Fishing for Physiotherapists

8/7/2019 Fishing for Physiotherapists

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Harbourside PhysiotherapyHarbourside Physiotherapy

Working with theWorking with the

FISHING INDUSTRY FISHING INDUSTRY

Claire Stevenson MCSPClaire Stevenson MCSP



TypeType of fishing involved in injuriesof fishing involved in injuriesType of fishing

39 %

30 %

18%

5%8%

trawl ing

pots & nett ing

ne t t ing

handlining

other





Preparation of fishPreparation of fish~24% cause of injury~24% cause of injury

Sloping floor alongSloping floor along

length of vessel.length of vessel. Sharp knives/ tools.Sharp knives/ tools.

Speed and agilitySpeed and agility

requiredrequired Slimy wet & repetitiveSlimy wet & repetitive

Prolonged positionsProlonged positions

The Gutting TableThe Gutting Table



Slips Trips and Falls.Slips Trips and Falls.

~13% cause of Injury~13% cause of Injury



Manual Handling:~24 % cause of injuryManual Handling:~24 % cause of injury

Stand with feet apart and bend your knees in order to keepStand with feet apart and bend your knees in order to keepyour back straight when lifting..your back straight when lifting..

Take a firm grip and keep the load as close to your body asTake a firm grip and keep the load as close to your body aspossible..possible..

Lift smoothly and dont twist your body. If you need to turn toLift smoothly and dont twist your body. If you need to turn toone side move your feet..one side move your feet..

Do not reach and lift, slide the load towards you beforeDo not reach and lift, slide the load towards you beforelifting..lifting..

Get help with heavy or awkward items; do not be tempted toGet help with heavy or awkward items; do not be tempted tolift too much.lift too much.



Manual HandlingManual Handling

Follow correct handling whenever possible as advised in mcaFollow correct handling whenever possible as advised in mcahandbook. HOWEVER..handbook. HOWEVER..

Have to handle gear as able, This is Not a Factory or Office,Have to handle gear as able, This is Not a Factory or Office, DEAL SENSIBLY WITH WEATHER, SEA CONDITIONS, VESSELDEAL SENSIBLY WITH WEATHER, SEA CONDITIONS, VESSEL

LAYOUT.LAYOUT. Be prepared, before going onto deck,Be prepared, before going onto deck, As a Physiotherapist be aware of the job requirements, As a Physiotherapist be aware of the job requirements, Often the correct way is not possibleOften the correct way is not possible



Gear Handling ~24% cause of injuryGear Handling ~24% cause of injury

Awkward loads Awkward loads

Easily caught inEasily caught inlines wires and netslines wires and nets

Deck space not Deck space not always clear foralways clear forcorrect handlingcorrect handling



The Skipper.The Skipper.

The Relief Skipper.The Relief Skipper.

Wheel houses are

usually adaptedfor the skipper;often a problemfor the relief

skipper





Compared to the generalCompared to the generalpopulation Fishermen tend topopulation Fishermen tend to

demonstrate:demonstrate:

Marked increased spinal flexion with decreaseMarked increased spinal flexion with decreasespinal extension.spinal extension.

Hypertrophy of spinal extensors.Hypertrophy of spinal extensors. Poor scapula control, with poor posture.Poor scapula control, with poor posture.

Poor fine balance.Poor fine balance.



BalanceBalance..

A tendency for poor fine A tendency for poor finebalance and stability.balance and stability.

fixing at end of range,fixing at end of range,hips, knees, lumbarhips, knees, lumbarspine; especially in badspine; especially in badweather for safety and toweather for safety and tocomplete taskscomplete tasks



Spinal extensionSpinal extension Extensions inExtensions in

lying encouragedlying encouragedwhere possiblewhere possible

before going andbefore going andon returning fromon returning fromdeckdeck

Extension inExtension instanding whilst standing whilst on deck.on deck.





Bunks areBunks are

limited in spacelimited in space

Have to be able to get in and out of theHave to be able to get in and out of thebunk easilybunk easily

Space limited by size of vessel, and abilitySpace limited by size of vessel, and ability

to sleep in rolling seasto sleep in rolling seas



Fishermen tend to trivialise injury,Fishermen tend to trivialise injury,eg when they are hit by a boom oreg when they are hit by a boom or

pulley, caught by wires.pulley, caught by wires.



Need to work and attitude to injuryNeed to work and attitude to injury

A Trawlerman came to the clinic :- unable to gut quick enough.

Presented with a 2 week right radial nerve palsy and was going back to sea.Cause slept heavily on leave already been on 2 trips since.

Left hand showing loss of fingers and long term damage from gear.

A simple cock up splint at least allowed return to sea, with follow up on return.Need; monetary, self employed, essential part of the team.Attitude; just a stuffed wrist, dont want to slip with the knife. Had worse.





ermenermen



For further advice please contact usFor further advice please contact us

[email protected]@[email protected]@tiscali.co.ukwww.harboursidephysiotherapy.co.ukwww.harboursidephysiotherapy.co.uk

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Fishing for Physiotherapists