Arley,  I  appreciate  your  comments  but  from my perspective, using
"prep" techniques "enroute to addressing occupation based deficits" is
not  much  different than what phy dys OT's have been doing for years.
The  only  thing  that  I  see  different  is  the  use  of  the  word
"occupation".

It's  my  opinion  that  as  OT's,  its  imperative  that treatment be
directed   towards   empowering   patients   to   engage  in  SPECIFIC
occupational  deficits.  There  must be a DIRECT corollary between our
goals  and  our  treatment.  I  do not think that treatment modalities
directed  to  remediate  physical  dysfunction  so that a person might
engage  in occupation is best practice. In fact, that sort upside down
treatment  is EXACTLY what OT has been doing for years.

Also,  I  think  the  OT  perspective  should be that "the root of the
problem" is not physical dysfunction but occupational dysfunction.


Ron

Ron Carson MHS, OT

----- Original Message -----
From: Johnson, Arley <[EMAIL PROTECTED]>
Sent: Friday, September 05, 2008
To:   [email protected] <[email protected]>
Subj: [OTlist] Advance for OT Article: Point #3

JA> I  would  like  to  start  by  asking  this  question: If an OT is
JA> treating a stroke patient and uses neurofacilitation strategies in
JA> their  treatment  or a peds therapist performs prepping techniques
JA> prior  to  her  play  activities, is there a difference when an OT
JA> uses PAMs and strengthening exercises with the ortho population en
JA> route  to addressing occupation based deficits? I think we need to
JA> address  the  root  of  the  problem by appropriate means and then
JA> bring  it  home to the patient during and after every session to a
JA> functional, meaningful implication/connection.


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