The Biomechanical Frame Of Reference In
Biomechanical Frame of Reference in Occupational Therapy
Christina M. Rafferty
101-392-287
Somtochukwu Okerulu
204-594-588
HCC Coleman College
Introduction/ Overview
The outcome of occupational therapy intervention is “supporting health and participation in life through engagement in occupation.’’ The types of occupational therapy interventions include occupation based intervention, purposeful activity and preparatory methods, consultation, education, and advocacy. Intervention approaches are the strategies that direct the process of intervention and these include create/promote, establish/restore, maintain, modify, and prevent disability.
The biomechanical approach is a remediation or restorative approach, and the intervention is designed to restore or establish client-level factors of structural disability, tissue integrity, range of motion (ROM), strength, and endurance. In particular, the focus is on performance skills, performance patterns, and client factors with the underlying belief that by establishing or restoring these factors resumption of valued roles and successful participation in areas of occupation will be possible. In cases where full restoration is not possible or in degenerative conditions, the maintenance approach is used within the biomechanical approach to enable preservation of the client’s physical performance capabilities and slows the decline in impairment and task abilities. In selecting an intervention approach, remediation or restorative approaches are chosen when there is an expectation for significant reduction in the impairment that leads to prevention of further activity limitations and participation restrictions. In general, the biomechanical medium of intervention prioritizes the physical capacity of an individual in the treatment process and works towards achieving maximum physical endurance and strengthening in order to promote participation in desired areas of
Christina M. Rafferty
101-392-287
Somtochukwu Okerulu
204-594-588
HCC Coleman College
Introduction/ Overview
The outcome of occupational therapy intervention is “supporting health and participation in life through engagement in occupation.’’ The types of occupational therapy interventions include occupation based intervention, purposeful activity and preparatory methods, consultation, education, and advocacy. Intervention approaches are the strategies that direct the process of intervention and these include create/promote, establish/restore, maintain, modify, and prevent disability.
The biomechanical approach is a remediation or restorative approach, and the intervention is designed to restore or establish client-level factors of structural disability, tissue integrity, range of motion (ROM), strength, and endurance. In particular, the focus is on performance skills, performance patterns, and client factors with the underlying belief that by establishing or restoring these factors resumption of valued roles and successful participation in areas of occupation will be possible. In cases where full restoration is not possible or in degenerative conditions, the maintenance approach is used within the biomechanical approach to enable preservation of the client’s physical performance capabilities and slows the decline in impairment and task abilities. In selecting an intervention approach, remediation or restorative approaches are chosen when there is an expectation for significant reduction in the impairment that leads to prevention of further activity limitations and participation restrictions. In general, the biomechanical medium of intervention prioritizes the physical capacity of an individual in the treatment process and works towards achieving maximum physical endurance and strengthening in order to promote participation in desired areas of
References: Greene, D., & Roberts, S. (2004). Biomechanics, Kinesiology, and Occupational Therapy. In Kinesiology, Movement in the Context of Activity (2nd ed., pp. 248-250). Maryland Heights, MO: Elsevier Mosby Rybski, M. (2004). Biomechanical Intervention Approach. In Kinesiology for Occupational Therapy (2nd ed., pp. 309-311). Thorofare, NJ: Slack Incorporated Sladyk, K., & Ryan, S. (2005). Theory That Guide Practice: Our Map. In Ryan 's Occupational Therapy Assistant (4th ed., p. 68). Thorofare, NJ: Slack Incorporated Trombly, C., & Radomski, M. (2013). Biomechanical and Rehabilitative Frames. InOccupational Therapy for Physical Dysfunction (7th ed., pp. 165-168). Baltimore, MD: Lippincott Williams & Wilkins, a Walters Kluwers Business Tufano, R., & Cole, M. (2008). Biomechanical and Rehabilitative Frames. In Applied Theories in Occupational Therapy (p. 336). Thorofare, NJ: Slack Incorporated Wetzel, J., & Lunsford, B. (1995, September 10). Overview: Acute Stage Rehabilitation: Range Of Motion and Strengthening. Retrieved October 10, 2014, from http://calder.med.miami.edu/pointis/handbook.html