In  my opinion, if a therapist is consistently PERFORMING 'therapy' that
an  aide  an  do, then it's not therapy. By definition, therapy REQUIRES
the skills of a therapist.

Again  it's my opinion, that routine, repetitive "exercises" that do not
target  SPECIFIC muscle(s) is not-therapy. Now, if someone has an injury
and  there  are  concerns  about certain movements, weight restrictions,
etc,  then a therapist is necessary. But, my experience is that VERY few
patient's meet this criteria.

Ron

----- Original Message -----
From: Diane Randall <spark...@rcn.com>
Sent: Monday, July 13, 2009
To:   OTlist@OTnow.com <OTlist@OTnow.com>
Subj: [OTlist] Why OT's Should NOT Focus on the UE

RC> " Ask yourself, are you doing something that an aide could be doing?
RC> If so, then you are not doing therapy!"


DR> Please explain... you are correct in that aides may not know the clinical
DR> reasoning behind a therapy but the actual physical part of engaging in
DR> theraputic activity with a patient can sometimes be done by an aide although
DR> unethical...just saying it is physically possible.


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