Chris,  I  think  hand  therapists  have a wonderfully challenging and
rewarding  job.  But,  I do NOT think that hand therapy is, nor should
be,  analogous  with occupational therapy. And I say this for a couple
reasons:

        1.  Hand  therapy  is  way  too  specialized  to be considered
        occupational  therapy.  Just the very nature of "HAND therapy"
        suggests that treatment is about the hand/UE. This is the same
        for  any  specialized treatment provided by an OT; lymphedema,
        wound  care, cognitive retraining, etc. An OT can obviously do
        these  things,  but  that  doesn't  imply that the OT is doing
        occupational therapy.

        2.  There  is  already so much confusion about OT and UE. I do
        not  think  it's  generally  good  for our profession for hand
        therapist to be *closely* aligned with the OT profession. Many
        orthopedic  doctor's  already think of OT's as upper extremity
        people.  Maybe  this started with the hand therapists, I don't
        really  know. But, continuing alignment of hand therapy and OT
        only serves to further entrench the OT/UE relationship.

        3.  A  PT can equally do hand therapy. The CHT license exam is
        not  specific  to  OT or PT. Undoubtedly, a PT and an OT bring
        different  "flavors"  to  the  hand  therapy profession, but a
        "flavor" does not make a profession.

        4.  If  I  were  going  to a hand therapist, I would want that
        therapist  to  be  kind,  gentle,  patient-centered  and  100%
        invested  in  hand therapy. I would not want an OT or PT doing
        hand  therapy,  I  would  want  a hand therapist doing my hand
        therapy.  If  it  came  from  an OT fine, if it came from a PT
        fine.

Ron
--
Ron Carson MHS, OT

----- Original Message -----
From: [EMAIL PROTECTED] <[EMAIL PROTECTED]>
Sent: Friday, October 24, 2008
To:   [email protected] <[email protected]>
Subj: [OTlist] UE Evauation Yesterday...

cac> Ron,
cac> What do you think about OTs that practice as occupation-based
cac> therapists but on occasion can switch gears and become impairment
cac> based minded?? I like how you said "no, I'm an occupational therapist doing
cac> lymphedema treatment".? I guess that is what I do when I help out in the 
hand therapy clinic.

cac> Chris Nahrwold MS, OTR




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