A highly structured, goal-oriented, individualized intervention program designed to return the employee to work. Our Work Hardening programs are multidisciplinary in nature and utilize real or simulated work activities designed to restore physical, behavioral and vocational functions.
NDT, BOBATH TECHNIQUE, BASIC IDEA OF BOBATH, CONCEPT OF BOBATH, NEUROPHYSIOLOGY OF NDT, ICF MODEL, PRINCIPLES OF TREATMENT OF NDT IN STROKE AND CP, AUTOMATIC AND EQUILIBRIUM REACTIONS, KEY POINTS OF CONTROL, FACILITATION, INHIBITION AND HANDLING IN NDT
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We discuss about various risk factors related to causing of cumulative trauma disorders and how to manage each risk factor using bio mechanical principles and physiotherapy knowledge.
NDT, BOBATH TECHNIQUE, BASIC IDEA OF BOBATH, CONCEPT OF BOBATH, NEUROPHYSIOLOGY OF NDT, ICF MODEL, PRINCIPLES OF TREATMENT OF NDT IN STROKE AND CP, AUTOMATIC AND EQUILIBRIUM REACTIONS, KEY POINTS OF CONTROL, FACILITATION, INHIBITION AND HANDLING IN NDT
Ergonomics in Physiotherapy and WorkplaceSusan Jose
We discuss about various risk factors related to causing of cumulative trauma disorders and how to manage each risk factor using bio mechanical principles and physiotherapy knowledge.
Neurodynamics, mobilization of nervous system, neural mobilizationSaurab Sharma
This is the presentation which was delivered to third year Bachelor of Physiotherapy students at Kathmandu University School of Medical Sciences (KUSMS), Dhulikhel, Nepal. Different schools of thoughts in manual therapy are the part of curriculum for the undergraduate students at KUSMS.
This presentation give an upto date insightful information on balance/postural assessment and key domains of Occupational Therapy during assessment of balance using different scales.
This is the presentation which was delivered to third year Bachelor of Physiotherapy students at Kathmandu University School of Medical Sciences (KUSMS), Dhulikhel, Nepal. Different schools of thoughts in manual therapy are the part of curriculum for the undergraduate students at KUSMS.
Brian Mulligan described novel concept of the simultaneous application of therapist applied accessory mobilizations and patient generated active movements
Retraining of motor control basing on understanding of normal movement & analysis of motor dysfunction.
Emphasis of MRP is on practice of specific activities, the training of cognitive control over muscles & movt. Components of activities & conscious elimination of unnecessary muscle activity.
In rehabilitation programme involve – real life activities included.
Controlled use of sensory stimulus.
Specific Motor response
Normalization of muscle tone
Use of Developmental sequences.
Sensorimotor development = from lower to higher level.
Use of activity to demand a purposeful response.
Practice of sensory motor response is necessary for motor learning.
This is the presentation which was delivered to third year Bachelor of Physiotherapy students at Kathmandu University School of Medical Sciences (KUSMS), Dhulikhel, Nepal. Different schools of thoughts in manual therapy are the part of curriculum for the undergraduate students at KUSMS.
This presentation is detail about Volta therapy which is commonly used in paediatric neurological conditions and also for adults. this presentation explains what are the various techniques, methods of application of Volta therapy, indications, contraindications, etc.
Toolkit For Return To Work & Injury Prevention Part 1nbirtch
An outline of challenges that employers face with regards to Return to Work and Injury Prevention and current strategies and solutions available to help deal with these challenges
Neurodynamics, mobilization of nervous system, neural mobilizationSaurab Sharma
This is the presentation which was delivered to third year Bachelor of Physiotherapy students at Kathmandu University School of Medical Sciences (KUSMS), Dhulikhel, Nepal. Different schools of thoughts in manual therapy are the part of curriculum for the undergraduate students at KUSMS.
This presentation give an upto date insightful information on balance/postural assessment and key domains of Occupational Therapy during assessment of balance using different scales.
This is the presentation which was delivered to third year Bachelor of Physiotherapy students at Kathmandu University School of Medical Sciences (KUSMS), Dhulikhel, Nepal. Different schools of thoughts in manual therapy are the part of curriculum for the undergraduate students at KUSMS.
Brian Mulligan described novel concept of the simultaneous application of therapist applied accessory mobilizations and patient generated active movements
Retraining of motor control basing on understanding of normal movement & analysis of motor dysfunction.
Emphasis of MRP is on practice of specific activities, the training of cognitive control over muscles & movt. Components of activities & conscious elimination of unnecessary muscle activity.
In rehabilitation programme involve – real life activities included.
Controlled use of sensory stimulus.
Specific Motor response
Normalization of muscle tone
Use of Developmental sequences.
Sensorimotor development = from lower to higher level.
Use of activity to demand a purposeful response.
Practice of sensory motor response is necessary for motor learning.
This is the presentation which was delivered to third year Bachelor of Physiotherapy students at Kathmandu University School of Medical Sciences (KUSMS), Dhulikhel, Nepal. Different schools of thoughts in manual therapy are the part of curriculum for the undergraduate students at KUSMS.
This presentation is detail about Volta therapy which is commonly used in paediatric neurological conditions and also for adults. this presentation explains what are the various techniques, methods of application of Volta therapy, indications, contraindications, etc.
Toolkit For Return To Work & Injury Prevention Part 1nbirtch
An outline of challenges that employers face with regards to Return to Work and Injury Prevention and current strategies and solutions available to help deal with these challenges
Two numbers for growth, innovation and high performance: Working and optimal...The University of Alabama
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Managing workload to achieve high performance impact on 2016Management_Team
The success of achieving the performance and create competitive business in 2016, should be made at the commencement of the budget through the planning and preparation of the implementation strategy appropriately and correctly.
Key to the success of managing the workload lies in the analysis of the workload that will be executed to achieve business success competitive, where a workload analysis is a tool used to predict future needs and plan the work and prepare for the skills required based on historical data, which comes from Data on past performance are made to meet the desired expectations.
Failure to achieve business performance competitive, due to the factor of failure in managing and analyzing workload which is required to achieve customer satisfaction, and it is not realized by many parties involved in the organization. They give more focus on completion of the work but did not give more emphasis on the achievement of customer satisfaction
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https://physioaadhar.com/
Thermoregulation is a process that allows your body to maintain its core internal temperature. All thermoregulation mechanisms are designed to return your body to homeostasis. This is a state of equilibrium. A healthy internal body temperature falls within a narrow window.
https://physioaadhar.com/
When the body is exposed to extreme heat conditions, the body most important mechanism to dissipate heat and prevent an increase in core temperature is sweating but when in cold conditions, in order to prevent hypothermia, the body's main objective is heat conservation predominantly through peripheral vasoconstriction
https://physioaadhar.com/
Then there are factors such as temperature, allergens, pollution and altitude that cannot be controlled and can have serious effects on human performance. Environmental factors such as temperature during competition can hinder performance if not taken seriously. The average body temperature is 37°C
Heat and humidity themselves force athletes to slow down, as does subsequent dehydration (which is especially relevant to long course racing). ... Instead, athletes should rely more heavily on rated perceived exertion and heart rate within the race, both of which will be higher than on mild days.
Heat acclimatization occurs when repeated exercise-heat exposures are sufficiently stressful to invoke profuse sweating and elevate body temperatures. Generally, about 1-2-wk of daily exposures of 90 min are required; but highly aerobic fit athletes can heat acclimatize in half that time.
Thermoregulation is a process that allows your body to maintain its core internal temperature. All thermoregulation mechanisms are designed to return your body to homeostasis. This is a state of equilibrium. A healthy internal body temperature falls within a narrow window.
When the body is exposed to extreme heat conditions, the body most important mechanism to dissipate heat and prevent an increase in core temperature is sweating but when in cold conditions, in order to prevent hypothermia, the body's main objective is heat conservation predominantly through peripheral vasoconstriction
Then there are factors such as the temperature, allergens, pollution and altitude that cannot be controlled and can have serious effects on human performance. Environmental factors such as temperature during competition can hinder performance if not taken seriously. The average body temperature is 37°C
https://physioaadhar.com/physiotherapy-blogs/
These two categories of the theory are also referred to as non-programmed ageing theories based on evolutionary concepts (where ageing is considered the result of an organism's inability to better combat natural deteriorative processes), and programmed ageing theories (which consider ageing to ultimately be the result o
Gynecological surgery refers to surgery on the female reproductive system. Gynecological surgery is usually performed by gynecologists. It includes procedures for benign conditions, cancer, infertility, and incontinence. Gynecological surgery may occasionally be performed for elective or cosmetic purposes.
Elder Abuse Laws
Both federal and state laws address elder abuse, neglect and exploitation, but state law is the primary source of sanctions, remedies and protections related to elder abuse. Several tribes also have codes that address elder abuse (see the Native Indigenous Elder Justice Initiative for information on tribal codes and other resources). This page provides a brief overview of the major areas of federal and state law related to services for elder abuse victims, crimes against older persons, and civil remedies for elder abuse, neglect and exploitation. For information on laws related to elder abuse and guardianship for each of the states, see the state law map.
Cardio and muscle endurance
Aerobic exercise (also known as cardio) is physical exercise of low to high intensity that depends primarily on the aerobic energy-generating process. Aerobic literally means "relating to, involving, or requiring free oxygen", and refers to the use of oxygen to adequately meet energy demands during exercise via aerobic metabolism. Generally, light-to-moderate intensity activities that are sufficiently supported by aerobic metabolism can be performed for extended periods of time
The below training fitness standards are different from the Applicant Physical Abilities Test (APAT) fitness standards.
This hand-out has been designed to educate the reader on the United States Secret Service Physical Fitness standards and the proper protocols necessary to accomplish those standards. Recruits who will be attending training at the James J. Rowley Training Center (JJRTC) are expected to arrive in good physical condition, ready to begin a functional fitness program.
The fitness evaluation measures strength, endurance, and aerobic capacity in four core elements. The core elements are Push-ups, Sit-ups, Chin-ups, and the 1.5 mile run. The fitness evaluation will be administered at the beginning, during, and end of training. Secret Service weapon carrying employees are additionally required to participate in the USSS Physical Fitness Evaluation quarterly.
The following point system will be applied to the fitness category level achieved by the student in accordance with their age and gender. The point system will be applied to the four (4) core elements of the U.S. Secret Service Individual Fitness Profile Evaluation.
A person may be referred to pelvic floor physical therapy to treat incontinence, difficulty with urination or bowel movements, constipation, chronic pelvic pain, and painful intercourse. Women may see a pelvic floor physical therapist for treatment of vaginismus or endometriosis.
The term metrorrhagia is often used for irregular menstruation that occurs between the expected menstrual periods. Oligomenorrhea is the medical term for infrequent, often light menstrual periods (intervals exceeding 35 days). Amenorrhea is the absence of a menstrual period in a woman of reproductive age.
Menopause is signaled by 12 months since last menstruation.
Common symptoms include hot flashes and vaginal dryness. There may also be sleep disturbances. The combination of these symptoms can cause anxiety or depression.
Menopause is a natural process with treatments that focus on symptomatic relief. Vaginal dryness is treated with topical lubricants or estrogen. Medications can reduce the severity and frequency of hot flushes. In special circumstances, oral hormone therapy may be used.
Job simulations are employment tests that ask candidates to perform tasks that they would perform on the job. Applicants complete tasks that are similar to tasks they would complete when actually working in the position on a day to day basis
Stay strong, be safe,geriatrics, fitness options and maintain your independence by integrating these top fitness options into your training plan. No matter your age, the best exercise for you is the one you enjoy the most. ...
Exercise tolerance testing (also known as exercise testing or exercise stress testing) is used routinely in evaluating patients who present with chest pain, in patients who have chest pain on exertion, and in patients with known ischaemic heart disease.
CBR vs IBR-CBR subject. Download [15.00 KB]. Author Amisha Angle Posted on December 2, 2016. Leave a Reply Cancel reply.Community Based Rehabilitation: With CBR, the locus of control should be with the community.
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2. INTRODUCTION
9/11/2018 1:40 AM
2
Work Conditioning & Work Hardening are the Rehabilitation system to
address specific aspect of return to work.
Why Work Retraining has Emerged?
There are significant differences between a person who is medically
healed & a person who is prepared for RTW at full job functions.
1. The person’s physical strength to perform the job has typically
declined gradually through inactivity
2. Individual’s Physiological resources have been depleted – Energy
level & Endurance
3. The person’s psychosocial equilibrium is unsettled – Fear of Reinjury
& other Anxieties
4. The body part “healed” in medical terms may still be vulnerable to
reinjury when subjected to job demands.
3. 9/11/2018 1:40 AM
3
Literature suggest there are a number of measures required,
beyond healing in order to accomplish a safe and successful
return to full productivity. These are :
1. Physical strength- Built up & maintained
2. The illness-induced physiological & chemical changes that
impact energy levels & Endurance must be reversed.
3. The capability in strength & Endurance depleted by inactivity
must be restored.
4. 9/11/2018 1:40 AM
4
Specific RTW Requirements
Physical
Capabiliti
es
Strength
Endurance
Flexibility
Mobility
Support Structure
Systemic approach
Preventive Education
Worker’s compensation understanding
Health care/Knowledge of options
Honesty & trust/ Well –defined goals
Self- Management Skills
Pacing/ Coping Skills
Co-worker interaction
Employee/Employer communication
Pain Management/ Work Habits/Confidence ,
Motivation
5. CARF Work Hardening Definition
9/11/2018 1:40 AM
5
Work Hardening is a highly structured, goal-oriented, individualized
Rx program designed to maximize the person’s ability to return to
work.
Interdisciplinary in nature with a capability of addressing the
functional, physical, behavioral & vocational needs of the person
served.
It provides a transition between the initial injury Mx & return to work,
while addressing the issues of productivity, safety, physical tolerance &
work behaviors.
It uses real or simulated work activities in a relevant work environment
in conjunction with physical conditioning tasks.
These activities are used to progressively improve the biomechanical,
neuromuscular, cardiovascular/metabolic, behavioral, attitudinal &
vocational function of the person served.
6. APTA Work Conditioning APTA Work Hardening
9/11/2018 1:40 AM
Work conditioning is a work
related, intensive, goal-oriented Rx
Program specifically designed to
restore an individual’s systemic,
neuromusculoskeletal (strength,
endurance, movement, flexibility
& motor control) and
cardiopulmonary functions.
The objective of the Work
Conditioning program is to restore
the client’s physical capacity &
function so the client can return to
work.
Work Hardening is a highly
structured, goal-oriented,
individualized Rx program
designed to return the person to
work .
Interdisciplinary in nature.
Uses simulated or real work
activities designed to restore
physical, behavioral & vocational
functions.
It addresses the issues of
productivity, safety, physical
tolerances & worker behaviors.
6
Definition
7. Work conditioning Work hardening
9/11/2018 1:40 AM
1. Frequency: 2-4 wks, 3-5
oningdays/wks, 2-3hrs/day
2. Work Simulation not
included
3. Capability level of worker
based on Physical fitness
4. Traditional Clinical method
5. Focuses on Fitness level
6. Progress measures fitness
level
1. Frequency: 4-8 wks, 5
days/wks
4 hrs/day
2. Work Simulation included
3. Proper Body Mechanics
4. By Functional capacity
Assessment
5. Uses Job Requirement as
objective. Movements required
in workplace are used for
establishing Rx Plan
6. Progress measures use of
incremental task
7
COMPARISON
9. Work Conditioning & Work Hardening Program
implementation Outline
9/11/2018 1:40 AM
9
A. Scheduling
1. Take the referral
2. Set up the file
3. Schedule the client
B. Intake
1. Intake Interview
2. Orientation to and signing of facility policies
3. Authorization for release of information
4. Client’s rights lists
5. Job Analysis or Work Information
10. 9/11/2018 1:40 AM
10
C. Establishing the plan
1. Administer FCA ( Functional Capacity Assessment)
2. Review Medical History
3. Compare results of FCA with job requirements
4. Develop exit goal
5. Identify length of program
6. Confirm probability of reaching job requirements level
7. If numbers indicate low probability rating, select plan for job
modification in those areas
8. Identify starting point
9. Identify weekly progression check
10. Identify body mechanics adaptations needed
11. Identify educational needs
12. Identify exercise needs
13. Plan job simulation activities
14. Identify need for outside services
11. 9/11/2018 1:40 AM
11
D. Implementing the plan- Key elements
1. Assessments
2. Flexibility/Mobility
3. Strengthening
4. Conditioning
5. Job simulation
6. Functional circuit
7. Education- Group & Individual
8. Vocational Rehab (Work Hardening)
9. Psychosocial (Work Hardening)