Ch.14-Biomechanical and Rehabilitative Frames – Flashcards

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Biomechanical Frame
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focuses on restoring participation in occupation by addressing (remediating) the underlying impairments.
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Rehabilitative Frame
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aims to restore participation in occupation through compensatory methods, assistive devices, and environmental modifications. The hard decision is when to switch from one reference to the other. Remediating should always be first
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Popularity
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o Recent research indicates that the biomechanical (#1) and rehabilitative models are two of the most commonly used OT models o We remain unique as a healthcare profession because we seek to use these models in the context of occupation
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Why do we combine the 2 theories?
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o Reflects the continuum of OT intervention o Used in strengthening and ROM o Valuable in Varied settings Used in adult treatment Used in peds o Used for positioning
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Focus
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o Body function (strength, ROM, endurance) o Musculoskeletal disorders, repetitive strain/cumulative trauma injuries, hand injuries, work rehab, ergonomics, injury prevention o Primary diagnosis for these: any type of repetitive strain injury, hand injuries, injury prevention
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Theoretical base-biomechanical
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o ROM (just deals w/ normal of the joint) o Kinematics (muscles moving the joints) o Torque (rotary movement) o Strength o Endurance-ability to engage in activity over time
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Function & disabilitiy
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o We maintain function by preserving and/or improving body function (Not very holistic. Only deals with the physical body. Does not involve any cognitive issues) o Disability results when limitations or restrictions of body function restrict active participation in everyday occupations
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Change & motivation
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o Change occurs as body functions improve o Motivation??? o Improving body function is motivating enough to get better o This model used alone w/ someone who has decreased motivation, it will not work!
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Evaluation
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o Consist of measurement of body functions as compared to a normative population o Pain is typically assessed though the use of reliable and valid scales
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Intervention
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o Focus on client's roles and priorities o Remediation of impaired body functions o Activity adaptation o Energy conservation o Work hardening-return to work therapy. Working w/ injured employees o Ergonomics and prevention o Rehabilitation-compensatory strategies
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If biomechanical fails...
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then use the other model. Everything we discussed is in regards to biomechanical.
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