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ADVANCE Outlook: OT

The Future Looks Bright in Industrial Rehab

Published February 2, 2009 11:07 AM by EJ Brown

Our February 2 cover story in print (you can also read it on our home page) looks at the state of practice in clinics and work sites that rehabilitate workers injured on the job, and voila! Work and Industry could be the flagship that takes occupational therapy closest to its 2017 Vision Goal. It's not a done deal by any means, but industry's move toward real work as therapy and transitional work programs that get workers back on the job doing modified tasks or similar ones until they can to back to their own jobs is pushing industrial rehab ever closer to OT. Evidence for treatments in this arena is easy to find and use. It is grounded in functional capacity evaluation tasks and tools, most of which do have backing in the literature. O*NET, an online database of job titles and tasks, also offers several sources for evidence-based accommodation techniques at the worksite that can be very helpful to keeping OT in the picture on Workers' Compensation cases.

Be sure to listen to Ohio transitional work specialist Bill Benoit, this month's guest Webcaster, talk about practice in work and industry, including OT's role of prevention in on-the-job injuries through post-offer screening programs, etc., that help make the most of the employee's skills and help ensure safety on the job for workers with many kinds of disabilities.  It will be up online later this week.

posted by EJ Brown

3 comments

Great idea. Would like to connect with people in different aspects of OT and get advice on how to get into these areas. I am interested in ergonomics not sure where the jobs are. %0d%0a%0d%0aIf you obtain specialty certification what guarantee is there that you can obtain employment?

Sandy , gerontology - COTA February 20, 2009 2:04 PM
Cleveland OH

Hi, just wanted to let you know that a good way to connect with people working in similar services might be to submit a post to the new OT blog carnival.  For more info see here http://e-nableot.blogspot.com/2009/02/occupational-therapy-carnival-call-for.html

Claire February 12, 2009 9:02 AM

I wish I could support your statement about the evidence-base for functional capacity testing - but sadly, it's very scant in the peer-reviewed literature, and it's predictive validity even more scant.

Despite this, it has great face validity and perhaps over time those that use FCE's will develop better ways to recognise and overcome its limitations.  

In the meantime, please be encouraged: in 1989 in New Zealand, I set up one of the first return to work occupational therapy practices in the country - there were about 4 others in the whole country.  Today, return to work or industrial or vocational occupational therapy is one of the largest groups employing occupational therapists in New Zealand.  Occupational therapists are recognised as one of the primary health care professions to provide this 'real life' therapy.  I am proud to have been one of the first practitioners, and although my interests have moved towards pain management and less directly into work rehabilitation, I am still confident that the field has much to offer the profession in terms of recognition.

Bronnie Thompson February 6, 2009 2:38 AM
Christchurch, New Zealand

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