scholarly journals Workplace-related rehabilitation after foot fractures

Author(s):  
Eckehard Froese

Background: For injured workers facing increased physical requirements the VBG, a German Social Accident Insurance Institution, provides 2 types of outpatient medical treatment for the last phase of rehabilitation. One option is a functionally orientated extended physiotherapy including the opportunity for work-ability testing at the workplace with a gradual increase of workload and working time. Second option is a newly-developed multidisciplinary workplace-related rehabilitation integrating the specific work-relevant functional flows in therapy under the direction of a qualified physician and therapists in rehab facilities.Objective: To evaluate the effects of workplace-related rehabilitation after foot fractures in outpatient rehab facilities. Methods: Data of all completed cases with severe fractures of the calcaneus or the ankle joint, undergoing workplace-related therapy in 2013 (n = 27), were compared to consecutive data of 27 completed cases undergoing extended physiotherapy.Findings: Mean age in both groups was 48 years. In the extended physiotherapy group 14 patients additionally received a work-ability testing directly at the workplace. Mean duration from accident to capacity for work was 169.81 days (SD 60.4) for extended physiotherapy and 176.81 days (SD 49.3) for workplace-related rehabilitation. 23 patients with extended physiotherapy and 26 patients with workplace-related rehabilitation maintained work ability 3 months after achieving full capacity for work. Subsequent rehab measures after regaining capacity for work were needed in 6 cases in the extended physiotherapy group and in one case in the workplace-related rehabilitation group.Discussion: Though no statistically verifiable difference in duration of incapacity for work between both groups was found, the results provide apparently evidence that multidisciplinary workplace-related rehabilitation is more sustainable. It is suggested, that a systematic approach and individually tailored multidisciplinary training of the specific work-relevant movement patterns under constant medical and therapeutic direction lead to more stable rehabilitation results.Conclusion: Further research is needed to consolidate our empirical findings.

2022 ◽  
Vol 87 ◽  
pp. 103250
Author(s):  
Josephine Lyngh Steenberg ◽  
Karsten Thielen ◽  
Jakob Møller Hansen ◽  
Åse Marie Hansen ◽  
Vivian Rueskov ◽  
...  
Keyword(s):  

2019 ◽  
Vol 1 (Number 2) ◽  
pp. 22-24
Author(s):  
Shila Rani Das

The work ability can be conceptualized as the physical and mental well-being of workers, which enables them to develop their work according to the demands of the occupation and their state of health 1. Work ability comprises physical, psychological, and social capacities. It is influenced by demographic, socio-economic, environmental and life style factors.2 work ability should be seen from a framework that takes into account the interaction between work, lifestyle, health conditions and biological aging 3. Work ability can be considered as an important component of the broader concept of employability. It also can be a sign of person’s ability to cope with working life. The concept of work ability is defined as the ability of a worker to perform his/her job, taking into account the specific work demands, individual health condition, mental resources and work life


2018 ◽  
Vol 42 (2) ◽  
pp. 239
Author(s):  
Harry Papagoras ◽  
Tania Pizzari ◽  
Paul Coburn ◽  
Kevin Sleigh ◽  
Andrew M. Briggs

Primary care practitioners play a critical role in supporting return to work (RTW) and minimising the detrimental physical and psychosocial sequelae of unnecessary and prolonged work absence in injured and ill workers. Accurate and consistent certification of capacity is an essential component of this role that has been scrutinised recently given the identified variation in certification practices between and within professions. This Perspective outlines the importance of correct certification of capacity for injured workers and provides a RTW flowchart to support systematised and appropriate certification. The flowchart is aimed at primary care practitioners (e.g. general practitioners or physiotherapists). The flowchart was developed at the Transport Accident Commission and WorkSafe Victoria as a guide for Australian primary care practitioners when certifying capacity. A more systematised approach to certification coupled with professional education and support may reduce variations and inaccuracies in certification, improve RTW rates and reduce the increasing burden of disease related to workplace injuries.


2014 ◽  
Vol 45 (4) ◽  
pp. 1174-1180 ◽  
Author(s):  
Kirsten Nabe-Nielsen ◽  
Karsten Thielen ◽  
Else Nygaard ◽  
Sannie Vester Thorsen ◽  
Finn Diderichsen

2018 ◽  
Vol 42 (2) ◽  
pp. 164 ◽  
Author(s):  
Harry Papagoras ◽  
Tania Pizzari ◽  
Paul Coburn ◽  
Kevin Sleigh ◽  
Andrew M. Briggs

Primary care practitioners play a critical role in supporting return to work (RTW) and minimising the detrimental physical and psychosocial sequelae of unnecessary and prolonged work absence in injured and ill workers. Accurate and consistent certification of capacity is an essential component of this role that has been scrutinised recently given the identified variation in certification practices between and within professions. This Perspective outlines the importance of correct certification of capacity for injured workers and provides a RTW flowchart to support systematised and appropriate certification. The flowchart is aimed at primary care practitioners (e.g. general practitioners or physiotherapists). The flowchart was developed at the Transport Accident Commission and WorkSafe Victoria as a guide for Australian primary care practitioners when certifying capacity. A more systematised approach to certification coupled with professional education and support may reduce variations and inaccuracies in certification, improve RTW rates and reduce the increasing burden of disease related to workplace injuries.


Author(s):  
Francesco Crespi ◽  
Giacomo Gavagnin ◽  
David Sánchez ◽  
Gonzalo S. Martínez

After the renewed interest in supercritical carbon dioxide cycles, a large number of cycle layouts have been proposed in literature. These works, which are essentially theoretical, consider different operating conditions and modeling assumptions, and thus, the results are not comparable. There are also works that aim to provide a fair comparison between different cycles in order to assess which one is most efficient. These analyses are very interesting but, usually, they combine thermodynamic and technical restrictions, which make it difficult to draw solid and general conclusions with regard to which the cycle of choice in the future should be. With this background, the present work provides a systematic thermodynamic analysis of 12 supercritical carbon dioxide cycles under similar working conditions, with and without technical restriction in terms of pressure and/or temperature. This yields very interesting conclusions regarding the most interesting cycles in the literature. Also, useful recommendations are extracted from the parametric analysis with respect to the directions that must be followed when searching for more efficient cycles. The analysis is based on efficiency and specific work diagrams with respect to pressure ratio and turbine inlet temperature in order to enhance its applicability to plant designs driven by fuel economy and/or footprint.


2010 ◽  
Vol 32 (14) ◽  
pp. 1173-1183 ◽  
Author(s):  
Joanna K. Fadyl ◽  
Kathryn M. Mcpherson ◽  
Philip J. Schlüter ◽  
Lynne Turner-Stokes

2017 ◽  
Vol 27 (2) ◽  
pp. 437-446 ◽  
Author(s):  
Julitta S. Boschman ◽  
Karen Nieuwenhuijsen ◽  
Judith K. Sluiter
Keyword(s):  

Author(s):  
Stuart A. Maloy

MoSi2 has recently been investigated as a potential material for high temperature structural applications. It has excellent oxidation resistance up to 1700°C, a high melting temperature, 2030°C, and a brittle-to-ductile transition temperature at 900-1000°C. WSi2 is isomorphous with MoSi2 and has a body-centered tetragonal unit cell of the space group 14/mmm. The lattice parameters are a=3.20 Å and c=7.84 Å for MoSi2 and a=3.21 Å and c=7.88 Å for WSi2. Therefore, WSi2 was added to MoSi2 to improve its strength via solid solution hardening. The purpose of this study was to investigate the slip systems in polycrystalline MoSi2/WSi2 alloys.


Sign in / Sign up

Export Citation Format

Share Document