Clinical & Behavioral-Based Ergonomics

CBES® Course Syllabus and Objectives

Richard W. Bunch, PhD, PT, CBES – Course Founder & Director
Trevor Bardarson, PT, OCS, CBES
Marc Cavallino, MPT, OCS
Maria Adams, PT, CBES
Douglas Swift, MD

Monday - Day 1 CBES® Certification Course
Introduction to Ergonomics and the CBES Approach;
Wellness Interventions; Biomechanics; and Pathology
Time: Topic:
07:30 - 08:00 Registration
08:00 - 09:00 Introduction to the CBES Approach: Integrating Ergonomics and Wellness
09:00 - 10:30 Introduction to Musculoskeletal Disorders (MSDs)
Types of Ergonomic Assessments and Establishing an Ergonomics Program
10:30 - 10:45 Break
10:45 - 12:00 Wellness Interventions
Aging and Work
Preventing Diabetes and Managing the Diabetic Worker
Reducing the Risk of Cardiovascular Disease and Cancer
Effect of Stress on Work and Stress Management
Exercise and Nutrition
12:00 - 01:00 Lunch Break
01:00 - 02:00 MSDs – Biomechanics & Pathology
Sprains and Strains – Trauma vs. Vascular Compression Disorders
Mechanisms of Joint Deterioration (Arthritis)
Key Neurological Changes with Age
02:00 - 03:30 The Spine – Biomechanics and Pathology
03:30 - 03:45 Break
03:45 - 04:30 Effects of Work Postures on the Spine
Tuesday - Day 2: CBES® Certification Course
Office Ergonomics
Time: Topic:
08:00 - 09:00 Upper Extremity Biomechanics and Pathology
09:00 - 10:30 Effects of Office Work & Being Sedentary on Health
Biomechanics of Sitting – Effects on Posture
Understanding Seated Neutral Posture
Conducting and Office Ergonomic Assessment
Achieving the Ideal WorkStation Environment
Ergonomic Chair Design
Ergonomic Assessment and Adjustment of the Chair
Special Seat Considerations for Common Medical Conditions
10:30 - 10:45 Break
10:45 - 12:00 Keyboard and Input Device Adjustments – Optimum Work Zones
Biomechanical Effects of Reaching
Keyboard and Input Device Designs – Effects on Muscle Tension
Arm Support Issues
Foot Rest Issues
Desk and Monitor Designs and Adjustments
Sit/Stand Work Stations – Proper Protocols for Medical Conditions and Age
Treadmill Computer Stations – Pros and Cons
Establishing Proper Monitor Height, Focal Range, and Lighting
The Serious Risks Associated with Bifocal Postures
Proper Use of Laptops
Proper Use of Multiple Monitors and Monitors in Control Rooms
Optimum Set-up for Document Holders, Telephones and Office Lighting
12:00 - 01:00 Lunch Break
01:00 - 03:00 Office Ergonomic Assessment Laboratory
03:00 - 05:00 Issuance of CBES Exam Part I
Wednesday - Day 3: CBES® Certification Course
Field Ergonomics – Part I: Assessing Repetition; Posture: Vibration;
Contact Stress, and Work Environment
Time: Topic:
08:00 - 09:00 Field Ergonomic Risk Factors
Analysis of Repetition- Effect on Muscle
Analysis of Work Cycles
09:00 - 10:30 Analysis of Work Postures
Understanding Standing Neutral Posture
Optimum Safe Horizontal and Vertical Work Zones
Effects of Prolonged Standing & Ergonomic Solutions
WorkStation Design- Impact on Posture
Job Rotation
Tool Design – Impact on Posture
Postural Safety Analysis
10:30 - 10:45 Break
10:45 - 12:00 Ergonomic Interventions to Reduce Postural Stress – High and Low Work
12:00 - 01:00 Lunch Break
01:00 - 02:30 Assessing Postural Risk Factors on the Job – Observation-Based Postural Analysis
Using the Rapid Entire Body Assessment (REBA) Form
02:30 - 02:45 Break
02:45 - 04:30 Vibration – Whole Body and Hand-Arm Vibration
Contact Stress
Preventing Slips, Trips, and Falls
Working in Cold and Hot Weather
Thursday – Day 4: CBES® Certification Course
Force – Lifting, Carrying, Pushing and Pulling; Turning Valves
Time: Topic:
08:00 - 09:00 Static vs. Dynamic Muscle Contractions
Reducing Force on Tools
09:00 - 10:30 Lifting and Back Injuries
Behavioral Risk Factors
Effect on Energy Expenditure and Fatigue
Risk Variables Associated with Lifting
Effects of Increasing the Horizontal Distance of the Load
10:30 - 10:45 Break
10:45 - 12:00 Key Principles of Lifting
WISHA Lifting Analysis
12:00 - 01:00 Lunch Break
01:00 - 03:30 The NIOSH Lift Equation - Principles and Application
Engineering Out Lifting and Carrying -Basic Ergonomics for Material Handling
03:30 - 03:45 Break
03:45 – 04:30 Pushing and Pulling Analyses – The Snook Tables
Ergonomics of Valve Handling
Thursday – Day 5: CBES® Certification Course
Force – Lifting, Carrying, Pushing and Pulling; Turning Valves
Time: Topic:
08:00 - 08:30 On the Job Sequential Stretching for Warm-Up and Posture Relief
08:30 - 09:30 Fitness for Duty Testing Physical Demands Analyses and Ergonomics for Work Accommodations – Compliance with EEOC and the amended ADA
09:00 - 09:45 Break
09:45 - 10:30 To Be an Ergonomist – CBES Course Review Game
10:30 - 11:30 Issuance of the CBES Certification Examination Part II
11:30 - 12:00 Q& A and Review of Post-Course Credentialing Requirements
CBES® Course Objectives:

Upon completion of the CBES course, students will thoroughly understand:

  1. The definition and science of ergonomics and its role in injury prevention and wellness.
  2. Clinical anatomy and biomechanical principles that form the foundation of ergonomics and wellness.
  3. Types of musculoskeletal disorders (MSDs) and illnesses related to poor ergonomics and lifestyles.
  4. Common pitfalls of reactive medicine and best medical management techniques for common MSDs.
  5. Work-related (ergonomic) and lifestyle-related causes of MSDs and illness.
  6. Effects of aging on human performance and work capacities.
  7. How to perform effective office ergonomic assessments.
  8. How to perform effective field ergonomic assessments and apply the NIOSH Lift equation.
  9. The role of ergonomic physical demands validations in job matching (fitness for duty) tests as a key component of validating essential job functions in compliance with EEOC / ADA.
  10. How to apply and integrate ergonomics with behavioral-based and wellness concepts.
  11. How to effectively resolve ergonomic problems with no-cost and low costs interventions.

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