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Sedentary Work Exerting up to 10 pounds (4.5 kg) of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met.

Light Work Exerting up to 20 pounds (9.1 kg) of force occasionally and/or up to 10 pounds (4.5 kg) of force frequently, and/or negligible amount of force constantly to move objects. Physical demand requirements are in excess of those for Sedentary Work. Light Work usually requires walking or standing to a significant degree. However, if the use of the arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most the time, the job is rated Light Work.

Medium Work Exerting up to 50 (22.7 kg) pounds of force occasionally, and/or up to 25 pounds (11.3 kg) of force frequently, and/or up to 10 pounds (4.5 kg) of forces constantly to move objects.

Heavy Work Exerting up to 100 pounds (45.4 kg) of force occasionally, and/or up to 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Very Heavy Work Exerting in excess of 100 pounds (45.4 kg) of force occasionally, and/or in excess of 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Job Classification

In most duration tables, five job classifications are displayed. These job classifications are based on the amount of physical effort required to perform the work. The classifications correspond to the Strength Factor classifications described in the United States Department of Labor's Dictionary of Occupational Titles. The following definitions are quoted directly from that publication.

Sedentary Work Exerting up to 10 pounds (4.5 kg) of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met.

Light Work Exerting up to 20 pounds (9.1 kg) of force occasionally and/or up to 10 pounds (4.5 kg) of force frequently, and/or negligible amount of force constantly to move objects. Physical demand requirements are in excess of those for Sedentary Work. Light Work usually requires walking or standing to a significant degree. However, if the use of the arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most the time, the job is rated Light Work.

Medium Work Exerting up to 50 (22.7 kg) pounds of force occasionally, and/or up to 25 pounds (11.3 kg) of force frequently, and/or up to 10 pounds (4.5 kg) of forces constantly to move objects.

Heavy Work Exerting up to 100 pounds (45.4 kg) of force occasionally, and/or up to 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Very Heavy Work Exerting in excess of 100 pounds (45.4 kg) of force occasionally, and/or in excess of 50 pounds (22.7 kg) of force frequently, and/or in excess of 20 pounds (9.1 kg) of force constantly to move objects.

Rotator Cuff Tear


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Rehabilitation

Acute Phase: The early goals of rehabilitation in the acute phase of a partial rotator cuff tear or a full tear in older individuals are to decrease pain and inflammation, to reduce the stress on the torn tendon(s), and to prevent the development of joint stiffness, which can severely complicate recovery (Miller).

In conjunction with pharmacological management, the individual will be instructed in the use of cold treatments to the shoulder to decrease inflammation. Reduction of stress to the healing tendon(s) is often achieved through education, ergonomic adjustments, and/or work modifications aimed at reducing painful activities (Lin). Such activities often include positions in which the elbow is raised above the level of the shoulder, and should be avoided. Stiffness may be prevented by passive range of motion exercises conducted during supervised rehabilitation and a home exercise program.

Healing Phase: As the pain and inflammation ease, treatment aims at improving strength and flexibility to the shoulder without irritating the healing tendon(s) (Malanga, "Chapter 15"). The strengthening exercises begin with scapular muscles. These are important muscles for normal shoulder function, and the exercises can usually be performed without excessively stressing the healing tendon(s). Gentle stretching exercises may also be initiated, avoiding stress on the healing tendon(s). As the tendon heals, progressive rotator cuff strengthening exercises are added, as indicated (Malanga, "Chapter 15"). Pool therapy may be useful for some individuals.

Chronic Phase: The goal of rehabilitation in this phase is to restore pain-free function (Mantone). Strengthening exercises emphasize all muscles of the shoulder area. Flexibility exercises and manual therapy are incorporated within the available range of motion. Individuals who are not able to regain function or control pain may be evaluated for surgery.
If managed operatively, see Rotator Cuff Repair.

FREQUENCY OF REHABILITATION VISITS
ClassificationSpecialistTopicVisit
Nonsurgical (acute phase)Physical or Occupational TherapistRotator Cuff TearUp to 12 visits within 6 weeks
Surgical (acute phase)Physical or Occupational TherapistRotator Cuff TearUp to 24 visits within 12 weeks
The table above represents a range of the usual acceptable number of visits for uncomplicated cases. It provides a framework based on the duration of tissue healing time and standard clinical practice.

Source: Medical Disability Advisor