work hardening

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work hardening

 
a rehabilitation program designed to restore functional and work capacities to the injured worker through application of graded work simulation. Included are activities designed to improve overall physical condition, including strength, endurance, and coordination specific to work activity, as well as means for coping with any remaining symptoms from the original problem, such as pain. Central to all work hardening programs is the reproduction of a work-like environment where tasks are designed to improve the patient's tolerance for productive work.



The goal of work hardening is to achieve an acceptable level of productivity for returning to one's former occupation or for meeting the demands of a specific new type of work. Therefore, worker behaviors and not just physical conditioning are addressed. These include having structured work times and duties, dressing appropriately for one's tasks, and conducting oneself in a worker-like manner. It is important to differentiate work hardening from work conditioning, which does not address these added concerns.
Treatment Personnel. Work hardening is generally administered by physical or occupational therapists, working independently or as part of a team, which might include physicians, vocational counselors, psychologists, and other rehabilitation professionals. Drug and alcohol specialists, ergonomists, orthotists, dieticians, and industrial nurses may also be involved in the program.
Settings. Work hardening programs can be found in rehabilitation and general acute hospitals, private physical or occupational therapy centers, vocational training facilities, and fully dedicated facilities or within private industry. When found in hospitals or therapy centers, programs either share space with other rehabilitation programs (mixed-use setting) or are in partitioned areas designed specifically for the purpose (dedicated space setting). Fully dedicated facilities, whose only use is work hardening activity, are generally thought to offer the best environment for worker rehabilitation since they provide the nearest reproduction of actual work experience.
Miller-Keane Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health, Seventh Edition. © 2003 by Saunders, an imprint of Elsevier, Inc. All rights reserved.

work hard·en·ing

(wŏrk hahr'dĕn-ing)
A multidisciplinary program where actual work tasks are performed to rehabilitate an injured worker in preparation for a return to the job.
See also: work conditioning
Medical Dictionary for the Health Professions and Nursing © Farlex 2012

work hard·en·ing

(wŏrk hahr'dĕn-ing)
A multidisciplinary progam where actual work tasks are performed to rehabilitate an injured worker. The focus of therapy is to stimulate a regular work routine where therapy is regimented as a precursor to return to work.
See also: work conditioning
Medical Dictionary for the Dental Professions © Farlex 2012
References in periodicals archive ?
The full anneal is widely used on steels to remove the effects of cold working, eliminate residual stress and improve the machinability of medium and high carbon grades.
One must bear in mind that hardness is not an intrinsic physical property but rather depends upon the treatment and microstructure of a material.3 Therefore, cold working and heat treatments are significant fabrication techniques which need careful monitoring during file fabrication for optimum surface hardness properties.18 It should however be considered that within the limitations of our study, only a single brand of files was tested for evaluation of surface hardness.
The microhardness mapping of aluminum to aluminum SPR joints in Figure 10c showed a degree of cold working similar to the flush CFRP to AA6111 joint close to the rivet.
* A pressure rating of 2,500 PSIC (414 bar) CWP (cold working pressure).
Textures are created on the glass surface principally through cold working the glass using techniques such as, sawing, bonding, sandblasting, acid etching/polishing and engraving.
Marigold[R] Industrial is ensuring that even the smallest working hands remain warm, safe and able to grip when exposed to low temperatures in cold working environments.
Waste collectors, however, face many safety and health risks associated with their collection work such as handling heavy and dangerous waste, exposure to hot and cold working environment, or traffic accidents.
Yield strength can be improved through uniform increased cold working prior to annealing, which produces small grains that carry over into the annealed state.
In airplane wings and other structures, techniques such as shot peening and laser shocking are used, but drawbacks include high cost, cold working time, and component damage.
The "cold working", and the "hot working" conditions, respectively, were previously defined through the ratio [omega]/v, where [omega] is the rotation speed, [rpm] and [v.sup.a]--the travel speed, [mm/min], of the processing tool (Iordachescu et al., 2007).