Clinical Guidance to Optimize Work Participation After Injury or Illness: The Role of the Physical Therapist

Thank you to all of the Authors and volunteers who published and helped create this CPG and quiz.

Authors: Deirdre Daley, Lorena Pettet Payne, Jill Galper, Anthony Cheung, Lori Deal, Michelle Despres, Jodan D. Garcia, Frances Kistner, Neil Mackenzie, Trisha Perry, Christine Richards, Reuben Escorpizo

Journal of Orthopaedic & Sports Physical Therapy

Volume Volume 51, Issue 831 • Jul 2021 • Pages CPG1–CPG102

https://www.jospt.org/doi/10.2519/jospt.2021.0303

Question Title

* 1. The physical therapist should communicate with the referral source in the presence of:

as soon as possible

when there is an estimated high risk of delayed recovery

the worker remains out of work at 6-8 weeks post injury

all of the above

Question Title

* 2. The physical therapist can promote a therapeutic alliance in the RTW process by

Including the worker in the RTW planning

Supporting work focused behaviors

Addressing worker concerns

All of the above

B and C

Question Title

* 3. Where can the treatment provider access the specific physical demands of a job?

patient/worker report

case manager

employer

all of the above

Question Title

* 4. What are some validated tools to use to screen psychosocial factors?

FABQ-W, Orebro, LEFS

FABQ-W, Work and Health Questionnaire, Orebro

FABQ-A, DASH-W

Orebro Musculoskeletal Questionnaire

None

Question Title

* 5. As a treatment provider, when do you assess the ability to meet the physical requirements of the job?

at initial intake

routinely through the course of care

end of care

A, B, C

Question Title

* 6. A function centered treatment approach begins with consistent communication between all stakeholders.

True

False

Question Title

* 7. The following are psychosocial risk factors that may be associated with delayed recovery:

Patient beliefs, perception

Fear of movement

Severity of pain

All of the above

A, B

Question Title

* 8. Blue and black flag risk factors associated with delayed return to work include:

Job demands, perceptions of job stress and work policies

History of depression or psychologic problems

Worker feelings and beliefs about their injury and coping skills

Job demands and type

Question Title

* 9. Diagnosis and goal setting for work activity limitations and performance restrictions

Should be based on ICD-10 codes that focus on body structures and function

Should be based on ICF domains associated with work such as limitations in lift, carry, walking, and positional changes, supplementing ICD 10 codes

Should only be worried about at the end of care, when a FCE is performed

Should only be considered when requested by a physician

Question Title

* 10. Should only be considered when requested by a physician

May include short battery, job specific testing, full battery or semi-structured interview

Should include comprehensive test batteries only at the end of

Should not be performed until full strength has returned or MMI is achieved

Is only needed if someone has been out of work more than 6-8 weeks

Question Title

* 11. When should a physical therapist provide recommendations for graded, modified or transitional work?

When asked to by the referrer

Early in care, unless barriers or contraindications are documented

Once a formal job description is obtained

As soon as strength and mobility are normalized

Question Title

* 12. At what point in time should a physical therapist facilitate a multidisciplinary assessment to address potential barriers to return to work?

Worker remains off work 6 to 8 weeks post injury

Worker has completed 6 to 8 weeks of physical therapy

6 months post injury

8 months post injury

Question Title

* 13. When are ergonomics assessments useful in the return to work/stay at work process?

When MMI (maximal medical improvement) is determined by the physician

When MMI is determined by the physician and work demands exceed work ability

When work ability does not match job demands (permanent accommodations only)

When work ability does not match job demands (temporary or permanent modifications)

Question Title

* 14. For workers with non-traumatic problems and low risk of delayed return to work, which interventions are recommended

Early initiation of light exercise

Early initiation of light exercise and a behavioral approach

A combination of exercise and clinic-based work focused interventions

A combination of clinic based behavioral and work focused interventions along with job site interventions

Question Title

* 15. For workers with non-traumatic problems and high risk of delayed return to work, which interventions are recommended at 6 weeks post injury

Early initiation of light exercise

Early initiation of light exercise and a behavioral approach

A combination of a behavioral approach, exercise and clinic based work focused interventions

A combination of clinic based behavioral and work focused interventions along with job site interventions

Question Title

* 16. A psychologically informed treatment approach is beneficial for all patients with estimated high risk for delayed recovery.

True

False

Question Title

* 17. A psychologically informed treatment approach is beneficial for all patients with estimated high risk for delayed recovery.

True

False

Clinical Guidance to Optimize Work Participation After Injury or Illness: The Role of the Physical Therapist

Question Title

* 1. The physical therapist should communicate with the referral source in the presence of:

Question Title

* 2. The physical therapist can promote a therapeutic alliance in the RTW process by

Question Title

* 3. Where can the treatment provider access the specific physical demands of a job?

Question Title

* 4. What are some validated tools to use to screen psychosocial factors?

Question Title

* 5. As a treatment provider, when do you assess the ability to meet the physical requirements of the job?

Question Title

* 6. A function centered treatment approach begins with consistent communication between all stakeholders.

Question Title

* 7. The following are psychosocial risk factors that may be associated with delayed recovery:

Question Title

* 8. Blue and black flag risk factors associated with delayed return to work include:

Question Title

* 9. Diagnosis and goal setting for work activity limitations and performance restrictions

Question Title

* 10. Should only be considered when requested by a physician

Question Title

* 11. When should a physical therapist provide recommendations for graded, modified or transitional work?

Question Title

* 12. At what point in time should a physical therapist facilitate a multidisciplinary assessment to address potential barriers to return to work?

Question Title

* 13. When are ergonomics assessments useful in the return to work/stay at work process?

Question Title

* 14. For workers with non-traumatic problems and low risk of delayed return to work, which interventions are recommended

Question Title

* 15. For workers with non-traumatic problems and high risk of delayed return to work, which interventions are recommended at 6 weeks post injury

Question Title

* 16. A psychologically informed treatment approach is beneficial for all patients with estimated high risk for delayed recovery.

Question Title

* 17. A psychologically informed treatment approach is beneficial for all patients with estimated high risk for delayed recovery.

Question Title

We hope you enjoyed the quiz and the CPG.