COMWEL

Professional rehabilitation therapies

• Beneficiaries: Workers with his/her doctor-in-charge's opinion, for whom a relevant rehabilitation program would help improve his/her clinical conditions
  

  ※ Neurological diseases : Brain injury, spinal injury, peripheral nerve injury, genetically or nosological nerve injury

  ※ Musculoskeletal disease : Trauma, amputation, fracture, lumbago, shoulder pain, arthritis, hand injury, burn, muscle pain, pain management, muscular skeletal disease

Scope of rehabilitation therapy

Socio-psychiatric rehabilitation services

• Purpose
  - To provide psychiatric rehabilitation programs on a group basis, and thereby secure psychiatric, emotional stability and remove psychological distress
• Coverage
  - Workers whose psychiatric status is unstable and who are under medical care to treat their injury or disease attributable to a work-related accident
• Scope
  - Personal history investigation, social work counselling, psychiatric group work, Multi-dimensional psychiatric examination, FaPAHO (Find-a-Path-to-Hope) & family reunion programs, rehabilitation sports, leisure activities, special rehabilitation program

Work capacity evaluation

• Coverage
  - Workers whose medical care is scheduled to come to an end before long and who want to return to work
• Purpose
  - To determine a worker’s return to works through measuring and analyzing his/her physical capacity to work

Work capacity build-up program

• Coverage
  - Workers whose return to work has been found to be inappropriate as a result of evaluating their work capacity and workers who are in need of additional job training upon completion of rehabilitation treatment
• Purpose
  - To improve physical functions related to work movements through providing various training & education programs which will be helpful in performing required works, preventing the recurrence of an accident and enhancing self-confidence (e.g. job simulation, safety education, etc.)

Physical therapy

• Eligible workers
  - Workers with disability or suffering from physical pains due to brain injuries (including cerebrovascular diseases), spinal nerve injuries, musculoskeletal diseases, etc.
• Therapies
  - Exercise therapy & manual therapy : Bobath therapy, PNF (proprioceptive neuromuscular facilitation), gait training, mattress training
  - Thermoelectrical therapy : Exercise therapy using exercise tools & equipments (sling exercise therapy, spinal traction therapy, treadmill, tilt training, etc.)

Occupational therapy

• Eligible workers
  - Workers suffering from neurological diseases (CVA (cerebrovascular accident), spinal injury, multiple sclerosis, dysphagia, etc.), traumas (amputation, lumbago, hand injury, burn, etc.), cognitive disorders (dementia, etc.), musculoskeletal diseases, etc.
• Therapies
  - ADL(Activities of Daily Living), cognitive rehabilitation therapy, dysphagia rehabilitation therapy, occupational therapy (using tools), etc.

Psychiatric rehabilitation therapy

• Eligible workers
  - Workers with reference from any WCI-authorized rehabilitation medicine doctor who are in need of psychiatric assessment & therapy, etc.
• Therapies
  - Individual counseling, psychiatric test, social counseling, etc.

Aquatic rehabilitation therapy

• Eligible workers
  - Workers suffering from brain injuries, cerebral palsies, spinal injuries, chronic pains, fracture, spinal diseases, sports injuries, muscle fiber pains, senile diseases, etc.
• Therapies
  - Safe and effective rehabilitation therapies through making the most of advantages unique to water and reducing physical, mental loads caused to one’s bodily organs while traveling or using them on land
  - Programs for improving flexibility, balance, strength, endurance, etc.
  - Man-to-man therapy, group exercise therapy, aquatic exercise, etc.

Aquatic walking therapy

• Those covered
  - Patients who cannot walk properly in a gravity-applied environment due to neurological disorder (stroke, spinal cord injury, etc.), multiple fracture accompanied by peripheral nerve injury, etc.
• Therapies
  - As body weight is decreased by buoyancy in water, alleviating impact from walking and ensuring easy movements, walking pattern training is thereby enabled
  - The gentle and uniform resistance from water can boost muscular strength and tonicity
  - Water temperature higher than that of body builds up joint and muscular flexibility

Speech rehabilitation therapy

• Eligible workers
  - Workers having difficulty in communicating due to speech disorder
• Therapies
  - Breathing exercise, vocal training, articulation training, oral-articulatory training, AAC (Augmentative & Alternative Communication), etc.

Day rehabilitation center

• Those covered
  - Workers who are in need of comprehensive rehabilitation services to enhance independency in normal life, and thereby, realize psychiatric and social adaption
• Therapies
  - Medical rehabilitation : Medical consultation (with a rehabilitation medicine doctor), medication, physical/occupational therapy, speech therapy, group therapy program, etc.
  - Rehabilitation education : Pressure-sore care, defecation & urination care, rehabilitation information, etc.
  - Adaptation-to-community training : Facilitation of adaptation to society by helping overcome a fear of return to society

Training for adaptation to aids for the disabled (integrated rehabilitation training)

• Eligible workers
  - Workers whose affected organ(s) artificial limbs or any other rehabilitation aids are fixed on
• Therapies
  - Care for an affected organ(s) after/before fixation of rehabilitation aids, follow-up after fixation of artificial limbs/rehabilitation aids, special wheelchairs, PGO (powered gait orthosis), etc.

Sex Rehabilitation therapy

• Eligible workers
  - workers who are with sexual dysfunction including decreased sex function
• Therapies
  - Psychiatric test(desire, depression, etc), drug treatment, psychotherapy, operation, etc.