Using work simulation to treat adults with back injuries.

Occupational therapy at the Liberty Mutual Medical Service Center, Boston, Massachusetts, offers a diverse variety of modalities for the treatment of patients with low back pain. Treatment may include the use of a balance monitor, a multiwork station, a pneumatic lifting-lowering device, a computerized upper extremity work simulator, and a truck-driving simulator. The primary objective of occupational therapy in this setting is to provide a supportive environment where patients can practice and improve the execution of the work-related activities they need to perform their jobs while they are learning to live with or control their symptoms.