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WSIB Programs of Care, Rehab & Physiotherapy in Toronto

WSIB injured worker Programs of Care: Acute Low Back Injury, Upper Extremity and Lower Extremity Programs


Program of Care for Acute Low Back Injuries

The Program of Care for Acute Low Back Injuries is an evidence-based health care delivery plan that describes treatment shown to be effective for injured workers with a soft tissue, uncomplicated, acute low back injury. Acute refers to injuries with symptoms within the first four weeks of the injury.


What is the program's focus?

The Program of Care is divided into the acute (weeks 1-4) and sub-acute (weeks 5-12) phases of care to a maximum of 12 weeks. It focuses on the best treatment interventions after a low back injury has occurred, which in the first four weeks after injury include:

  • Patient education
  • Patient self-management strategies to help the injured worker return to daily activities
  • Injury treatment (stretching exercises, spinal manipulation and/or mobilization)
  • Pain management strategies
  • Transition to work


Program of Care for Lower Extremity Injuries

The Program of Care for Lower Extremity Injuries is an evidence-based health care delivery plan that describes treatments shown to be effective for workers diagnosed with an acute ankle sprain, an anterior knee injury with patellar tendinopathy or patellofemoral syndrome or recurrence. It was developed in collaboration with health professionals, worker and employer representatives and the WSIB.


Program Objectives

The specific objectives of the Lower Extremity Injuries Program of Care (LEI POC) are to:

  • Facilitate early, safe and sustainable return to work if off work
  • Resolve or reduce clinical signs and symptoms
  • Improve or restore strength and endurance with an intent to return to pre-injury function
  • Prevent chronicity
  • Achieve satisfaction with the quality of care among workers and other stakeholders


Eligibility Criteria

The target population for this program is defined as workers in Ontario with a soft tissue, lower extremity injury, who meet the following criteria:

  • Have an acute ankle sprain, a diagnosis of anterior knee injury with patellar tendinopathy or patellofemoral syndrome or recurrence
  • Can safely participate in the treatment approaches described in the POC
  • Have no fractures or gross instability
  • Have a mechanism which is consistent with acute onset
  • Have no clinical evidence of red flags
  • Are off work or at work
  • Are not hospitalized
  • Can start the program within 1-3 weeks of the ankle injury or 1-4 weeks from the date of diagnosis for an anterior knee injury, and deliver the minimum number of visits


Program of Care for Upper Extremity Injuries

The Program of Care for Upper Extremity Injuries is an evidence-based health care delivery plan that describes treatments shown to be effective for workers diagnosed with a rotator cuff pathology or lateral epicondylitis or carpal tunnel syndrome. It was developed in collaboration with health professionals, worker and employer representatives and the WSIB. Rotator Cuff Pathology includes the following work-related injuries to the shoulder:

  • Minor tears of the rotator cuff tendons caused by vascular, traumatic or degenerative factors or a combination thereof
  • Rotator cuff tendinitis
  • Impingement syndrome
  • Bursitis of the shoulder
  • Lateral epicondylitis is defined as an inflammation of the common origin of the extensor muscles of the wrist and hand
  • Carpal tunnel syndrome is the neuropathy caused by compression of the median nerve within the wrist canal. Clinical features include numbness and tingling in the thumb, index and middle fingers and, in advanced cases, muscle wasting and weakness


What is the program's focus?

For all three injuries, the Program of Care consists of:

  • Assessment for treatment planning
  • Delivery of evidence-based interventions
  • Identification and monitoring of red and yellow flags throughout the POC
  • Timely reporting/communication with the WSIB, employers, workers and treating health professionals
  • Outcome measurement using the QuickDASH


Common forms, including the Initial Assessment Form and Care and Outcomes Summary Form


If you’ve been involved in a work-related accident and are seeking treatment, contact us today for more information and a consultation.

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