Occupational Therapy Assistant

Category - Implementing Interventions

Wade, your work hardening patient, must return to his job at a warehouse after an L1-L2 laminectomy. Part of his job involves unloading small- to medium-sized boxes by hand from semi-trucks. What ergonomic principle are you going to teach Wade before he returns to work?
  1. You will teach Wade to keep his back straight and bend his knees while lifting heavy boxes.
  2. You will teach Wade to carry heavy boxes away from his body.
  3. You will teach Wade to stand and twist his body as he moves boxes from place to place.
  4. All of the above.
Explanation
Answer: A. You will teach Wade to keep his back straight and bend his knees while lifting heavy objects. 

Work hardening is typically an individualized and highly-structured program designed to help patients return to their pre-injury work level in a safe and timely manner. It aims to help patients regain their biomechanical, cardiovascular, metabolic, neuromuscular, and psychosocial functions in conjunction with their work tasks. 

A laminectomy is a type of surgery in which a surgeon removes part or all of the vertebral bone (lamina). This helps ease pressure on the spinal cord or the nerve roots that may be caused by injury, herniated disk, narrowing of the canal (spinal stenosis), or tumors.  Wade will have to very careful with his back when lifting objects after this procedure.
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