MSK Exam 2 Lecture 14 work assessment work hardening

what is a functional capacity exam

assess the client with standardized and validated tools to determine job needs and/or accomodations

Work conditioning (2-4 days wkly)

rehabilitation to restore functional work tasks

work hardening 5 days/wkly

multidisciplinary approach to progress client to return to work activities

For work evaluation, what do you mainly need to assess

TOLERANCE:

lifting, carrying, push/pull, standing, walking, cooking, cleaning, sitting, stairs, dressing, reaching

If grip strength is being tested, what should the result look like if the patient is giving maximum effort

bell curve

what is tested for in a FCE that means a patient is giving false information

malingering

What are two tests that can be given to assess malingering

abductors test

hoover’s test

What are some assessments that can be used to for functional capacity exam

key method

blankenship system

ergos works simulator

isenhagen

matheson

work hab

lido workset work simulator

Employers tend to do what

underestimate the job demands

Work site visits you need what equipment

measuring tape and spring scale or weight scale

What are the largest contributing factors to injuries in the work place

Posture and position of equipment

Neck poor positioning usually manifests as

forward flexion of the neck

What does neck flexion cause

slumped over flexed upper back

shoulders should avoid what movements

excess flexion and abduction

which grip should be avoided to assist the wrist

3 point grip

what are two factors that have a negative impact on the wrist

cold and vibration

what are some glove use recommendations

cover as little of the hand as necessary

minimize perspiration and distribute force

variety of sizes

used during specific job tasks

When force x repetition x duration of an activity exceeds the

body’s capacity to maintain homeostasis, what occurs

tissue inflammation

The body’s physical and mental exertions must be balanced by

rest periods, nutrition, relaxation, and aerobic exercise.

When returning to computer use after an injury, what ckind of schedule may be advisable

a graduated schedule with progressive workday hours and computer use hours

Breaks should be taken after every

1-1.5 hours of continuous computer use

The FCE measures help determine

tthe percentage of time a worker performs specific activities.

What can help the client return to work successfully

ergonomic assessments and activity management

What is the Role of Occupational Therapy in Home Assessments

Address issues within the home that present a safety risk or limit access into, out of, or within the home

Modify the environment to allow for occupational engagement within the home

Why is home assessment important

reduction of falls

allow for aging in place

fire safety and prevention

OTs assess the fit between

individuals and their environment

What are some crucial features OTs look for

Inability to exit home in the event of an emergency

• Inaccessible stairways

• Throw rugs/area rugs

• Poor lighting

• No handrails on steps

• Low sitting surfaces

• Inaccessible bathroom

• Inaccessible cabinets

How can we make getting on and off surfaces easier

raise the height of chairs, beds, and sofas with eaay risers