Matheson L N, Ogden L D, Violette K, Schultz K
Am J Occup Ther. 1985 May;39(5):314-21. doi: 10.5014/ajot.39.5.314.
Work hardening, presented in this paper as a "new" service for the industrially injured, is actually well grounded in the traditional models and practices of occupational therapy. From the profession's early roots in industrial therapy to the development of a variety of programs for the industrially injured through the 1950s and 1960s, the historical and philosophical bases of occupational therapy support the use of work as an evaluative and therapeutic medium. What is actually new is the adoption of terminology, technology, and a program format that fits in with the needs of consumers in the 1980s. Recent developments that created the need for the specialized services that occupational therapists are uniquely qualified to provide include growth of private sector vocational rehabilitation, changes in workers' compensation laws, and increasing costs of vocational rehabilitation. This paper describes work hardening in its present form. A case example is given that demonstrates how work hardening can be a cost-effective and time-saving bridge which spans the gap between curative medicine and the return to work.
本文所介绍的工作强化训练，作为一项针对工伤人员的“新”服务，实际上在职业治疗的传统模式和实践中有着坚实的基础。从该职业早期在工业治疗中的起源，到20世纪50年代和60年代为工伤人员开发的各种项目，职业治疗的历史和哲学基础都支持将工作用作评估和治疗手段。真正新颖的是采用了符合20世纪80年代消费者需求的术语、技术和项目形式。近期的一些发展使得需要职业治疗师具备独特资质才能提供的专业服务，这些发展包括私营部门职业康复的增长、工伤赔偿法律的变化以及职业康复成本的增加。本文描述了当前形式下的工作强化训练。文中给出了一个案例，展示了工作强化训练如何能够成为一座具有成本效益且节省时间的桥梁，跨越治疗医学与重返工作岗位之间的差距。
