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Work hardening for a client with low back pain
1Injured Worker's Recovery Program, Allied Services, Pittston, Pennsylvania 18641.
Summary
Successful rehabilitation for chronic back pain was achieved through a multidisciplinary approach, focusing on work hardening and functional gains. The client
Area of Science:
- Occupational Therapy
- Rehabilitation Medicine
Background:
- Chronic back pain presents significant challenges to returning to work.
- Long-term work absence (over 1 year) typically indicates a low probability of successful rehabilitation.
Observation:
- A client with chronic back pain, knee issues, and prolonged work absence demonstrated remarkable recovery.
- The client's engagement in work hardening and occupational therapy principles, including activity analysis, was crucial for her rehabilitation.
- The client's personal goal setting, focusing on performance despite discomfort, was a key factor in her progress.
Findings:
- A holistic approach, integrating work-related tasks with non-work roles (parent, homemaker), facilitated functional gains.
- Client-centered goal formulation, where the individual actively sets objectives, significantly enhances rehabilitation outcomes.
- Successful return to work and an active lifestyle was achieved despite a history of complex medical issues and extended leave.
Implications:
- This case underscores the importance of comprehensive occupational therapy in managing chronic pain and facilitating return to work.
- The findings suggest that empowering clients to set their own rehabilitation goals can lead to superior outcomes.
- Future employer policies may evolve with legislation like the Americans With Disabilities Act, potentially improving support for employees on medical leave.