Integration: Models of Practice & Frames of Reference

how models & frames are similar

• Application of theory to practice

• Provide a point of view

• Provide a framework for action

how models & frames differ

• Model has a broader view

• Frame of Reference is specific

• Model is specific to OT

model of practice

• Provides the occupational diagnoses

• Informs decisions related to identifying occupational issues

• Identifies treatment priorities

frame of reference

Provides guidance for:

• Naming disruptions in performance skills and/or client factors

• Evaluating performance skills and/or client factors

• How to intervene to remediate/adapt/compensate

structure of frame of reference

• Focus

• Theoretical Basis

• Function and Dysfunction continuum

• Evaluation

• Intervention

• Research

biomechanical

• Physical skills that underlie function

• Biology, physiology, Kinesiology, anatomy

• ROM, Normal or abnormal

biomechanical evaluation

AROM, Strength, anatomical integrity, edema, endurance

biomechanical intervention

Exercise to increase function in AROM, strength, edema, endurance, intervention to provide anatomic stability

biomechanical research

Effectiveness of splinting, Edema

management

rehabilitative

• Facilitating function despite the presences of disability

• Adaptation, compensation, environmental modification

rehabilitative evaluation

Functional status in occupations the client

desires

rehabilitative intervention

Activity adaptation, Compensatory techniques, Environmental adaptation

rehabilitative research

disability group specific

things to consider as an OT

• Client

• Setting

• Diagnosis/Prognosis

• Cultural expectations

• Evidence