Ms Livock,
How the devil are you? I hope the new post is treating you well.
Jeans' phased rtw guidelines are an excellent general model and obviously
based on research regarding chronic type conditions. The physiological
background is that chronics tend to have energy system breakdown due to
central changes (ie. In the brain).
So, even if the injury itself has recovered pathologically there will be a
graded short burst return to activity required. This involves not only the
work itself but the days proceedings. These include the whole work day
procedure as alluded to in jeans' attachment.
One thing that we often do is change the start-time to avoid rush hour which
often proves to reduce unnecessary trauma at the outset.
I don't have any up-to-date research on this but will have a search to see
what's out there.
Regards,
Wayne Llewellyn
Clinical Director
Premier Therapy, 6-9 Timber Street, London, EC1Y 0TQ
t: 020 7687 7600
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-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]] On Behalf
Of Jacqui Livock
Sent: 12 February 2008 15:57
To: [log in to unmask]
Subject: [OCC-HEALTH] rehabilitation programmes
Hi
I am canvessing opinions and looking at what others do in relation to
phased return to work (RTW) programmes and also if there is any research
as to the "most successful" programmes. I know this will vary from OHN to
OHN.
I know RTW programmes are tailored to the individual and the organisation
(and managers decide work hours) but my question is this....
Do you recommend people return on reduced hours EVERY DAY and build the
hours at work each week or do you recommend A DAY ON/A DAY OFF type of
programme.
If you have tried both...which did you prefer/which did the
employee/employer prefer? which was the most successful?
Jacqui
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