module 1

Question 1

Manual Tasks training alone is not an effective strategy to reduce risk for injury

Answer 1

MAIN REASON LIFTING TECHNQIUE TRAINING IS NOT EFFECTIVE IS BECAUSE THE RISK FACTORS (PHYSICAL, PSYCHOSOCIAL, WORK/ENVIRONMENT DESIGN) CAUSING THE PROBLEM ARE NOT CHANGED. EVEN IS WORKERS ATTEMPT TO APPLY LIFTING TECHNIQUES, THEY MAY STILL BE EXPOSED TO A SERIOUS INJURY RISK

Question 2

other reasons

Answer 2

REGULARITY/TIME OF TRAINING – STILL NOT PREVENT BACK INJURIES/COST ETC BECAUSE RELIES ON BEHAVIOUR CHANGE,

Question 3

what works?

Answer 3

• Multi-component patient handling intervention:
  1. organizational policy to reduce injuries associated with patient handling (eg no lift),
  2. purchase of lift or transfer equipment
  3. broad-base training on safe patient handling or equipment usage
  4. using a risk management approach
• Exercise training – aerobic and strength
• Lumbar supports don’t work

Question 4

lifts

Answer 4

• Use stoop lift for low lying objects eg pencil. LEAST STRAIN ON KNEES AND ENERGY EXPENDITURE

Question 5

Full squat

Answer 5

• Full squat – light objects from ground level – preferred by LBP. Good for when space is limited and load size doesn’t allow for foot placement either side of the object. GOOD FOR ACL TEARS

Question 6

Semisquat

Answer 6

Semisquat – good compromise between scoop and squat and less likely to injure Lumbar Ligs than stoop – BETTER FOR KNEE AND OA ROM, lower rates of perceived exertion, greater max acceptable weights than squat or stoop. MOST ENERGY EXPENDITURE
-EG EXAM Q, HAVE REDUCED KNEE AND BACK FLEXION ROM

Question 7

F CARER HAS OA OF THE HANDS

Answer 7

– AND CAN’T GRIP – GET A HAND TOWELAND ROLL IT UP SO OPENING UP THE GRIP AND CAN WRAP UP SLIDE SHEET IN HAND TOWEL AND LESS STRESSFUL ON CAREERS HANDS

Question 8

Principles of the Clinical framework

Answer 8

1. Measurement and demonstration of the effectiveness of treatment
2. Adoption of a biopsychosocial approach
3. Empowering the injured person to manage their injury Johnston
   (Applying principles of self-management to facilitate workers to return to or remain at work with a chronic musculoskeletal condition.)
4. Implementing goals focused on optimising function, participation and return to work
5. Base treatment on best available research evidence

Question 9

smart goal for sitting

Answer 9

To increase sitting endurance from 5 to 15’ within 1 week starting today

Question 10

smart goal for driving

Answer 10

To decrease difficulty driving from 8/10 to 5/10 within 2 weeks (ie PSFS)

Question 11

smart goal for return to work

Answer 11

To return to modified work duties in 2 days for 3 hours per day, 3 days per week within 2 weeks

Question 12

Principles of the Clinical framework –
1.Measurement and demonstration of the effectiveness of treatment
Measurement:

Answer 12

Functional outcome measures are of most importance to the insurer, employer and Dr.

Oswestry or Neck Disability Index.

– Pa. and ROM are not predicters of disability and are emasures of impairment or activity limitation

Question 13

Principles of the Clinical framework –

3.Empowering the injured person to manage their injury

Answer 13

Applying principles of self-management to facilitate workers to return to or remain at work with a chronic musculoskeletal condition.

Question 14

Principles of the Clinical framework –

4.Implementing goals focused on optimising function, participation and return to work.

Answer 14

Functional Goals: Understand and be able to apply the steps in establishing a SMART goal. Practice writing some SMART goals. Page 14 provides examples of well constructed SMART goals