WORKER CARE SPECTRUM
DR.DOSS PRAKASH S
PROFESSOR & HEAD
DEPT OF COMMUNITY PT
MGM INSTITUTE OF PHYSIOTHERAPY
CHH.SAMBHAJINAGAR
Nobel Prize - Physics, Chemistry, Physiology
or Medicine, Literature & Peace
Academy Awards – Actors, Directors,
Producers, Technicians & Writers
Any Awards for Industries?
Deming Prize by JUSE for
TQM
Deming's 14-Point
Philosophy
1. Create a constant purpose toward improvement.
2. Adopt the new philosophy.
3. Stop depending on inspections.
4. Use a single supplier for any one item.
5. Improve constantly and forever.
6. Use training on the job.
7. Implement leadership.
8. Eliminate fear.
9. Break down barriers between departments.
10. Get rid of unclear slogans.
11. Eliminate management by objectives.
12. Remove barriers to pride of workmanship.
13. Implement education and self-improvement.
14. Make "transformation" everyone's job.
Philosophy
Multi-faceted to mirror the many aspects
of worker and work site interaction
Proper intervention includes – Physical,
educational, and emotional in both pre
injury & post injury
The Worker Care Spectrum (WCS)
schematic diagram was developed in
Minneapolis.
WCS provides excellent visualization of
the areas covering Industrial therapy
care continuum.
Industrial therapy involves a variety of
persons and specialties working with
optimal interaction to move the
employer / patient rapidly towards the
goal of good health
Industrial therapy WCS focus on both
TREATING DISABILITY & ENHANCING
ABILITY
Worker Care Spectrum
Abilit Disa
y bility
Mana Mana
gem
Placement & Prevention gem & RTW
Rehabilitation
ent ent
Ability Management
Job Education & Training
Analysis
Work Conditioning
Job
Job Offe
Job Placem
ent
Description r Placement
Assessment
Placement & Prevention
Job Modification
JOB ANALYSIS
Can be divided into two components
The tasks involved
Persons interaction within the job site
Task Analysis
Every job consists of a series of tasks done over a period of
time.
PT (Industrial Therapist) along with company develop JD with
details of physical demands
EgSite
Job : Lift, bends, push / pull, material handling requirements,
Analysis
repetitions, duration.
Machine should be employee friendly
Mechanical engineer who designs the machine should consider
human factor prior to development.
Eg : Working height of machines, counters, shelves, doors,
windows should be analyzed best to match the worker to the work
JOB PLACEMENT ASSESSMENT (JPA)
AKA Pre placement assessment
Objectively measures workers capability in
variety of tasks related to the jobs available
Interface between the worker & the job site
Helps in two reasons
1) Worker is placed in job so that he / she can
work safely
2) Unknown weakness / ROM deficit can be
detected and addressed so that the worker
performs the job better
Functional Capacity
Assessment
Goal setting
Clinic Vs Functional ADL
Knee flexion of 120 deg Vs Steeping up
into bus
Clinician focus on Knee and ignore the
total gait
Four Scales to JPA
Functional Capacity Assessment
Physical Capacity Evaluation
Work Assessment
Workers Functional Capacity Assessment
Disability Management
Work
Hardening
FCA
Work Exit
Injur Acute Assessm
Conditioni
y Care ent
Placement & Prevention ng
Job Modification
Job RTW
Analysis
Eg : FCA
Testing the patient / worker to perform a
full body task in light of specific area of
injury
Eg : Knee flexion of 120 degree may be
goal for the clinic but stepping into bus
is the functional goal for the worker
