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Rehabilitative Frame Of Reference

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In practice, occupational therapists may use one or more frames of reference to help guide them as they plan out interventions and goals. Two examples of the frames of reference used are the cognitive behavioral frame of reference and the biomechanical/rehabilitative frame of reference. The cognitive behavioral frame of reference looks at how thoughts and behaviors affect the participation or performance of occupations (Cole & Tufano, 2008; Davis, Eshelman, & McKay, 2008; Giles, 2003). The biomechanical/rehabilitative frame of reference involves the establishment or restoration of functional skills; however, if full establishment or restoration is not possible, the modification of tasks or environments is also included (Cole & Tufano, 2008). …show more content…

Movement limitations such as decreased range of motion, muscle strength, and muscle endurance affect the way different tasks are performed, such as using a computer or working in a factory (Cole & Tufano, 2008; Hagedorn, 2001). For intervention, exercises that involve range of motion, strengthening, and endurance can be used (Cole & Tufano, 2008; Hagedorn, 2001). In the case of a client wanting to return to work, the occupational therapist can incorporate work reconditioning in the client’s intervention (Cole & Tufano, 2008). A piece of equipment that can be used for work reconditioning is a work simulator, which mimics the movements needed for particular tasks in the client’s workplace (Cole & Tufano, 2008). The work simulator can be used to give the occupational therapist a better idea of the tasks that the client has to perform at work (Cole & Tufano, 2008). For the client, the work simulator will allow them to constantly practice the movements they need to perform at work, and as they continue to improve, the amount of time to perform the occupations will be increased (Cole & Tufano, 2008). If the mentioned exercises and work reconditioning are unsuccessful for the client, activity adaptation, compensatory strategies, and adaptive equipment can be used to help the client continue what they need to get done (Cole & Tufano, 2008). These …show more content…

Typically, in the cognitive behavioral frame of reference, cognitive behavioral interventions are helpful for clients who are able to practice self-awareness, as well as inductive and deductive reasoning (Cole & Tufano, 2008). These skills are needed in order to identify and discuss irrational thinking habits in a logical manner (Cole & Tufano, 2008). On the other hand, Cole (2005) explains that a cognitive behavioral approach is viewed as a continuum, and interventions should be adjusted according to cognitive level (as cited in Cole & Tufano, 2008, p. 155). Cole (2005) continues with saying that clients with lower cognitive levels should have a more behavioral approach, and clients with higher cognitive levels should have a more cognitive approach (as cited in Cole & Tufano, 2008, p. 155). In addition, the occupational therapist and the client should collaborate on interventions to make them meaningful and appropriate (Cole & Tufano, 2008). Collaboration also makes sure that the behavioral goals that the client wants to achieve are addressed (Cole & Tufano, 2008). Taking all of these factors into account will make a cognitive behavioral intervention successful for a

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