I don't ever do any kind of manipulation when treating a neck patient. Mostly I have them do stretching and strengthening (resistive and/or isometric) exercises. We also use relaxation techniques (including biofeedback) and use heat or cold if indicated. I also use e-stim.
I am kind of surprised that no one had anything to say about the quote from the PT that I posted... I can't imagine any reason why an OT can't treat the spine. I am looking forward to receiving a response from the medicare intermediary so I can have something to show him. Pat At 11:51 AM 3/26/2007, you wrote: >Hi Jim, >Yes, I agree, as OT's we have plenty to offer patients with neck and >back pain: ADL retraining, body-mechanics training, pacing/energy >conservation, pain management techniques, ergonomics. I wanted to >understand if the OT's who initiated this discussion are wanting to >manually treat the neck and spine, because the wording used was "treat >neck and spine". I read on another forum where an OT was providing >treatment to a patient with severe kyphosis. When the patient got up >from the mat she felt like her neck was locked, and she also felt like >she couldn't swallow very well after that "treatment". My question is, >what is an OT doing manually treating the spine? >I didn't know if this was a "trend" out there, or not. >Thanks >Liz > > > > >-----Original Message----- >From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On >Behalf Of Jim Arceneaux >Sent: Saturday, March 24, 2007 2:55 PM >To: [email protected] >Subject: [Retrieved][OTlist] neck/back pain > >Liz, > > This is in reference to the question you had about what an OT would do >with a neck/back pain patient. I am likewise curious why the body part >would matter relative to the need for OT services? It should only >matter that a deficit in ones ability to complete a desired occupation >exists. It would seem plausible that a patient with back pain would >have difficulty, if not inability, to complete at least some of their >occupations. Therefore, occupational therapy is indicated. > > Jimmie > > > >--------------------------------- >Sucker-punch spam with award-winning protection. > Try the free Yahoo! Mail Beta. >-- >Options? > www.otnow.com/mailman/options/otlist_otnow.com > >Archive? > www.mail-archive.com/[email protected] > >************************************************************************ >************** >Enroll in Boston University's post-professional Master of Science for >OTs Online. Gain the skills and credentials to propel your career. >www.otdegree.com/otn >************************************************************************ >************** > > >-- >Options? > www.otnow.com/mailman/options/otlist_otnow.com > >Archive? > www.mail-archive.com/[email protected] > >************************************************************************************** >Enroll in Boston University's post-professional Master of Science for OTs >Online. Gain the skills and credentials to propel your career. >www.otdegree.com/otn >************************************************************************************** -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] ************************************************************************************** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn **************************************************************************************
