Performance and Disability Consulting

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Productivity and Suitability Assessment

Productivity and suitability assessment facilitates:

  • Efficient screening of potential new employees to determine the best candidate for the job
  • Evaluating the suitability and proficiency of existing personnel
  • Identification of safety concerns that could place an employee at risk for injury
  • Making recommendations to optimise employee performance


Functional job analysis

The first step to completing either such assessment is for the therapist to do a functional job analysis. This analysis is specific to a position and comprises conducting interviews with relevant personnel, review of the job description, inspection of the workplace and observation of the relevant work tasks to be performed. It provides the necessary insight for developing assessment procedures specific to that particular position. This is a once off process per position and only needs to be repeated or revised if the job tasks and/or requirements change.

The assessment procedure consists of physical and/or cognitive testing and is based on standardised norms. It can include anything from determining safe physical work level, physical endurance, co-ordination, balance skills and fine motor function to clerical competency, writing speed, computer skills and cognitive function (e.g. problem solving ability, concentration and memory skills, ability to follow instructions).

Pre-work screenings

Assessment of candidates applying for a specific position enables a therapist to identify the most suitable candidate for that particular position and in the physical work environment, to identify safety risks or concerns that can be addressed preventatively.

Occupational Performance Assessments

Assessment of existing personnel is completed to assist in determining reasons for productivity concerns. It enables the therapist to determine to what extent the employee is a fit to the position based on its requirements. Assessment findings then allows the therapist to make rehabilitative or compensative recommendations with regards to any identified safety risks, health problems, compromise of work habits or work skills to optimise work performance and productivity.


Workplace Consulting

Disability Access Audits

Our therapists are able to conduct worksite visits and provide feedback with regards to disability access. We can also arrange for legal and architectural guidance in this regard.

Ergonomic Workstation Assessment

Ergonomic workstation layout is essential to ensure employee safety and to minimise risk for repetitive strain injuries. Our therapists are able to provide feedback and recommendations with regards to such layout and also provide training and education in ergonomics and use of good body mechanics for employees as a measure to reduce the chance of work related injuries.

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Incapacity Management

These services assists with:

  • Identification of an employee’s functional capacity following a period of illness or injury
  • Facilitating return to work and assisting with this reintegration process by making recommendations and assisting with implementation of necessary rehabilitation and accommodation.

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Functional Capacity Evaluations (FCE)

A functional capacity evaluation consists of an in-depth assessment of the employee’s physical, cognitive and psycho-social function as well as their work skills and habits.

The aim of an FCE within incapacity management would be to assist an injured employee to return to work and reintegrate as effectively as possible into his or her previous work environment. Recommendations are made with regards to rehabilitation, accommodation as well as any further treatment or intervention that would promote his or her work capacity and ability to return to performing previous work duties.

Employers are legally required to reasonably accommodate their employees after suffering an injury or illness. Our therapists are able to assist existing employers with this re-integration process based on the employee’s functional capacity and on what is reasonably available and possible within the work place.

Rehabilitation programs

Based on the outcome of the FCE, the therapist is then able to assist with planning, implementation and management of an appropriate rehabilitation program for involved employee. This may involve anything from further training in relation to work skills and habits to referral for further therapy, medical follow up or work hardening.


Disability Management

These services facilitates:

  • Identification of a person’s residual work ability following illness or an injury that has permanently or significantly affected the employee’s function and resulted an inability to return to his or her previous work position
  • Re-integration of such a person into the open labour market where possible and appropriate

Functional Capacity Evaluations (FCE)

As previously indicated a comprehensive functional capacity evaluation enables therapists to determine a person’s work ability and potential based on their physical, cognitive and psycho-social function with specific consideration of their medical, educational and work history. The aim of an FCE within disability management would be to assist in determining the person’s residual work ability and to assist that person where possible to return to work, albeit an alternative position. Recommendations are made as to accommodations that might be required, any further rehabilitation or intervention that would promote the persons’ work capacity and skills as well as alternative options. We complete a lot of functional capacity assessments for insurance companies as part of a review process to determine a person’s eligibility for disability or incapacity benefit.

Case Management

Case management is offered to persons who are in the process of seeking work within the open labour market after suffering an injury or illness that has affected or compromised their work ability and skills in the long term. It is typically done at the instruction of the involved insurance company or in private capacity. Case management follows a comprehensive functional capacity evaluation. Our therapists then assist the person to further develop skills that would improve their employability and to provide assistance with updating their curriculum vitae, guidance on work interview skills and pursing work opportunities.

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Medico-Legal Assessment and Reporting

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Our practice offers medico-legal assessment and reporting for all age groups and all kinds of injuries. From in-depth assessment we are able to offer objective feedback with regards to the level of functional impairment or compromise the person has suffered as a result of the injury. This enables the therapist to make recommendations in terms of the long term implications of the injury together with the financial implications thereof. This includes aspects such as further assessment, therapy , equipment, transport and home adaptation. A specific opinion is also given on the extent to which the client’s work ability has been affected as loss of income and future loss of earnings are such important aspects to address within medico-legal cases.



Paediatrics Assessment and Treatment

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At our practice we work with children of all ages. Children are referred to us by:

  • Parents
  • Teachers
  • Paediatricians or Medical Practitioners
  • Psychologists and Psychiatrists
  • Speech Therapists
  • Physiotherapists

Children are typically referred due to concern regarding:

  • General developmental delay
  • Motor development (e.g. co-ordination, balance skills)
  • Low general postural muscle tone, -control and endurance
  • Academic underperformance or difficulty
  • Handwriting and / or copying ability
  • Sensory Integration disorder
  • Hyperactivity
  • Behavioural problems

Once an appointment has been made for a child to be assessed by one of our therapists, a developmental questionnaire is sent to the parents to complete and bring with them on the day of the appointment. We also ask for copies of any other relevant assessment reports or medical documentation. The assessment starts with an interview with the parents to determine their specific concerns. Thereafter the assessment commences and typically takes anything from 1-and-a-half to 2 hours depending on the age of the child, their work speed and response. On occasion it is necessary to arrange for a second assessment session when further testing is indicated or when the child’s endurance is not sufficient for completion of all necessary test items or observations during the first appointment. When indicated a school visit is also completed to further observe the child in this environment. During the assessment we specifically assess areas of concern, but also determine the child’s developmental level in terms of their motor and perceptual function. Underlying neuro-motor foundation skills and sensory systems are also carefully investigated where appropriate. Once the assessment has been completed, a feedback session is arranged with the parents where assessment results and recommendations are discussed. In cases where therapy is recommended and agreed upon, sessions are offered either once or twice a week and supplemented with home exercises. In cases where personal circumstances or proximity is a challenge, home programs are offered as alternative.

In therapy, activity is used as treatment medium due to the motivation that purposeful, meaningful activity holds for the child. Formal and informal play is the way through which young children experiment with, develop and learn new skills. Play activities therefore form a significant part of therapy sessions, but with each activity specifically selected for the skills addressed therein and the presentation carefully planned to provide the child with the “just right” challenge. Activities that are too easy offers little therapeutic value and activities that are too difficult only frustrates the child and further compromises his or her confidence. By facilitating activity participation at a level where the child is just sufficiently challenged, optimal learning occurs. Therapy always starts with a strong child centred approach to build a positive therapeutic relationship. Re-assessment is typically completed 6 – 8 months after the initial assessment in order to determine the level of progress made, to provide the parents with a comparative performance report and to make further recommendations as appropriate. We like to work closely with all other team members involved to ensure that the child is treated holistically.