Occupational Rehab 1. Flashcards
Occupational Rehabilitation/ Industrial Rehab
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
?What is the Physical Demand Frequency? (4)
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
What disorder is common among workers in physical jobs (but office workers also sometimes sustain this injury)?
Musculoskeletal disorder
What is the Workers Compensation system?
provides compensation for employees who are injured in the course of employment and is governed by the Workers “Compensation Act”
What part of “return to work” (RTW) exercises is important?
Functional exercises : related to the job
-activities required to prepare the injured worker for return to work
What 3 things are important in early intervention?
Graded exercise
Education
Functional training
What is the goal of Occupational Rehab?
- Safe, succesfull and sustainable returning back to employment
- prevention of re-injury
What is the difference between O.R. 1 and O.R. 2 ?
1-single discipline
2-multidisciplinary
Occupational Rehab 1= ?
How many times?
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
Occupational Rehab 2= ?
How many times?
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
What are some Common Work-Related MSK (musculoskeletal) Conditions ?
- Muscular strains
- Contusions
- Lower back pain
- Shoulder injuries
- Knee or ankle sprains
- Fractures
- Repetitive strain injuries
It’s important to know the __ ___ of the job that the worker will be retrying to to determine work-readiness, and the RTW plan
-job demands
What 3 parts are there for exercise programs when returning back to work?
- specific exercise
- general fitness
- functionally related (work hardening, work simulation)
_____ ___ 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)?
Work Hardening
Work hardening address which 4 issues ?
- productivity,
- safety,
- physical tolerances,
- worker behaviors
Criteria for Work Hardening?
- 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
Difference between Work CONDITIONING and HARDENING?
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
___ ___ is important to because it simulates CRITICAL JOB DEMANDS
Work Simulation
Difference between NO-TIME LOSS CLAIMS and TIME LOSSS CLAIMS
No time loss claims – worker continues to work but receives treatment if necessary
Time loss claims – worker off work, wage loss benefits, treatment costs
What are some Psychosocial Factors?
- work organization
- workers’ character traits
- perceptions about work
fears/concerns about RTW (returning to work)
Why is Goal setting important?
-suggest that CHANGE IS POSSIBLE
:realistic and achievable, setting up client for success
-improves self-efficacy ( belief in one’s own abilities)
There are 2 types of Locus of Control: what are they ?
INTERNAL: outcomes in your control, determined by hard work
EXTERNAL: outcomes determined by fate, independent of hard work or decisions
Kinesiophobia
an irrational fear of activity, often related to concern of reinjury
What are the parts to the avoidance model?
- painful experience
- fear of movement/injury
- physiological reactivity
- avoidance
- disability
What are some contributing factor to Kinsesiophobia?
- Patient’s previous experiences
- Patient’s understanding of the pathology
- Personality – catastrophizing, sense of self efficacy and control
- Mood – depression
How do you treat kinesiophobia?
Cognitive behavioural Therapy
What are 4 of WADDELL’S Signs?
- superficial tenderness
- axial loading (pressing down on patients head)
- Pain on simulated rotation
- overreaction
What is RSI?
what are some risk factors?
Repetitive Strain Injury
Awkward postures or positions Cold or vibration Repetition Force Activities involving pinch grip Work stress
Ergonomics=
Work environment
What are some Red flag symptoms?
pain is not:
- eased by change of position
- nights rest
- faitgue
What are 8 General Ergonomic Risk factors?
vibration faitgue other factors akward positioning -repetition -force -contact stress
What are 3 common awkward postures?
bending
twisting
reaching
What is the goal of an ergonomic intervention?
goal is to IDENTIFY and REDUCE or ELIMINATE RISK FACTOS for MSK
