Hello Dave:

I understand and agree with your first paragraph!

Regarding the second para...

Function  is  a  nebulous term. When I say PT are experts in function, I
mean  that  they  are  experts  in how the body functions with regard to
movement. I didn't that in my original message but I should have.

The  term  function  is  meaningless unless it's combined with what some
TYPE of function:

For example:

Joint  function, muscle function, neurological function, human function,
environmental  function,  occupational function, daily function.... yada
yada,  yada. All of these refer to function.

Seems  to  me  to  say  that  "we  are experts in function" really say's
nothing  at all! But to say, "we are experts in physical function", says
a lot.

Ron



===============<Original Message>===============

On 3/8/2005, Lehman, David <[EMAIL PROTECTED]> said:

LD> My take on the comments about defining OT and getting the word
LD> out to the clinical world of OT is that there seems to be some
LD> ignorance on what OT is, by OTs, PTs, helath professionals, and
LD> perhapd greedy health care companies who need to define PT/OT so
LD> they can make more money through billing).  Second, it seems OTs in
LD> the clinic are not up to speed on what is (or should be) taught in
LD> the academic world and therefore are resistant to change the way
LD> they practice.  Maybe also, the PTs/OTs in the clinic are not given
LD> the time nor perhaps do they have the will of effort to read the
LD> literature and change the way they practice.

LD> Does this make sense, Ron.

LD> We are dealing with the same issues in PT.

LD> One more comment about what Jimmie said about function.  PTs
LD> should be using a model of disablement to define their treatment
LD> goals and efforts.  We are to address impairments that lead to
LD> functional decline which therefore lead to disability.  So, to say
LD> PTs are experts of function is NOT correct as our efforts should be
LD> on addressing impairments (i.e. strength, RO, balance, etc) which
LD> will in turn improve functions such as bed mobility, transfers,
LD> gait, etc...  Of course we work on function but  PTs that do not
LD> identify impairments and just have the patients perform the function
LD> (i.e. walk the patient down the hall), then they are perhaps working
LD> at the wrong level and succumbing to working with compensation, not
LD> improving the quality of the function.




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