Indications for
Occupational Therapy

 

Occupational Therapy is a healthcare profession that helps individuals regain maximum function after injury or illness that has led to some degree of physical or mental impairment affecting their ability to participate in normal activities of daily living

 

Who can benefit from Occupational Therapy services?

 

Occupational Therapy services are available to individuals experiencing various diagnoses or problems including:

  • Hand Injuries
  • Parkinson’s
  • Arthritis
  • Stroke
  • Fractures
  • Head Injury
  • Multiple Sclerosis
  • Joint Replacement
  • Spinal Cord Injury

 

What types of functional problems do Occupational Therapists address?

 

Any type of problem limiting an individual’s ability to efficiently and safely participate in normal or daily activities including:

  • Dressing
  • Bathing
  • Grooming
  • Meal Preparation
  • Household Chores
  • Work Activities

 

What type of limitations do Occupational Therapists address? 

  • Strengthening
  • Increasing ROM
  • Improving Coordination
  • Building Endurance
  • Improving Balance
  • Transfer Training
  • Splinting for Support
  • Splinting for Function
  • Work Simulation
  • Work Conditioning
  • Improving or Accommodating Sensory Limitations
  • Improving or Adapting to Perceptual Dysfunction


For Restoration of Physical Function:

 

  • Decreased upper extremity strength/ROM
  • Unable to sit unsupported
  • Unable to safely negotiate walker or w/c in surroundings
  • Needs assist in bed mobility or transfers
  • Decreased coordination

 

For Compensatory Techniques to Improve ADL when:

 

  • Visual field cuts are present
  • Excessive energy is expended for ADL due to poor pacing
  • Loss of use of dominant hand
  • Precautions limit ADL performance (e.g. laminectomy, THR, etc)

 

For Orthotics and Self Help Devices when:

 

  • Unable to perform fine motor tasks (e.g. button, snap, zip, clasp, tie)
  • Difficulty dressing lower extremities
  • Inability to perform self ROM and at risk for contracture development
  • Needs assist to support UE for feeding and other ADL

 

For Restoration of Function in ADL when:

 

  • Can’t answer phone
  • Incorrect/poor sequencing of tasks
  • Difficult managing checkbook

 

For Restoration of Sensory-Integrative Function:

 

  • Demonstrates neglect of an extremity or one side of the body
  • Unable to name or identify objects by touch
  • Difficulty with color, shape, and/or size discrimination
  • Impaired visual tracking
  • Poor hot/cold discrimination

 

For “Active Treatment Programs” for Psychiatric illnesses when:

 

  • Unable to orient to the “real” time, place, etc.
  • Difficulty attending to the task at hand
  • Unable to exit home secondary to fear, paranoia, etc.