness Corporation
18 copy 2012 Health Fitness Corporation
18
copy 2012 Health Fitness Corporation
19 copy 2012 Health Fitness Corporation
19
Movement Limitations across Patterns
copy 2012 Health Fitness Corporation
20 copy 2012 Health Fitness Corporation
20
Greatest Movement Limitations Align with Essential Functions of Job (FD T1 was January 2011) (PD T1 was January 2012)
copy 2012 Health Fitness Corporation
21 copy 2012 Health Fitness Corporation
21
$K $20K $40K $60K $80K
$100K $120K $140K $160K $180K $200K
2000 - 2007
2008 - 2009 2009 - 2010 2010 - 2011 2011 - 2012
$3 $10
$89
$156
$34
$3
$189
$4
$83
$0
Fire Department Police Department
Program Impact Clear Reduction in Number and Severity of MSIrsquos In One Year
FD 318 MSIrsquos totaling $1M average cost per MSI $3145 PD 251 MSIrsquos totaling $807K average cost per MSI $3215
copy 2012 Health Fitness Corporation
22
How Would You Start an FMS Program
bull Create a detailed business plan
bull Follow all HIPAA ADA and other employment laws
bull Get top-down leadership support
bull Communicate effectively to employees eg why is this important to me How will this benefit me
bull Create a detailed tracking procedure
bull Measure success eg musculoskeletal injuries severity of injuries time away from work etc
copy 2012 Health Fitness Corporation
23
Contact Information Larry P Cassella Jr MS Kinesiology Program Manager HealthFitness Phone 9193804449
Fax 9193194567 wwwhealthfitnesscom
Robert J Butler PT PhD Assistant Professor Division of Physical Therapy Department of Community Health and Family Medicine
Associate Director Michael W Krzyzewski Human Performance Lab FIFA F-MARC Center of Excellence Department of Orthopaedic Surgery
Duke University Durham NC 27705 Phone 9196817225 Fax 9196681957
- Can Improvements in Basic Movement Patterns Lower the Cost of Workplace Injuries
- Demographics
- The Challenge
- Workersrsquo Compensation Cost OverviewMusculoskeletal Injuries (MSIrsquos)
- 50 of Total Costs are Preventable
- Gaining Leadership Support
- Gaining Participant Support
- Participant Flow
- How do we treat other health care issues
- Slide Number 10
- Screen for Fundamental Movement Ability
- What has been observed
- Injury Validity Functional Movement Screening
- Marines FMS Score Association with Attrition
- Local impact application
- Participant Flow
- Firefighters lsquoAt Riskrsquo Who Completed Intervention Improved
- Slide Number 18
- Movement Limitations across Patterns
- Greatest Movement Limitations Align withEssential Functions of Job(FD T1 was January 2011) (PD T1 was January 2012)
- Program ImpactClear Reduction in Number and Severityof MSIrsquos In One Year
- How Would You Start an FMS Program
- Contact Information
-
copy 2012 Health Fitness Corporation
3
The Challenge
copy 2012 Health Fitness Corporation
4
Workersrsquo Compensation Cost Overview Musculoskeletal Injuries (MSIrsquos)
Public Works (all divisions)
bull 735 MSIrsquos totaling $29M
Police Department
bull 258 MSIrsquos totaling $14M
Fire Department
bull 338 MSIrsquos totaling $11M
1608 MSIrsquos during last 10 years totaling $6M
copy 2012 Health Fitness Corporation
5 copy 2012 Health Fitness Corporation
5
50 of Total Costs are Preventable
$K
$100K
$200K
$300K
$400K
$500K
$600K
$700K
$800K
$900K
$1000K
FY 09 FY 10 FY 11
$757 $788
$1M
$426 54 $387
56
$691 77
Total Workers Comp Costs
Musculoskeletal Injuries (MSI) Costs
copy 2012 Health Fitness Corporation
6
Gaining Leadership Support
1 Identify movement-based cost drivers
2 Solution must be based on sound science and
a easy to implement
b quickly identify movement limitations
c measurable
d provide instant feedback
e goal-orientated
3 Can be applied in the worksite or fitness environment
4 Identifies movement needmdashcreates customized treatment plan
copy 2012 Health Fitness Corporation
7
Gaining Participant Support
1 Voluntary program
2 Never punitive
3 Short time to complete
4 Easy to improve
5 Simple goal of balanced flexibility and strength allowing participant to create realistic goals
copy 2012 Health Fitness Corporation
8
Participant Flow
Scoring of Assessment
Physical Labor Screening
Low Risk Moderate Risk High Risk
copy 2012 Health Fitness Corporation
9
How do we treat other health care issues
copy 2012 Health Fitness Corporation
10
Is this a bad movement or have we just become bad squatters
copy 2012 Health Fitness Corporation
11
Screen for Fundamental Movement Ability
copy 2012 Health Fitness Corporation
12
What has been observed Overall Workers Comp Cost Orange Co Fire Service
Provided by Mike Contreras CSCS
copy 2012 Health Fitness Corporation
13
Injury Validity Functional Movement Screening
Study Journal Population n Cut point
+LR (95 CI)
Kiesel et al 2007
NAJSPT
Professional Football
46
le 14
59 (20 - 184)
OrsquoConnor et al 2011
MSSE
Marines in Basic Training
874
le 14
ge 18
18 (13 - 27)
11 (09 ndash 14)
Chorba et al 2009
NAJSPT
College Fem Athletes
38
le 14
39 (09 - 51)
Butler et al 2013
Work
Firefighter trainees
108
le 14
22 (16 - 32)
copy 2012 Health Fitness Corporation
14
Marines FMS Score Association with Attrition
Cycle FMS Score Number Attrition Risk Ratio P-value
Injury Attrition
FMS Score lt14 57 123
390 (160-949) lt001
FMS Score gt14 381 31
Marines with FMS scores lt14 had nearly four times the risk of injury attrition when compared to Marines with scores gt14
copy 2012 Health Fitness Corporation
15
Local impact application
copy 2012 Health Fitness Corporation
16
Participant Flow
Scoring of Assessment
Physical Labor Screening
gt 14 Has no asymmetries
Scores a le14 a 1 or has a +- 2 asymmetry
ldquo0rdquo = Pain on any clearing exam or
movement
copy 2012 Health Fitness Corporation
17 copy 2012 Health Fitness Corporation
17
Firefighters lsquoAt Riskrsquo Who Completed Intervention Improved
copy 2012 Health Fitness Corporation
18 copy 2012 Health Fitness Corporation
18
copy 2012 Health Fitness Corporation
19 copy 2012 Health Fitness Corporation
19
Movement Limitations across Patterns
copy 2012 Health Fitness Corporation
20 copy 2012 Health Fitness Corporation
20
Greatest Movement Limitations Align with Essential Functions of Job (FD T1 was January 2011) (PD T1 was January 2012)
copy 2012 Health Fitness Corporation
21 copy 2012 Health Fitness Corporation
21
$K $20K $40K $60K $80K
$100K $120K $140K $160K $180K $200K
2000 - 2007
2008 - 2009 2009 - 2010 2010 - 2011 2011 - 2012
$3 $10
$89
$156
$34
$3
$189
$4
$83
$0
Fire Department Police Department
Program Impact Clear Reduction in Number and Severity of MSIrsquos In One Year
FD 318 MSIrsquos totaling $1M average cost per MSI $3145 PD 251 MSIrsquos totaling $807K average cost per MSI $3215
copy 2012 Health Fitness Corporation
22
How Would You Start an FMS Program
bull Create a detailed business plan
bull Follow all HIPAA ADA and other employment laws
bull Get top-down leadership support
bull Communicate effectively to employees eg why is this important to me How will this benefit me
bull Create a detailed tracking procedure
bull Measure success eg musculoskeletal injuries severity of injuries time away from work etc
copy 2012 Health Fitness Corporation
23
Contact Information Larry P Cassella Jr MS Kinesiology Program Manager HealthFitness Phone 9193804449
Fax 9193194567 wwwhealthfitnesscom
Robert J Butler PT PhD Assistant Professor Division of Physical Therapy Department of Community Health and Family Medicine
Associate Director Michael W Krzyzewski Human Performance Lab FIFA F-MARC Center of Excellence Department of Orthopaedic Surgery
Duke University Durham NC 27705 Phone 9196817225 Fax 9196681957
- Can Improvements in Basic Movement Patterns Lower the Cost of Workplace Injuries
- Demographics
- The Challenge
- Workersrsquo Compensation Cost OverviewMusculoskeletal Injuries (MSIrsquos)
- 50 of Total Costs are Preventable
- Gaining Leadership Support
- Gaining Participant Support
- Participant Flow
- How do we treat other health care issues
- Slide Number 10
- Screen for Fundamental Movement Ability
- What has been observed
- Injury Validity Functional Movement Screening
- Marines FMS Score Association with Attrition
- Local impact application
- Participant Flow
- Firefighters lsquoAt Riskrsquo Who Completed Intervention Improved
- Slide Number 18
- Movement Limitations across Patterns
- Greatest Movement Limitations Align withEssential Functions of Job(FD T1 was January 2011) (PD T1 was January 2012)
- Program ImpactClear Reduction in Number and Severityof MSIrsquos In One Year
- How Would You Start an FMS Program
- Contact Information
-
copy 2012 Health Fitness Corporation
4
Workersrsquo Compensation Cost Overview Musculoskeletal Injuries (MSIrsquos)
Public Works (all divisions)
bull 735 MSIrsquos totaling $29M
Police Department
bull 258 MSIrsquos totaling $14M
Fire Department
bull 338 MSIrsquos totaling $11M
1608 MSIrsquos during last 10 years totaling $6M
copy 2012 Health Fitness Corporation
5 copy 2012 Health Fitness Corporation
5
50 of Total Costs are Preventable
$K
$100K
$200K
$300K
$400K
$500K
$600K
$700K
$800K
$900K
$1000K
FY 09 FY 10 FY 11
$757 $788
$1M
$426 54 $387
56
$691 77
Total Workers Comp Costs
Musculoskeletal Injuries (MSI) Costs
copy 2012 Health Fitness Corporation
6
Gaining Leadership Support
1 Identify movement-based cost drivers
2 Solution must be based on sound science and
a easy to implement
b quickly identify movement limitations
c measurable
d provide instant feedback
e goal-orientated
3 Can be applied in the worksite or fitness environment
4 Identifies movement needmdashcreates customized treatment plan
copy 2012 Health Fitness Corporation
7
Gaining Participant Support
1 Voluntary program
2 Never punitive
3 Short time to complete
4 Easy to improve
5 Simple goal of balanced flexibility and strength allowing participant to create realistic goals
copy 2012 Health Fitness Corporation
8
Participant Flow
Scoring of Assessment
Physical Labor Screening
Low Risk Moderate Risk High Risk
copy 2012 Health Fitness Corporation
9
How do we treat other health care issues
copy 2012 Health Fitness Corporation
10
Is this a bad movement or have we just become bad squatters
copy 2012 Health Fitness Corporation
11
Screen for Fundamental Movement Ability
copy 2012 Health Fitness Corporation
12
What has been observed Overall Workers Comp Cost Orange Co Fire Service
Provided by Mike Contreras CSCS
copy 2012 Health Fitness Corporation
13
Injury Validity Functional Movement Screening
Study Journal Population n Cut point
+LR (95 CI)
Kiesel et al 2007
NAJSPT
Professional Football
46
le 14
59 (20 - 184)
OrsquoConnor et al 2011
MSSE
Marines in Basic Training
874
le 14
ge 18
18 (13 - 27)
11 (09 ndash 14)
Chorba et al 2009
NAJSPT
College Fem Athletes
38
le 14
39 (09 - 51)
Butler et al 2013
Work
Firefighter trainees
108
le 14
22 (16 - 32)
copy 2012 Health Fitness Corporation
14
Marines FMS Score Association with Attrition
Cycle FMS Score Number Attrition Risk Ratio P-value
Injury Attrition
FMS Score lt14 57 123
390 (160-949) lt001
FMS Score gt14 381 31
Marines with FMS scores lt14 had nearly four times the risk of injury attrition when compared to Marines with scores gt14
copy 2012 Health Fitness Corporation
15
Local impact application
copy 2012 Health Fitness Corporation
16
Participant Flow
Scoring of Assessment
Physical Labor Screening
gt 14 Has no asymmetries
Scores a le14 a 1 or has a +- 2 asymmetry
ldquo0rdquo = Pain on any clearing exam or
movement
copy 2012 Health Fitness Corporation
17 copy 2012 Health Fitness Corporation
17
Firefighters lsquoAt Riskrsquo Who Completed Intervention Improved
copy 2012 Health Fitness Corporation
18 copy 2012 Health Fitness Corporation
18
copy 2012 Health Fitness Corporation
19 copy 2012 Health Fitness Corporation
19
Movement Limitations across Patterns
copy 2012 Health Fitness Corporation
20 copy 2012 Health Fitness Corporation
20
Greatest Movement Limitations Align with Essential Functions of Job (FD T1 was January 2011) (PD T1 was January 2012)
copy 2012 Health Fitness Corporation
21 copy 2012 Health Fitness Corporation
21
$K $20K $40K $60K $80K
$100K $120K $140K $160K $180K $200K
2000 - 2007
2008 - 2009 2009 - 2010 2010 - 2011 2011 - 2012
$3 $10
$89
$156
$34
$3
$189
$4
$83
$0
Fire Department Police Department
Program Impact Clear Reduction in Number and Severity of MSIrsquos In One Year
FD 318 MSIrsquos totaling $1M average cost per MSI $3145 PD 251 MSIrsquos totaling $807K average cost per MSI $3215
copy 2012 Health Fitness Corporation
22
How Would You Start an FMS Program
bull Create a detailed business plan
bull Follow all HIPAA ADA and other employment laws
bull Get top-down leadership support
bull Communicate effectively to employees eg why is this important to me How will this benefit me
bull Create a detailed tracking procedure
bull Measure success eg musculoskeletal injuries severity of injuries time away from work etc
copy 2012 Health Fitness Corporation
23
Contact Information Larry P Cassella Jr MS Kinesiology Program Manager HealthFitness Phone 9193804449
Fax 9193194567 wwwhealthfitnesscom
Robert J Butler PT PhD Assistant Professor Division of Physical Therapy Department of Community Health and Family Medicine
Associate Director Michael W Krzyzewski Human Performance Lab FIFA F-MARC Center of Excellence Department of Orthopaedic Surgery
Duke University Durham NC 27705 Phone 9196817225 Fax 9196681957
- Can Improvements in Basic Movement Patterns Lower the Cost of Workplace Injuries
- Demographics
- The Challenge
- Workersrsquo Compensation Cost OverviewMusculoskeletal Injuries (MSIrsquos)
- 50 of Total Costs are Preventable
- Gaining Leadership Support
- Gaining Participant Support
- Participant Flow
- How do we treat other health care issues
- Slide Number 10
- Screen for Fundamental Movement Ability
- What has been observed
- Injury Validity Functional Movement Screening
- Marines FMS Score Association with Attrition
- Local impact application
- Participant Flow
- Firefighters lsquoAt Riskrsquo Who Completed Intervention Improved
- Slide Number 18
- Movement Limitations across Patterns
- Greatest Movement Limitations Align withEssential Functions of Job(FD T1 was January 2011) (PD T1 was January 2012)
- Program ImpactClear Reduction in Number and Severityof MSIrsquos In One Year
- How Would You Start an FMS Program
- Contact Information
-
copy 2012 Health Fitness Corporation
5 copy 2012 Health Fitness Corporation
5
50 of Total Costs are Preventable
$K
$100K
$200K
$300K
$400K
$500K
$600K
$700K
$800K
$900K
$1000K
FY 09 FY 10 FY 11
$757 $788
$1M
$426 54 $387
56
$691 77
Total Workers Comp Costs
Musculoskeletal Injuries (MSI) Costs
copy 2012 Health Fitness Corporation
6
Gaining Leadership Support
1 Identify movement-based cost drivers
2 Solution must be based on sound science and
a easy to implement
b quickly identify movement limitations
c measurable
d provide instant feedback
e goal-orientated
3 Can be applied in the worksite or fitness environment
4 Identifies movement needmdashcreates customized treatment plan
copy 2012 Health Fitness Corporation
7
Gaining Participant Support
1 Voluntary program
2 Never punitive
3 Short time to complete
4 Easy to improve
5 Simple goal of balanced flexibility and strength allowing participant to create realistic goals
copy 2012 Health Fitness Corporation
8
Participant Flow
Scoring of Assessment
Physical Labor Screening
Low Risk Moderate Risk High Risk
copy 2012 Health Fitness Corporation
9
How do we treat other health care issues
copy 2012 Health Fitness Corporation
10
Is this a bad movement or have we just become bad squatters
copy 2012 Health Fitness Corporation
11
Screen for Fundamental Movement Ability
copy 2012 Health Fitness Corporation
12
What has been observed Overall Workers Comp Cost Orange Co Fire Service
Provided by Mike Contreras CSCS
copy 2012 Health Fitness Corporation
13
Injury Validity Functional Movement Screening
Study Journal Population n Cut point
+LR (95 CI)
Kiesel et al 2007
NAJSPT
Professional Football
46
le 14
59 (20 - 184)
OrsquoConnor et al 2011
MSSE
Marines in Basic Training
874
le 14
ge 18
18 (13 - 27)
11 (09 ndash 14)
Chorba et al 2009
NAJSPT
College Fem Athletes
38
le 14
39 (09 - 51)
Butler et al 2013
Work
Firefighter trainees
108
le 14
22 (16 - 32)
copy 2012 Health Fitness Corporation
14
Marines FMS Score Association with Attrition
Cycle FMS Score Number Attrition Risk Ratio P-value
Injury Attrition
FMS Score lt14 57 123
390 (160-949) lt001
FMS Score gt14 381 31
Marines with FMS scores lt14 had nearly four times the risk of injury attrition when compared to Marines with scores gt14
copy 2012 Health Fitness Corporation
15
Local impact application
copy 2012 Health Fitness Corporation
16
Participant Flow
Scoring of Assessment
Physical Labor Screening
gt 14 Has no asymmetries
Scores a le14 a 1 or has a +- 2 asymmetry
ldquo0rdquo = Pain on any clearing exam or
movement
copy 2012 Health Fitness Corporation
17 copy 2012 Health Fitness Corporation
17
Firefighters lsquoAt Riskrsquo Who Completed Intervention Improved
copy 2012 Health Fitness Corporation
18 copy 2012 Health Fitness Corporation
18
copy 2012 Health Fitness Corporation
19 copy 2012 Health Fitness Corporation
19
Movement Limitations across Patterns
copy 2012 Health Fitness Corporation
20 copy 2012 Health Fitness Corporation
20
Greatest Movement Limitations Align with Essential Functions of Job (FD T1 was January 2011) (PD T1 was January 2012)
copy 2012 Health Fitness Corporation
21 copy 2012 Health Fitness Corporation
21
$K $20K $40K $60K $80K
$100K $120K $140K $160K $180K $200K
2000 - 2007
2008 - 2009 2009 - 2010 2010 - 2011 2011 - 2012
$3 $10
$89
$156
$34
$3
$189
$4
$83
$0
Fire Department Police Department
Program Impact Clear Reduction in Number and Severity of MSIrsquos In One Year
FD 318 MSIrsquos totaling $1M average cost per MSI $3145 PD 251 MSIrsquos totaling $807K average cost per MSI $3215
copy 2012 Health Fitness Corporation
22
How Would You Start an FMS Program
bull Create a detailed business plan
bull Follow all HIPAA ADA and other employment laws
bull Get top-down leadership support
bull Communicate effectively to employees eg why is this important to me How will this benefit me
bull Create a detailed tracking procedure
bull Measure success eg musculoskeletal injuries severity of injuries time away from work etc
copy 2012 Health Fitness Corporation
23
Contact Information Larry P Cassella Jr MS Kinesiology Program Manager HealthFitness Phone 9193804449
Fax 9193194567 wwwhealthfitnesscom
Robert J Butler PT PhD Assistant Professor Division of Physical Therapy Department of Community Health and Family Medicine
Associate Director Michael W Krzyzewski Human Performance Lab FIFA F-MARC Center of Excellence Department of Orthopaedic Surgery
Duke University Durham NC 27705 Phone 9196817225 Fax 9196681957
- Can Improvements in Basic Movement Patterns Lower the Cost of Workplace Injuries
- Demographics
- The Challenge
- Workersrsquo Compensation Cost OverviewMusculoskeletal Injuries (MSIrsquos)
- 50 of Total Costs are Preventable
- Gaining Leadership Support
- Gaining Participant Support
- Participant Flow
- How do we treat other health care issues
- Slide Number 10
- Screen for Fundamental Movement Ability
- What has been observed
- Injury Validity Functional Movement Screening
- Marines FMS Score Association with Attrition
- Local impact application
- Participant Flow
- Firefighters lsquoAt Riskrsquo Who Completed Intervention Improved
- Slide Number 18
- Movement Limitations across Patterns
- Greatest Movement Limitations Align withEssential Functions of Job(FD T1 was January 2011) (PD T1 was January 2012)
- Program ImpactClear Reduction in Number and Severityof MSIrsquos In One Year
- How Would You Start an FMS Program
- Contact Information
-
copy 2012 Health Fitness Corporation
6
Gaining Leadership Support
1 Identify movement-based cost drivers
2 Solution must be based on sound science and
a easy to implement
b quickly identify movement limitations
c measurable
d provide instant feedback
e goal-orientated
3 Can be applied in the worksite or fitness environment
4 Identifies movement needmdashcreates customized treatment plan
copy 2012 Health Fitness Corporation
7
Gaining Participant Support
1 Voluntary program
2 Never punitive
3 Short time to complete
4 Easy to improve
5 Simple goal of balanced flexibility and strength allowing participant to create realistic goals
copy 2012 Health Fitness Corporation
8
Participant Flow
Scoring of Assessment
Physical Labor Screening
Low Risk Moderate Risk High Risk
copy 2012 Health Fitness Corporation
9
How do we treat other health care issues
copy 2012 Health Fitness Corporation
10
Is this a bad movement or have we just become bad squatters
copy 2012 Health Fitness Corporation
11
Screen for Fundamental Movement Ability
copy 2012 Health Fitness Corporation
12
What has been observed Overall Workers Comp Cost Orange Co Fire Service
Provided by Mike Contreras CSCS
copy 2012 Health Fitness Corporation
13
Injury Validity Functional Movement Screening
Study Journal Population n Cut point
+LR (95 CI)
Kiesel et al 2007
NAJSPT
Professional Football
46
le 14
59 (20 - 184)
OrsquoConnor et al 2011
MSSE
Marines in Basic Training
874
le 14
ge 18
18 (13 - 27)
11 (09 ndash 14)
Chorba et al 2009
NAJSPT
College Fem Athletes
38
le 14
39 (09 - 51)
Butler et al 2013
Work
Firefighter trainees
108
le 14
22 (16 - 32)
copy 2012 Health Fitness Corporation
14
Marines FMS Score Association with Attrition
Cycle FMS Score Number Attrition Risk Ratio P-value
Injury Attrition
FMS Score lt14 57 123
390 (160-949) lt001
FMS Score gt14 381 31
Marines with FMS scores lt14 had nearly four times the risk of injury attrition when compared to Marines with scores gt14
copy 2012 Health Fitness Corporation
15
Local impact application
copy 2012 Health Fitness Corporation
16
Participant Flow
Scoring of Assessment
Physical Labor Screening
gt 14 Has no asymmetries
Scores a le14 a 1 or has a +- 2 asymmetry
ldquo0rdquo = Pain on any clearing exam or
movement
copy 2012 Health Fitness Corporation
17 copy 2012 Health Fitness Corporation
17
Firefighters lsquoAt Riskrsquo Who Completed Intervention Improved
copy 2012 Health Fitness Corporation
18 copy 2012 Health Fitness Corporation
18
copy 2012 Health Fitness Corporation
19 copy 2012 Health Fitness Corporation
19
Movement Limitations across Patterns
copy 2012 Health Fitness Corporation
20 copy 2012 Health Fitness Corporation
20
Greatest Movement Limitations Align with Essential Functions of Job (FD T1 was January 2011) (PD T1 was January 2012)
copy 2012 Health Fitness Corporation
21 copy 2012 Health Fitness Corporation
21
$K $20K $40K $60K $80K
$100K $120K $140K $160K $180K $200K
2000 - 2007
2008 - 2009 2009 - 2010 2010 - 2011 2011 - 2012
$3 $10
$89
$156
$34
$3
$189
$4
$83
$0
Fire Department Police Department
Program Impact Clear Reduction in Number and Severity of MSIrsquos In One Year
FD 318 MSIrsquos totaling $1M average cost per MSI $3145 PD 251 MSIrsquos totaling $807K average cost per MSI $3215
copy 2012 Health Fitness Corporation
22
How Would You Start an FMS Program
bull Create a detailed business plan
bull Follow all HIPAA ADA and other employment laws
bull Get top-down leadership support
bull Communicate effectively to employees eg why is this important to me How will this benefit me
bull Create a detailed tracking procedure
bull Measure success eg musculoskeletal injuries severity of injuries time away from work etc
copy 2012 Health Fitness Corporation
23
Contact Information Larry P Cassella Jr MS Kinesiology Program Manager HealthFitness Phone 9193804449
Fax 9193194567 wwwhealthfitnesscom
Robert J Butler PT PhD Assistant Professor Division of Physical Therapy Department of Community Health and Family Medicine
Associate Director Michael W Krzyzewski Human Performance Lab FIFA F-MARC Center of Excellence Department of Orthopaedic Surgery
Duke University Durham NC 27705 Phone 9196817225 Fax 9196681957
- Can Improvements in Basic Movement Patterns Lower the Cost of Workplace Injuries
- Demographics
- The Challenge
- Workersrsquo Compensation Cost OverviewMusculoskeletal Injuries (MSIrsquos)
- 50 of Total Costs are Preventable
- Gaining Leadership Support
- Gaining Participant Support
- Participant Flow
- How do we treat other health care issues
- Slide Number 10
- Screen for Fundamental Movement Ability
- What has been observed
- Injury Validity Functional Movement Screening
- Marines FMS Score Association with Attrition
- Local impact application
- Participant Flow
- Firefighters lsquoAt Riskrsquo Who Completed Intervention Improved
- Slide Number 18
- Movement Limitations across Patterns
- Greatest Movement Limitations Align withEssential Functions of Job(FD T1 was January 2011) (PD T1 was January 2012)
- Program ImpactClear Reduction in Number and Severityof MSIrsquos In One Year
- How Would You Start an FMS Program
- Contact Information
-
copy 2012 Health Fitness Corporation
7
Gaining Participant Support
1 Voluntary program
2 Never punitive
3 Short time to complete
4 Easy to improve
5 Simple goal of balanced flexibility and strength allowing participant to create realistic goals
copy 2012 Health Fitness Corporation
8
Participant Flow
Scoring of Assessment
Physical Labor Screening
Low Risk Moderate Risk High Risk
copy 2012 Health Fitness Corporation
9
How do we treat other health care issues
copy 2012 Health Fitness Corporation
10
Is this a bad movement or have we just become bad squatters
copy 2012 Health Fitness Corporation
11
Screen for Fundamental Movement Ability
copy 2012 Health Fitness Corporation
12
What has been observed Overall Workers Comp Cost Orange Co Fire Service
Provided by Mike Contreras CSCS
copy 2012 Health Fitness Corporation
13
Injury Validity Functional Movement Screening
Study Journal Population n Cut point
+LR (95 CI)
Kiesel et al 2007
NAJSPT
Professional Football
46
le 14
59 (20 - 184)
OrsquoConnor et al 2011
MSSE
Marines in Basic Training
874
le 14
ge 18
18 (13 - 27)
11 (09 ndash 14)
Chorba et al 2009
NAJSPT
College Fem Athletes
38
le 14
39 (09 - 51)
Butler et al 2013
Work
Firefighter trainees
108
le 14
22 (16 - 32)
copy 2012 Health Fitness Corporation
14
Marines FMS Score Association with Attrition
Cycle FMS Score Number Attrition Risk Ratio P-value
Injury Attrition
FMS Score lt14 57 123
390 (160-949) lt001
FMS Score gt14 381 31
Marines with FMS scores lt14 had nearly four times the risk of injury attrition when compared to Marines with scores gt14
copy 2012 Health Fitness Corporation
15
Local impact application
copy 2012 Health Fitness Corporation
16
Participant Flow
Scoring of Assessment
Physical Labor Screening
gt 14 Has no asymmetries
Scores a le14 a 1 or has a +- 2 asymmetry
ldquo0rdquo = Pain on any clearing exam or
movement
copy 2012 Health Fitness Corporation
17 copy 2012 Health Fitness Corporation
17
Firefighters lsquoAt Riskrsquo Who Completed Intervention Improved
copy 2012 Health Fitness Corporation
18 copy 2012 Health Fitness Corporation
18
copy 2012 Health Fitness Corporation
19 copy 2012 Health Fitness Corporation
19
Movement Limitations across Patterns
copy 2012 Health Fitness Corporation
20 copy 2012 Health Fitness Corporation
20
Greatest Movement Limitations Align with Essential Functions of Job (FD T1 was January 2011) (PD T1 was January 2012)
copy 2012 Health Fitness Corporation
21 copy 2012 Health Fitness Corporation
21
$K $20K $40K $60K $80K
$100K $120K $140K $160K $180K $200K
2000 - 2007
2008 - 2009 2009 - 2010 2010 - 2011 2011 - 2012
$3 $10
$89
$156
$34
$3
$189
$4
$83
$0
Fire Department Police Department
Program Impact Clear Reduction in Number and Severity of MSIrsquos In One Year
FD 318 MSIrsquos totaling $1M average cost per MSI $3145 PD 251 MSIrsquos totaling $807K average cost per MSI $3215
copy 2012 Health Fitness Corporation
22
How Would You Start an FMS Program
bull Create a detailed business plan
bull Follow all HIPAA ADA and other employment laws
bull Get top-down leadership support
bull Communicate effectively to employees eg why is this important to me How will this benefit me
bull Create a detailed tracking procedure
bull Measure success eg musculoskeletal injuries severity of injuries time away from work etc
copy 2012 Health Fitness Corporation
23
Contact Information Larry P Cassella Jr MS Kinesiology Program Manager HealthFitness Phone 9193804449
Fax 9193194567 wwwhealthfitnesscom
Robert J Butler PT PhD Assistant Professor Division of Physical Therapy Department of Community Health and Family Medicine
Associate Director Michael W Krzyzewski Human Performance Lab FIFA F-MARC Center of Excellence Department of Orthopaedic Surgery
Duke University Durham NC 27705 Phone 9196817225 Fax 9196681957
- Can Improvements in Basic Movement Patterns Lower the Cost of Workplace Injuries
- Demographics
- The Challenge
- Workersrsquo Compensation Cost OverviewMusculoskeletal Injuries (MSIrsquos)
- 50 of Total Costs are Preventable
- Gaining Leadership Support
- Gaining Participant Support
- Participant Flow
- How do we treat other health care issues
- Slide Number 10
- Screen for Fundamental Movement Ability
- What has been observed
- Injury Validity Functional Movement Screening
- Marines FMS Score Association with Attrition
- Local impact application
- Participant Flow
- Firefighters lsquoAt Riskrsquo Who Completed Intervention Improved
- Slide Number 18
- Movement Limitations across Patterns
- Greatest Movement Limitations Align withEssential Functions of Job(FD T1 was January 2011) (PD T1 was January 2012)
- Program ImpactClear Reduction in Number and Severityof MSIrsquos In One Year
- How Would You Start an FMS Program
- Contact Information
-
copy 2012 Health Fitness Corporation
8
Participant Flow
Scoring of Assessment
Physical Labor Screening
Low Risk Moderate Risk High Risk
copy 2012 Health Fitness Corporation
9
How do we treat other health care issues
copy 2012 Health Fitness Corporation
10
Is this a bad movement or have we just become bad squatters
copy 2012 Health Fitness Corporation
11
Screen for Fundamental Movement Ability
copy 2012 Health Fitness Corporation
12
What has been observed Overall Workers Comp Cost Orange Co Fire Service
Provided by Mike Contreras CSCS
copy 2012 Health Fitness Corporation
13
Injury Validity Functional Movement Screening
Study Journal Population n Cut point
+LR (95 CI)
Kiesel et al 2007
NAJSPT
Professional Football
46
le 14
59 (20 - 184)
OrsquoConnor et al 2011
MSSE
Marines in Basic Training
874
le 14
ge 18
18 (13 - 27)
11 (09 ndash 14)
Chorba et al 2009
NAJSPT
College Fem Athletes
38
le 14
39 (09 - 51)
Butler et al 2013
Work
Firefighter trainees
108
le 14
22 (16 - 32)
copy 2012 Health Fitness Corporation
14
Marines FMS Score Association with Attrition
Cycle FMS Score Number Attrition Risk Ratio P-value
Injury Attrition
FMS Score lt14 57 123
390 (160-949) lt001
FMS Score gt14 381 31
Marines with FMS scores lt14 had nearly four times the risk of injury attrition when compared to Marines with scores gt14
copy 2012 Health Fitness Corporation
15
Local impact application
copy 2012 Health Fitness Corporation
16
Participant Flow
Scoring of Assessment
Physical Labor Screening
gt 14 Has no asymmetries
Scores a le14 a 1 or has a +- 2 asymmetry
ldquo0rdquo = Pain on any clearing exam or
movement
copy 2012 Health Fitness Corporation
17 copy 2012 Health Fitness Corporation
17
Firefighters lsquoAt Riskrsquo Who Completed Intervention Improved
copy 2012 Health Fitness Corporation
18 copy 2012 Health Fitness Corporation
18
copy 2012 Health Fitness Corporation
19 copy 2012 Health Fitness Corporation
19
Movement Limitations across Patterns
copy 2012 Health Fitness Corporation
20 copy 2012 Health Fitness Corporation
20
Greatest Movement Limitations Align with Essential Functions of Job (FD T1 was January 2011) (PD T1 was January 2012)
copy 2012 Health Fitness Corporation
21 copy 2012 Health Fitness Corporation
21
$K $20K $40K $60K $80K
$100K $120K $140K $160K $180K $200K
2000 - 2007
2008 - 2009 2009 - 2010 2010 - 2011 2011 - 2012
$3 $10
$89
$156
$34
$3
$189
$4
$83
$0
Fire Department Police Department
Program Impact Clear Reduction in Number and Severity of MSIrsquos In One Year
FD 318 MSIrsquos totaling $1M average cost per MSI $3145 PD 251 MSIrsquos totaling $807K average cost per MSI $3215
copy 2012 Health Fitness Corporation
22
How Would You Start an FMS Program
bull Create a detailed business plan
bull Follow all HIPAA ADA and other employment laws
bull Get top-down leadership support
bull Communicate effectively to employees eg why is this important to me How will this benefit me
bull Create a detailed tracking procedure
bull Measure success eg musculoskeletal injuries severity of injuries time away from work etc
copy 2012 Health Fitness Corporation
23
Contact Information Larry P Cassella Jr MS Kinesiology Program Manager HealthFitness Phone 9193804449
Fax 9193194567 wwwhealthfitnesscom
Robert J Butler PT PhD Assistant Professor Division of Physical Therapy Department of Community Health and Family Medicine
Associate Director Michael W Krzyzewski Human Performance Lab FIFA F-MARC Center of Excellence Department of Orthopaedic Surgery
Duke University Durham NC 27705 Phone 9196817225 Fax 9196681957
- Can Improvements in Basic Movement Patterns Lower the Cost of Workplace Injuries
- Demographics
- The Challenge
- Workersrsquo Compensation Cost OverviewMusculoskeletal Injuries (MSIrsquos)
- 50 of Total Costs are Preventable
- Gaining Leadership Support
- Gaining Participant Support
- Participant Flow
- How do we treat other health care issues
- Slide Number 10
- Screen for Fundamental Movement Ability
- What has been observed
- Injury Validity Functional Movement Screening
- Marines FMS Score Association with Attrition
- Local impact application
- Participant Flow
- Firefighters lsquoAt Riskrsquo Who Completed Intervention Improved
- Slide Number 18
- Movement Limitations across Patterns
- Greatest Movement Limitations Align withEssential Functions of Job(FD T1 was January 2011) (PD T1 was January 2012)
- Program ImpactClear Reduction in Number and Severityof MSIrsquos In One Year
- How Would You Start an FMS Program
- Contact Information
-
copy 2012 Health Fitness Corporation
9
How do we treat other health care issues
copy 2012 Health Fitness Corporation
10
Is this a bad movement or have we just become bad squatters
copy 2012 Health Fitness Corporation
11
Screen for Fundamental Movement Ability
copy 2012 Health Fitness Corporation
12
What has been observed Overall Workers Comp Cost Orange Co Fire Service
Provided by Mike Contreras CSCS
copy 2012 Health Fitness Corporation
13
Injury Validity Functional Movement Screening
Study Journal Population n Cut point
+LR (95 CI)
Kiesel et al 2007
NAJSPT
Professional Football
46
le 14
59 (20 - 184)
OrsquoConnor et al 2011
MSSE
Marines in Basic Training
874
le 14
ge 18
18 (13 - 27)
11 (09 ndash 14)
Chorba et al 2009
NAJSPT
College Fem Athletes
38
le 14
39 (09 - 51)
Butler et al 2013
Work
Firefighter trainees
108
le 14
22 (16 - 32)
copy 2012 Health Fitness Corporation
14
Marines FMS Score Association with Attrition
Cycle FMS Score Number Attrition Risk Ratio P-value
Injury Attrition
FMS Score lt14 57 123
390 (160-949) lt001
FMS Score gt14 381 31
Marines with FMS scores lt14 had nearly four times the risk of injury attrition when compared to Marines with scores gt14
copy 2012 Health Fitness Corporation
15
Local impact application
copy 2012 Health Fitness Corporation
16
Participant Flow
Scoring of Assessment
Physical Labor Screening
gt 14 Has no asymmetries
Scores a le14 a 1 or has a +- 2 asymmetry
ldquo0rdquo = Pain on any clearing exam or
movement
copy 2012 Health Fitness Corporation
17 copy 2012 Health Fitness Corporation
17
Firefighters lsquoAt Riskrsquo Who Completed Intervention Improved
copy 2012 Health Fitness Corporation
18 copy 2012 Health Fitness Corporation
18
copy 2012 Health Fitness Corporation
19 copy 2012 Health Fitness Corporation
19
Movement Limitations across Patterns
copy 2012 Health Fitness Corporation
20 copy 2012 Health Fitness Corporation
20
Greatest Movement Limitations Align with Essential Functions of Job (FD T1 was January 2011) (PD T1 was January 2012)
copy 2012 Health Fitness Corporation
21 copy 2012 Health Fitness Corporation
21
$K $20K $40K $60K $80K
$100K $120K $140K $160K $180K $200K
2000 - 2007
2008 - 2009 2009 - 2010 2010 - 2011 2011 - 2012
$3 $10
$89
$156
$34
$3
$189
$4
$83
$0
Fire Department Police Department
Program Impact Clear Reduction in Number and Severity of MSIrsquos In One Year
FD 318 MSIrsquos totaling $1M average cost per MSI $3145 PD 251 MSIrsquos totaling $807K average cost per MSI $3215
copy 2012 Health Fitness Corporation
22
How Would You Start an FMS Program
bull Create a detailed business plan
bull Follow all HIPAA ADA and other employment laws
bull Get top-down leadership support
bull Communicate effectively to employees eg why is this important to me How will this benefit me
bull Create a detailed tracking procedure
bull Measure success eg musculoskeletal injuries severity of injuries time away from work etc
copy 2012 Health Fitness Corporation
23
Contact Information Larry P Cassella Jr MS Kinesiology Program Manager HealthFitness Phone 9193804449
Fax 9193194567 wwwhealthfitnesscom
Robert J Butler PT PhD Assistant Professor Division of Physical Therapy Department of Community Health and Family Medicine
Associate Director Michael W Krzyzewski Human Performance Lab FIFA F-MARC Center of Excellence Department of Orthopaedic Surgery
Duke University Durham NC 27705 Phone 9196817225 Fax 9196681957
- Can Improvements in Basic Movement Patterns Lower the Cost of Workplace Injuries
- Demographics
- The Challenge
- Workersrsquo Compensation Cost OverviewMusculoskeletal Injuries (MSIrsquos)
- 50 of Total Costs are Preventable
- Gaining Leadership Support
- Gaining Participant Support
- Participant Flow
- How do we treat other health care issues
- Slide Number 10
- Screen for Fundamental Movement Ability
- What has been observed
- Injury Validity Functional Movement Screening
- Marines FMS Score Association with Attrition
- Local impact application
- Participant Flow
- Firefighters lsquoAt Riskrsquo Who Completed Intervention Improved
- Slide Number 18
- Movement Limitations across Patterns
- Greatest Movement Limitations Align withEssential Functions of Job(FD T1 was January 2011) (PD T1 was January 2012)
- Program ImpactClear Reduction in Number and Severityof MSIrsquos In One Year
- How Would You Start an FMS Program
- Contact Information
-
copy 2012 Health Fitness Corporation
10
Is this a bad movement or have we just become bad squatters
copy 2012 Health Fitness Corporation
11
Screen for Fundamental Movement Ability
copy 2012 Health Fitness Corporation
12
What has been observed Overall Workers Comp Cost Orange Co Fire Service
Provided by Mike Contreras CSCS
copy 2012 Health Fitness Corporation
13
Injury Validity Functional Movement Screening
Study Journal Population n Cut point
+LR (95 CI)
Kiesel et al 2007
NAJSPT
Professional Football
46
le 14
59 (20 - 184)
OrsquoConnor et al 2011
MSSE
Marines in Basic Training
874
le 14
ge 18
18 (13 - 27)
11 (09 ndash 14)
Chorba et al 2009
NAJSPT
College Fem Athletes
38
le 14
39 (09 - 51)
Butler et al 2013
Work
Firefighter trainees
108
le 14
22 (16 - 32)
copy 2012 Health Fitness Corporation
14
Marines FMS Score Association with Attrition
Cycle FMS Score Number Attrition Risk Ratio P-value
Injury Attrition
FMS Score lt14 57 123
390 (160-949) lt001
FMS Score gt14 381 31
Marines with FMS scores lt14 had nearly four times the risk of injury attrition when compared to Marines with scores gt14
copy 2012 Health Fitness Corporation
15
Local impact application
copy 2012 Health Fitness Corporation
16
Participant Flow
Scoring of Assessment
Physical Labor Screening
gt 14 Has no asymmetries
Scores a le14 a 1 or has a +- 2 asymmetry
ldquo0rdquo = Pain on any clearing exam or
movement
copy 2012 Health Fitness Corporation
17 copy 2012 Health Fitness Corporation
17
Firefighters lsquoAt Riskrsquo Who Completed Intervention Improved
copy 2012 Health Fitness Corporation
18 copy 2012 Health Fitness Corporation
18
copy 2012 Health Fitness Corporation
19 copy 2012 Health Fitness Corporation
19
Movement Limitations across Patterns
copy 2012 Health Fitness Corporation
20 copy 2012 Health Fitness Corporation
20
Greatest Movement Limitations Align with Essential Functions of Job (FD T1 was January 2011) (PD T1 was January 2012)
copy 2012 Health Fitness Corporation
21 copy 2012 Health Fitness Corporation
21
$K $20K $40K $60K $80K
$100K $120K $140K $160K $180K $200K
2000 - 2007
2008 - 2009 2009 - 2010 2010 - 2011 2011 - 2012
$3 $10
$89
$156
$34
$3
$189
$4
$83
$0
Fire Department Police Department
Program Impact Clear Reduction in Number and Severity of MSIrsquos In One Year
FD 318 MSIrsquos totaling $1M average cost per MSI $3145 PD 251 MSIrsquos totaling $807K average cost per MSI $3215
copy 2012 Health Fitness Corporation
22
How Would You Start an FMS Program
bull Create a detailed business plan
bull Follow all HIPAA ADA and other employment laws
bull Get top-down leadership support
bull Communicate effectively to employees eg why is this important to me How will this benefit me
bull Create a detailed tracking procedure
bull Measure success eg musculoskeletal injuries severity of injuries time away from work etc
copy 2012 Health Fitness Corporation
23
Contact Information Larry P Cassella Jr MS Kinesiology Program Manager HealthFitness Phone 9193804449
Fax 9193194567 wwwhealthfitnesscom
Robert J Butler PT PhD Assistant Professor Division of Physical Therapy Department of Community Health and Family Medicine
Associate Director Michael W Krzyzewski Human Performance Lab FIFA F-MARC Center of Excellence Department of Orthopaedic Surgery
Duke University Durham NC 27705 Phone 9196817225 Fax 9196681957
- Can Improvements in Basic Movement Patterns Lower the Cost of Workplace Injuries
- Demographics
- The Challenge
- Workersrsquo Compensation Cost OverviewMusculoskeletal Injuries (MSIrsquos)
- 50 of Total Costs are Preventable
- Gaining Leadership Support
- Gaining Participant Support
- Participant Flow
- How do we treat other health care issues
- Slide Number 10
- Screen for Fundamental Movement Ability
- What has been observed
- Injury Validity Functional Movement Screening
- Marines FMS Score Association with Attrition
- Local impact application
- Participant Flow
- Firefighters lsquoAt Riskrsquo Who Completed Intervention Improved
- Slide Number 18
- Movement Limitations across Patterns
- Greatest Movement Limitations Align withEssential Functions of Job(FD T1 was January 2011) (PD T1 was January 2012)
- Program ImpactClear Reduction in Number and Severityof MSIrsquos In One Year
- How Would You Start an FMS Program
- Contact Information
-
copy 2012 Health Fitness Corporation
11
Screen for Fundamental Movement Ability
copy 2012 Health Fitness Corporation
12
What has been observed Overall Workers Comp Cost Orange Co Fire Service
Provided by Mike Contreras CSCS
copy 2012 Health Fitness Corporation
13
Injury Validity Functional Movement Screening
Study Journal Population n Cut point
+LR (95 CI)
Kiesel et al 2007
NAJSPT
Professional Football
46
le 14
59 (20 - 184)
OrsquoConnor et al 2011
MSSE
Marines in Basic Training
874
le 14
ge 18
18 (13 - 27)
11 (09 ndash 14)
Chorba et al 2009
NAJSPT
College Fem Athletes
38
le 14
39 (09 - 51)
Butler et al 2013
Work
Firefighter trainees
108
le 14
22 (16 - 32)
copy 2012 Health Fitness Corporation
14
Marines FMS Score Association with Attrition
Cycle FMS Score Number Attrition Risk Ratio P-value
Injury Attrition
FMS Score lt14 57 123
390 (160-949) lt001
FMS Score gt14 381 31
Marines with FMS scores lt14 had nearly four times the risk of injury attrition when compared to Marines with scores gt14
copy 2012 Health Fitness Corporation
15
Local impact application
copy 2012 Health Fitness Corporation
16
Participant Flow
Scoring of Assessment
Physical Labor Screening
gt 14 Has no asymmetries
Scores a le14 a 1 or has a +- 2 asymmetry
ldquo0rdquo = Pain on any clearing exam or
movement
copy 2012 Health Fitness Corporation
17 copy 2012 Health Fitness Corporation
17
Firefighters lsquoAt Riskrsquo Who Completed Intervention Improved
copy 2012 Health Fitness Corporation
18 copy 2012 Health Fitness Corporation
18
copy 2012 Health Fitness Corporation
19 copy 2012 Health Fitness Corporation
19
Movement Limitations across Patterns
copy 2012 Health Fitness Corporation
20 copy 2012 Health Fitness Corporation
20
Greatest Movement Limitations Align with Essential Functions of Job (FD T1 was January 2011) (PD T1 was January 2012)
copy 2012 Health Fitness Corporation
21 copy 2012 Health Fitness Corporation
21
$K $20K $40K $60K $80K
$100K $120K $140K $160K $180K $200K
2000 - 2007
2008 - 2009 2009 - 2010 2010 - 2011 2011 - 2012
$3 $10
$89
$156
$34
$3
$189
$4
$83
$0
Fire Department Police Department
Program Impact Clear Reduction in Number and Severity of MSIrsquos In One Year
FD 318 MSIrsquos totaling $1M average cost per MSI $3145 PD 251 MSIrsquos totaling $807K average cost per MSI $3215
copy 2012 Health Fitness Corporation
22
How Would You Start an FMS Program
bull Create a detailed business plan
bull Follow all HIPAA ADA and other employment laws
bull Get top-down leadership support
bull Communicate effectively to employees eg why is this important to me How will this benefit me
bull Create a detailed tracking procedure
bull Measure success eg musculoskeletal injuries severity of injuries time away from work etc
copy 2012 Health Fitness Corporation
23
Contact Information Larry P Cassella Jr MS Kinesiology Program Manager HealthFitness Phone 9193804449
Fax 9193194567 wwwhealthfitnesscom
Robert J Butler PT PhD Assistant Professor Division of Physical Therapy Department of Community Health and Family Medicine
Associate Director Michael W Krzyzewski Human Performance Lab FIFA F-MARC Center of Excellence Department of Orthopaedic Surgery
Duke University Durham NC 27705 Phone 9196817225 Fax 9196681957
- Can Improvements in Basic Movement Patterns Lower the Cost of Workplace Injuries
- Demographics
- The Challenge
- Workersrsquo Compensation Cost OverviewMusculoskeletal Injuries (MSIrsquos)
- 50 of Total Costs are Preventable
- Gaining Leadership Support
- Gaining Participant Support
- Participant Flow
- How do we treat other health care issues
- Slide Number 10
- Screen for Fundamental Movement Ability
- What has been observed
- Injury Validity Functional Movement Screening
- Marines FMS Score Association with Attrition
- Local impact application
- Participant Flow
- Firefighters lsquoAt Riskrsquo Who Completed Intervention Improved
- Slide Number 18
- Movement Limitations across Patterns
- Greatest Movement Limitations Align withEssential Functions of Job(FD T1 was January 2011) (PD T1 was January 2012)
- Program ImpactClear Reduction in Number and Severityof MSIrsquos In One Year
- How Would You Start an FMS Program
- Contact Information
-
copy 2012 Health Fitness Corporation
12
What has been observed Overall Workers Comp Cost Orange Co Fire Service
Provided by Mike Contreras CSCS
copy 2012 Health Fitness Corporation
13
Injury Validity Functional Movement Screening
Study Journal Population n Cut point
+LR (95 CI)
Kiesel et al 2007
NAJSPT
Professional Football
46
le 14
59 (20 - 184)
OrsquoConnor et al 2011
MSSE
Marines in Basic Training
874
le 14
ge 18
18 (13 - 27)
11 (09 ndash 14)
Chorba et al 2009
NAJSPT
College Fem Athletes
38
le 14
39 (09 - 51)
Butler et al 2013
Work
Firefighter trainees
108
le 14
22 (16 - 32)
copy 2012 Health Fitness Corporation
14
Marines FMS Score Association with Attrition
Cycle FMS Score Number Attrition Risk Ratio P-value
Injury Attrition
FMS Score lt14 57 123
390 (160-949) lt001
FMS Score gt14 381 31
Marines with FMS scores lt14 had nearly four times the risk of injury attrition when compared to Marines with scores gt14
copy 2012 Health Fitness Corporation
15
Local impact application
copy 2012 Health Fitness Corporation
16
Participant Flow
Scoring of Assessment
Physical Labor Screening
gt 14 Has no asymmetries
Scores a le14 a 1 or has a +- 2 asymmetry
ldquo0rdquo = Pain on any clearing exam or
movement
copy 2012 Health Fitness Corporation
17 copy 2012 Health Fitness Corporation
17
Firefighters lsquoAt Riskrsquo Who Completed Intervention Improved
copy 2012 Health Fitness Corporation
18 copy 2012 Health Fitness Corporation
18
copy 2012 Health Fitness Corporation
19 copy 2012 Health Fitness Corporation
19
Movement Limitations across Patterns
copy 2012 Health Fitness Corporation
20 copy 2012 Health Fitness Corporation
20
Greatest Movement Limitations Align with Essential Functions of Job (FD T1 was January 2011) (PD T1 was January 2012)
copy 2012 Health Fitness Corporation
21 copy 2012 Health Fitness Corporation
21
$K $20K $40K $60K $80K
$100K $120K $140K $160K $180K $200K
2000 - 2007
2008 - 2009 2009 - 2010 2010 - 2011 2011 - 2012
$3 $10
$89
$156
$34
$3
$189
$4
$83
$0
Fire Department Police Department
Program Impact Clear Reduction in Number and Severity of MSIrsquos In One Year
FD 318 MSIrsquos totaling $1M average cost per MSI $3145 PD 251 MSIrsquos totaling $807K average cost per MSI $3215
copy 2012 Health Fitness Corporation
22
How Would You Start an FMS Program
bull Create a detailed business plan
bull Follow all HIPAA ADA and other employment laws
bull Get top-down leadership support
bull Communicate effectively to employees eg why is this important to me How will this benefit me
bull Create a detailed tracking procedure
bull Measure success eg musculoskeletal injuries severity of injuries time away from work etc
copy 2012 Health Fitness Corporation
23
Contact Information Larry P Cassella Jr MS Kinesiology Program Manager HealthFitness Phone 9193804449
Fax 9193194567 wwwhealthfitnesscom
Robert J Butler PT PhD Assistant Professor Division of Physical Therapy Department of Community Health and Family Medicine
Associate Director Michael W Krzyzewski Human Performance Lab FIFA F-MARC Center of Excellence Department of Orthopaedic Surgery
Duke University Durham NC 27705 Phone 9196817225 Fax 9196681957
- Can Improvements in Basic Movement Patterns Lower the Cost of Workplace Injuries
- Demographics
- The Challenge
- Workersrsquo Compensation Cost OverviewMusculoskeletal Injuries (MSIrsquos)
- 50 of Total Costs are Preventable
- Gaining Leadership Support
- Gaining Participant Support
- Participant Flow
- How do we treat other health care issues
- Slide Number 10
- Screen for Fundamental Movement Ability
- What has been observed
- Injury Validity Functional Movement Screening
- Marines FMS Score Association with Attrition
- Local impact application
- Participant Flow
- Firefighters lsquoAt Riskrsquo Who Completed Intervention Improved
- Slide Number 18
- Movement Limitations across Patterns
- Greatest Movement Limitations Align withEssential Functions of Job(FD T1 was January 2011) (PD T1 was January 2012)
- Program ImpactClear Reduction in Number and Severityof MSIrsquos In One Year
- How Would You Start an FMS Program
- Contact Information
-
copy 2012 Health Fitness Corporation
13
Injury Validity Functional Movement Screening
Study Journal Population n Cut point
+LR (95 CI)
Kiesel et al 2007
NAJSPT
Professional Football
46
le 14
59 (20 - 184)
OrsquoConnor et al 2011
MSSE
Marines in Basic Training
874
le 14
ge 18
18 (13 - 27)
11 (09 ndash 14)
Chorba et al 2009
NAJSPT
College Fem Athletes
38
le 14
39 (09 - 51)
Butler et al 2013
Work
Firefighter trainees
108
le 14
22 (16 - 32)
copy 2012 Health Fitness Corporation
14
Marines FMS Score Association with Attrition
Cycle FMS Score Number Attrition Risk Ratio P-value
Injury Attrition
FMS Score lt14 57 123
390 (160-949) lt001
FMS Score gt14 381 31
Marines with FMS scores lt14 had nearly four times the risk of injury attrition when compared to Marines with scores gt14
copy 2012 Health Fitness Corporation
15
Local impact application
copy 2012 Health Fitness Corporation
16
Participant Flow
Scoring of Assessment
Physical Labor Screening
gt 14 Has no asymmetries
Scores a le14 a 1 or has a +- 2 asymmetry
ldquo0rdquo = Pain on any clearing exam or
movement
copy 2012 Health Fitness Corporation
17 copy 2012 Health Fitness Corporation
17
Firefighters lsquoAt Riskrsquo Who Completed Intervention Improved
copy 2012 Health Fitness Corporation
18 copy 2012 Health Fitness Corporation
18
copy 2012 Health Fitness Corporation
19 copy 2012 Health Fitness Corporation
19
Movement Limitations across Patterns
copy 2012 Health Fitness Corporation
20 copy 2012 Health Fitness Corporation
20
Greatest Movement Limitations Align with Essential Functions of Job (FD T1 was January 2011) (PD T1 was January 2012)
copy 2012 Health Fitness Corporation
21 copy 2012 Health Fitness Corporation
21
$K $20K $40K $60K $80K
$100K $120K $140K $160K $180K $200K
2000 - 2007
2008 - 2009 2009 - 2010 2010 - 2011 2011 - 2012
$3 $10
$89
$156
$34
$3
$189
$4
$83
$0
Fire Department Police Department
Program Impact Clear Reduction in Number and Severity of MSIrsquos In One Year
FD 318 MSIrsquos totaling $1M average cost per MSI $3145 PD 251 MSIrsquos totaling $807K average cost per MSI $3215
copy 2012 Health Fitness Corporation
22
How Would You Start an FMS Program
bull Create a detailed business plan
bull Follow all HIPAA ADA and other employment laws
bull Get top-down leadership support
bull Communicate effectively to employees eg why is this important to me How will this benefit me
bull Create a detailed tracking procedure
bull Measure success eg musculoskeletal injuries severity of injuries time away from work etc
copy 2012 Health Fitness Corporation
23
Contact Information Larry P Cassella Jr MS Kinesiology Program Manager HealthFitness Phone 9193804449
Fax 9193194567 wwwhealthfitnesscom
Robert J Butler PT PhD Assistant Professor Division of Physical Therapy Department of Community Health and Family Medicine
Associate Director Michael W Krzyzewski Human Performance Lab FIFA F-MARC Center of Excellence Department of Orthopaedic Surgery
Duke University Durham NC 27705 Phone 9196817225 Fax 9196681957
- Can Improvements in Basic Movement Patterns Lower the Cost of Workplace Injuries
- Demographics
- The Challenge
- Workersrsquo Compensation Cost OverviewMusculoskeletal Injuries (MSIrsquos)
- 50 of Total Costs are Preventable
- Gaining Leadership Support
- Gaining Participant Support
- Participant Flow
- How do we treat other health care issues
- Slide Number 10
- Screen for Fundamental Movement Ability
- What has been observed
- Injury Validity Functional Movement Screening
- Marines FMS Score Association with Attrition
- Local impact application
- Participant Flow
- Firefighters lsquoAt Riskrsquo Who Completed Intervention Improved
- Slide Number 18
- Movement Limitations across Patterns
- Greatest Movement Limitations Align withEssential Functions of Job(FD T1 was January 2011) (PD T1 was January 2012)
- Program ImpactClear Reduction in Number and Severityof MSIrsquos In One Year
- How Would You Start an FMS Program
- Contact Information
-
copy 2012 Health Fitness Corporation
14
Marines FMS Score Association with Attrition
Cycle FMS Score Number Attrition Risk Ratio P-value
Injury Attrition
FMS Score lt14 57 123
390 (160-949) lt001
FMS Score gt14 381 31
Marines with FMS scores lt14 had nearly four times the risk of injury attrition when compared to Marines with scores gt14
copy 2012 Health Fitness Corporation
15
Local impact application
copy 2012 Health Fitness Corporation
16
Participant Flow
Scoring of Assessment
Physical Labor Screening
gt 14 Has no asymmetries
Scores a le14 a 1 or has a +- 2 asymmetry
ldquo0rdquo = Pain on any clearing exam or
movement
copy 2012 Health Fitness Corporation
17 copy 2012 Health Fitness Corporation
17
Firefighters lsquoAt Riskrsquo Who Completed Intervention Improved
copy 2012 Health Fitness Corporation
18 copy 2012 Health Fitness Corporation
18
copy 2012 Health Fitness Corporation
19 copy 2012 Health Fitness Corporation
19
Movement Limitations across Patterns
copy 2012 Health Fitness Corporation
20 copy 2012 Health Fitness Corporation
20
Greatest Movement Limitations Align with Essential Functions of Job (FD T1 was January 2011) (PD T1 was January 2012)
copy 2012 Health Fitness Corporation
21 copy 2012 Health Fitness Corporation
21
$K $20K $40K $60K $80K
$100K $120K $140K $160K $180K $200K
2000 - 2007
2008 - 2009 2009 - 2010 2010 - 2011 2011 - 2012
$3 $10
$89
$156
$34
$3
$189
$4
$83
$0
Fire Department Police Department
Program Impact Clear Reduction in Number and Severity of MSIrsquos In One Year
FD 318 MSIrsquos totaling $1M average cost per MSI $3145 PD 251 MSIrsquos totaling $807K average cost per MSI $3215
copy 2012 Health Fitness Corporation
22
How Would You Start an FMS Program
bull Create a detailed business plan
bull Follow all HIPAA ADA and other employment laws
bull Get top-down leadership support
bull Communicate effectively to employees eg why is this important to me How will this benefit me
bull Create a detailed tracking procedure
bull Measure success eg musculoskeletal injuries severity of injuries time away from work etc
copy 2012 Health Fitness Corporation
23
Contact Information Larry P Cassella Jr MS Kinesiology Program Manager HealthFitness Phone 9193804449
Fax 9193194567 wwwhealthfitnesscom
Robert J Butler PT PhD Assistant Professor Division of Physical Therapy Department of Community Health and Family Medicine
Associate Director Michael W Krzyzewski Human Performance Lab FIFA F-MARC Center of Excellence Department of Orthopaedic Surgery
Duke University Durham NC 27705 Phone 9196817225 Fax 9196681957
- Can Improvements in Basic Movement Patterns Lower the Cost of Workplace Injuries
- Demographics
- The Challenge
- Workersrsquo Compensation Cost OverviewMusculoskeletal Injuries (MSIrsquos)
- 50 of Total Costs are Preventable
- Gaining Leadership Support
- Gaining Participant Support
- Participant Flow
- How do we treat other health care issues
- Slide Number 10
- Screen for Fundamental Movement Ability
- What has been observed
- Injury Validity Functional Movement Screening
- Marines FMS Score Association with Attrition
- Local impact application
- Participant Flow
- Firefighters lsquoAt Riskrsquo Who Completed Intervention Improved
- Slide Number 18
- Movement Limitations across Patterns
- Greatest Movement Limitations Align withEssential Functions of Job(FD T1 was January 2011) (PD T1 was January 2012)
- Program ImpactClear Reduction in Number and Severityof MSIrsquos In One Year
- How Would You Start an FMS Program
- Contact Information
-
copy 2012 Health Fitness Corporation
15
Local impact application
copy 2012 Health Fitness Corporation
16
Participant Flow
Scoring of Assessment
Physical Labor Screening
gt 14 Has no asymmetries
Scores a le14 a 1 or has a +- 2 asymmetry
ldquo0rdquo = Pain on any clearing exam or
movement
copy 2012 Health Fitness Corporation
17 copy 2012 Health Fitness Corporation
17
Firefighters lsquoAt Riskrsquo Who Completed Intervention Improved
copy 2012 Health Fitness Corporation
18 copy 2012 Health Fitness Corporation
18
copy 2012 Health Fitness Corporation
19 copy 2012 Health Fitness Corporation
19
Movement Limitations across Patterns
copy 2012 Health Fitness Corporation
20 copy 2012 Health Fitness Corporation
20
Greatest Movement Limitations Align with Essential Functions of Job (FD T1 was January 2011) (PD T1 was January 2012)
copy 2012 Health Fitness Corporation
21 copy 2012 Health Fitness Corporation
21
$K $20K $40K $60K $80K
$100K $120K $140K $160K $180K $200K
2000 - 2007
2008 - 2009 2009 - 2010 2010 - 2011 2011 - 2012
$3 $10
$89
$156
$34
$3
$189
$4
$83
$0
Fire Department Police Department
Program Impact Clear Reduction in Number and Severity of MSIrsquos In One Year
FD 318 MSIrsquos totaling $1M average cost per MSI $3145 PD 251 MSIrsquos totaling $807K average cost per MSI $3215
copy 2012 Health Fitness Corporation
22
How Would You Start an FMS Program
bull Create a detailed business plan
bull Follow all HIPAA ADA and other employment laws
bull Get top-down leadership support
bull Communicate effectively to employees eg why is this important to me How will this benefit me
bull Create a detailed tracking procedure
bull Measure success eg musculoskeletal injuries severity of injuries time away from work etc
copy 2012 Health Fitness Corporation
23
Contact Information Larry P Cassella Jr MS Kinesiology Program Manager HealthFitness Phone 9193804449
Fax 9193194567 wwwhealthfitnesscom
Robert J Butler PT PhD Assistant Professor Division of Physical Therapy Department of Community Health and Family Medicine
Associate Director Michael W Krzyzewski Human Performance Lab FIFA F-MARC Center of Excellence Department of Orthopaedic Surgery
Duke University Durham NC 27705 Phone 9196817225 Fax 9196681957
- Can Improvements in Basic Movement Patterns Lower the Cost of Workplace Injuries
- Demographics
- The Challenge
- Workersrsquo Compensation Cost OverviewMusculoskeletal Injuries (MSIrsquos)
- 50 of Total Costs are Preventable
- Gaining Leadership Support
- Gaining Participant Support
- Participant Flow
- How do we treat other health care issues
- Slide Number 10
- Screen for Fundamental Movement Ability
- What has been observed
- Injury Validity Functional Movement Screening
- Marines FMS Score Association with Attrition
- Local impact application
- Participant Flow
- Firefighters lsquoAt Riskrsquo Who Completed Intervention Improved
- Slide Number 18
- Movement Limitations across Patterns
- Greatest Movement Limitations Align withEssential Functions of Job(FD T1 was January 2011) (PD T1 was January 2012)
- Program ImpactClear Reduction in Number and Severityof MSIrsquos In One Year
- How Would You Start an FMS Program
- Contact Information
-
copy 2012 Health Fitness Corporation
16
Participant Flow
Scoring of Assessment
Physical Labor Screening
gt 14 Has no asymmetries
Scores a le14 a 1 or has a +- 2 asymmetry
ldquo0rdquo = Pain on any clearing exam or
movement
copy 2012 Health Fitness Corporation
17 copy 2012 Health Fitness Corporation
17
Firefighters lsquoAt Riskrsquo Who Completed Intervention Improved
copy 2012 Health Fitness Corporation
18 copy 2012 Health Fitness Corporation
18
copy 2012 Health Fitness Corporation
19 copy 2012 Health Fitness Corporation
19
Movement Limitations across Patterns
copy 2012 Health Fitness Corporation
20 copy 2012 Health Fitness Corporation
20
Greatest Movement Limitations Align with Essential Functions of Job (FD T1 was January 2011) (PD T1 was January 2012)
copy 2012 Health Fitness Corporation
21 copy 2012 Health Fitness Corporation
21
$K $20K $40K $60K $80K
$100K $120K $140K $160K $180K $200K
2000 - 2007
2008 - 2009 2009 - 2010 2010 - 2011 2011 - 2012
$3 $10
$89
$156
$34
$3
$189
$4
$83
$0
Fire Department Police Department
Program Impact Clear Reduction in Number and Severity of MSIrsquos In One Year
FD 318 MSIrsquos totaling $1M average cost per MSI $3145 PD 251 MSIrsquos totaling $807K average cost per MSI $3215
copy 2012 Health Fitness Corporation
22
How Would You Start an FMS Program
bull Create a detailed business plan
bull Follow all HIPAA ADA and other employment laws
bull Get top-down leadership support
bull Communicate effectively to employees eg why is this important to me How will this benefit me
bull Create a detailed tracking procedure
bull Measure success eg musculoskeletal injuries severity of injuries time away from work etc
copy 2012 Health Fitness Corporation
23
Contact Information Larry P Cassella Jr MS Kinesiology Program Manager HealthFitness Phone 9193804449
Fax 9193194567 wwwhealthfitnesscom
Robert J Butler PT PhD Assistant Professor Division of Physical Therapy Department of Community Health and Family Medicine
Associate Director Michael W Krzyzewski Human Performance Lab FIFA F-MARC Center of Excellence Department of Orthopaedic Surgery
Duke University Durham NC 27705 Phone 9196817225 Fax 9196681957
- Can Improvements in Basic Movement Patterns Lower the Cost of Workplace Injuries
- Demographics
- The Challenge
- Workersrsquo Compensation Cost OverviewMusculoskeletal Injuries (MSIrsquos)
- 50 of Total Costs are Preventable
- Gaining Leadership Support
- Gaining Participant Support
- Participant Flow
- How do we treat other health care issues
- Slide Number 10
- Screen for Fundamental Movement Ability
- What has been observed
- Injury Validity Functional Movement Screening
- Marines FMS Score Association with Attrition
- Local impact application
- Participant Flow
- Firefighters lsquoAt Riskrsquo Who Completed Intervention Improved
- Slide Number 18
- Movement Limitations across Patterns
- Greatest Movement Limitations Align withEssential Functions of Job(FD T1 was January 2011) (PD T1 was January 2012)
- Program ImpactClear Reduction in Number and Severityof MSIrsquos In One Year
- How Would You Start an FMS Program
- Contact Information
-
copy 2012 Health Fitness Corporation
17 copy 2012 Health Fitness Corporation
17
Firefighters lsquoAt Riskrsquo Who Completed Intervention Improved
copy 2012 Health Fitness Corporation
18 copy 2012 Health Fitness Corporation
18
copy 2012 Health Fitness Corporation
19 copy 2012 Health Fitness Corporation
19
Movement Limitations across Patterns
copy 2012 Health Fitness Corporation
20 copy 2012 Health Fitness Corporation
20
Greatest Movement Limitations Align with Essential Functions of Job (FD T1 was January 2011) (PD T1 was January 2012)
copy 2012 Health Fitness Corporation
21 copy 2012 Health Fitness Corporation
21
$K $20K $40K $60K $80K
$100K $120K $140K $160K $180K $200K
2000 - 2007
2008 - 2009 2009 - 2010 2010 - 2011 2011 - 2012
$3 $10
$89
$156
$34
$3
$189
$4
$83
$0
Fire Department Police Department
Program Impact Clear Reduction in Number and Severity of MSIrsquos In One Year
FD 318 MSIrsquos totaling $1M average cost per MSI $3145 PD 251 MSIrsquos totaling $807K average cost per MSI $3215
copy 2012 Health Fitness Corporation
22
How Would You Start an FMS Program
bull Create a detailed business plan
bull Follow all HIPAA ADA and other employment laws
bull Get top-down leadership support
bull Communicate effectively to employees eg why is this important to me How will this benefit me
bull Create a detailed tracking procedure
bull Measure success eg musculoskeletal injuries severity of injuries time away from work etc
copy 2012 Health Fitness Corporation
23
Contact Information Larry P Cassella Jr MS Kinesiology Program Manager HealthFitness Phone 9193804449
Fax 9193194567 wwwhealthfitnesscom
Robert J Butler PT PhD Assistant Professor Division of Physical Therapy Department of Community Health and Family Medicine
Associate Director Michael W Krzyzewski Human Performance Lab FIFA F-MARC Center of Excellence Department of Orthopaedic Surgery
Duke University Durham NC 27705 Phone 9196817225 Fax 9196681957
- Can Improvements in Basic Movement Patterns Lower the Cost of Workplace Injuries
- Demographics
- The Challenge
- Workersrsquo Compensation Cost OverviewMusculoskeletal Injuries (MSIrsquos)
- 50 of Total Costs are Preventable
- Gaining Leadership Support
- Gaining Participant Support
- Participant Flow
- How do we treat other health care issues
- Slide Number 10
- Screen for Fundamental Movement Ability
- What has been observed
- Injury Validity Functional Movement Screening
- Marines FMS Score Association with Attrition
- Local impact application
- Participant Flow
- Firefighters lsquoAt Riskrsquo Who Completed Intervention Improved
- Slide Number 18
- Movement Limitations across Patterns
- Greatest Movement Limitations Align withEssential Functions of Job(FD T1 was January 2011) (PD T1 was January 2012)
- Program ImpactClear Reduction in Number and Severityof MSIrsquos In One Year
- How Would You Start an FMS Program
- Contact Information
-
copy 2012 Health Fitness Corporation
18 copy 2012 Health Fitness Corporation
18
copy 2012 Health Fitness Corporation
19 copy 2012 Health Fitness Corporation
19
Movement Limitations across Patterns
copy 2012 Health Fitness Corporation
20 copy 2012 Health Fitness Corporation
20
Greatest Movement Limitations Align with Essential Functions of Job (FD T1 was January 2011) (PD T1 was January 2012)
copy 2012 Health Fitness Corporation
21 copy 2012 Health Fitness Corporation
21
$K $20K $40K $60K $80K
$100K $120K $140K $160K $180K $200K
2000 - 2007
2008 - 2009 2009 - 2010 2010 - 2011 2011 - 2012
$3 $10
$89
$156
$34
$3
$189
$4
$83
$0
Fire Department Police Department
Program Impact Clear Reduction in Number and Severity of MSIrsquos In One Year
FD 318 MSIrsquos totaling $1M average cost per MSI $3145 PD 251 MSIrsquos totaling $807K average cost per MSI $3215
copy 2012 Health Fitness Corporation
22
How Would You Start an FMS Program
bull Create a detailed business plan
bull Follow all HIPAA ADA and other employment laws
bull Get top-down leadership support
bull Communicate effectively to employees eg why is this important to me How will this benefit me
bull Create a detailed tracking procedure
bull Measure success eg musculoskeletal injuries severity of injuries time away from work etc
copy 2012 Health Fitness Corporation
23
Contact Information Larry P Cassella Jr MS Kinesiology Program Manager HealthFitness Phone 9193804449
Fax 9193194567 wwwhealthfitnesscom
Robert J Butler PT PhD Assistant Professor Division of Physical Therapy Department of Community Health and Family Medicine
Associate Director Michael W Krzyzewski Human Performance Lab FIFA F-MARC Center of Excellence Department of Orthopaedic Surgery
Duke University Durham NC 27705 Phone 9196817225 Fax 9196681957
- Can Improvements in Basic Movement Patterns Lower the Cost of Workplace Injuries
- Demographics
- The Challenge
- Workersrsquo Compensation Cost OverviewMusculoskeletal Injuries (MSIrsquos)
- 50 of Total Costs are Preventable
- Gaining Leadership Support
- Gaining Participant Support
- Participant Flow
- How do we treat other health care issues
- Slide Number 10
- Screen for Fundamental Movement Ability
- What has been observed
- Injury Validity Functional Movement Screening
- Marines FMS Score Association with Attrition
- Local impact application
- Participant Flow
- Firefighters lsquoAt Riskrsquo Who Completed Intervention Improved
- Slide Number 18
- Movement Limitations across Patterns
- Greatest Movement Limitations Align withEssential Functions of Job(FD T1 was January 2011) (PD T1 was January 2012)
- Program ImpactClear Reduction in Number and Severityof MSIrsquos In One Year
- How Would You Start an FMS Program
- Contact Information
-
copy 2012 Health Fitness Corporation
19 copy 2012 Health Fitness Corporation
19
Movement Limitations across Patterns
copy 2012 Health Fitness Corporation
20 copy 2012 Health Fitness Corporation
20
Greatest Movement Limitations Align with Essential Functions of Job (FD T1 was January 2011) (PD T1 was January 2012)
copy 2012 Health Fitness Corporation
21 copy 2012 Health Fitness Corporation
21
$K $20K $40K $60K $80K
$100K $120K $140K $160K $180K $200K
2000 - 2007
2008 - 2009 2009 - 2010 2010 - 2011 2011 - 2012
$3 $10
$89
$156
$34
$3
$189
$4
$83
$0
Fire Department Police Department
Program Impact Clear Reduction in Number and Severity of MSIrsquos In One Year
FD 318 MSIrsquos totaling $1M average cost per MSI $3145 PD 251 MSIrsquos totaling $807K average cost per MSI $3215
copy 2012 Health Fitness Corporation
22
How Would You Start an FMS Program
bull Create a detailed business plan
bull Follow all HIPAA ADA and other employment laws
bull Get top-down leadership support
bull Communicate effectively to employees eg why is this important to me How will this benefit me
bull Create a detailed tracking procedure
bull Measure success eg musculoskeletal injuries severity of injuries time away from work etc
copy 2012 Health Fitness Corporation
23
Contact Information Larry P Cassella Jr MS Kinesiology Program Manager HealthFitness Phone 9193804449
Fax 9193194567 wwwhealthfitnesscom
Robert J Butler PT PhD Assistant Professor Division of Physical Therapy Department of Community Health and Family Medicine
Associate Director Michael W Krzyzewski Human Performance Lab FIFA F-MARC Center of Excellence Department of Orthopaedic Surgery
Duke University Durham NC 27705 Phone 9196817225 Fax 9196681957
- Can Improvements in Basic Movement Patterns Lower the Cost of Workplace Injuries
- Demographics
- The Challenge
- Workersrsquo Compensation Cost OverviewMusculoskeletal Injuries (MSIrsquos)
- 50 of Total Costs are Preventable
- Gaining Leadership Support
- Gaining Participant Support
- Participant Flow
- How do we treat other health care issues
- Slide Number 10
- Screen for Fundamental Movement Ability
- What has been observed
- Injury Validity Functional Movement Screening
- Marines FMS Score Association with Attrition
- Local impact application
- Participant Flow
- Firefighters lsquoAt Riskrsquo Who Completed Intervention Improved
- Slide Number 18
- Movement Limitations across Patterns
- Greatest Movement Limitations Align withEssential Functions of Job(FD T1 was January 2011) (PD T1 was January 2012)
- Program ImpactClear Reduction in Number and Severityof MSIrsquos In One Year
- How Would You Start an FMS Program
- Contact Information
-
copy 2012 Health Fitness Corporation
20 copy 2012 Health Fitness Corporation
20
Greatest Movement Limitations Align with Essential Functions of Job (FD T1 was January 2011) (PD T1 was January 2012)
copy 2012 Health Fitness Corporation
21 copy 2012 Health Fitness Corporation
21
$K $20K $40K $60K $80K
$100K $120K $140K $160K $180K $200K
2000 - 2007
2008 - 2009 2009 - 2010 2010 - 2011 2011 - 2012
$3 $10
$89
$156
$34
$3
$189
$4
$83
$0
Fire Department Police Department
Program Impact Clear Reduction in Number and Severity of MSIrsquos In One Year
FD 318 MSIrsquos totaling $1M average cost per MSI $3145 PD 251 MSIrsquos totaling $807K average cost per MSI $3215
copy 2012 Health Fitness Corporation
22
How Would You Start an FMS Program
bull Create a detailed business plan
bull Follow all HIPAA ADA and other employment laws
bull Get top-down leadership support
bull Communicate effectively to employees eg why is this important to me How will this benefit me
bull Create a detailed tracking procedure
bull Measure success eg musculoskeletal injuries severity of injuries time away from work etc
copy 2012 Health Fitness Corporation
23
Contact Information Larry P Cassella Jr MS Kinesiology Program Manager HealthFitness Phone 9193804449
Fax 9193194567 wwwhealthfitnesscom
Robert J Butler PT PhD Assistant Professor Division of Physical Therapy Department of Community Health and Family Medicine
Associate Director Michael W Krzyzewski Human Performance Lab FIFA F-MARC Center of Excellence Department of Orthopaedic Surgery
Duke University Durham NC 27705 Phone 9196817225 Fax 9196681957
- Can Improvements in Basic Movement Patterns Lower the Cost of Workplace Injuries
- Demographics
- The Challenge
- Workersrsquo Compensation Cost OverviewMusculoskeletal Injuries (MSIrsquos)
- 50 of Total Costs are Preventable
- Gaining Leadership Support
- Gaining Participant Support
- Participant Flow
- How do we treat other health care issues
- Slide Number 10
- Screen for Fundamental Movement Ability
- What has been observed
- Injury Validity Functional Movement Screening
- Marines FMS Score Association with Attrition
- Local impact application
- Participant Flow
- Firefighters lsquoAt Riskrsquo Who Completed Intervention Improved
- Slide Number 18
- Movement Limitations across Patterns
- Greatest Movement Limitations Align withEssential Functions of Job(FD T1 was January 2011) (PD T1 was January 2012)
- Program ImpactClear Reduction in Number and Severityof MSIrsquos In One Year
- How Would You Start an FMS Program
- Contact Information
-
copy 2012 Health Fitness Corporation
21 copy 2012 Health Fitness Corporation
21
$K $20K $40K $60K $80K
$100K $120K $140K $160K $180K $200K
2000 - 2007
2008 - 2009 2009 - 2010 2010 - 2011 2011 - 2012
$3 $10
$89
$156
$34
$3
$189
$4
$83
$0
Fire Department Police Department
Program Impact Clear Reduction in Number and Severity of MSIrsquos In One Year
FD 318 MSIrsquos totaling $1M average cost per MSI $3145 PD 251 MSIrsquos totaling $807K average cost per MSI $3215
copy 2012 Health Fitness Corporation
22
How Would You Start an FMS Program
bull Create a detailed business plan
bull Follow all HIPAA ADA and other employment laws
bull Get top-down leadership support
bull Communicate effectively to employees eg why is this important to me How will this benefit me
bull Create a detailed tracking procedure
bull Measure success eg musculoskeletal injuries severity of injuries time away from work etc
copy 2012 Health Fitness Corporation
23
Contact Information Larry P Cassella Jr MS Kinesiology Program Manager HealthFitness Phone 9193804449
Fax 9193194567 wwwhealthfitnesscom
Robert J Butler PT PhD Assistant Professor Division of Physical Therapy Department of Community Health and Family Medicine
Associate Director Michael W Krzyzewski Human Performance Lab FIFA F-MARC Center of Excellence Department of Orthopaedic Surgery
Duke University Durham NC 27705 Phone 9196817225 Fax 9196681957
- Can Improvements in Basic Movement Patterns Lower the Cost of Workplace Injuries
- Demographics
- The Challenge
- Workersrsquo Compensation Cost OverviewMusculoskeletal Injuries (MSIrsquos)
- 50 of Total Costs are Preventable
- Gaining Leadership Support
- Gaining Participant Support
- Participant Flow
- How do we treat other health care issues
- Slide Number 10
- Screen for Fundamental Movement Ability
- What has been observed
- Injury Validity Functional Movement Screening
- Marines FMS Score Association with Attrition
- Local impact application
- Participant Flow
- Firefighters lsquoAt Riskrsquo Who Completed Intervention Improved
- Slide Number 18
- Movement Limitations across Patterns
- Greatest Movement Limitations Align withEssential Functions of Job(FD T1 was January 2011) (PD T1 was January 2012)
- Program ImpactClear Reduction in Number and Severityof MSIrsquos In One Year
- How Would You Start an FMS Program
- Contact Information
-
copy 2012 Health Fitness Corporation
22
How Would You Start an FMS Program
bull Create a detailed business plan
bull Follow all HIPAA ADA and other employment laws
bull Get top-down leadership support
bull Communicate effectively to employees eg why is this important to me How will this benefit me
bull Create a detailed tracking procedure
bull Measure success eg musculoskeletal injuries severity of injuries time away from work etc
copy 2012 Health Fitness Corporation
23
Contact Information Larry P Cassella Jr MS Kinesiology Program Manager HealthFitness Phone 9193804449
Fax 9193194567 wwwhealthfitnesscom
Robert J Butler PT PhD Assistant Professor Division of Physical Therapy Department of Community Health and Family Medicine
Associate Director Michael W Krzyzewski Human Performance Lab FIFA F-MARC Center of Excellence Department of Orthopaedic Surgery
Duke University Durham NC 27705 Phone 9196817225 Fax 9196681957
- Can Improvements in Basic Movement Patterns Lower the Cost of Workplace Injuries
- Demographics
- The Challenge
- Workersrsquo Compensation Cost OverviewMusculoskeletal Injuries (MSIrsquos)
- 50 of Total Costs are Preventable
- Gaining Leadership Support
- Gaining Participant Support
- Participant Flow
- How do we treat other health care issues
- Slide Number 10
- Screen for Fundamental Movement Ability
- What has been observed
- Injury Validity Functional Movement Screening
- Marines FMS Score Association with Attrition
- Local impact application
- Participant Flow
- Firefighters lsquoAt Riskrsquo Who Completed Intervention Improved
- Slide Number 18
- Movement Limitations across Patterns
- Greatest Movement Limitations Align withEssential Functions of Job(FD T1 was January 2011) (PD T1 was January 2012)
- Program ImpactClear Reduction in Number and Severityof MSIrsquos In One Year
- How Would You Start an FMS Program
- Contact Information
-
copy 2012 Health Fitness Corporation
23
Contact Information Larry P Cassella Jr MS Kinesiology Program Manager HealthFitness Phone 9193804449
Fax 9193194567 wwwhealthfitnesscom
Robert J Butler PT PhD Assistant Professor Division of Physical Therapy Department of Community Health and Family Medicine
Associate Director Michael W Krzyzewski Human Performance Lab FIFA F-MARC Center of Excellence Department of Orthopaedic Surgery
Duke University Durham NC 27705 Phone 9196817225 Fax 9196681957
- Can Improvements in Basic Movement Patterns Lower the Cost of Workplace Injuries
- Demographics
- The Challenge
- Workersrsquo Compensation Cost OverviewMusculoskeletal Injuries (MSIrsquos)
- 50 of Total Costs are Preventable
- Gaining Leadership Support
- Gaining Participant Support
- Participant Flow
- How do we treat other health care issues
- Slide Number 10
- Screen for Fundamental Movement Ability
- What has been observed
- Injury Validity Functional Movement Screening
- Marines FMS Score Association with Attrition
- Local impact application
- Participant Flow
- Firefighters lsquoAt Riskrsquo Who Completed Intervention Improved
- Slide Number 18
- Movement Limitations across Patterns
- Greatest Movement Limitations Align withEssential Functions of Job(FD T1 was January 2011) (PD T1 was January 2012)
- Program ImpactClear Reduction in Number and Severityof MSIrsquos In One Year
- How Would You Start an FMS Program
- Contact Information
-