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Case Study 1
Rehab Options Work Conditioning was appointed to assist with an injured
worker who had injured his back at work whilst driving a mobile crane.
During the initial consultation, the injured worker indicated that he had
been consulting with another exercise physiologist twice per week and
completing hydrotherapy and a gymnasium program. The injured worker also
reported that he was consulting with an occupational therapist once per
week. The goal of the treatment was to increase strength and confidence to
assist him in climbing the 33 steps back up into the mobile crane following
his injury. With his current treatment, the worker had only been completing
4 steps of a pool ladder and climbing an external fire escape ladder.
With the goal of climbing the mobile crane in mind, Rehab Options Work
Conditioning commenced an exercise intervention with the worker at his work
place. This allowed the exercise physiologist of Rehab Options Work
Conditioning to use the actual everyday demands of his job and remove the
fear- avoidance behaviour created previously when avoiding returning to the
workplace. The task was broken into small, achievable steps to the worker
was able to improve his confidence at the same time.
Rehab Options Work Conditioning immediately modified the worker's climbing
technique and improved the worker's climbing capacity from 4 to 11 steps in
the first treatment.
Following the initial treatment, the worker continued to improve in his
climbing capacity, and after only three sessions had progressed to 21
steps, followed by 24 and 27 steps. The worker's confidence levels grew, as
well as his speed and endurance. It was not long before the injured worker
was climbing to the top of the crane and able to commence his normal duties
The worker was provided with stretching exercises which were completed to
assist with his climbing capacity and a gymnasium treatment program
commenced to further improve strength, endurance and core stability. The
worker noticed reduced fatigue and gradually began upgrading his hours at
his workplace. Throughout this process, the exercise physiologist from
Rehab Options Work Conditioning team liaised with the treating
physiotherapist to ensure the goals of the treatment were being achieved
and to assist with pain management as the worker progressed. The worker
continues to attend the gymnasium and complete home based exercises
regularly to maintain his improved strength and endurance and prevent a
reoccurrence of his lower back injury.
What the client says:
After months of treatment that wasn't working, Rehab Options Work
Conditioning got me back to work quickly and I was confident in my ability.
I was even able to resume my leisure activities on the weekend, namely
bushwalking. My improved core stability and understanding of my body and
how it functions helped with the recovery process. I am now aware of my
body when at work and at home and know safe posture and movement to prevent
my injury from occurring again.