No. Work hardening uses the theory of "task-specific reconditioning" which is specific to the patients job task, but does not address the specific area of injury, nor the adaptation needed to return the patient to job specific tasks. Work hardening theory hopes, that by progressively increasing exposure of the whole body chain to simulated work situations, the body will somehow adapt to the increasing demands of performing simulated job tasks. This is usually done in a controlled environment where patients are taught to concentrate on proper ergonomics and invoke conscious compensation mechanisms to "adapt" to, or rehearse, simulated job-task Requirements. DBC is spine-specific adaptive therapy, which objectively documents specific deficiencies and develops an individual program to correct each deficiency before involving the whole body chain. DBC Health develops each component to be properly prepared for standard and more importantly non-standard tasks to decrease the risk of injury when proper ergonomics are not possible or neglected. DBC’s goal is to protect the patient from re-injury both on and off the job so the patient does not need additional care. Work hardening or work conditioning may be useful if limited to its proper application -- for use after DBC Health has returned the spine to a dynamically functioning level. However, it should not inappropriately be used to recondition the spine. DBC clinicians work with patients to address specific work related tasks during the DBC program. In situations where total body reconditioning may be necessary, appropriate programs are also used to recondition the other body areas during and after DBC.
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