OCCUPATIONAL REHAB Flashcards

1
Q
  • Occupational Rehab:
A

The practice 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

Work related disorder

A

injury or disease that is a result of working

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3
Q

Work-related disability:

A

Prevents an employee from performing their duties for 90 days or longer (concurrently) or for 120 days in a 12-month period

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4
Q
  • Worker’s Compensation:
A

: Legislation that provides compensation for employees injured at work

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5
Q

Sedentary

A

exerting 10 lbs of force occasionally, involves frequent sitting, occasional walking and standing

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6
Q

Light

A

exerting 10 lbs frequently and 20 lbs occasionally

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7
Q

Medium:

A

exerting 10 to 25 lbs frequently and 20 to 50 lbs occasionally

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8
Q

Heavy

A

exerting 10 – 20 lb constantly, 25 – 50 lb frequently and 50 – 100 lb occasionally

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9
Q

Very Heavy

A

exerting more than 20 lb constantly, 50 lb frequently and 100 or more lb occasionally

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10
Q

Physical demand frequency

A

Never: Activity or condition does not exist
Occasionally: Up to 1/3 of the day
Frequently: 1/2 to 2/3 of the day
Commonly: 2/3 to full day

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11
Q

· WorkSafeBC

A

· Legislation that provides compensation for employees injured at work
* Assesses claims, requires employers to pay premiums, creates standards for workplaces, etc.
· To keep worker’s safe
· To help a worker get treatment and get back to normal life/work when an injury does happen

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12
Q

WorkSafeBC duties

A

· Education
· Prevention
· Compensation
· Support
· Insurance for workers and employers

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13
Q

· Common work-related conditions:

A

· Muscular strains
· Ligament sprains
· Contusions or lacerations
· Fractures
· Mechanical Low Back Pain*
· Repetitive strain injuries*

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14
Q

· Mechanical LBP (definition & treatment):

A

· Non-specific term
· LBP arising from muscles, joints and/or ligaments
· Diagnosis after exclusion of more serious pathologies
· Suggests there is a mechanical treatment possible to treat the condition

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15
Q

TX for mechanical LBP

A

Modalities initially for pain relief, Exercises, Manual Therapy, Education about body mechanics and lifting, Consulting with physician, case manager, employer, occupational therapist, Chronic pain management, psychologist

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16
Q

· RSI (general risk factors

A

· Awkward postures or positions
· Cold or vibration- cleaning teeth
· Repetition
· Force
· Activities involving pinch grip- dequarvains
· Productivity demands
· Poor overall fitness level
· Work stress

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17
Q

· Psychosocial Factors:

A

Level of interest, Time pressure, Social supports provided, Level of control

18
Q

· Self-efficacy:

A

Belief in one’s own abilities

19
Q

· Locus of control:

A

Who/what controls outcomes in your life?
· Internal: outcomes are in your control, determined by hard work
· External: outcomes are determined by fate, independent of hard work or decisions

20
Q

· Kinesiophobia

A

An irrational fear of activity, often related to concern of reinjury
· An important determinant of disability

21
Q

· Occupational Rehab
· What is it:

A

· What is it: Physical rehabilitation of injured workers
· Work site safety and injury prevention
· Work hardening and work conditioning programs
· Return-to-work planning
· Ergonomics
· Vocational rehabilitation
· Workplace wellness programs

22
Q

OR: Who is involved:

A

Worker
· Physician
· Specialist
· Surgeon
· Occupational health nurse
· Physiotherapist
· Occupational Therapist
· Therapist Assistant
· ETC.

23
Q

· Improving compliance:

A

SALIENCE
· Graded exercise
· Education
· Functional training

24
Q

· OR 1:

A

Single Discipline: Structured, active rehabilitation program
· Focused on return to work
· Includes:
· Physical and functional conditioning
· Education
· Supported return-to-the workplace
· Usually provided by PTs and PTAs
· Typically, 4 hours/day, 5 days/week
· Max 30 consecutive business days

25
Q

· OR 2:

A

Multidisciplinary: Multidisciplinary treatment program
· Designed for workers who may have barriers to RTW
· Ex: vocational, psychosocial, medical
· OR workers who have been unsuccessful in returning to work
· OR workers who are not maintaining RTW with other treatment interventions
·

26
Q

· Exercise Programs

A

Specific exercises related to injury
· General fitness activities
· Work Conditioning
· Functional activities
· Work Hardening
· Work Simulation

27
Q

· Specific to injury

A

McKenzie exercises for back pain
· Core stability
· Strengthening
· Stretching

28
Q

· work conditioning:

A

General conditioning:
· Group exercises
· Cardiovascular and general exercise
· Strengthening and stretching
· Individual exercise specific to condition
· Rest breaks

29
Q

· work hardening

A

Specific Functional exercise
· Highly regimented
· Multidisciplinary
· ex: PTs, OTs, Chiros, Psychologists, etc.
· Goal-oriented
· Comprehensive and involve thorough assessments
· Individually designed based on: injury, work demands, mental and physical state, etc.
· More individualized
· job demands, capacity, etc.
· Focuses on RTW
· Addresses work, health, and rehab needs

30
Q

· work simulation:

A

Attempt to simulate critical job demands in the clinic

31
Q

· Prevention Programs:

A

Designed to address the issue before it happens

32
Q

· Engineering Controls:

A

Designing or modifying the workstation, methods and/or tools

33
Q

· Work Practice Controls:

A

Policy and procedures in place for safe and proper task performance in the workplace

34
Q

· Administrative Controls:

A

Changing or modifying the work culture & environment

35
Q

· Ergonomics:

A

identify and reduce/eliminate risk factors for MSK disorders

36
Q

· Risk Factors: injury

A

Repetition
· Force
· Awkward or sustained postures
· Contact stress
· Eye strain
· Lifting: Load (weight) and Distance (moved)
· Vibration
· Employee factors: fitness, personality, etc.
· Workplace factors: demands, administration issues, etc.

37
Q

· Awkward Postures:

A

· Leaning forward to view screen
· Reading from copy while keying
· Long reach to mouse or phone

38
Q

· Contact Stress:

A

Prolonged contact stress places pressure on nerves and blood vessels

39
Q

· Return to work:

A

Complex & involves:
· Physical work readiness
· Accommodation by employer
· Accommodation by Worker
· Etc.
· Worker-centered

40
Q

· Duty to Accommodate

A

Employers (& service providers) have an obligation to adjust rules, polices and/or practices to enable you to participate fully

41
Q

· Vocational Rehab:

A

Provided if person is unable to be accommodated or cannot return to a related occupation with a different employer