Harvard Rehab Group
 

Therapy Programs: Industrial Rehab | Work Hardening
For the limited number of patients with behavioral and vocational dysfunction, Work Hardening may be indicated. Work Hardening programs are interdisciplinary and address the physical, functional, behavioral, and vocational needs of the injured worker, with the goal of returning to work.

Work Hardening Guidelines
Patient Eligibility

  1. To be eligible for Work Hardening, a patient must:
    • Have a targeted job or job plan for return to work at the time of discharge.
    • Have stated or demonstrated willingness to participate.
    • Have identified physical (systemic neuromusculoskeletal), and vocational deficits that interfere with work.
    • Be at the point of resolution of the initial or principle injury at which participation in the Work Hardening program can be safely tolerated.

  2. Work Hardening may begin only after the completion of the Work Hardening assessment.

Program Content

  1. Development of program goals based upon specific job requirements.
  2. Techniques to develop functional tolerance, strength endurance, movement, flexibility, motor control, and cardiovascular fitness related to the performance of work related tasks.

  3. Practice, modification and instruction in simulated or real work activities.
  4. Education related to safe job performance and injury prevention
  5. Provision of behavioral and vocational services as determined by the respective Work Hardening provider.

  6. Promotion of patient responsibility and self management programs.
  7. Provision of multi-hour sessions at a minimum of 4 hours and a maximum of 8 hours, 5 days per week for up to 8 weeks.

  8. Assist the patient to obtain as appropriate:
    • Alcohol and other chemical dependence counseling
    • Engineering and ergonomic services
    • Medical services
    • Nutrition and weight control services
    • Orthotic and prosthetic services
    • Smoking cessation counseling
 
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