Back Care

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OT ADL Adaptations - Back Care

BACK CARE - 1 Dressing: Lower Body

Cross leg tailor fashion to start clothing over foot. May use dressing aids to assist in pulling up. Keep back in neutral position. Avoid arching back or bending. BACK CARE - 2 Bathing Place all items within easy reach to avoid bending and twisting. Use long-handled brush to soap and hand-held shower to rinse off. Step on non-skid floor mat to dry feet off.

Make sure that tub or shower has non-skid bottom, or use rubber mat to avoid slipping. Safety bars are also recommended. Copyright © 1999-2010, VHI

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Routine For: Created By:

OT ADL Adaptations - Back Care

BACK CARE - 3 Grooming: Shaving Legs

Lie on supportive surface, large towel over area. Bring leg toward chest, keeping other leg in position shown. Do not arch back. BACK CARE - 4 Sleeping on Back

Place pillow under knees. A Pillow with cervical support and a roll around waist are also helpful. Copyright © 1999-2010, VHI

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Routine For: Created By:

OT ADL Adaptations - Back Care

BACK CARE - 5 Side-Lying in Bed

To maintain positioning in midline, place pillows between knees and under head. BACK CARE - 6 Home Management: Loading / Unloading Dishwasher

Move dishes in small stacks. Bend your knees, not your back.

For small items, rest arm on counter, opposite leg back.

Stay close to side when sliding shelves. Copyright © 1999-2010, VHI

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Routine For: Created By:

OT ADL Adaptations - Back Care

BACK CARE - 7 Kitchen Sink Height

If unable to touch the bottom of your sink while standing straight, place a dish drainer upside down to raise height of sink surface. BACK CARE - 8 Making Bed Place bed in an area where you can reach all corners without straining. Keep back straight, especially when tucking under corners.

Use extra depth, fitted sheets to avoid tucking. Copyright © 1999-2010, VHI

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Routine For: Created By:

OT ADL Adaptations - Back Care

BACK CARE - 9 Work: Develop Good Habits

Bend knees, not back, when placing items on table surface or refrigerator. Practice this technique until it becomes your new habit. BACK CARE - 10 Gardening

Kneel using well padded cushion to get as close to work as possible. Raised beds allow for back to remain straight. Copyright © 1999-2010, VHI

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Routine For: Created By:

OT ADL Adaptations - Back Care

BACK CARE - 11 Work / Leisure: Wheelbarrow

With one foot slightly forward, bend knees, NOT your back, to pick up or set down. Keep back erect when pushing forward. BACK CARE - 12 Child Care: Changing

Avoid bending over child. Keep back straight. Use changing table whenever possible. Have older child crawl up to lap to dress. Copyright © 1999-2010, VHI

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Routine For: Created By:

OT ADL Adaptations - Back Care

BACK CARE - 13 Child Care: Bathing

Avoid bending over child. Keep back straight. Consider using kitchen counter and sink for quick clean up.

CAUTION: Do not leave child unattended. BACK CARE - 14 Child Care: Pick Up and Carry

Squat down to pick up child, do not bend back. Carry child in cuddle position, avoid resting on one hip. Select stroller that allows you to remain upright when pushing. Copyright © 1999-2010, VHI

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Routine For: Created By:

OT ADL Adaptations - Back Care

BACK CARE - 15 Child Care: Back Carrier

Bend knees and avoid twisting to put on shoulder straps. Straighten knees and keep stomach muscles pulled in to lift carrier off table. BACK CARE - 16 Travel Luggage Select suitcase with wheels. Pack lightly. Avoid lifting heavy luggage into overhead compartments.

Use curbside check-in if available. Copyright © 1999-2010, VHI

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CHART COPY

Routine For: Created By:

BACK CARE - 1 Dressing: Lower Body

OT ADL Adaptations - Back Care

BACK CARE - 2 Bathing

BACK CARE - 3 Grooming: Shaving Legs

Place all items within easy reach to avoid bending and twisting. Cross leg tailor fashion to start clothing over foot. May use dressing aids to assist in pulling up.

Use long-handled brush to soap and hand-held shower to rinse off. Step on non-skid floor mat to dry feet off.

Keep back in neutral position. Avoid arching back or bending.

Make sure that tub or shower has non-skid bottom, or use rubber mat to avoid slipping. Safety bars are also recommended.

Lie on supportive surface, large towel over area.

BACK CARE - 4 Sleeping on Back

BACK CARE - 5 Side-Lying in Bed

BACK CARE - 6 Home Management: Loading / Unloading Dishwasher

Bring leg toward chest, keeping other leg in position shown. Do not arch back.

Move dishes in small stacks. Bend your knees, not your back.

For small items, rest arm on counter, opposite leg back.

Place pillow under knees. A Pillow with cervical support and a roll around waist are also helpful.

BACK CARE - 7 Kitchen Sink Height

To maintain positioning in midline, place pillows between knees and under head.

Stay close to side when sliding shelves.

BACK CARE - 8 Making Bed

BACK CARE - 9 Work: Develop Good Habits

Place bed in an area where you can reach all corners without straining. Keep back straight, especially when tucking under corners. If unable to touch the bottom of your sink while standing straight, place a dish drainer upside down to raise height of sink surface.

Use extra depth, fitted sheets to avoid tucking.

Bend knees, not back, when placing items on table surface or refrigerator.

BACK CARE - 10 Gardening

BACK CARE - 11 Work / Leisure: Wheelbarrow

BACK CARE - 12 Child Care: Changing

With one foot slightly forward, bend knees, NOT your back, to pick up or set down.

Use changing table whenever possible.

Keep back erect when pushing forward.

Have older child crawl up to lap to dress.

Kneel using well padded cushion to get as close to work as possible. Raised beds allow for back to remain straight.

Copyright © 1999-2010, VHI

Practice this technique until it becomes your new habit.

Avoid bending over child. Keep back straight.

Page 1 of 2

CHART COPY

Routine For: Created By:

OT ADL Adaptations - Back Care

BACK CARE - 13 Child Care: Bathing

BACK CARE - 14 Child Care: Pick Up and Carry

Avoid bending over child. Keep back straight.

Squat down to pick up child, do not bend back.

Consider using kitchen counter and sink for quick clean up.

Carry child in cuddle position, avoid resting on one hip.

CAUTION: Do not leave child unattended.

Select stroller that allows you to remain upright when pushing.

BACK CARE - 15 Child Care: Back Carrier

Bend knees and avoid twisting to put on shoulder straps. Straighten knees and keep stomach muscles pulled in to lift carrier off table.

BACK CARE - 16 Travel Luggage Select suitcase with wheels. Pack lightly. Avoid lifting heavy luggage into overhead compartments.

Use curbside check-in if available.

COMMENTS: ADL Adaptations Copyright © 1999-2010, VHI

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