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Biomechanical Frame of Reference

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callie schena

on 5 March 2014

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Transcript of Biomechanical Frame of Reference

Based on the assumption that voluntary movement and control are the result of a combination of muscle strength and function, joint integrity and range, and physical endurance or tolerance.
The capacity for one’s motions contains 3 main points: joint range of motion, strength and endurance.

What is the Biomechanical Frame of Reference?
stretching as a preparatory technique
task oriented exercises
The Role of the OT in the Biomechanical FOR.

Widely used and documented
Easily understood by other professionals
Makes good use of problem solving process
Can be used in many settings
Flexibility in application
Quick results / patient sees positive benefits / increased motivation
Used for a variety of needs - acute or chronic.

Upper limb injuries
lower back pain
coronary artery bypass graft
muscular dystrophy
low endurance
arthritis (Gillen, 2014).
Balance problems (falls)
stroke (contractures)
muscle weakness
and many more.
can you name 5 more?

When would you use Biomechanical FOR in therapy?
Biomechanical Frame of Reference
Quality of life
Callie Schena, Sarah Hanrahan
Molly Grisham, Megan Viens
Reduced patient choice
Overtly physical bias, environmental issues ignored
reduced holistic approach also may become a quick-fix of the problem/ over prescribing of equipment
Perform MMT, ROM, grip strength, grasp and gait assessments.
Evaluation Tools
Manual Muscle Testing
Berg Balance Assessment
Hand grip Dynamometer

Techniques used within the Biomechanical FOR!
3. Frost, 2010.

1. Jackson & Schkade, 2001.
Proper positioning
Adaptive procedures
Gradual increases ROM through the use of splinting.
Restructuring the environment to facilitate I
Providing therapy in natural context.
Pain control

Frost, L. (2010). Integrating occupation into an outpatient occupational therapy
practice: A community project. American Occupational Therapy Association, 43(4), 1-4.
Gillen, G. (2014). Motor function and occupational performance. In B. Boyt Schell,
G. Gillen & M. Scaffa (Eds).,
Willard & Spackman’s Occupational Therapy
(pp.750-778). Baltimore, MD: Lipcottt.
Jack, J., & Estes, R. I. (2010). Documenting progress: Hand therapy treatment shift
from biomechanical to occupational adaptation. The American Journal of Occupational Therapy, 64(1), 82-87.
Jackson, J. P., Schkade, J. K. (2001). Occupational adaptation model versus
biomechanical- rehabilitation model in the treatment of patients with hip fractures.
American Journal of Occupational Therapy,
55(5). 531-537. Retrieved from http://ajot.aotapress.net/content/55/5/531.full.pdf+html?sid=af5b1cb7-679b-4bac-a023-dbecdf50a061
Schultz-Krohn, W. & Pendleton, H. M. (2013). Application of the occupational
therapy practice framework to physical dysfunction. In H. Pendleton & W. Schultz-Krohn (Eds).,
Pedretti’s Occupational Therapy
(pp. 28-54). St. Louis, MO: Elsevier.
Simoneau, M., Guillaud, É., & Blouin, J. (2013). Effects of underestimating the
kinematics of trunk rotation on simultaneous reaching movements: Predictions of a biomechanical model. Journal of Neuroengineering and Rehabilitation, 10, 54. doi:http://dx.doi.org/10.1186/1743-0003-10-54

(Gillen, 2014).
(Schultz-Krohn & Pendleton, 2013).
(Schultz-Krohn & Pendleton, 2013).
(Schultz-Krohn & Pendleton, 2013).
2. Jack & Estes, 2010.
4. Simoneau, Guillaud, & Blouin, 2013.
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