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  • 1.  One-handed work resources

    Posted 05-24-2022 11:00
    I am looking for resources related to one-handed work.  I wanted to see if anyone has knowledge of any journal articles about the success rate of transfer of dominance training or use of a one-handed keyboard or other accomodations. 

    I have found some information but have not been able to locate data related to the success rates. 

    The individual has used Dragon Speak and was in college and familiar to ask for accomodations (extra time testing, etc.).  

    Thanks in advance for any resources you may have.

    ------------------------------
    Michelle McBroom Weiss, MA, CRC, CCM, NCC, MSCC, ABVE/D, IPEC
    Vocational Consultant
    5543 Edmondson Pike
    Suite 128
    Nashville, TN 37211
    (P) 615.834.0186
    (F) 615.831.5274
    (C) 615.308.6395
    ------------------------------


  • 2.  RE: One-handed work resources

    Posted 05-24-2022 12:33

    Michelle,

     

    The huge concern with one handed occupations is overuse syndrome   [carpal tunnel and rotator cuff ] injuries, which would then make your person unable to perform ADL's with their good arm.  Sorry but if Dragon can not provide the essential functions of the job, you would be jeopardizing this persons ability to be independent. 

    I tried Dragon for a year, not everyone can master this software at a competitive rate.

     

     

     

    Ronald T. Smolarski, M.A.

    Certified Life Care Planner

    Forensic Economist

    Certified Functional Capacity  Evaluator

    Vocational Expert

     

    ron@beaconrehab.com

    www.beaconrehab.com

    (800) 821-8463

    Ann Arbor Michigan, USA

     

     

     

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  • 3.  RE: One-handed work resources

    Posted 05-24-2022 12:47

    Correct on all counts Ron.  I evaluated a one handed claims examiner who lost his career when he developed overuse syndrome of his one hand and developed carpal tunnel.  Dragon was not particularly helpful

     

    Enrique N. Vega, MS, CRC, CDMS

    Access Employment Network

    20700 Ventura Blvd., Ste. 220

    Woodland Hills, CA 91364

    (818) 346-3300 Ph.

    (818) 346-3322 Fx.

    Email: enrique@accesswork.net

     




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  • 4.  RE: One-handed work resources

    Posted 05-24-2022 14:49

    I do not see the individual  doing a job where it was typing intensive, but   having access to a computer is going to be important, even if use is occasional.  The individual was also in college at the time of injury  and able to continue through use of Dragon Speak, with accommodations.  

     

    To get the person's skills heightened  to help with non-dominant hand use would be helpful although constant use is not what I am considering, for the reasons you mention.

     

    Michelle McBroom Weiss, MA, CRC, CCM, NCC, MSCC, ABVE/D, IPEC

    5543 Edmondson Pike, Suite 128

    Nashville, TN 37211

    mcbroomweiss@mcbroomweiss.com

    (P) 615-834-0186

    (F) 615-831-5274

    (C) 615-308-6395

     




    Original Message


  • 5.  RE: One-handed work resources

    Posted 05-24-2022 13:10
    But here are so many obvious and glaring elephants in that room.
    • standard sources such as DOT, ORS, O*NET in which the US Government very well documents the levels of reaching, handling, fingering and feeling in occupations
    • job descriptions and job openings describing requirements
    • testing and demonstrated aptitudes required for occupations according to both the US Government and also test publishers documented standards with regard to F and M dexterity.
    • Literature regarding overuse
    • Productivity rates. Individual may be able to perform the task but if does only half as much as others and is terminated the ability to theoretically perform is rendered moot
    • Sometimes chronic pain and impact on productivity
    • Obvious problems with voice rec., for example a CSR rep who must document each contact is expected to simultaneously talk and keyboard. Not memorize what is said then stop to dictate it and in so doing take 50% of call as co-workers
    • If accommodated with any or all of the above the individual is employed (for now) in a special, odd-lot situation performing work perhaps for Uncle Bob, not as it is typically performed and likely well below productivity standards

    Such is a tough row to hoe for a VE to get past. TSA adjusting reach, handle, finger and feel, aptitudes, KFM eliminates much from reasonable consideration

    ------------------------------
    Scott T. Stipe, MA, CRC, CDMS, IPEC, D/ABVE
    Certified Rehabilitation Counselor
    Board Certified Vocational Expert
    Scott Stipe & Associates, Inc.
    DBA Career Directions Northwest
    4110 SE Hawthorne Blvd
    #188
    Portland, Oregon, 97214
    (503)234-4484
    (503)234-4126 fax
    email: sstipe@careerdirectionsnw.com
    website: www.careerdirectionsnw.com
    ------------------------------

    Original Message


  • 6.  RE: One-handed work resources

    Posted 05-24-2022 14:52

    A final opinion has not been developed.  I have considered what you have noted.  Retraining is being considered and aptitude testing has been given.  This is a younger individual and accommodations are being considered to help them have a productive life.  However, we all have cases younger or older that simply cannot work. 

     

    Thank you for your reply.

     

    Michelle McBroom Weiss, MA, CRC, CCM, NCC, MSCC, ABVE/D, IPEC

    5543 Edmondson Pike, Suite 128

    Nashville, TN 37211

    mcbroomweiss@mcbroomweiss.com

    (P) 615-834-0186

    (F) 615-831-5274

    (C) 615-308-6395

     




    Original Message


  • 7.  RE: One-handed work resources

    Posted 05-24-2022 15:40
    Hi Michelle.....I have some anectdotal information.  Years ago I was told by an OT that folks do just fine using a regular keyboard (not a one-handed), they just have to learn to use it with one hand.  Something to think about.  And good that they're able to use Dragon - it's my opinion that it's really difficult when older folks are trying to learn to use Dragon.  This person's youth may really work in their favor.  One area Dragon really doesn't work well is with MS Excel - there are so many directions to give for navigating a spreadsheet that it's just clunky.  Again, my opinion.

    Good luck!  I hope you're able to help this person.

    Katherine S. Dunlap, MS, LCPC, CRC, CLCP
    Dunlap Rehabilitation Services LLC
    PO Box 1826
    Livingston, MT 59047
    she/her
    406-222-0814
    866-354-9411 fax
    dunlaprehab@gmail.com

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