Baptist Industrial Rehabilitation provides a full array of physical therapy services specializing in the treatment and prevention of work-related injuries. The Worker's Comp Rehab Program at Baptist Rehabilitation-Germantown is designed to help employees reach their "return to work" goals, while aiding employers in the reduction of costs associated with work-related injuries and cumulative trauma disorders. This is achieved by providing the worker with optimum rehabilitative medical care and education, and emphasizing personal responsibility for one's own well-being.
The staff at Baptist Industrial Rehabilitation have been trained and certified in the areas of job analysis, ergonomics, employment testing, and worker's compensation and understand the needs of the employer, case manager, physician, attorney and the employee.
A number of different educational programs are utilized int eh clinic and can be provided at the work site. Included are back safety, body mechanics, cumulative trauma prevention, and a stretching program. Each program is custom designed to meet the needs of the company in which it is implemented.
- Length of lecture: 30 minutes to 1 hour
- Number of participants: limited to 25 employees
Injury Prevention at Work
The Duffy-Rath System
The Duffy-Rath System for sedentary, light, medium and heavy industry is based on a unique and effective method of education employees in self-management. Goals of the system include:
- Preventing cumulative trauma and repetitive sprain/strain injuries
- Promoting musculoskeletal wellness and reducing job related discomfort
- Promoting employee job satisfaction
- Promoting in-house expertise in the prevention of musculoskeletal injuries
The Duffy-Rath System philosophy states that there are always warning signs before a cumulative trauma disorder develops. Unfortunately, most people don't seek help until the problem has progressed from warning signals into an actual cumulative trauma disorder. By training employees in "protective work habits" and "tools to fight back" against warning signals the cycle of worsening is interrupted and progression to a recordable injury is prevented.
Job Site Analysis
A job site analysis is an evaluation of job tasks required of a worker in the performance of his/her job. In addition to overall job description and list of essential job tasks, the analysis identifies physical demands required of the worker, such as lifting, carrying, pushing, pulling, walking, standing, sitting, climbing, bending, squatting, reaching and grasping. This analysis is often used to develop a written job description, set goals for rehabilitation of an injured worker, or assist the physician in determining an individual's ability to return to work.
An ergonomic analysis is an assessment of the work station and work methods used by a worker in the performance of his/her job tasks. It identifies the hazards and risks a worker is exposed to while performing his/her job. The analysis also provides recommendations for needed corrective actions to decrease the identified hazards and risks. Once implemented, these corrective actions can reduce a worker's exposure to injury. Alternate terms for this analysis include job safety analysis and job hazard analysis.
Work Conditioning Program
This program is designed to address a worker's physical and functional needs in order to transition them back into the work force. It includes specific exercises aimed to improve strength and flexibility for the involved area in additional general functional strengthening, cardiovascular fitness and work simulation. Worker education includes safe body mechanics, self-help skills and supervised material handling activities. This program is recommended for the employees of companies which are unable to provide transitional / modified duty to their injuried workers. The WCP is 2-4 hours 3-5 days per week for 2-4 weeks or as needed.
Post Offer/pre-employment Screening
A 1.5 – 2 hour test which gathers extensive baseline data including over 30 objective measurements to determine a candidate's ability to perform physical requirements safety, identifies cumulative trauma syndromes or disease processes (or their increases) and qualifies legitimate employees. Gives capable, not capable or medical risk criteria. The baseline information can be used by medical providers to establish pre-injury baseline status to limit liability in the case of future injuries to the tested employee.
This test is administered post-offer to determine an employee's ability to meet essential functions of his/her job. Data is collected using the Pre-Placement/Post Employment Comprehensive Test Booklet. Any isokinetic or specialty testing reports will be placed in the employee's chart. Carpal tunnel testing may be included as part of this Pre-Placement/Post Employment Comprehensive test.
Post-employment or Fit for Duty Test
This test is administered to individual employees who demonstrate difficulty performing essential functions or a classification of employees to detect medical risk and/or job specific risk profiles with capable/not capable tor accommodation recommendations. This can be customized to meet the needs of the company administering either the Basic Test, Comprehensive Test, Carpal Tunnel Test, or a combination of the Basic Test/Carpal Tunnel Test, or a Comprehensive Test/Carpal Tunnel Test, as long as the measures, whether medical or dynamic, are job-related and consistent with medical necessity.
This test is administered to individuals already employed in their position. This test can be performed voluntarily, at scheduled intervals (yearly, every two years, etc. to assess fit for work status in physically demanding jobs). An individual can be singled out of a pool of workers if that individual is demonstrating objective "evidence of problems related to job performance or safety". Data is collected using the Pre-placement Basic Screen, Pre-placement/Post Employment Comprehensive Screen, Carpal Tunnel Test, or any other isokinetic or specialty testing the provider deems necessary to objectively consider medical status as it relates to job function.
Carpal Tunnel Test
An approximately 30 minute test that can be administered as part of the Post-offer/Pre-placement Comprehensive Test or as Post-employment/Fit for Duty if used to determine capability as it relates to job function. It gives capable/not capable for medical risk criteria. Any isokinetic or specialty testing reports will be placed in the employee's file.
Functional Capacity Evaluation (FCE)
This is a comprehensive exam (approximately 4 hours) for individuals post-injury with a lengthy disability, questionable complaints/problems or with multiple problems. This test is not recommended prior to three months post-injury and should follow a course of rehabilitation. The FCE follows the same pre-injury test protocols of the employment tests to compare baseline data, document existing impairment, prove consistency, and create realistic objective treatment goals and return to work recommendations. The WorkSTEPS® FCE is also automated and includes criteria to evaluate symptom magnification, inappropriate illness behavior, and validity of performance. (This information is invaluable to objectively move the patient through the system in a fair and timely manner.) The FCE is designed to determine the physical and functional capabilities and work tolerances of an individual. Specific functional activities tested include lifting, pushing, pulling, carrying, bending, reaching, stair/ladder climbing, walking, etc. Static strength tests and heart rate are monitored to assess the client's level of participation, cooperation and effort.
Other components included in the FCE:
- Psychometric tests
- Comprehensive musculoskeletal exam by a physical therapist