In my opinion, there is nothing that can be done to stop PT or any other
discipline from addressing "function", "ADL", or for that matter anything
that we do as long as they do not call it "occupational therapy", and do not
call themselves "OT" or "OTA". I do not believe that legally we have
exclusive rights to any modality/ intervention methods. 

Specifically, the PT Guide to Practice, and as rightly indicated by this
thread- PTs are allowed to address ADL, even if it were in the context to
"physical movement" and "mobility". Like Ron, I am not convinced either that
really puts a stop to an enlightened PT from addressing ADL in any
traditional way the OTs do (i.e., if there is actually one). We can deduce
that to just about anything, even addressing cognition in order to elicit a
purposeful physical function/ movement that will aid in the ADL. After all,
to function (other than at the cellular/ tissue level), almost always, would
require a movement of some sort (this includes environmental controls via
eye movements as well). I guess the exceptions would be mental functioning
without outward bodily movements, e.g. mental calculations, relaxing
listening to music (without even tapping your feet ;-), meditation phases,
etc. 

However, I strongly advocate that we should try and claim/ protect our
domain as much as we can and limit the language in others', if we can. This
just reinforces our scope/ "perceived" expertise or else aspects of it will
be gradually lost (remember dysphagia). We need to practice all aspects as
allowed by our scope addressing and applying interventions for physical,
mental, socio-cultural functioning. While we can not really stop others from
practicing what we do, we must ensure the right to at least practice what we
are supposed to.



Joe K. Wells, OTD, OTR/L


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