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Module 2 · Your Back and How It Gets Injured0% complete · 19 slides left
Manual Handling Course
Manual Handling Course
Module 2
This course contains audio. Use headphones in public places.
Lesson Objectives

In this lesson we look at the main components of your back, the different types of back injury, and how your own behaviour adds to the risk of injuring it.

Components of the Back

Your back is a complex structure, made up of many parts. Three of them matter most here. The spine. The nerves. And the muscles, ligaments and tendons that support it all.

The Spine

The main bone in your back is your spine. It provides the structural support for your whole body, and it is made up of bones called vertebrae, with intervertebral discs in between them.

Nerves

The main nerve in your back is the spinal cord. The spinal cord is what connects the nerves in every part of your body back to your brain.

Muscles, Ligaments and Tendons

The supporting muscles, ligaments and tendons in your back all connect to the spine. Together they are what allow your body to move, to bend, and to hold a whole range of positions.

The Spine

The spine runs all the way from the skull down to the pelvis. It is made up of thirty-three interlocking bones called vertebrae, stacked one on top of the other, forming a slight curve in the shape of the letter S.

Spine

Between the vertebrae lie the intervertebral discs. Each disc contains a gel-like material that works as a shock absorber. When you lie down, the discs draw fluid back in, and that takes the pressure off the spine.

Discs

The vertebrae are separated by these discs, and that is the weight bearing part of the spine. The discs are filled with a jelly-like substance, and they act as your back's shock absorber. They absorb fluid when you lie down, which removes pressure from the spine.

The Spinal Cord (Nerves)

The spinal cord runs from the base of the brain, about two thirds of the way down the spine. From it, nerves branch out through small gaps between the vertebrae and connect with nerves throughout the whole body. Any tissue that presses on a nerve can cause pain. An inflamed muscle, for example, or a herniated disc.

Muscles, Ligaments and Tendons

So what do they actually do? Ligaments hold bones together at the joints. Tendons attach muscles to bones. And muscles have the ability to contract and relax. Three different jobs, working together.

Injuries
Injuries

A ligament sprain happens when a ligament is stretched or torn, usually from a direct injury or a sudden twist of the joint. You strain a muscle by stretching it too far, causing tiny tears in the tissue. The muscle is then weakened, and it may not hold the bones of your spine in place properly. That is what causes lower back pain. And muscles fatigue if they are never allowed to rest and recover.

How Is the Back Injured?

Sometimes the back is injured by a single incident. Lifting something far too heavy, for example. But usually, an injury to the back is the result of cumulative misuse. Repeated poor postures and poor movements, carried out over months or years, that slowly damage your back.

Examples of Cumulative Misuse

Poor posture. Task repetition. An inactive lifestyle. Poor handling technique. All of these are examples of cumulative misuse. A poor technique, such as twisting while you lift, places your back, your arms and your neck under pressure. Over time, those movements cause real injury.

Task Repetition

Task repetition means a task done over and over, continuously. Packaging, or sorting, for example. Repeated tasks increase the risk of injury, because you are putting the same strain on the same set of muscles, again and again.

Poor Posture

Poor posture, whether you are sitting or standing, increases the strain on your back and your neck. Bad posture may not cause you any discomfort in the short term. But continual bad posture causes back pain in the long term. Your back muscles support your spine, so good posture makes problems far less likely.

Inadequate Body Alignment

If you carry excess weight and spend most of your time inactive, you are more likely to do harm to your back. Extra weight places additional strain on the load bearing joints. Regular exercise is essential to keep muscles and joints resilient. An inactive lifestyle does the opposite. It weakens them.

Question

Three of the following statements are correct. Take a moment, and choose the one that is not.

Which statement is NOT correct? Select one answer, then press Check.
The back doesn't always give warning signs that injury is occurring.
Manual handling injuries mostly affect the back.
Injuries to the back heal very quickly.
Most back problems result from cumulative misuse and not a one-off incident.
Correct. Back injuries do not heal quickly. They can take a long time to recover and can cause lasting problems, which is why prevention matters.
Not quite. That statement is true. Look for the one that is not.
Summary

To summarise. Your back consists of bones, the vertebrae; nerves, the spinal cord; and the supporting muscles, ligaments and tendons.

Sometimes the back is injured in a one-off incident, but usually back problems are the result of cumulative misuse.

Poor posture, an inactive lifestyle, task repetition and poor handling technique are all examples of that.

Knowledge Check
Most back problems at work are the result of what?
Select one answer, then press Check.
A single one-off accident
Cumulative misuse over months or years — poor posture, repetition and poor technique
Cold weather
Being tall
Correct. Back problems are usually cumulative — the result of poor posture, repetition and poor handling technique over time, not one incident.
Not quite. Think back to the summary: most back injuries build up over time.
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