Integrating Occupation into an Outpatient Occupational Therapy Practice: A Community Project

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Occupational therapists who work in outpatient facilities frequently treat individuals diagnosed with cumulative trauma disorders (CTDs). Carpal tunnel syndrome, cubital ulnar tunnel syndrome, deQuervain's syndrome, tenosynovitis, and rotator cuff injuries are common CTDs. Occupational performance in activities of daily living (ADLs) and in instrumental activities of daily living (IADLs) including rest and sleep, education, work, play, leisure, and social participation, may be compromised as a result of the CTD. The treatment of these conditions has historically been conducted under the auspices of the medical model, and therapists routinely applied the biomechanical frame of reference (FOR) to determine the appropriate intervention strategy.