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Selected Topics > Occupational Rehab, POET, Ergonomics, FCE > Flashcards

Occupational Rehab, POET, Ergonomics, FCE Flashcards

1
Q

____ costs:
- Medical costs
- Indemnity costs
- Legal fees
- Out of pocket expenses related to claim

A

Direct costs

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2
Q

____ costs:
- Lost time or work stoppage costs
- Overtime costs
- Cost of hiring and training a replacement worker
- Time spent by company management handling the - claim

A

indirect costs

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3
Q

Indirect costs are typically __x greater than direct costs in a worker’s compensation claim

A

2x greater

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4
Q

On average, it costs an employer ___-___ per day for an employee to be out of work

A

$300-$400

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5
Q

What are the yellow flags of an injured worker?

A

Thoughts, feelings, and behaviors

  • emotional response to injury
  • anxiety
  • monetary
  • pain behavior
  • family support
  • beliefs about pain
  • avoidance of activities due to fear of pain
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6
Q

What are the blue flags of an injured worker?

A

obstacles related to the workplace

  • Fear or concern of not being able to physically return to the same job or level of work
  • Fear of re-injury when returning to work (safety)
  • Perceptions of job stress
  • Low job satisfaction
  • Poor communication between employer-injured employee
  • Feelings that their supervisor does not care or understand their situation
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7
Q

What are the black flags of an injured worker?

A

obstacles from systemic nature

  • Do sometimes overlap with blue flags
  • Conflict with worker’s compensation insurance over claim
  • Legal issues with returning to work
  • State and federal laws that affect the worker’s compensation claim
  • In PA, the employee must go to whatever medical provider the company chooses
  • Becoming lost or shuffled around “in the system”
  • Disconnection with the workplace
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8
Q

definition: Lists the essential and physical functions of an occupation

Physical functions and requirements of the job
- Material handling (lifting, carrying, pushing, pulling)
- Positional tolerance (sitting, standing, walking, etc)
- Physical Demand Level (set by the US Deptartment of Labor)

A

job description

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9
Q

What do you reference to if an employer does not have a formal description of a job position?

A

Refer to the dictionary of occupational titles (DOT)

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10
Q

What are the physical demand levels of work that are defined by the US DOL?

A

Sedentary
Light
Medium
Heavy
Very Heavy

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11
Q

Sedentary jobs only have to lift ___ pounds of force occasionally.

A

10 pounds

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12
Q

Light jobs can lift up to ___ pounds of force OCCASIONALLY and/or up to ___ pounds of force FREQUENTLY

A

occasionally: 20 pounds
frequently: 10 pounds

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13
Q

Medium jobs can lift Up to ___ lbs of force occasionally and/or Up to ___ lbs of force frequently and/or up to __ lbs of force constantly to move objects

A

occasionally: 50
frequently: 20
constantly: 10

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14
Q

Heavy jobs can lift Up to ___ lbs of force occasionally and/or Up to ___ lbs of force frequently and/or up to __ lbs of force constantly to move objects

A

occasionally: 100
frequently: 50
constantly: 20

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15
Q

Very heavy jobs can lift Up to ___ lbs of force occasionally and/or Up to ___ lbs of force frequently and/or up to __ lbs of force constantly to move objects

A

occasionally: >100
frequently: >50
constantly: > 20

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16
Q

definition: lifting that is 0-33% of workday OR 1-4 reps/hour

A

occasional lifting

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17
Q

definition: lifting that is 34-66% of workday OR 5-24 reps/hour

A

frequent lifting

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18
Q

definition: lifting that is > 66% of workday OR >24 reps/hour

A

constant lifting

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19
Q

Cardiovascular training is essential to treat deconditioning. One should have CV training for ___-___ per session

A

30-60 minutes (60-70% HR Max)

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20
Q

In the acute PT phase of work conditioning, PT should be ____-___ times per week

A

2-3x/week

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21
Q

After the acute PT phase of work conditioning, PT should be ____ times per week for ___ hrs/session to get the patient accustomed to going to work again everyday

A

5x for 4 hours/session

22
Q

What is the 25% rule for work conditioning programs?

A

25% Cardiovascular Exercise (60 min.)
25% Stretching of UQ/LQ Musculature
25% Strengthening, upper and lower body
25% Job specific training

23
Q

Work hardening sessions are normally ___ hours/session.

A

8 hours/day

24
Q

What is POET?

A

Post-Offer Employment Testing

25
Q

What are the components of a POET?

A

Drug Testing
Background Check
Reference Check
Physical Agility Testing

26
Q

What type of injury has the highest incidence in the workforce?

A

sprain/strain (36%)

27
Q

(true/false) POET testing is addressing the injury prevention side of worker’s comp costs

A

true (Screening applicants to determine if they are able to perform the physical demands of the job position)

28
Q

What are the steps to developing a POET?

A
  1. Identifying Essential Job Functions/Physical Requirements
  2. Developing test
  3. Reviewing with the Employer
  4. Validation
29
Q

________ Regulations must be adhered to in the POET testing program

A

Equal Employment Opportunity Commission (EEOC)

30
Q

With poets, when do employers collect the greatest amount of data?

A

post-offer

31
Q

(true/false) All job positions have the same Post offer testing

A

FALSE

32
Q

definition: a discipline that involves arranging the environment to fit the person in it and vice versa

A

ergonomics

33
Q

How do repetitive stress injuries occur??

A

Occur from a combination of external and internal factors over an extended period of time

34
Q

What medical condition accounts for most problems in an office setting?

A

awkward posture

35
Q

What is proper chair height?

A
  • knee is slightly higher than the seat of the chair
  • entire sole of the foot should be resting on the floor or foot-rest
36
Q

What is the correct positioning for armrests?

A

Armrests should be at the correct height to keep shoulders in neutral position and prevent upper trapezius strain

37
Q

What are the ergonomics for keyboards?

A
  • elbows are at the side
  • forearms are parallel to the floor
  • shoulders are relaxed
  • Keyboard should be flat on desk surface
  • Wrist should be neutral or slight flexion when keying
  • Wrists should be supported by a soft gel pad
38
Q

Monitors should be within ______ of a person when sitting at a desk

A

Within an arm’s reach

39
Q

The top of a monitor should be level with a person’s ____ when sitting at a desk.

A

eye level (or slightly above)

40
Q

definition: an objective and comprehensive assessment of an individual’s physical and functional abilities.

A

Functional Capacity Evaluation (FCE)

41
Q

A FCE is normally takes how long to administer?

A

4 hours

42
Q

What are the components of an FCE?

A
  1. Intake Interview
  2. Musculoskeletal screen
  3. Predictive Aerobic Capacity Assessment
  4. Performance Consistency Testing
  5. Dynamic Lifting/Material Handling
  6. Non-Lifting/Positional Tolerance Testing
  7. Exit Testing
43
Q

(true/false) FCE is a treatment.

A

FALSE (it is an evaluation)

44
Q

What are Waddell’s signs for non-organic LBP?

A

Tenderness
Simulation
Distraction
Regional Disturbance
Over-Reaction

45
Q

If ____ or more of waddell’s signs are positive, then the findings are clinically significant for non-organic LBP.

A

3 or more

46
Q

Deep tenderness is (local/wide-spread)

A

wide-spread

47
Q

definition: may take the form of disproportionate verbalization, facial expression, muscle tension, tremor, collapsing, or sweating

A

over-reaction

48
Q

definition: represents the ratio of the standard deviation to the mean and is a useful statistic for comparing the degree of variation from one data series to another

A

coefficient of variation (CV)

49
Q

When testing Maximum voluntary effort (MVE), position ___ out of 5 is the most reliable and reproducible for normative data of grip strength

A

position 2

50
Q

What are the primary reasons of terminating progressive lift capacity testing?

A
  1. physiologic limitation
  2. biomechanical limitation
  3. psychosocial limitation
51
Q

definition: Lack of consistency in performance including observed behaviors when aware and unaware of observation, inconsistent cross- reference validity testing profile and/or lack of effort

A

inconsistent performance

52
Q

definition: Voluntary termination of an activity without observed physiologic and/or biomechanical changes

A

self limited performance

Selected Topics (8 decks)

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