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ivorheadache  
#1 Posted : 16 August 2011 11:38:45(UTC)
Rank: Forum user
ivorheadache

Hi guys. Another DSE related question here.

Does anyone know the main difference between a "posture" chair and an "orthopaedic" chair, and what circumstances you would recommend them? To date, most of our staff who have back problems are normally happy with a "posture" we order from our supplier. However, I am dealing with 1 user at the moment who's GP has stated an "orthopaedic" chair. Our suppliers have both.

I don't deal directly with our suppliers so before I start asking via the chain of command (which should take an age), I'd thought I'd ask the question here.

Thanks if you can help.
HSSnail  
#2 Posted : 16 August 2011 11:53:54(UTC)
Rank: Super forum user
HSSnail

IVOR

apologies if I am telling you something you know, but take care with a 1 size fits all approach for someone who has serious back issues.

We are all individuals and a so called posture chair or orthopaedic chair that suits one person will not suit another. For most of us a chair that can be adjusted in accordance with the VDU guidance is fine, but for others you will need a specific seat pan suited to the leg length and the back height to suit the person etc.

If this person has serious back issues get an ergonomist to assess the needs. Some of the bigger chair companies will do this, but don't just accept an off the shelf chair from a catalogue.

Brian
Ron Hunter  
#3 Posted : 16 August 2011 12:29:36(UTC)
Rank: Super forum user
Ron Hunter

I think you may be in the realm of undefined terms here. A bit like anyone being able to call themselves a Health and Safety Adviser, any chair could be described as having orthopaedic properties.
A bit of a meaningless adjective really?
KieranD  
#4 Posted : 16 August 2011 13:26:42(UTC)
Rank: Guest
Guest

An 'orthopaedic' chair is one that reliably provides postural, anatomical and task support to its user.

If the employee has a chronic condition, you may risk a claim under the Equality Act 2010 for failing to make a reasonable adjustment.

You can reduce the risk of such a claim by commissioning a qualified safety ergonomist (i.e. Eur Erg or MIEHF who is also a CMIOSH) to provide a suitable chair specification for you.

Should any claim arise for damages and a report by an expert witness (who is very likely to be a safety ergonomist) is required, this is likely to be all you need to demonstrate credibly you've made 'reasonable adjustments' as far as reasonably practicable.
ivorheadache  
#5 Posted : 16 August 2011 13:57:11(UTC)
Rank: Forum user
ivorheadache

Thanks for the responses.

Agreed Brian with the 1 size fits all statement. This is why I am asking the question. If I recommend a chair, I will re-assess after a couple of weeks and in most cases the new "posture2 chair was fine. This includes a user with Spina Biffida. I ask her Manager to check frequently and all is well.

We have the option to get further advice in normally from the supplier and in this case I may need to. The question was a general one to see if anyone knows the difference.

Thanks Kieran. Your post puts it into perspective.
bob youel  
#6 Posted : 16 August 2011 15:09:29(UTC)
Rank: Super forum user
bob youel

Ivor have a relook at what has been said especially by Kieran D as U appear to be saying 'thanks but I will go ahead anyway with ordering a chair without getting competent advice'
kenty  
#7 Posted : 16 August 2011 15:14:42(UTC)
Rank: Forum user
kenty

the difference between the two types is minimal. The main thing is to find out what the persons exact problem is and research / find a chair that provides the best support for that area of the body.

As kieran advised seek some professional help with this issue as i suspect it is beyond the realms of most safety professionals.
ivorheadache  
#8 Posted : 16 August 2011 16:50:26(UTC)
Rank: Forum user
ivorheadache

Bob, I agree with kieren. Sorry if it didn't come across that way. This is the whole point of asking here to get the advice. I'm sure you guys must appreciate that as with most large companies, the difficulty is to chage the culture especially where we have inherited it from the previous H&S team.

In this case, from your advice, I have sent out various emails making the recommendation to get in the expert advice in.

I will definately bring this subject up at our next H&S meeting.

Thanks again for all the responses
flukey  
#9 Posted : 17 August 2011 09:12:26(UTC)
Rank: Forum user
flukey

ivorheadache wrote:
Hi guys. Another DSE related question here.

Does anyone know the main difference between a "posture" chair and an "orthopaedic" chair,

Yep- about £300!

Sorry, couldnt resist
Graham Bullough  
#10 Posted : 17 August 2011 14:48:20(UTC)
Rank: Super forum user
Graham Bullough

From what I recall of a leaflet I saw recently by the British Osteopathic Association, the word "orthopaedic" is very widely used (misused?) by manufacturers and advertisers as an adjective for commercial products such as beds and chairs, etc. Therefore, in the absence of supporting medical evidence, the term in relation to such products should tend to be interpreted as meaning no more than "firm".

Also, just to add a touch of confusion, some products are described as "posturepaedic" or similar.

Some years ago, a friend of mine with a bad back started a new job in an office. The chair she was given was a rigid one or one with little scope for adjustment. She said she had a bad back and asked for an adjustable chair to help her avoid back problems. The boss didn't seem too pleased with this request but said he would obtain an appropriate chair. Some considerable time elapsed, and my friend wondered what was causing the delay in obtaining a conventional adjustable chair. As the boss wasn't the most approachable of people, my friend was wary of asking him about progress. Some weeks later he produced a sophisticated "orthopaedic" (might even have been "posturepaedic"!) chair and said it had cost a lot of money. My friend decided it was best not to tell him that that she had only asked for an adjustable chair and didn't need a fancy expensive "orthopaedic" one.

The reasons for mentioning the above tale in relation to work seating generally are 1) to suggest considering the condition and adequacy of the chairs already provided, and 2) to advise against assuming that all employees with bad backs or other conditions, diagnosed or otherwise, need expensive orthopaedic type chairs. Some may genuinely do so, but others may be happy with chairs which they can adjust and set to match their requirements. Also, obtaining professional advice from a physiotherapist, osteopath or similar practitioner may well be appropriate in some cases.

p.s. Ivor - no doubt some forum users hope that your headache has eased by now!
KieranD  
#11 Posted : 17 August 2011 16:38:59(UTC)
Rank: Guest
Guest

'Ivorheadache'

The value (economic and cultural) of engaging a professional scientifically qualified is that he/she is now effectively obliged to disentangle the linguistic confusion of the kind you refer to. Not only in relation to 'postural' and 'orthopaedic' but also in relation to 'safety culture', which a competent scientist treats an as a set of independent variables which not only influence but can be influenced.

In the case you cite, should your organisation choose to engage a qualified safety ergonomist, you can specify that you expect a report to pinpoint any relevant BS/EN/ISO standards the required chair should meet; and that it should also indicate any relevant adjustments to the tasks of the disabled employee as well as exercises (known as 'pause gymnastik') he/she can do briefly while seated, in order to relieve postural strains from time to time during the working day.

I don't know of any published evidence that safety professionals can't afford to commission a specialist, any more than any other professionals but in the event that there is a ££ issue, you have two courses of action to consider. One is the set out the costs/benefits as you see them to senior management, who are paid to assume legal responsibility in such cases (rather like senior management in News of the World were, when they commissioned Harbottle and Lewis, who four years later are reminding them publicly about their responsibility in this respect). The other is to advise the disabled employee of his/her rights to ask for ££ help from the Department of Work and Pensions under the Access to Work scheme. They can be very helpful at times, for sums greater than £300.
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