Occupational Rehab 1.

Question 1

Occupational Rehabilitation/ Industrial Rehab

Answer 1

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

Question 2

?What is the Physical Demand Frequency? (4)

Answer 2

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

Question 3

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

Answer 3

Musculoskeletal disorder

Question 4

What is the Workers Compensation system?

Answer 4

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

Question 5

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

Answer 5

Functional exercises : related to the job

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

Question 6

What 3 things are important in early intervention?

Answer 6

Graded exercise
Education
Functional training

Question 7

What is the goal of Occupational Rehab?

Answer 7

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

Question 8

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

Answer 8

1-single discipline

2-multidisciplinary

Question 9

Occupational Rehab 1= ?

How many times?

Answer 9

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

Question 10

Occupational Rehab 2= ?

How many times?

Answer 10

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

Question 11

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

Answer 11

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

Question 12

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

Answer 12

-job demands

Question 13

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

Answer 13

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

Question 14

_____ ___ 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)?

Answer 14

Work Hardening

Question 15

Work hardening address which 4 issues ?

Answer 15

• productivity,
• safety,
• physical tolerances,
• worker behaviors

Question 16

Criteria for Work Hardening?

Answer 16

• 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

Question 17

Difference between Work CONDITIONING and HARDENING?

Answer 17

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

Question 18

___ ___ is important to because it simulates CRITICAL JOB DEMANDS

Answer 18

Work Simulation

Question 19

Difference between NO-TIME LOSS CLAIMS and TIME LOSSS CLAIMS

Answer 19

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

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

Question 20

What are some Psychosocial Factors?

Answer 20

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

fears/concerns about RTW (returning to work)

Question 21

Why is Goal setting important?

Answer 21

-suggest that CHANGE IS POSSIBLE

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

Question 22

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

Answer 22

INTERNAL: outcomes in your control, determined by hard work

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

Question 23

Kinesiophobia

Answer 23

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

Question 24

What are the parts to the avoidance model?

Answer 24

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

Question 25

What are some contributing factor to Kinsesiophobia?

Answer 25

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

Question 26

How do you treat kinesiophobia?

Answer 26

Cognitive behavioural Therapy

Question 27

What are 4 of WADDELL’S Signs?

Answer 27

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

Question 28

What is RSI?

what are some risk factors?

Answer 28

Repetitive Strain Injury

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

Question 29

Ergonomics=

Answer 29

Work environment

Question 30

What are some Red flag symptoms?

Answer 30

pain is not:

• eased by change of position
• nights rest
• faitgue

Question 31

What are 8 General Ergonomic Risk factors?

Answer 31

vibration
faitgue
other factors
akward positioning
-repetition
-force
-contact stress

Question 32

What are 3 common awkward postures?

Answer 32

bending
twisting
reaching

Question 33

What is the goal of an ergonomic intervention?

Answer 33

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