Injured Worker Program Mechanical, Spine & Extremity Disorders

The Solution to Work-Related Injuries


Delivery of Mechanical Diagnosis & Therapy (MDT), a dynamic system of assessment, treatment and prevention for patients with mechanical spine and extremity disorders, early in the injury/pain episode.
A thorough, skilled, physical examination by a clinician using the MDT assessment delivered by the therapists at MOR is the most reliable and effective means to interpret symptom and movement responses that will identify and resolve a majority of these conditions that without, would otherwise be left undiscovered.

  • Predicts those that will resolve conservatively/quickly
    (Donelson 1990)

  • Identifies & expedites return to work
    (Karas 1997)

  • Reduces likelihood of surgery by 6 times
    (Skytte 2006)

  • Reverses conditions from “worsening/no improvement” to “significant improvement” (Long 2004)


After delivering MDT treatment (4 years):


greater than
0%
functional
improvement

Individuals show greater functional improvement than the national average

on average
0
fewer
visits

Fewer visits on average to achieve this greater improvement

overall
0%
patient
satisfaction

More patient satisfaction than the national average

The Solution to Work Related Injuries


Delivery of Mechanical Diagnosis & Therapy (MDT), a dynamic system of assessment, treatment and prevention for patients with mechanical spine and extremity disorders, early in the injury/pain episode.
A thorough, skilled, physical examination by a clinician using the MDT assessment delivered by the therapists at MOR is the most reliable and effective means to interpret symptom and movement responses that will identify and resolve a majority of these conditions that without, would otherwise be left undiscovered.

  • Predicts those that will resolve conservatively/quickly
    (Donelson 1990)

  • Identifies & expedites return to work
    (Karas 1997)

  • Reduces likelihood of surgery by 6 times
    (Skytte 2006)

  • Reverses conditions from “worsening/no improvement” to “significant improvement” (Long 2004)


After delivering MDT treatment (4 years):


greater than
0%
functional
improvement

Individuals show greater functional improvement than the national average

on average
0
fewer
visits

Fewer visits on average to achieve this greater improvement

overall
0%
patient
satisfaction

More patient satisfaction than the national average

MOR Assessment & Treatment


Administering efficient and low-cost corrective therapies for non-complicated musculoskeletal conditions within the proper delivery algorithm often goes unapplied leaving individuals with pain, functional limitations and decreased workplace performance.

Outdated Traditional Model


• work presence is disrupted
• distraction while present at work occurs
• subsequent patient dissatisfaction results.

Consider these figures…


Many traditional attempts to care for these workers have been found to delay return to work (rather than expedite it) and to deliver care that has long been shown to have little to no effect on recovery.

13% of common workforce over a 2 wk period has loss in productive time due to musculoskeletal pain (Stewart 2003)

76% of loss is due to reduced performance while at work (presenteeism) not absence (Stewart 2003)

Exacerbations or recurrence account for far more days lost than first-time episodes (Ricci 2006)

Lumbar injuries result in 149 million lost days of work/yr with productivity losses = $28 billion (Nguyen 2007)

Intro LENGTH OF DISABILITY Length of disability (LOD) for non-complicated back pain claimants is markedly impacted by (Mahmud 2008) Comparative
Effects
THE PROBLEMS WITH TRADITIONAL CARE In these studies, the use of traditional therapy/medicine has shown to have a less than optimal effect on patient recovery. RECEIVING YES NO X-Ray LOD 30 10 Narcotics (longer than 7 days) 45 LOD 17 Specialist Consult LOD 48 11 MRI LOD 115 13
Intro EMPLOY TREATMENTS WITH POOR EVIDENCE Traditional physical therapy generally continues to employ treatments with poor evidence as in: (Chou 2007) Comparative
Effects
THE PROBLEMS WITH TRADITIONAL CARE In these studies, the use of traditional therapy/medicine has shown to have a less than optimal effect on patient recovery. Electrical Stimulation Traction Ultrasound Hot/Cold Therapy Massage Non-Specific Exercise Spinal Manipulation (Adjustments) Back School
Intro LACK OF EDUCATION ON SELF-CARE Delay in early, active approach, involving education and self-efficacy strategies. (Seattle Times 2008) Comparative
Effects
THE PROBLEMS WITH TRADITIONAL CARE In these studies, the use of traditional therapy/medicine has shown to have a less than optimal effect on patient recovery. 3x's more likely to need an MRI. Missing an average of 9 days of work versus 4.3 if proper therapy is started same day. Greater cost of claims from 5% above regional average to 9% lower (>$1,000 diff/claim). Reduced patient satisfaction (improved to 4.9 on 5 pt scale when therapy began early). PRIMARY CARE Poor adherence in primary care to established guidelines for musculoskeletal conditions. (Chou 2007)

Ready to start?


We understand the extent to which pain can limit you and take away from you the things you need and want to do. If you are dealing with pain or the inability to freely move and function in a normal way or in a way you once did, we want to help. We look forward to working with you and playing a role in you getting back to your life.

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