Occupational Rehab, POET, Ergonomics, FCE Flashcards
____ costs:
- Medical costs
- Indemnity costs
- Legal fees
- Out of pocket expenses related to claim
Direct costs
____ 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
indirect costs
Indirect costs are typically __x greater than direct costs in a worker’s compensation claim
2x greater
On average, it costs an employer ___-___ per day for an employee to be out of work
$300-$400
What are the yellow flags of an injured worker?
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
What are the blue flags of an injured worker?
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
What are the black flags of an injured worker?
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
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)
job description
What do you reference to if an employer does not have a formal description of a job position?
Refer to the dictionary of occupational titles (DOT)
What are the physical demand levels of work that are defined by the US DOL?
Sedentary
Light
Medium
Heavy
Very Heavy
Sedentary jobs only have to lift ___ pounds of force occasionally.
10 pounds
Light jobs can lift up to ___ pounds of force OCCASIONALLY and/or up to ___ pounds of force FREQUENTLY
occasionally: 20 pounds
frequently: 10 pounds
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
occasionally: 50
frequently: 20
constantly: 10
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
occasionally: 100
frequently: 50
constantly: 20
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
occasionally: >100
frequently: >50
constantly: > 20
definition: lifting that is 0-33% of workday OR 1-4 reps/hour
occasional lifting
definition: lifting that is 34-66% of workday OR 5-24 reps/hour
frequent lifting
definition: lifting that is > 66% of workday OR >24 reps/hour
constant lifting
Cardiovascular training is essential to treat deconditioning. One should have CV training for ___-___ per session
30-60 minutes (60-70% HR Max)
In the acute PT phase of work conditioning, PT should be ____-___ times per week
2-3x/week
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
5x for 4 hours/session
What is the 25% rule for work conditioning programs?
25% Cardiovascular Exercise (60 min.)
25% Stretching of UQ/LQ Musculature
25% Strengthening, upper and lower body
25% Job specific training
Work hardening sessions are normally ___ hours/session.
8 hours/day
What is POET?
Post-Offer Employment Testing
What are the components of a POET?
Drug Testing
Background Check
Reference Check
Physical Agility Testing
What type of injury has the highest incidence in the workforce?
sprain/strain (36%)
(true/false) POET testing is addressing the injury prevention side of worker’s comp costs
true (Screening applicants to determine if they are able to perform the physical demands of the job position)
What are the steps to developing a POET?
- Identifying Essential Job Functions/Physical Requirements
- Developing test
- Reviewing with the Employer
- Validation
________ Regulations must be adhered to in the POET testing program
Equal Employment Opportunity Commission (EEOC)
With poets, when do employers collect the greatest amount of data?
post-offer
(true/false) All job positions have the same Post offer testing
FALSE
definition: a discipline that involves arranging the environment to fit the person in it and vice versa
ergonomics
How do repetitive stress injuries occur??
Occur from a combination of external and internal factors over an extended period of time
What medical condition accounts for most problems in an office setting?
awkward posture
What is proper chair height?
- knee is slightly higher than the seat of the chair
- entire sole of the foot should be resting on the floor or foot-rest
What is the correct positioning for armrests?
Armrests should be at the correct height to keep shoulders in neutral position and prevent upper trapezius strain
What are the ergonomics for keyboards?
- 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
Monitors should be within ______ of a person when sitting at a desk
Within an arm’s reach
The top of a monitor should be level with a person’s ____ when sitting at a desk.
eye level (or slightly above)
definition: an objective and comprehensive assessment of an individual’s physical and functional abilities.
Functional Capacity Evaluation (FCE)
A FCE is normally takes how long to administer?
4 hours
What are the components of an FCE?
- Intake Interview
- Musculoskeletal screen
- Predictive Aerobic Capacity Assessment
- Performance Consistency Testing
- Dynamic Lifting/Material Handling
- Non-Lifting/Positional Tolerance Testing
- Exit Testing
(true/false) FCE is a treatment.
FALSE (it is an evaluation)
What are Waddell’s signs for non-organic LBP?
Tenderness
Simulation
Distraction
Regional Disturbance
Over-Reaction
If ____ or more of waddell’s signs are positive, then the findings are clinically significant for non-organic LBP.
3 or more
Deep tenderness is (local/wide-spread)
wide-spread
definition: may take the form of disproportionate verbalization, facial expression, muscle tension, tremor, collapsing, or sweating
over-reaction
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
coefficient of variation (CV)
When testing Maximum voluntary effort (MVE), position ___ out of 5 is the most reliable and reproducible for normative data of grip strength
position 2
What are the primary reasons of terminating progressive lift capacity testing?
- physiologic limitation
- biomechanical limitation
- psychosocial limitation
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
inconsistent performance
definition: Voluntary termination of an activity without observed physiologic and/or biomechanical changes
self limited performance
