Occupational Rehab 1. Flashcards

1
Q

Occupational Rehabilitation/ Industrial Rehab

A

is the science and practices of safely returning injured workers to a level of work activity that is appropriate to their functional and cognitive capacity

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2
Q

?What is the Physical Demand Frequency? (4)

A

Never – Activity or condition does not exist

Occasionally – Up to 1/3 of the day

Frequently – ½ to 2/3 of the day
Constantly – 2/3 to full day

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3
Q

What disorder is common among workers in physical jobs (but office workers also sometimes sustain this injury)?

A

Musculoskeletal disorder

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4
Q

What is the Workers Compensation system?

A

provides compensation for employees who are injured in the course of employment and is governed by the Workers “Compensation Act”

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5
Q

What part of “return to work” (RTW) exercises is important?

A

Functional exercises : related to the job

-activities required to prepare the injured worker for return to work

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6
Q

What 3 things are important in early intervention?

A

Graded exercise
Education
Functional training

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7
Q

What is the goal of Occupational Rehab?

A
  • Safe, succesfull and sustainable returning back to employment
  • prevention of re-injury
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8
Q

What is the difference between O.R. 1 and O.R. 2 ?

A

1-single discipline

2-multidisciplinary

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9
Q

Occupational Rehab 1= ?

How many times?

A

structured, active rehabilitation program focused on return to work through
=physical and functional conditioning, education, and support

  • 4 hrs/day
  • 5/week
  • 30 business days
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10
Q

Occupational Rehab 2= ?

How many times?

A

who may have vocational, psychosocial and/or medical barriers to return back to work,

  • or have been unsuccessful in returning to work
  • 6 hrs/day
  • 5/week
  • 50 business days
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11
Q

What are some Common Work-Related MSK (musculoskeletal) Conditions ?

A
  • Muscular strains
  • Contusions
  • Lower back pain
  • Shoulder injuries
  • Knee or ankle sprains
  • Fractures
  • Repetitive strain injuries
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12
Q

It’s important to know the __ ___ of the job that the worker will be retrying to to determine work-readiness, and the RTW plan

A

-job demands

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13
Q

What 3 parts are there for exercise programs when returning back to work?

A
  1. specific exercise
  2. general fitness
  3. functionally related (work hardening, work simulation)
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14
Q

_____ ___ is a highly structured goal-oriented treatment program that uses real or simulated work activities designed to restore physical, behavioral, and vocational functions.

(Work: conditioning, hardening, simulating)?

A

Work Hardening

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15
Q

Work hardening address which 4 issues ?

A
  • productivity,
  • safety,
  • physical tolerances,
  • worker behaviors
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16
Q

Criteria for Work Hardening?

A
  • has to be able to do the program min. 4 hours/day, 2-5 days/week
  • GOAL needs to be identified
  • injury is less than 2 years
17
Q

Difference between Work CONDITIONING and HARDENING?

A

W.C= Utilizes physical conditioning and functional activities related to work
-Often NOT job attached

W.H.= Utilizes real or simulated work
-Usually job attached or job target

18
Q

___ ___ is important to because it simulates CRITICAL JOB DEMANDS

A

Work Simulation

19
Q

Difference between NO-TIME LOSS CLAIMS and TIME LOSSS CLAIMS

A

No time loss claims – worker continues to work but receives treatment if necessary

Time loss claims – worker off work, wage loss benefits, treatment costs

20
Q

What are some Psychosocial Factors?

A
  • work organization
  • workers’ character traits
  • perceptions about work

fears/concerns about RTW (returning to work)

21
Q

Why is Goal setting important?

A

-suggest that CHANGE IS POSSIBLE

:realistic and achievable, setting up client for success
-improves self-efficacy ( belief in one’s own abilities)

22
Q

There are 2 types of Locus of Control: what are they ?

A

INTERNAL: outcomes in your control, determined by hard work

EXTERNAL: outcomes determined by fate, independent of hard work or decisions

23
Q

Kinesiophobia

A

an irrational fear of activity, often related to concern of reinjury

24
Q

What are the parts to the avoidance model?

A
  • painful experience
  • fear of movement/injury
  • physiological reactivity
  • avoidance
  • disability
25
Q

What are some contributing factor to Kinsesiophobia?

A
  • Patient’s previous experiences
  • Patient’s understanding of the pathology
  • Personality – catastrophizing, sense of self efficacy and control
  • Mood – depression
26
Q

How do you treat kinesiophobia?

A

Cognitive behavioural Therapy

27
Q

What are 4 of WADDELL’S Signs?

A
  • superficial tenderness
  • axial loading (pressing down on patients head)
  • Pain on simulated rotation
  • overreaction
28
Q

What is RSI?

what are some risk factors?

A

Repetitive Strain Injury

Awkward postures or positions
Cold or vibration
Repetition 
Force
Activities involving pinch grip
Work stress
29
Q

Ergonomics=

A

Work environment

30
Q

What are some Red flag symptoms?

A

pain is not:

  • eased by change of position
  • nights rest
  • faitgue
31
Q

What are 8 General Ergonomic Risk factors?

A
vibration
faitgue
other factors
akward positioning
-repetition
-force
-contact stress
32
Q

What are 3 common awkward postures?

A

bending
twisting
reaching

33
Q

What is the goal of an ergonomic intervention?

A

goal is to IDENTIFY and REDUCE or ELIMINATE RISK FACTOS for MSK