Industrial / Occupational Medicine

Industrial/Occupational Medicine is a broad term used to discuss the branch of medicine concerned with diseases and accidental injuries in working populations or in the workplace. Within the Physical Therapy spectrum it describes the rehabilitation of occupational or accidental injuries using specific principles designed to return patients to work such as work hardening and body mechanics to back schools, job demand analyses, occupational consulting, basic pre-employment physicals to more sophisticated and comprehensive functional capacity exams tailored for the needs of each client.

The Functional Capacity Examination (FCE) is an objective standardized test designed to minimize litigations and protect the physicians, worker, and employer when determining a clients ability to perform functions related to work. It includes dynamic strength, position tolerance, mobility, fine motor skills, balance, coordination, and endurance. Additional information provided by this F.C.E. includes tolerance to the eight hour work day, self limiting behavior, overall level of work as defined by the Dictionary of Occupational Titles (DOT) and Job Demands Analysis / Classification of Jobs (COJ) when provided.

We offer Functional Capacity Evaluations (F.C.E.) by ErgoScience. F.C.E. can be a vital component to disability claims when performed by trained, licensed individuals. Functional Capacity Evaluations are becoming more standard in our litigious state and when done by qualified, licensed staff can be of tremendous value. Unfortunately, many practitioners in the state do not receive specific training and certification or licensing in the field. Without such training and knowledge, those tests lose credibility and defensibility within the courts.

The examination includes dynamic strength, position tolerance, mobility, fine motor skills, balance, coordination, and endurance. Additional information provided by this F.C.E. includes tolerance to the eight hour work day, self limiting behavior, overall level of work as defined by the Dictionary of Occupational Titles (DOT) and Job Demands Analysis / Classification of Jobs (COJ) when provided.

1. ErgoScience, Inc; 15 Office Park Circle, Suite 214; Birmingham, AL 35223; phone 205-879-6447; toll free 866-779-6447; fax 205-879-6397; http://www.ergoscience.com.
2. Lechner DE, et al. Journal of Occupational Medicine. Sept 1994 Volume 36, No9: pages 997-1004.
3. Dictionary of Occupational Titles Revised, 4th Edition, Volumes I & II, Government Bookstore.
4. Classification of Jobs 2000, Elliot & Fitzpatrick, 1800-843-4977.

Mr. Kolly has been focusing on occupational medicine and manual therapy for the complex patients over the past 12 years. Throughout his career in Physical Therapy he had been concerned with the lack of objectivity in return to work as well as the client’s motivational influences and sincerity of effort. Injured workers typically don’t have the same driving factors and lifestyle as young athletes and often feel cheated by our medical system.

These clients often need additional positive re-enforcement and motivation. These clients need supervised, progressed exercise with safe body mechanics and clear education. Exercises need to be graded to reduce fear and anxiety towards susceptible areas to improve their quality of life both physical and social. Many physical therapy centers in Michigan offer occupational medicine but few have the equipment and expertise suitable for this population. Rarely, do these clients receive the true benefit of occupational rehabilitation with the appropriate exercise equipment or supervision needed.

Mr. Kolly has been a longstanding patient advocate, yet acknowledges the financial burden of unemployment. He will work with your doctor, case manager, lawyer, and employer to get you the treatment you deserve. His role is to maximize your rehabilitation and work potential but to do so in a safe role, one that protects your surgery and body from further harm.