10-514-189OT Phys Rehab Practice
Course Information
Description
Explores interventions relative to major physical disability diagnoses seen in OT practice. Evaluation, treatment interventions, assistive technology and documentation are emphasized relative to the biomechanical, neurodevelopmental and rehabilitative approaches to practice.
Total Credits
4

Course Competencies
  1. Examine the OT service delivery models for physical disabilities
    Assessment Strategies
    Oral, Written, Graphic and/or Skill Assessment
    Criteria
    identify areas of practice within OT practice
    relate the domain of OT to the physical rehab system
    articulate the unique role of the OT physical rehab system
    compare the physical rehab system with educational and family systems
    compare the legislative provisions by age group
    describe how telehealth technology and virtual environments are used in the setting

  2. Gather data for the purpose of physical rehab screening and evaluation
    Assessment Strategies
    Oral, Written, Graphic and/or Skill Assessment
    Criteria
    identify appropriate screening tools, assessments and checklists for physical rehab practice
    gather evaluation data in the areas of occupational performance, behaviors and skills within the context of the client
    assess and monitor vital signs

  3. Administer physical rehab assessments based on patient (client) profile
    Assessment Strategies
    Oral, Written, Graphic and/or Skill Assessment
    Criteria
    demonstrate use of standardized and nonstandardized assessment
    compare results with norm-reference data
    identify problem areas requiring treatment intervention
    prioritize problem areas requiring treatment intervention

  4. Implement interventions to support occupations
    Assessment Strategies
    Oral, Written, Graphic and/or Skill Assessment
    Criteria
    demonstrate selection of modalities e.g., temperature, etc.
    demonstrate selection of therapeutic exercise relative to occupation
    demonstrate selection of assistive technology to support occupational performance
    select the correct equipment and materials
    perform all critical steps in the right order
    follow safety procedures
    verbalize an explanation of the process as you perform it

  5. Demonstrate documentation skills related to physical disability practice
    Assessment Strategies
    Oral, Written, Graphic and/or Skill Assessment
    Criteria
    prepare a variety of documents including daily treatment notes, intervention plan, etc.
    document measurable intervention goals
    records include accurate and complete data
    utilize correct terminology including medical terminology, Practice Framework, approved abbreviations, etc.
    communicate the need and rationale for occupational therapy services
    conclusions and recommendations are logical, accurate, and feasible
    articulate the role of the OTA in discharge planning
    explore documentation in different practice settings examine the use of electronic documentation systems

  6. Demonstrate physical disability interventions related to biomechanical approach
    Assessment Strategies
    Oral, Written, Graphic and/or Skill Assessment
    Criteria
    demonstrate skills such as: range of motion, therapeutic exercise, joint mobilization, myofacial release, kinesiotaping
    demonstrate skills of edema and pain management
    analyze the use of orthotic devices appropriate to the biomechanical treatment approach
    demonstrate interventions related to orthopedic conditions such as: amputee, arthritis, burns, cumulative trauma disorder, fractures, hand injury, hip, knee, peripheral nerve injury, prosthetics etc.
    demonstrate treatment interventions and appropriate use of assistive technologies relative to occupational performance, behaviors and skills such as ADL, IADL
    adapt environments for an individual’s optimal occupational performance

  7. Demonstrate physical disability interventions related to motor learning/motor control approaches
    Assessment Strategies
    Oral, Written, Graphic and/or Skill Assessment
    Criteria
    demonstrate skills such as: inhibition and facilitation techniques, positioning, etc.
    demonstrate skills of edema and pain management
    analyze the use of orthotic devices appropriate to motor learning/motor control approaches
    demonstrate interventions related to neurological conditions such as: cerebrovascular accident, traumatic brain injury, spinal cord injury, Parkinson disease, multiple sclerosis etc.
    demonstrate treatment interventions and appropriate use of assistive technologies relative to occupational performance, behaviors and skills such as ADL, IADL
    adapt environments for an individual’s optimal occupational performance

  8. Demonstrate physical disability interventions related to rehabilitative approach
    Assessment Strategies
    Oral, Written, Graphic and/or Skill Assessment
    Criteria
    demonstrate skills such as: ADL, IADL, transfers, positioning, mobility
    use compensatory strategies to facilitate participation in occupation
    analyze the use of adaptive equipment appropriate to the rehabilitative treatment approach
    demonstrate interventions and appropriate use of assistive technologies related to rehabilitative approach such as: home assessment, home management, community reintegration
    complete documentation such as Functional Index Measure (FIM), checklists, evaluation, home assessment, and progress notes
    adapt environments for an individual’s optimal occupational performance

  9. Demonstrate physical disability interventions related to functional cognition
    Assessment Strategies
    Oral, Written, Graphic and/or Skill Assessment
    Criteria
    plan intervention relative to the results of a cognitive assessment
    select activities and appropriate assistive technologies relative to the level of the client's processing and communication skills
    recognize safety issues related to cognitive limitations
    adapt environments for an individual’s optimal occupational performance

  10. Demonstrate physical disability interventions related to visual/perceptual skills
    Assessment Strategies
    Oral, Written, Graphic and/or Skill Assessment
    Criteria
    plan intervention relative to the results of a visual perceptual assessment
    select activities and appropriate assistive technologies relative to the level of the client's sensiomotor and communication skills
    recognize the safety issues related to visual perceptual limitations
    adapt environments for an individual’s optimal occupational performance

  11. Fabricate an orthotic device
    Assessment Strategies
    Oral, Written, Graphic and/or Skill Assessment
    Criteria
    demonstrate principles of splinting
    create or adapt a splint pattern
    fabricate a splint
    assess fit
    adapt the splint
    recommend splinting supplies, vendors and resources according to the client's needs (prefabricated splints)

  12. Use ergonomic principles to modify environments and processes
    Assessment Strategies
    Oral, Written, Graphic and/or Skill Assessment
    Criteria
    apply universal design principles
    evaluate a workspace
    suggest modifications to meet ergonomic principles
    explore cumulative trauma prevention strategies