DOI: http://dx.doi.org/10.18203/2349-3933.ijam20202111

Retrospective analysis of disability evaluation and work fitness reports issued in occupational therapy training school and centre, Mumbai, Maharashtra, India

Anuradha V. Pai, Anushka B. Paithankar, Jyotsna R. Bankhele, Harshal M. Dixit

Abstract


Background: Patients from medicine, neurology and neurosurgery are referred to occupational therapy for disability calculation and if applicable work fitness. The patients who were referred from other units are not analysed here. Objectives of this study were to find the total number of patients referred for disability evaluation and certification from neuro-medicine and neuro-surgery units. To find the number of patients referred according to the different diagnosis. To find the patient distribution according to the percentage of disability. To find number of patients who were given work fitness (unfit, fit, light duty).

Methods: Retrospective analysis of hospital records, disability evaluation reports and work fitness reports (wherever applicable from 1st January 2018 to 31st December 2019). Evaluation of disability is done as per guidelines of Government Gazette, June 2001 and report is given. Final certification is given by the respective referring unit. If applicable these patients are also analysed for work fitness.

Results: Among 84 patients were given disability certificate in 2018 whereas 79 patients in 2019. In 2018, out of 84 patients, 1 received disability <40%, 64 got disability between 40-70% and 19 got disability >70%. In 2019, out of 79 patients, 2 got disability <40%, 58 got disability between 40-70% and 19 got disability >70%. In 2018, out of 84 patients, 33 patients were referred for work fitness in which 27 got unfit, 1 patient was given fit and 5 got light duty after work simulation. In 2019, out of 79 patients, 21 were referred for work fitness in which 18 were given unfit, 1 patient was given fit and 2 got light duty after work simulation.

Conclusions: The patients were analysed based on age, gender, type of diseases, percentage of disability, type of work and work fitness (fit, unfit, light duty).


Keywords


Disability, Occupation, Work fitness

Full Text:

PDF

References


Hopkins HL, Smith HD, Chapter 24 Rehabilitation centers. In: Willard and Spackman’s Occupational Therapy. 8th Edition. J B Lippincott company; 2014:784.

Early M. Mental health concepts and techniques for the occupational therapy assistant: comprehensive occupational therapy evaluation scale. 3rd Ed., Vol. 15, Philadelphia, PA: Lippincott Williams and Wilkins; 2000:348-356.

Serra C, Rodriguez MC, Delclos GL, Plana M, Gomez Lopez LI, Benavides FG. Criteria and methods used for the assessment of fitness for work: a systematic review. Occup Environ Med. 2007;64:304-12.

Mitrushina M, Tomaszewski R. Factors associated with return to work in patients with long-term disabilities due to neurological and neuropsychiatric disorders. Neuropsychol Rehab. 2019;29(9):1313-31.

Hirsekorn L, Return to work rehabilitation. Community Therapists; 1994. Available at: http://www.communitytherapists.com/services/treatment/vocational-rehab. Accessed on 12th March 2020.

The Gazette of India, Ministry of Social Justice and Empowerment Notification, New Delhi, 1st June 2001.

Gaikwad JS, Jaywant SS, Pai AV. Retrospective Analysis of Work Fitness in Municipal Corporation Employees. Indian J Occup Ther. 2017;49(3):85-90.

Wegman D. Health and safety needs of older workers: physical and cognitive differences between older and younger workers. Volume 5. Washington, DC; National Academies Press; 2004:95-122.

Steven YH, Phiroze H, Dawn K, John E. Neurologic conditions: assessing medical fitness to drive. Clin Med Res. 2003;1(3):177-88.

Marie M, Lars-Oloy L, Thomas S. Opportunities and barriers for successful return to work after acquired brain injury: a patient perspective. Work. 2017;56(1):125-34.

Green RE, Colella B, Hebert DA, Bayley M, Kang HS, Till C, et al. Prediction of return to productivity after severe traumatic brain injury: investigations of optimal neuropsychological tests and timing of assessment. Arch Phys Med Rehab. 2008;89(12):S51-60.