I think that patients often equate PT not only with walking, but also
with strengthening. It seems they often feel that the majority of
their problems doing things are because of weakness. If they can just
get stronger, all else will fix itself. I can see this especially
being true with a diagnosis like MS or other progressive neuromuscular
disease.
We, as OTs, can clearly see that learning to do the things you need to
do for yourself has inherent value. It also ends up addressing
strengthening without doing a straight exercise program. I tend to
think that patients often prescribe to the "no pain, no gain" theory
and feel that they have to do multiple reps of an exercise in order to
address weak muscles.
My two cents. I'll be curious to see if anyone responds. The majority
of times that I post a response on this board, no one directly
responds, and my answers just get shuffled over. Not sure of the
reason for that, but it is certainly frustrating. Makes me reluctant
to post because it doesn't seem to add to or lead to further discussion.
Mary Alice
Mary Alice Cafiero, MSOT/L, ATP
[email protected]
972-757-3733
Fax 888-708-8683
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On Feb 21, 2009, at 1:21 AM, Ron Carson wrote:
I had an interesting experience that I want to share.
Last week, I evaluated a middle-aged man with muscular dystrophy. He
had
recently moved back home with his parent and was started on home
health.
The man essentially told me that there was nothing I could do for
him.
He said that PT was all he needed. I explained that as an OT, my job
was
to teach him to take care of himself as much as possible and
desired.
But, he still felt that PT is what he needed.
I am really perplexed as to why someone might value PT instead of
OT? I
have some ideas, which I'll share, but I hope readers are
willing to
discuss this situation.
Thanks,
Ron
--
Ron Carson MHS, OT
www.OTnow.com
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