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Positioning and Posture

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DMD Sim Clinic Orientation - Posture

Positioning – clinician, assistant and patient.

Correct /ergonomic positioning reduces muscular strain, improves posture reduces stress and allows the clinician to work efficiently and more likely to concentrate on quality work.

If the clinician is right handed they should be seated in the 11o’clock position with the patient’s head in the 12 o’clock position and the assistant in the 2 o’ clock position.
The clinician should aim to work within the 8 to 11 o’clock range and not cross over the 12 o’clock position as this compromises the position of the assistant making it difficult for them to see intraorally. This compromises the assistant’s ability to retract and suction hence increases the risk of injury and discomfort for the patient.

[pic] Fig 1: Positioning for right handed clinician.

Positioning for a left handed clinician is the mirror image of the above position. The clinician should sit between 1 o’clock and 4 o’clock whilst the assistant sits between 8 and 10 o’clock.

Clinician’s position • Feet flat on the floor • Thighs parallel to the floor • Back straight • Shoulders parallel to the floor • Elbows close to the body • Viewing distance of 30-40 cms from focal point. (Loupes can improve posture as they encourage you to sit further back away from patient in order to focus).

Assistant’s position

• Close as possible to the patient • Thighs parallel to patient’s chair • Knees even with the end of the patient’s head rest • Feet on the ring of the assistant’s chair • Eye level 10 – 15 cms above clinician’s

Patient Position

• Ensure the top of the patient’s head is even with the end of the head rest • Midline of the patient’s body is in the midline of the chair

Upper arch – back of chair is flat,…...

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