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Occupational Therapy: A key asset for a successful return to work

Published by PhysioExtra, March 27, 2025

The occupational therapist plays a crucial role in the return-to-work process. Their expertise allows them to assess functional capacities, develop an intervention plan, and provide personalized follow-up to ensure a safe and sustainable return to work. Discover how occupational therapy can facilitate this transition.

Occupational Therapy assessment

After a work-related accident resulting in an injury, consultation with a healthcare professional, such as a physician or a specialized nurse practitioner, is necessary. They may prescribe physiotherapy to help restore physical function. Once this stage is underway, occupational therapy can typically be introduced about six weeks after the injury unless otherwise advised by the physician or physiotherapy technologist.

During the first occupational therapy session, a comprehensive evaluation is conducted to assess the injury’s impact on autonomy and functional capacities in the workplace. This assessment includes:

  • A subjective interview to understand the challenges faced;
  • Standardized tests and job task simulations to measure functional abilities.

Based on the results, a personalized intervention plan is developed to optimize the return to work.

Intervention through activity

Several obstacles can delay or hinder a return to work. Occupational therapy helps identify these challenges and propose adapted solutions. Interventions may be conducted individually or in activation sessions.

Individual sessions

Individual sessions address key topics to promote autonomy and reintegration into the workplace, including:

  • Managing persistent pain and active self-management strategies;
  • Stress management and relaxation techniques;
  • Energy management and improving sleep habits;
  • Biomechanical principles for lifting and handling loads;
  • Identifying return-to-work barriers and strategies to increase flexibility in work approaches.

Activation sessions

Activation sessions consist of functional exercises and job task simulations. These activities help strengthen physical capacities and improve work techniques under the supervision of the occupational therapist.

When the worker’s abilities approach job requirements, a gradual return to work through light duties or temporary assignments can be planned in collaboration with the healthcare team.

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Other Occupational Therapy interventions for a safe return to work

Workplace assessment

The occupational therapist can visit the workplace to assess the worker's functioning and environment. This intervention ensures that acquired skills are transferred effectively and that recommendations are adjusted for a smooth and secure return to work.

Computer workstation assessment

A computer workstation assessment aims to optimize the work environment, adjust equipment, and provide posture recommendations to reduce injury risks.

Job site assessment

The occupational therapist evaluates the physical demands of the pre-injury job. If these demands exceed the worker’s functional abilities, alternative solutions can be considered in collaboration with the insurer and employer.

Preventing injuries and recurrences

When returning to work, it is essential to implement prevention strategies to reduce the risk of injuries:

  • Respect personal limits and seek assistance when needed;
  • Maintain proper posture when lifting heavy objects;
  • Vary tasks whenever possible;
  • Alternate working positions;
  • Take regular breaks to avoid muscle fatigue.

By applying these principles, workers can ensure a safe and sustainable return to work while preserving their health and quality of life.

Occupational therapy is a valuable tool in facilitating a successful return to work. By providing tailored support, it enables workers to regain their functional capacities and confidently resume their professional activities. Call us today to learn more at 1 855 743-9872.

Article written by Virginie Dufort, Occupational Therapist and First-Line Program Leader.

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