Ron,

I do not think OT "owns" function.  However function as related to
ADLs, as you observe, is the traditional domain of OT.
Our strategy has been to clarify that the primary focus of PT
intervention in "functional training" is related to movement and
mobility.

I disagree with you that removing the phrase won't make a difference,
especially when you look at the OT protected scope of practice
as delineated by the IL OT practice act.

Chuck


>>> [EMAIL PROTECTED] 7/6/2005 3:59:07 AM >>>
Hey Chuck,

Thanks for writing and clarifying!!

I  think  I understand that in situations like the one below, there is
a
belief  that  this is a victory against encroachment. This being
because
AOTA  and most OT's see 'function', especially relating to ADL's, as
the
primary domain of OT. Am I correct?

My  feeling is that while the Illinois PT's did change the language,
the
changes  have  no  real impact on how they practice. As I read the
below
legislature,  PT's  are  still  well  within the law to treat
functional
issues, even ones resulting from *mental* impairments. Also, I thing
the
term  "rehabilitative  procedure"  can  be construed to mean
"functional
training".

It  sounds  like  many  people  rallied  to make a difference. While
not
wanting  to  take  away  from  their  efforts,  I just don't see how
the
removal  of  a  vague  and  nebulous term, i.e. "functional training"
is
going  to make much impact on how anyone practices. Shoot, even the
term
"disability"  can  be  construed  as having to do with "function". Or
at
least   according   to   how  the  World  Health  Organizations 
defines
disability.

Thanks,

Ron

P.S.  Just  to  clarify, in my opinion, the term 'function' is vague
and
has  no  real  meaning.  I've  heard therapists talk about function
with
regards  to  everything from how elbows do or don't work to how a
person
transfers.  Unless  "function" is further delineated, it's impossible
to
know what is being described.



----- Original Message -----
From: Charles Willmarth <[EMAIL PROTECTED]>
Sent: Tuesday, July 05, 2005
To:   OTlist@OTnow.com <OTlist@OTnow.com>
Subj: [OTlist] Illinois Practitioners?

CW> Ron,

CW> I think you need to look at the full context of how "functional
CW> limitations" is used the definition.

CW> (B) Alleviating impairments, functional limitations, or
disabilities
CW> by  designing, implementing, and modifying therapeutic
interventions
CW> that  may  include,  but  are  not  limited  to,  the  evaluation
or
CW> treatment of a person through the use of the effective properties
of
CW> physical  measures  and  heat,  cold,  light, water, radiant
energy,
CW> electricity,   sound,  and  air  and  use  of  therapeutic 
massage,
CW> therapeutic  exercise,  mobilization, and rehabilitative
procedures,
CW> with  or  without assistive devices, for the purposes of
preventing,
CW> correcting,   or   alleviating  a  physical  or  mental 
impairment,
CW> functional limitation, or disability.
 
CW> During  negotiations  we  suggested  that  "functional  training"
be
CW> replaced with "functional training related to movement and
mobility"
CW> or  a  variation  of that phrase. The PTs offered to pull
functional
CW> training from the definition altogether.

CW>  The PT legislation had already passed the House and the Senate
(two
CW> bills  crossed  over).  Getting  an  amendment like this at the
last
CW> minute  was  an  accomplishment and demonstrated that IOTA has
built
CW> strong   relationships  in  the  legislature.  OT  practitioners 
in
CW> Illinois  sent  emails  and  called their legislators when asked
and
CW> this had a definite impact.

CW> Chuck

>>>> [EMAIL PROTECTED] 7/2/2005 4:10:55 AM >>>
CW> Hello:

CW> Is anyone on the list from Illinois?

CW> The  most  recent AOTA Scope of Practice Update mentions the
Illinois
CW> OT
CW> Assoc's  recent  'victory'  at  getting  the  language of the
State's
CW> PT
CW> Practice Act changed.

>>From  what  I  can  tell,  the  OT's  got  the  PT's to remove the
CW> words
CW> "functional training" from the the proposed legislation but the
CW> approved
CW> legislation  still  has  words  relating  to  treatment  of 
CW> "functional
CW> limitations".

CW> While  I  don't  necessarily  agree  that  "functional training"
is
CW> OT's
CW> personal domain, I don't see how the above change makes much
CW> difference.

CW> Maybe someone will help me.

CW> The PT Practice Act can be read here:

CW> http://www.ilga.gov/legislation/94/SB/PDF/09400SB0930lv.pdf 


CW> Ron


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