Peak Physical Therapy’s industrial rehabilitation program is designed to identify and maximize an individual’s ability to work safely. Our services include:
- Pre-Placement Job Screening
- Functional Capacity Evaluation Testing
- Work Hardening/Work Conditioning
- Job Analysis
- Work Site Hazard Analysis
PRE-PLACEMENT JOB SCREENING
Peak Physical Therapy offers cost-effective pre-placement job screening to identify a worker’s injury risk on a job. By matching a worker’s strength to a targeted job task, an employer can minimize losses in productivity. This will also reduce financial loss associated with work-site injuries and workers’ compensation claims. This screening test addresses critical physical work capacities necessary to complete a job task. This evaluation includes education and appropriate body mechanics associated with the job. We evaluate static and dynamic lifting abilities, carrying, pushing/pulling, endurance, job simulation and cardiovascular conditioning.
FUNCTIONAL CAPACITY EVALUATION
The Functional Capacity Evaluation (FCE) is a standardized assessment that documents an individual’s abilities to perform work related activities and determine return-to-work potential. The FCE replaces educated guesswork with objective data. Standard activities include:
- Walking Bending/Stooping
- Standing Stair climbing
- Lifting from all levels Sitting
- Carrying Dexterity/Coordination
- Squatting/Kneeling Crawling
- Cardiovascular conditioning Hand grip strength
- Balance Symptom magnification
- Step ladder climbing Body mechanics
- Pushing/Pulling Elevated work capacity
In addition to the above tests, information is provided regarding consistency of effort, attendance and reports of overt pain behavior.
WORK HARDENING/WORK CONDITIONING
Peak Physical Therapy provides our Work Hardening Program to facilitate an early and safe return to work. The program is a progressive work therapy using conditioning tasks to improve the workers’ overall physical fitness (strength and endurance), as well as to document consistent use of appropriate body mechanics.
A complete evaluation of the worker’s abilities and the job requirements is performed (an FCE). The total length of the program is typically 4 to 6 weeks, attending 3-5 days per week. The program consists of physical strengthening and conditioning exercises, body mechanics activities, educational program and job simulation tasks. The treatment program consists of four goals:
Phase 1 – To assess base line physical capacities, set program goals and initiate flexibility exercises.
Phase 2 – to regain strength, improve mobility and endurance. The length of this phase is typically one to two weeks and includes therapeutic exercises, flexibility and strengthening, aerobic conditioning and instruction on pacing and appropriate use of body mechanics.
Phase 3 – To increase strength and endurance through material handling activities and weight training as the patient continues with Phase 2 activities. This phase usually continues for two weeks.
Phase 4 – To continue strengthening and begin job simulation to determine successful return to work. This phase can last from one to two weeks.
A formal re-evaluation is performed every two weeks to assess the workers’ progress toward targeted discharge goals. A full FCE is performed at the conclusion of the program to confirm discharge parameters and ensure that the worker is fit for the work.