Hello Ann:

I agree with your comments.

I think my quote was too long.  The point which struck me as negative was
the comments by the researcher that one-handed dressing is a trick.  For
some reason, this comment really sends me over the edge.  It's as though he
is undermining the value and importance of being able to dress without the
use of both upper extremities.  Referring to this as a trick really sends a
negative message about adaptation and about OT.

Maybe I am just hypersensitive to the situation!

Ron

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On 3/22/2001, [EMAIL PROTECTED] Said:
Dac> Ron
Dac> I don't have a problem with the quote you posted.  The traditional 
Dac> rehabilitation model is one of compensation, not remediation, which is what 
Dac> this doc is pointing out.  There are many sites that do focus more on the use 
Dac> of the unaffected arm/hemibody and not on the remediation of the affected 
Dac> arm/hemibody with CVA patients.  Personally, if I had a stroke, I would first 
Dac> want to make every effort to regain as much use of the affected hemibody as I 
Dac> could, and would choose to use adapted techniques only after attempting as 
Dac> much remediation as possible.  Regaining the strength and coordination of the 
Dac> affected limbs offers me much more flexibility in approaching any 
Dac> occupational role in which I choose to engage.  Since full recovery is 
Dac> frequently not possible, certainly adaptations also need to be explored, but 
Dac> not necessarily as the preferred or first treatment of choice.
Dac> Ann


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