Chris, unfortunately I don't have time to respond in length but let me
quickly  say this. If we extrapolating out the contention that FOCUSED
work  at  the component level to facilitate function is considered OT,
then many different professions are doing OT!

PT,  RT,  RN,  Surgeon, etc all focus treatment at the component level
with  the belief that increased component-level function will increase
overall function.

Ron
--
Ron Carson MHS, OT

----- Original Message -----
From: [EMAIL PROTECTED] <[EMAIL PROTECTED]>
Sent: Wednesday, October 29, 2008
To:   [email protected] <[email protected]>
Subj: [OTlist] Best Practice

Ron>> And,  I  do not think  a  therapist  can  mentally  switch  from 
Ron>> component   level   to  occupation   level   treatment. Maybe I'm
Ron>> wrong, but I think it's one or the other.

cac> But  in  your  case  study  you  are switching back and forth from the
cac> component  level  to  eventually  the  occupational  level.   Standing
cac> tolerance=component   level   (cardiovasular,  quad  strength,  static
cac> standing  balance).   Ambulation=componet  level (cardiovascular, quad
cac> strength   both   concentric   and   eccentric  contractions,  dynamic
cac> balance).   All  of  this  was  leading  to  the individual's personal
cac> occupational goal.

cac> In  my  case  study  I was switching back and forth from the component
cac> level  to  eventually  the  occupational  level.   Estim  to the digit
cac> extensors=component  level  (facilitation  of  the  neural  pathway to
cac> enhance neuroplasticity which in turn leads to digit extensor strength
cac> and  control).   All  of  this  leading   to the individual's personal
cac> occupational goal.

cac> Chris Nahrwold MS, OTR






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