Splinting  is  not unique to the domain of OT. ALL my treatment is based the
the  Occupational  Performance  Process Model. The OPPM is a 7-stage process
outlining  OT assessment, intervention and discharge. The first step of the
process  is  to  Name,  Validate  and  Prioritize  occupational  performance
deficits.  Within  this  model,  if  a  client  does  NOT  have occupational
performance deficits, there is NO role for OT.

Applying  this model to your case yields an answer that I would refer to PT.
I  would  only  splint a patient is I could demonstrate that splinting would
improve  a  SPECIFIC  occupational  deficit.  If  I  am splinting because my
primary  concern is portioning, ROM, pain, etc, then I don't see how this is
occupational therapy.

If   you   believe  that  increasing  a  client's  ROM  will  improve  their
occupational  performance,  then  isn't PT doing occupational therapy if they
increase  a  client's  ROM?  Within the OPPM model, if occupation is not the
primary  deficit,  then  there  is  NO  role  for  OT.  Keep  in  mind  that
occupational  deficits  certainly  do result because of physical dysfunction,
but  focusing  on  the  physical  dysfunction  instead  of  the occupational
dysfunction is PT, not OT.

Ron

================================================
On 10/3/2002, [EMAIL PROTECTED] said:
DL> Ron et al.,

DL>  OTs  often get called to create splints for orthopedic patients and not
DL>  for  any  specific  occupational  deficit.  Would  you also refer these
DL>  patients to PT? Would you do only occupational splinting?

DL> Just curious,

DL> ------------------------
DL> Dana Levinson, PhD
DL> Project Manager
DL> Rehab Science, Inc.
DL> http://www.rehabscience.com
DL> [EMAIL PROTECTED]




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