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Biomechanical Model of Occupational Therapy
Transcript of Biomechanical Model of Occupational Therapy
•Useful for teaching clients proper body mechanics to prevent re-injury
•Easy to use with other practitioners familiar with a medical model (physicians, etc.)
•Useful for clients who view their condition through the lens of the medical model
There is a vast amount of research on the model
By using the biomechanical model, it is easier to see & measure progress of a client as opposed to the other models
It is widely used Strengths Patient: Rose
Diagnosis: Mild Incomplete SCI at the C8
Incident: Hot air balloon injury
Setting: Biomechanical Rehab Awesomeness Cases Can be applied either as a balanced, integrated method or as a shift in treatment
Allow a more holistic approach
Necessary to create a client-centered therapeutic relationship
Necessary to create balanced treatment plan
Necessary to fully prepare a client for daily life Combination with Occupation-Focused Models Combination with Conceptual Practice Models 1-Focuses on motion, but risks diversion from consideration of personal motivation
2-Risks diversion from building a therapeutic relationship
3-Risks diversion from activity/occupation oriented intervention
4-More effective when used in combination with other occupation-focused models to achieve whole-person approach.
5-OTs may have more difficultly justifying use of the model compared to PTs, as they are seen as the "exercise specialists" Limitations Baron, K. B. & Littleton, M. (1998). The model of human occupation: a return to work case study. Department of Occupational Therapy, University of Illinois at Chicago, USA, 37-46. Retrieved September 13, 2012, from the Blackboard Learn database.
Dutton, R. (1989). Guidelines for using both activity and exercise. The American Journal of Occupational Therapy, 43(9), 573-580. Retrieved September 10, 2012, from http://web.ebscohost.com
Ferguson, S., Marras, W., & Burr, D. (2005). Workplace design for asymptomatic vs. low-back-injured workers. Applied Ergonomics, 36, 95-95. Retrieved September 12, 2012, from www.ncbi.nlm.nih.gov
Fisher, G. & Littleton, M. (Lecturers) (2012, November 1). The biomechanical model. OT 500 Theories of occupational therapy. Lecture conducted from University of Illinois at Chicago, Chicago.
Flinn, N., Jackson, J., McLaughlin Gray, J. & Zemke, R. (2008). Optimizing abilities and capacities: range of motion, strength, and endurance. In M.V. Radomski, and C.A.
Trombly Latham (Eds.), Occupational therapy for physical dysfunction (6th ed.) Philadelphia, PA: Lippincott Williams & Wilkins Jackson, P. J, & Schkade, K. J. (2001). Occupational adaptation model versus biomechanical-rehabilitation model in the treatment of patients with hip fractures. The American Journal of Occupational Therapy, 55(5), 531-537. Retrieved September 11, 2012, from http://ajot.aotapress.net
Kaufman-Cohen, Y. & Ratzon, N.Z. (2011). Correlation between risk factors and musculoskeletal disorders amongst classical musicians. Occupational Medicine, 61, 90-95. Retrieved September 12, 2012, from http://occmed.oxfordjournals.org
Kielhofner, G. (2009). Conceptual foundations of occupational therapy practice (4th ed.). Philadelphia: F.A. Davis Co.
Peterson, Q. C, & Nelson, L. D. (2003). Effect of occupational intervention on printing in with children with economic disadvantages. The American Journal of Occupational Therapy, 57(2), 152-160. Retrieved September 11, 2012, from http://ajot.aotapress.net References Including OA framework with biomechanically-focused treatment was shown to do the following:
Provide documentation of clinically significant functional progress
Allow for occupational goals to be set and evaluated Occupational Adaptation During tasks performed early in acute care before a patient is ready to perform complex, application tasks
When a patient's condition require tasks that are: isolated, rhythmical, linear, reciprocal, used to increase range of motion, and against excessive resistance
Biomechanical interventions "focus on the intersection of motion and occupational performance".
Assessments: range of motion, strength assessments, and endurance When To Use Explains how the body is made for motion, and how it accomplishes that motion.
Reciprocal relationship between capacity for movement and that involve movement activities
Strong focus on client factors, but does take the environment and occupation into consideration through compensation or by modification
Focus on remediation and compensation Motor Control Model is used with children and adults with neurological deficits to improve control of movement and functional performance
Contemporary Motor Control Approach is the part of the Motor Control: believes that the Person-Task- Environment affect motor control impairment & influence a client’s performance.