You Just Might Live 100 Years!

1
Reducing Injuries through Flexibility and
Stability
Proactivity Begins With Knowledge

• Rapid escalation in health care and injury costs
• Decline of managed care (high deductibles)
• Shifting responsibility of health back to employee

2
Reducing Injuries through Flexibility and
Stability

• Health care expenditures reached 1.6 trillion in
  2003
• In 2000, 17 million people with diabetes lost
  more than 8 days per year from work, accounting
  for more than 14 million disability days
• Cardiovascular diseases cost the U.S. more than
  300 billion each year
• Approx. 129 million US adults are overweight or
  obese, which costs the nation anywhere from
  69-117 billion per year.

3
Reducing Injuries through Flexibility and
Stability
What Are Employees Seeing?

• Average annual increase of 20
• Pharmaceutical cost at even higher rates
• Plan design changes with the idea of cost
  shifting
• Pharmacy benefits manager carve outs
• Increased co-pays, etc
• Increased deductible
• Health retirement accounts

4
Reducing Injuries through Flexibility and
Stability
What Are Employers Seeing?

• Significant increases is workers compensation
  costs
• Employees remaining off of work for unnecessary
  time periods
• Over-treatment due to lack of objective data
• Poor communication with the treating facilities

5
Reducing Injuries through Flexibility and
Stability

• A study in the American Journal of Industrial
  Medicine reported a pre-existing compromise of
  the median nerve through the carpal tunnel in
  greater than 17 of over 1,000 applicants to
  industrial jobs.
• A study in the medical journal "Muscle and Nerve"
  reports job applicants with a pre-existing
  compromise of the median nerve are 4x as likely
  to develop carpal tunnel symptoms. 

6
Reducing Injuries through Flexibility and
Stability
Cervical Spine
7
Reducing Injuries through Flexibility and
Stability
(Sources BLS 2003a,b Booth-Jones et al.
2003b.)
8
Reducing Injuries through Flexibility and
Stability
AVERAGE TOTAL INCURRED COSTS PER CLAIM BY CAUSE
OF INJURY, 20012002 National Safety Council
Injury Facts 2004
9
Reducing Injuries through Flexibility and
Stability
10
Reducing Injuries through Flexibility and
Stability
What is the Framework for Success?

• Employers/management who want to see change
• An integrated system from hire to fire or
  retire
• Proactive health care
• Risk reduction
• Ongoing health safety education and training
• Wellness / health promotion
• Disease management

11
Reducing Injuries through Flexibility and
Stability
What Do We Do?
Previous Injuries
Prevention Measures
Lifestyle
12
Reducing Injuries through Flexibility and
Stability
Case Studies
13
Reducing Injuries through Flexibility and
Stability
Siemens AG Investment in Health

• Multi-national company with nearly 500,000
  employees in 190 countries
• Spends 200 million a year on health promotion
  and occupational health
• Makes the investment primarily because they
  believe investments in employees always pay
  dividends.

14
Reducing Injuries through Flexibility and
Stability
Siemens AG - Outcomes

• Achieved financial savings by reducing
  absenteeism rates from 4.4 to 3.3 in just two
  years
• The company believes that measurement of
  increased motivation, commitment, and performance
  are other benefits difficult to measure in
  dollars and cents

15
Reducing Injuries through Flexibility and
Stability
ROI Examples

• Since 1980 there have been over 50 studies
  regarding worksite wellness programs reported in
  medical journals
• Every study indicated positive health outcomes
• Of the 50 studies, 30 were analyzed for cost
  outcomes 29 studies proved to be cost effective

16
Reducing Injuries through Flexibility and
Stability
More ROI Examples
Motorolas wellness programs which saves the
company 3.93 for every 1 invested. Northeast
Utilities WellAware Program which in its first 24
months reduced lifestyle and behavioral claims by
1,400,000. Caterpillars Healthy Balance
program which is projected to result in long term
savings of 700 million by 2015. Johnson
Johnsons Health and Wellness Program which has
produced average annual health care savings of
224.66 per employee
Health Project website healthproject.stanford.edu
/koop. Information presented in the report on
notable employee wellness programs was obtained
primarily from this website.
17
Reducing Injuries through Flexibility and
Stability
Flexibility Program

• Motivate
• Evaluate
• Congratulate

18
Reducing Injuries through Flexibility and
Stability
Growing Young The First One Hundred Years
A motivational presentation taking the employee
through the realization that we are outliving our
bodies, and that we each have the power to grow
younger by practicing basic health habits and
living a healthier life.
Motivational Presentation
19
Reducing Injuries through Flexibility and
Stability
Flexibility Assessment
Trained professionals in physical medicine,
exercise physiology, and athletic training, work
together to conduct a personalized flexibility
assessment on each participant. (This uncovers
old injuries and potential factors for predicting
future injuries.)
Personalized Assessment
20
Reducing Injuries through Flexibility and
Stability
Personalized Flexibility Prescription and
One-on-One Coaching Session
Each employee learns the dos and don'ts of
stretching as well as their own personal
flexibility program while learning to perform
their individual exercises correctly.
One on One Coaching
21
Reducing Injuries through Flexibility and
Stability
Acknowledgement and Accountability
Employees are recognized for their efforts based
on the following

• Percent Improvement
• Daily participation
• Presidential Fitness for age/gender

Certificates
22
Benefits of Stretching
Reducing Injuries through Flexibility and
Stability

• Improve Posture
• Increase Flexibility
• Improve Circulation
• Enhance Coordination
• Relieve Stress
• Prevent Injury

23
The Dos Donts of Stretching
Reducing Injuries through Flexibility and
Stability
Dont
Do

• Dont stretch cold muscles-this leads to
  injuries.
• Don't bounce. Bouncing can cause small muscle
  tears, which turn into scar tissue and eventually
  cause increased muscle tightness and pain.
• Dont push past the resistance point. If it
  hurts, you have stretched too far.

• Do hold each stretch for at least 15 seconds and
  perform each stretch twice.
• Do breathe deeply. When you breathe, you allow
  oxygen to flow to your muscles and increase the
  effectiveness of the stretch.

24
Work Smarter Not Harder
Reducing Injuries through Flexibility and
Stability

• By working with your body and not against it.
• By knowing the Dos and Donts of stretching.
• By creating a lifelong habit of Stretching for
  better posture and mobility.

25
Upper Crossed Syndrome
Reducing Injuries through Flexibility and
Stability
Predictable Pattern for shoulder injuries

• 1.) impingement
• 2.) tendonitis
• 3.) bursitis
• 4.) rotator cuff injury.

26
Reducing Injuries through Flexibility and
Stability
Lower Crossed Syndrome
ERECTOR SPINAE
ABDOMINALS
GLUTEUS MIN MAX
ILIOSOAS
HAMSTRINGS
QUADRICEPS
27
Reducing Injuries through Flexibility and
Stability
Its a Chain Reaction
Tying it All together
28
Reducing Injuries through Flexibility and
Stability

• Traction
• Spurs

Nerve Entrapments sciatica carpal
tunnel sprain/strains

• Uneven
• Vertebrae

• Disc Herniations

Spinal Problems

• Sciatica

Preventing ankle, knee, and spine, and shoulder
injuries
Arch Failure
Hip/Balance Problems
Ankle/Knee Problems
29
On-site Training Room
Reducing Injuries through Flexibility and
Stability

• Weekly Onsite Training Room

• On-Call Physician

• Whether a minor ache or debilitating injury, our
  Primary Care Physicians are available via phone,
  e-mail, or emergency onsite visit.
• Network of Physicians includes both Sports
  Physicians and Work Injury Independent Medical
  Examiners

• Licensed Athletic Trainers and Exercise
  Specialists are available for preventive exercise
  counseling and onsite therapy.
• Chiropractic Physical Therapy when indicated.
• Most insurances accepted.

30
Reducing Injuries through Flexibility and
Stability
Effects of Plastic Deformation
Over time, continued collapse of an already Weak
arch, furthers the break down of the Supportive
soft tissue. The bodys response is to replace
the soft tissues with painful scar tissue.
Prevent disabling foot injuries
31
Reducing Injuries through Flexibility and
Stability
Causes of Pronation
32
Reducing Injuries through Flexibility and
Stability
Our division won the national safety award for
2006 (and 2007), and year-to-date, we have no
related injuries reported. Flex For Health, is
a major reason for our success! Rich
Galloway, Regional Operations Manager
33
Reducing Injuries through Flexibility and
Stability
The injury prevention program has been a
tremendous asset to our athletes. Denny
Throneburg, Athletic Director Lakeland College
34
Reducing Injuries through Flexibility and
Stability
Our company has had no work injuries for over 3
years at the time of this letter. I dont know
why anyone in business today wouldnt use these
preventative strategies to stop the financial
bleeding cause by work injuries. Mark Blank,
Owner Culligan Water Conditioning
35
Reducing Injuries through Flexibility and
Stability
Wellness Classes

• The Truth about Your Weight
• Beating Diabetes
• Living in an Inflammation Nation
• Beating Heart Disease Naturally
• The Pharmaceutical Myth