Asesmen Laik Kerja

Annisa Zakiroh
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Fit to Work Brain Injury

Journal Review

Head Injury

Fitness to Drive
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2001

Predicting return to work

after brain injury
using occupational therapy
assessments
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Test for
impairments
in body
1. Rivermead Behavioural
functions Memory Test (RBMT) to
assess memory
2. Rivermead Perceptual
Assessment Battery
(RPAB) to assess visual
perception and attention
3. Sunnaas test to test for
apraxia
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The person’s ability to perform ADL

▫ PADL are personal daily

Test the level of activity life activities (e. g. bathing,
dressing, feeding)
▫ IADL refers to
instrumental or domestic
activities of daily living
(e.g. cleaning, cooking,
shopping).
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Functional Independence Measure (FIM)

was used as a questionnaire.

PADL
Personal Daily Life Contains:
Activities
▫ motor (13 items) scale
▫ cognitive (5 item) scale
The motor scale assesses
self-care, sphincter control,
mobility and locomotion.
The cognitive scale
assesses communication
and social cognition.
Each item is rated according to
a seven-level scale
▫ Total dependency = 1
▫ Complete independence = 7
The answers dichotomized into:
▫ independent (6 and 7)
▫ dependent on personal
assistance (1 to 5) according
to the classifications in the
manual.
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Assessment of Motor and Process Skills (AMPS)
IADL
Instrumental
Activities of Daily Contains
Living ▫ 16 motor and
▫ 20 process skill items.
Motor and process skills are
observed in the context of a
person performing
occupational tasks of
his/her choice.
Motor skills are the
observable actions used
to accomplish motion to
the self or objects.
Process skills are the
observable actions used
to logically organize and
adapt behaviour over
time in order to
complete the task
effectively.
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Result
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The occupational therapy assessments

Discussion used in this study was valuable in
predicting failure to return to work or
studies after brain injury
▫ Memory dysfunction measured by
the RBMT,
▫ Activity limitations in PADL
measured by the FIM,
▫ IADL measured by the AMPS.
Seems to be predictors for failure to get
back to work
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2003

An occupational therapy
work skills assessment for
individuals with
head injury
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Impairments in the areas of cognition, behavioural/

interpersonal skills, and physical abilities
Literature
Review
Barriers to return to work ▫ Cognition ▫ Impairments in
following a head injury
deficits: areas of the areas of
attention, behavioral and
concentration, interpersonal
memory and skills:
executive impulsivity,
function  disinhibition,
slowness on the poor self-
job and reduced monitoring.
productivity.
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Impairments in the areas of cognition, behavioural/

interpersonal skills, and physical abilities
Literature
Review
Barriers to return to work
following a head injury
▫ Physical deficits: ▫ Other physical
fatigue and
headache, also limit
productivity.
▫ Physical
impairments:
spasticity, tremors,
contractures, and
impaired mobility.
limitations:
headaches,
dizziness, balance
problems, fatigue,
weakness, reduced
hand dexterity,
problems related to
vision, and pain
symptoms.
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Functional Capacity Evaluation (FCE)

Literature
Review ▫ Identify physical Occupational therapy
assessment protocol should
Evaluation Framework
limitations or focus on:
strengths for ▫ functional cognitive
abilities,
individuals with
▫ physical skills related to
musculoskeletal work,
injuries ▫ the standardized format
of a FCE, as well as
▫ Useful for activities which simulate
individuals with the unpredictability of
actual workplace
brain injury demands
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2014
Screening and Assessment
Tools for Determining
Fitness to Drive:
A Review of the Literature
for the Pathways Project
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Although there are General practice
occupational therapists
many procedures can use assessment tools
used to evaluate to assist in making clinical
occupational judgments to:
performance, using 1. determine fitness to
standardized drive at the extreme
Background assessment tools
ends (e.g., clearly not
fit or clearly fit),
or tools based on 2. assist in gathering
research evidence is data for the DRS by
critical to obtaining sharing assessment
reliable information outcomes in order to
decrease the work
for justifying load, and
services. 3. determine the
appropriate type and
time of a referral for a
comprehensive driving
evaluation.
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Screening and Assessment Tools for Determining
Fitness to Drive
Table 1
Identify evidence-based methods
for assessing fitness to drive, that
address both the impairments as
well as driving potential for older
adults with medical conditions.
Table 2
Recent papers offering critical
information clinicians should
consider before selecting any
assessment/screening tools or
drawing conclusions
Table 3
Assessments tools in the literature
designed to screen older adults for
driving readiness or provide the
clinical portion of the
comprehensive driving evaluation
Table 4
Studies focused on the
development of relatively new
(publications from 2008 to the 2013)
assessment tools.
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Screening and Assessment Tools for Determining

Fitness to Drive

Table 5 Table 7
Studies using driving 25 studies that looked at
simulation as an assessment
dementia and driving
tool for determining fitness to
drive.

Table 6 Table 8

Screening and assessment Screening and assessment

studies for persons tools for individuals with
diagnosed with Parkinson’s visual impairments.
disease.
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Screening and Assessment Tools for Determining

Fitness to Drive

Table 9 Table 10
Address driving potential The main findings and
for individuals with implications for studies
stroke, Table 9 highlights addressing assessment
studies specifically and screening tools
identified as using applied to driving with
assessment tools to older adults as the target
measure impairment population (i.e., no
related to driving risk. identified impairment).
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Thank You

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