Musculoskeletal Risk Management



JUNE 23, 2018



Employee work-related injuries occur in both sedentary and active job employee populations. Studies show there are undetected levels of asymmetries, tensions, imbalances, and restrictions that can predispose an employee to increased risk of injury and decreased performance if left undetected and unaddressed. 

The key to long-term musculoskeletal health (how optimal our muscles and joints are aligned and working properly) and freedom from pain, is to realign the body, restore proper movement and motion to the muscles and joints where it’s needed most, and continually reassess to address imbalances and restrictions before they become a problem. Industry and workforce requires a proactive solution for the employer to address risk and mitigate injury, while improving employee health, increasing work performance and reducing workers comp claims.


Develop a sustainable and scalable employee evaluation program that provided an effective and efficient musculoskeletal evaluation for Turner Industries’ Key Employee Population. This evaluation program required a process to address the orthopedic health of employees, have a quantitative baseline in case of injury, and allow for the implementation of an interventional corrective program to address individual employee vulnerabilities to improve and sustain work performance for the lifetime of each employee.


The Risk Mitigation Program involved a 117-person Target Employee Population selected by Turner Industries. This program provided employees with a condensed workforce evaluation comprised of ranges of motion assessments commonly utilized throughout the orthopedic and allied health professions for injury rehabilitation. 

The condensed workforce evaluation was performed on site, was non-exertional, had no upfront implementation costs, and was non-invasive, giving employees the ability to remain in their work attire with only removing their shoes. The evaluation used an FDA / TGA approved measurement device, collecting over 50 measurements on each employee in under 20 minutes. All data was inputted into the Kinesics PACE Software, a HIPAA compliant app, to identify the greatest vulnerabilities for injury. Coinciding with industry related medical standards, all range of motion (ROM) measurements were categorized as Severely restricted (<45% ideal ROM), Moderately restricted (46-89% of ideal ROM), and Ideal (90-100% of ideal ROM). 


Within 1 minute, the results were reviewed with the employee within the app via easy-to-understand graphs and percentages.The employees were then given an individualized customized flexibility and mobility program containing 3-5 activities, that could be performed on the job and throughout the day, addressing their body’s most prevalent restrictions.

All 117 employees were then re-assessed 4 months post-initial evaluation. Re-assessments averaged 18 measurements per employee, targeting the top severe restrictions identified in the initial evaluation, to gauge progress, quantify changes, and validate interventional strategies, as well as employee compliance.


Proper proactive evaluations related to the levels of mobility and flexibility of an employee’s muscles and corresponding joints can give a highly accurate summation of overall risk, as well as identify specific body regions and ranges of motion that can predispose that employee to risk of injury, reduced job safety, and overall decreased performance.

Results showed the importance of collecting biomechanical data on employees for the ability to not only identify individual employee areas of risk, but quantify risk in overall groups and subsets of employees as well.

Conducting industry standard and medically approved objective ROM measurements, along with utilizing the Kinesics Software to collect and analyze the data, allowed for a highly efficient evaluation process to identify these areas of risks, as well as the effective implementation of individualized customized flexibility and mobility programs. This proved to decrease restrictions and restore proper movement and motion within both high and low exertion employees across all areas of the body.

Detailed Results

Upon initial evaluation of the 117 employees, there were 5,827 measurements taken for an average of 50 ROM measurements collected per employee. Each employee then underwent 4 months of customized flexibility and mobility activities performed on their own each day. Upon a 4-month re-assessment of each employee’s most severe measurements, there were 2,102 measurements collected.

  • Results showed:

    • 5% DECREASE (288 measurements) in Severe restrictions

    • 1% DECREASE (81 measurements) in Moderate restrictions

    • 6% INCREASE (369 measurements) in Ideal ranges of motion 

  • General Labor Employee group showed a:

    • DECREASE of 165 Severe restrictions

    • DECREASE of 37 Moderate restrictions

    • INCREASE of 219 measurements into the Ideal category

  • Office (low exertion) Employee group showed a:

    • DECREASE of 123 Severe restrictions

    • DECREASE of 44 Moderate restrictions

    • INCREASE of 150 measurements into the Ideal category.

  • Categorically, the following results were found upon the 4-month re-assessment of SEVERELY RESTRICTED RANGES OF MOTION for overall Employee Population:

    • 40% DECREASE in Head and Neck severely restricted measurements

    • 100% DECREASE in Arm / Shoulder severely restricted measurements

    • 84% DECREASE in Low Back and Pelvis severely restricted measurements

    • 46% DECREASE in Leg / Hip severely restricted measurements

    • 72% DECREASE in Mid Back severely restricted measurements


Change in Total % of Ideal by Measurement:

First Evaluation to 4 Month Re-assessment


The Change in % of Ideal for each ROM measurement is based on a subset of the total employee population in which data was collected at both the initial evaluation and the 4-month re-assessment.

Change in Total % of Ideal by Body Index:

First Evaluation to 4 Month Re-assessment

The Change in % of Ideal for each Body Index is based on averaging the results from ROM data collected on a subset of the total employee population in which data was collected at both the initial evaluation and the 4-month re-assessment.