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PRA has been assisting injured workers back to work since 1989 in our CARF accredited Work Hardening Program. Our Work Hardening Program is an interdisciplinary program for injured workers whose injuries interfere with their ability to return to work.

Work hardening provides a highly structured, goal oriented, individualized treatment program designed to progressively improve biomechanical, neuromuscular, cardiovascular, metabolic and psychological functions (when indicated) as a transition between acute care and return to work.

PRA builds each client’s rehabilitation program around the physical demands of their job. PRA’s Work Hardening Team will work together with the client, the employer, outside vocational professional, insurance company and the attending physician to prepare the client for a successful return to work. The Interdisciplinary Team assists the client in working toward return to work goals.

The Interdisciplinary Team includes:

  • Physical Therapist
  • Occupational Therapist
  • Psychologist (when indicated)
  • Vocational Consultant (when indicated)
  • Occupational Medicine Physician (when indicated)


The Interdisciplinary treatment will include, but is not limited to:

  • Conditioning Program, which highlights weight training, aerobic conditioning and stretching
  • Work Simulation
  • Ergonomics and Job Coaching as needed
  • Biofeedback Therapy
  • Vocational Consulting as needed to assist with return to work
  • Psychological intervention as needed to assist in the transition to return to work


The goals of the Work Hardening Program are to set, review, monitor and update weekly return to work goals to ensure progress* by:

  • Improving the client’s physical capacities & functional abilities
  • Improving the client’s psychological readiness to return to work and leave the medical system

*If progress is not made, discharge is recommended

PRA is dedicated to the timely return of the injured worker to suitable employment. For more information, simply call our intake coordinator: 503.292.0765