I would like to start by asking this question: If an OT is treating a stroke patient and uses neurofacilitation strategies in their treatment or a peds therapist performs prepping techniques prior to her play activities, is there a difference when an OT uses PAMs and strengthening exercises with the ortho population en route to addressing occupation based deficits? I think we need to address the root of the problem by appropriate means and then bring it home to the patient during and after every session to a functional, meaningful implication/connection.
The thought pattern posed in the original query should prohibit us from being on burn units. There is a lot of biomechanical activity going on in this field prior to addressing the functional deficits directly. But the therapists are aware that without proper splinting, constant ROM and strengthening, the ability to regain any true function in any capacity would be limited by skin contractures. I admit, when I did ortho rehab, my supervisors thought I pulled the discharge trigger too early, but I wasn't comfortable treating them when they didn't have any functional deficits. If pain was present, but didn't limit their engagement in their roles successfully, then I recommended the physician to address the issue, not therapy. Just my humble opinion... Arley Johnson MS, OTR/L -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Ron Carson Sent: Friday, September 05, 2008 8:28 AM To: OTlist Subject: [OTlist] Advance for OT Article: Point #3 ========================================================= SOURCE: Advance for OT, Sep 1, 2008, P. 46 Article Title: "Injuries to the Wrist: Beneath the Surface of Ulnar Wrist Pain." ============================================================ "[OT] treatment generally involved rest by splinting and activity modification; reduction of pain and inflammation by cryotherapy and ... ROM and strengthening..." Again, recognizing that this article is about treating an injury, is the above description accurate for OT? What is different about the above compared to what PT might do? IF OT's expertise is occupation, where's the occupation in the above description? Thanks, Ron -- Ron Carson MHS, OT -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] The information contained in this e-mail message is intended only for the personal and confidential use of the recipient(s) named above. If the reader of this message is not the intended recipient or an agent responsible for delivering it to the intended recipient, you are hereby notified that you have received this document in error and that any review, dissemination, distribution, or copying of this message is strictly prohibited. If you have received this communication in error, please notify us immediately by e-mail, and delete the original message. -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected]
