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Physical Capacity Assessment and Work Hardening Therapy: Procedures and Applications.

Physical Capacity Assessment and Work Hardening Therapy: Procedures and Applications.

WORK HARDENING: The rehabilitation buzz-word of the 1980s. What is it? Who does it? How is it done and when is it appropirate? These and a lot of other questions are explored and answered in this new book from Elliot and Fitzpatrick, Inc. and edited by Joseph E. Havranek. The book's goals are "to inform readers of the uses and benefits of physical capacity assessments and work hardening ... (and) to emphasize the importance of team work on the part of all who can effect service provision...."

There are five (5) sections in the book in total and three (3) major ones. One section deals with evaluation services and provides discussion of physical capacity assessment, formal vocational evaluation, and informal vocational evaluation. Another section looks at the treatment services and contains chapters on work hardening as a therapeutic modality, work hardening through work simulation activities, vocational services planning, and work hardening with survivors of head injuries. The last section discusses the effect of work hardening and physical capacity assessment on vocational expert testimony.

Several chapters are unique. Olsheski and Growick discuss the use of work simulation as a way to provide work hardening and a look at an existing program at the J. Leonard Camera Center which uses work simulation as a treatment modality. Not only does this chapter discuss the philosophy and policy issues regarding work simulation, but a case study is presented which illustrates an individualized work hardening program. Foster's chapter about the use of work hardening with people with head injuries is timely as he notes; because more people are surviving head injuries, they are having significant impact on work hardening programs. The author presents a detailed discussion of the various aspects unique to this population. These aspects need consideration when doing evaluations, planning programs, and providing post program follow-up. This chapter is a good reference for existing work hardening programs which are now experiencing an increase in service delivery to people with head injuries or anticipate that they soon will.

This book brings together a lot of basic and applied knowledge on work hardening and physical capacity assessment. It looks at basic procedures and applications and discusses service delivery issues which are timely to all rehabilitation professionals.
COPYRIGHT 1989 National Rehabilitation Association
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 1989, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Author:Kontosh, Larry G.
Publication:The Journal of Rehabilitation
Article Type:Book Review
Date:Jan 1, 1989
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