Use of a Case Study Method To Explore Sensory-Processing Characteristics of Children With Complex Regional Pain Syndrome

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Degree escalation and doctoral education are sinking the occupational therapy profession

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Occupational therapy started on a simple premise - that man, through the use of his hands as they are energized by mind and will, can influence the state of his own health.  That statement was provided to the profession by Mary Reilly, our greatest theoretician.

It is a simple concept, borne out of a core philosophy of pragmatism and infused with a dose of all the good intentions of the moral treatment movement.  If you carefully read that core philosophy of occupational therapy you will hear the Emersonian reverberations of self-reliance: 'Trust thyself: every heart vibrates to that iron string.'  That is what occupational therapy seeks to nurture in the spirit of people: Independence, harmony with the self, harmony with nature, and a satisfaction in authentic work and effort and purpose and meaning.


Occupational therapy is a concept that was designed to create solutions for the problems of living - and was field tested in the settlement house projects of Chicago and Bos…
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On retained primitive reflexes

Each year I receive several emails from colleagues about 'retained primitive reflexes.'  I am also seeing an increased number of reports from local 'health care' providers who are documenting these alleged problems so I thought I would write a summary of my opinion on this topic.  
Predatory 'health care' providers including some OTs, PTs, chiropractors, and behavioral optometrists are creating a new 'market' for treating this alleged 'problem.'  Parents should be very wary of these practitioners and other professionals should challenge these practices whenever they are seen.
The following is the kind of information that causes concern and was provided to me by a colleague as a sample from a student's IEP:
The student continues to demonstrate the following retained primitive reflexes that at times interfere with his ability to demonstrate appropriate adaptive responses: Fear Paralysis Reflex, Moro Reflex, Palmer Reflex, Tonic Labyrinthine R…
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A sad prediction that is coming true for occupational therapy assistants

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Last year I wrote several blog posts about the devastating advocacy position taken by AOTA to remove the Medicare therapy caps that caused a 'paygo' impact on services provided by occupational therapy assistants.

In short, the Bipartisan Budget Act of 2018 lifted the Medicare therapy caps and was 'paid for' by an agreement that OTA services under Medicare Part B would have to be paid at 85% of the standard rate whenever that therapy was delivered in whole or in part by an OTA.

Professional lobbyists and policy analysts at AOTA were surprised by this 'last minute' inclusion of a payment differential even though the House Rules Committee clearly included this language in the document summary that was sent to the CBO for scoring prior to the legislation being passed.  As a result of their inattention, no one was alerted to this dangerous language, no one could advocate against it, and OTA practice was severely damaged.  It was a colossal and inexcusable policy an…
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