Hey Liz, Thanks for your response. This is an interesting topic. I would disagree though that the spine is more complicated than a hand. I think what you are shooting for is that the opportunity for doing harm with manual therapy to the spine is more so than that same treatment provided to the hand. My thoughts on the subject is that a PT that hasn't had further training has no business doing manual therapy either. But in the end, it seems we agree. OT can work with patient's that have problems with any part of their body as long as they stick to what they know. Jim
Liz Klawitter <[EMAIL PROTECTED]> wrote: Hi Jim That's a good question. I think it's a matter of complexity. The spine and neck are much more complex than the hand, in terms of overall contribution to mobility. If an OT is also a CHT I feel that their level of competency is perhaps one I can trust, as a consumer. However, there is no training for OT's to manually treat the spine and neck, that I'm aware of. If we're just talking about applying modalities, well then that's pain management techniques. Maybe it's semantics, but I don't see that as "treating". In response to what you said about OT's not being limited to what types of diagnoses they can treat, yes, I'd say that's true. But HOW we treat should reflect our training as OT's, not as PT's (albeit, yes, I know there's some overlap). I bet some folks won't like that. But there it is. Liz -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jim Arceneaux Sent: Tuesday, March 27, 2007 2:58 PM To: [email protected] Subject: [Retrieved]Re: [OTlist] [Retrieved] neck/back pain Hello Liz, I would agree with your reply in general, but I'm curious how you feel about an OT performing what you termed "manually treat" a hand. What I'm getting at is OT's are not limited to whom they can provide treatment based on diagnosis. Area of expertise, then again, can be a limiting factor. Jimmie Liz Klawitter 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. 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