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WORK: A Journal of Prevention, Assessment & Rehabilitation is an interdisciplinary, international journal which publishes high quality peer-reviewed manuscripts covering the entire scope of the occupation of work. The journal's subtitle has been deliberately laid out: The first goal is the prevention of illness, injury, and disability. When this goal is not achievable, the attention focuses on assessment to design client-centered intervention, rehabilitation, treatment, or controls that use scientific evidence to support best practice.
WORK occasionally publishes thematic issues, but in general, issues cover a wide range of topics such as ergonomic considerations with children, youth and students, the challenges facing an aging workforce, workplace violence, injury management, performing artists, ergonomic product evaluations, and the awareness of the political, cultural, and environmental determinants of health related to work.
Dr. Karen Jacobs, the founding editor, and her editorial board especially encourage the publication of research studies, clinical practice, case study reports, as well as personal narratives and critical reflections of lived work experiences (autoethnographic/autobiographic scholarship),
Sounding Board commentaries and
Speaking of Research articles which provide the foundation for better understanding research to facilitate knowledge dissemination.
Narrative Reflections on Occupational Transitions, a new column, is for persons who have successfully transitioned into, between, or out of occupations to tell their stories in a narrative form. With an internationally renowned editorial board,
WORK maintains high standards in the evaluation and publication of manuscripts. All manuscripts are reviewed expeditiously and published in a timely manner.
WORK prides itself on being an author-friendly journal.
WORK celebrates its 25th anniversary in 2015.
*WORK is affiliated with the Canadian Association of Occupational Therapists (CAOT)* *WORK is endorsed by the International Ergonomics Association (IEA)* *WORK gives out the yearly Cheryl Bennett Best Paper Award*
Abstract: Rehabilitation placement professionals have a vital role in helping American corporations develop recruiting, hiring, and accommodation practices that are compatible with the civil rights protections in the Americans with Disabilities Act (ADA). To perform this consulting function, they must have current information on: (a) provisions and protections in Title I of the ADA; (b) the benefits of hiring people with disabilities; (c) the cost-effectiveness of reasonable accommodations; and (d) collaborative employer/employee approaches to job accommodations.
Keywords: Rehabilitation placement consultant, American with Disabilities Act (ADA), Disability
Abstract: Objective: The purpose of this study was two-fold: To obtain descriptive information regarding general physical and mental habits of music students and to ascertain if there are any associations between specific daily activities or habits and the appearances of these injuries. Study design: Questionnaires were distributed to three hundred music students at Boston University. Of the 45 respondents, 19 students were willing to participate in an interview. Descriptive statistics were analyzed and comparisons were made to a similar study which was conducted at New England Conservatory in Boston, Massachusetts (Hagglund, K., Unpublished study, 1994). Results: The results suggest…that Boston University music students follow expected trends reported in previous research (Fishbein and Middlestadt, 1988; Manchester and Fielder, 1991; Hagglund, 1994). Eighty two percent (n=37) of the respondents were performance majors and the majority of them began playing their instrument at age 10. Out of the 45 respondents, 28 were female of whom 68% (n=19) reported having a music-related injury. Of the remaining 17 males, 53% (n=9) reported also having a music-related injury. Sophomores and juniors accounted for 15 (54%) of the total 28 musicians with injuries in this study. The typical practice habits that were described by the respondents included 2 h sessions, with 10−15 min breaks each hour. Most musicians disclosed to occasionally playing their instruments even when experiencing pain. Results from this study suggest that as the hours spent playing increased, so did the incidence of injury. Medical attention from neurologists, general practitioners, performing arts specialists and laryngologists was pursued by 18 (64%) of the 28 injured musicians. Sixty-one percent of the respondents with injuries saw more than one rehabilitation specialists, including physical therapists (50%); Alexander/Feldenkrais teachers (44%) and massage therapists (28%). More than one treatment method was given to 74% of the injured. These treatment methods included methods such as: Altering posture, habits or playing technique, exercise and stretching, rest, ice and massage. Satisfaction in career and the ability to live up to self expectations was high, while performance anxiety was not bothersome for 82% of the respondents. Fifty-two percent reported reacting well to stress and 44% described having an average level of self-consciousness. Most respondents (89%) participated in some type of physical fitness, most exercising either one (30%) or three (23%) days a week, and 75% reported that they stretch prior to playing. Conclusion: This study provides information on the general habits of music studtents which can be beneficial to rehabilitation specialists, as well as other medical professionals treating musicians. By understanding the lifestyles and dynamics of being a musician, rehabilitation specialists can devise better individualized intervention and preventative strategies. Unfortunately, musicians remain uninformed on the current treatments, rehabilitation approaches, and most importantly the predisposing and preventative factors of music-related injuries. Occupational therapists, physical therapists and other rehabilitation specialists can and should be the professionals to provide guidance to the population of musicians on the above mentioned factors.
Abstract: This paper examined the ergonomics of child care at a large metropolitan, university-based child care center. A case study approach was used to describe the job analysis process and results. Center staff were involved in the identification of health risk factors by completing an ergonomics survey and responding to questions posed during the job analysis (n=36). Two occupational therapists analyzed six different rooms, accommodating different age groups of children. Specific activities were identified as stressors and/or health risk factors inherent in the jobs according to the age of the children cared for. A list of ergonomic health risk factors and…recommendations was generated.
Abstract: The purpose of this article is to examine the impact of rheumatoid arthritis (RA) on a woman's capacity to perform household work. Household work involves both instrumental functions (e.g., cooking, cleaning, shopping) and nurturant functions (e.g., caring for children, listening and comforting). This article includes a review of the relevant literature, an interview with a rheumatologist, and case studies of two women with RA. The literature suggests that household work limitations exist in women with RA, especially those women with more severe RA; and that the patient may benefit from appropriate social support and ongoing treatment and education.
Keywords: Instrumental function, Nurturant function, Social support
Abstract: With the steady increase of non-English-speaking immigrants such as Hispanics in the U.S. over the last 15 years, the need for interpreters in medical settings has grown. However, health care practitioners such as occupational therapists and physical therapists receive minimal training in working with interpreters. This paper provides the reader with recommendations for working with interpreters and for when an interpreter is not available. In addition, a case example illustrating common problems that may arise when working with an interpreter and some solutions are discussed. Further, the simultaneous and consecutive methods of interpreting are compared; and the difference between interpreters…and translators is discussed.
Abstract: With the advent of the Americans with Disabilities Act, physical and occupational therapists have an opportunity to expand their role in working with disabled individuals, specifically in the areas of employment, public accommodations and transportation. This paper will discuss the commonality in minimizing the disabling effects of physical disabilities and integrating the disabled into the mainstream of life. It is evident that the ADA presents unique opportunities for therapists. Effective implementation of the law can be accomplished when physical and occupational therapists are involved.
Abstract: Through the use of a literature review, this article will examine the evolution of the transition from the school room to the workplace for adolescents with developmental disabilities. It will explain an ideal occupational therapy program based on a current model used with this transition and demonstrate how occupational therapy can benefit the student during this phase of his/her life. A case study will be cited to describe how a combination of current programs and occupational therapy can be implemented.
Abstract: This paper draws insight from an assorted compilation of health care literature for the purpose of attaining a comprehensive perspective on issues encountered by health care professionals working with a culturally diverse clientele. The primary intent of this article is to provide clinically useful information geared toward enhancing quality health care services for people of various cultural backgrounds. Definition of difficulties experienced by practitioners and clients, as well as practical suggestions which may reduce ineffective treatment methods and increase successful treatment outcomes for individuals from diverse cultural identities are discussed. Deliberation of cultural issues will be limited to the African-American,…Anglo-American, Asian, Hispanic and Native American Indian cultures.