Enhancing Return-to-Work Success: The Crucial Role of Ergonomics

A returning client expressed apprehensions about engaging in physically demanding tasks, including shoveling, jackhammering, and working with ladders due to heightened pain in the back and both scapular. Despite initial reservations, the client eventually agreed to perform these tasks with the condition of promptly reporting any pain experienced. In alignment with the guidelines set forth by the Workers’ Compensation Board (WCB), the return-to-work specialist and the client’s supervisor clarified that some degree of pain might persist. However, objective reporting indicated that the client was capable of returning to full duties.

It is imperative to note that a Function Capacity Evaluation (FCE) may not comprehensively test all onsite demands. The FCE assesses an individual’s functional capacity concerning a job’s demands, covering aspects such as lifting, carrying, pushing/pulling, balance, fine motor skills, and cardiovascular tolerance. However, it may not evaluate factors like exposure to vibration, jarring, and the impact of cold weather on a worker.

To rectify previous inaccuracies in work limitations, a comprehensive Return-to-Work plan was formulated, specifically addressing the client’s concerns about potential reinjury. A scheduled Job Coaching session (focused on Ergonomics) facilitated by EWI Works was implemented to provide personalized injury prevention strategies. Subsequently, a thorough Onsite Ergonomics Assessment rooted in Job Demands Analysis was conducted. During the onsite assessment, the client experienced discomfort attributable to vibration and jarring, factors not previously identified in the Functional Capacity Evaluation (FCE). Consequently, the ergonomist advised refraining from certain tasks until the client’s upper back fully recuperated. Modified duties, attuned to the client’s physical condition, were recommended. Moreover, a reassessment was advised to ascertain the underlying reasons for the persistent reports of discomfort.

This underscores the critical importance of an onsite ergonomics assessment. The subsequent implementation of these recommendations was duly acknowledged by the return-to-work specialist. Not only did it lead to the diagnosis of a previously undetected soft tissue injury, enabling the pursuit of appropriate treatment, but it also contributed to a more successful and tailored return-to-work plan. This case highlights the significance of addressing ergonomic concerns to prevent re-injury and emphasizes the proactive role of onsite assessments in ensuring the well-being of returning workers.