An analysis of the use of occupational therapy in a recovery process

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An analysis of the use of occupational therapy in a recovery process

Splinting[ edit ] PTs and OTs often use wrist splinting as a form of treatment. Splints may be pre-fabricated or customt-fit. Prefabricated splints are sold in health care supply stores and are an inexpensive option for clients. Prefabricated splints may be used but the fit may not be precise enough for all individuals.

An analysis of the use of occupational therapy in a recovery process

In this case, a custom fit splint is required. Splints can be based on the front palmarback dorsal or outer side pinky of the arm. According to Muller et al. This gives the tendon sheaths a chance to heal, reducing swelling, which then may decrease the pressure on the median nerve.

Splints also aim to keep the wrist at a certain angle to decrease pressure within the carpal tunnel. As part of the assessment, the PT or OT will conduct an activity analysis to identify areas where change may be needed. Once a task is analyzed, alternative methods can be negotiated or discussed with the client.

As Doheny et al. This study also suggests minimizing wrist extension through appropriate body posture at the workstation that may help to reduce carpal tunnel pressure.

Two of these modifications included limiting repetitive tasks and decreasing work time. Modification of equipment and tools[ edit ] A major role of the therapist is to introduce modified equipment and adaptive aids to enable occupational performance despite physical limitations.

Modifying equipment and tools can correct positioning of the hand e.

Background

For example, Dolby Laboratories introduced hand tools that reduced the hand force required, distributed the force over a larger surface area of the hand, and corrected the positioning of the hand through specially shaped handles that did not impinge on the median nerve area of the palm.

These tools were designed to reduce risk factors associated with cumulative trauma disorders such as CTS. Adaptive aids can be useful in enabling individuals with CTS to participate in their chosen activities.

One such adaptation is increasing the diameter of handles so that less grip strength is needed to grasp an object. For example, someone who has CTS may have difficulty holding their toothbrush or utensils while eating.

Therapists can easily adapt these tools or purchase already adapted tools for a client. Specific risk factors that can contribute to CTS such as vibration can be reduced by introducing new tools with lower vibration levels as well as anti-vibration gloves.

When modifying an environment, often the equipment and tool adaptations are part of that environmental change. In the management of CTS, workstation modification i.

By adjusting the workstation equipment, such as desks, chairs, monitors, and keyboards, the ideal position of the wrist and forearm can be achieved.

This can help alleviate symptoms of CTS as well as prevent further damage and strain. The interventions for CTS mentioned above can be used together as illustrated in a study by Bash and Farber.

These authors found that many hand therapists with symptoms of CTS not only wore splints but also engaged in modifying their tasks, tools and environments as part of their own intervention plan. The hand therapists in this study used the following intervention strategies and reported symptom relief:I.

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Number: Policy. Aetna considers short-term occupational therapy medically necessary in selected cases when this care is prescribed by a physician, and the following criteria are met.

Types of Treatment. There are a variety of different treatment options available, but it is important to find what works for YOU.. Group Support Types of Therapy.

BenchMark Rehab Partners is a leading physical rehabilitation provider that brings you back to your best. The following are examples of how the knowledge and skill base of occupational therapy is used in the process of assisting individuals in all phases of mental health recovery: • Teach and support the active use of coping strategies to help manage the effect of symptoms of illness on one’s life.

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Occupational therapy - Wikipedia