"If a patient does not respond to a specific treatment intervention,
team members discuss what is working for them and incorporate that
into the PT sessions. For example, we had a patient who enjoyed
playing basketball but wasn't interested in much else due to his
agitated state from his brain injury. The OT used this task for
counting, visual perceptual training and attention. The PT used this
task by having the patient stand and shoot baskets from varying
distances to address balance and coordination. When treating persons
with acquired brain injury, it is essential to identify what will
motivate them to participate in therapy while providing
interventions that will address their impairments and functional
limitations" SOURCE: (Rehab Management. Vol. 22, No.7, Page 15.)
The above quote is taken from a brief physician written article on an
interdisciplinary approach to stroke rehab. I should mention that the
magazines article has a picture of an OT doing UE range of motion, what else
right??? None the less, look at the quote. Notice that the MD refers to
incorporating intervention into PT sessions? Oversight on his part, or just
a fact that PT IS the team?
Also, please tell me what the heck is the difference between what the PT and
the OT are doing? The whole concept of separating basketball into specific
treatment spectrums is just plain silly. If a person is "playing" basketball
isn't he working on ALL the processes needed to through the ball into a
hoop? Why would OT segment out their treatment into cognitive "stuff" while
the PT addresses the physical "stuff"?
In my opinion OT should be the ONLY discipline using basketball for rehab.
PT should be in the gym working on ROM, strength, pain, etc.
For 10 YEARS, I've been preaching that occupation is our bread and butter.
But, phys-dys OT's are so stupidly stuck on limiting themselves to UE rehab
that OTHER disciplines are grabbing onto the VERY TERRITORY that we should
be staking claim to.
I predict, that one day in the future, OT's will look back and say, why did
we let PT take over using daily occupation as a treatment modality.
We are literally shooting ourselves in the foot just so we can lay claim to
the stupid arm! Tragic really!!!
Ron
~~~
Ron Carson MHS, OT
www.OTnow.com
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