Ron,

Thanks for sending the quote from the article.  It states: 

"State OT associations, backed by their national association, continued their 
campaign to limit a traditional area of physical therapy practice - ADL's 
and self-care. OT organizations argue that PT's have recently entered these 
areas in an attempt to broaden PT's scope of practice. PT education and 
practice, however, have long supported these areas of PT." 

I think the issue is a bit more complicated than this sentence suggests. 
The argument made by many states and AOTA is that the expansion of the 
scope of practice of physical therapy to place new emphasis on 
functional training in self care and in home, community and work 
reintegration should clarify that the primary focus of physical therapy 
intervention is on physical movement and mobility. 

Many health professions promote or facilitate "functional independence" 
through their interventions with consumers. The term "function" has many 
meanings. Physical therapists have traditionally focused on motor impairments 
and related functional limitations, with an approach to intervention based on 
therapeutic exercise. Occupational therapists assess all dimensions of the 
patient's functional skills---physical, cognitive, sensorimotor, and psychosocial--- 
and use purposeful activity or interventions to maximize an individual's level of 
independence within the context of the patient's home, work, and community 
environment. 

AOTA believes that it is important to clarify the distinct role of each 
profession in state practice acts. A profession's domain or scope of 
practice is based on the components of the scope being included 
historically in educational preparation and clinical application within 
the profession. Expansion of the physical therapy scope of practice 
to place new emphasis on functional training in self care and on 
home, community and work reintegration should clarify that the primary 
focus of physical therapy intervention is on physical movement and mobility. 

Additional dimensions of function which are addressed integrally as a part 
of occupational therapy education, training and practice, such as cognition, 
perception and context, are not a focus of physical therapy preparation. 

AOTA is committed to monitoring this issue in the states and working with 
state OT associations. 

Chuck 




<<< [EMAIL PROTECTED] 10/12 12:18p >>>
Hello All:

It's ironic how things happen because this PM (the same day I posted the
message about the Stroke Magazine article), I was given the following from
PT Magazine's October 2001 edition, page 29.

WHAT FOLLOWS IS THE ORIGINAL ARTICLE IN ITS ENTIRETY.................

///////////////////////////////////////////////////////////////////////

State OT associations, backed by their national association, continued their
campaign to limit a traditional area of physical therapy practice - ADL's
and self-care.  OT organizations argue that PT's have recently entered these
areas in an attempt to broaden PT's scope of practice.  PT education and
practice, however, have long supported these areas of PT. This is a battle
that is taking place in both the legislative and regulatory arenas. It is
being used to oppose PT legislative initiatives and modifications to
regulations governing PT practice.

Hawaii, Illinois, Indiana, Louisiana, Maryland, Mississippi and New
Hampshire all addressed a variety of OT-related legislation in 2001,
including its inclusion in workers' compensation programs, creation of
independent OT boards, and implementation of sweeping changes in OT practice
acts.

Forecast: APTA is monitoring this push to introduce OT practice act
legislation in state legislatures around the country.  The Association will
continue to work with state chapters to ensure that, if this type of
legislation passes, that will establish a scope of practice that accurately
reflects the education and clinical training of the OT.

////////////////////////////////////////////////////////////////////////////

If you ever doubt that there is REAL competition between OT and PT then this
should help change your mind.  I guess the real question is what, as both
individuals and an organization, can/should we do to address the issues
raised by this article.

Ron

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