the deficiency corresponds to the lesional aspect of the handicap. Depending on the patient, the physiotherapist can perform trophic, cutaneous, bone-articular, muscular, sensitivity and upper functions tests...

The incapacities correspond to the functional aspect of the handicap. The disadvantages correspond to the situational aspect of the handicap.

The functional assessment of the upper limb deals with gesture and prehension including skillfulness, execution speed, precision, movement and manipulation capacities of the upper limb in space, recognition of objects, strength...

The independence assessment concerns every daily action: movement, transfer, communication, dressing, hygiene, eating, leisures, school and professional activities, social and family integration, behavior...

The human environment allows to know how much human help the patient usually get every day.

The material and architectural environment analyzes the elements hampering the autonomy: access, moving around in the house, work-space, toilets, furniture...

Treating is improving the recovery of altered functions. Specific means of the occupational therapist are objects, activities, chosen after a thorough analysis to match the needs of activities with the therapeutic needs.

It deals with motor, sensitive, sensory and intellectual education and re-education.

It deals with the solicitation of remaining functions, preventing the apparition or worsening of other deficiencies or incapacities, the patients posture (in bed, in a wheelchair), advising articular economy and automation...

The occupational therapist conceives and builds prosthesis :

  • preventive one to ensure articular rest and stabilization or posture,
  • postoperative to guarantee cicatrization, posture and facilitating autonomy,
  • secondary to correct bad attitudes or to replace permanent deficiencies,
  • sequelary to replace permanent deficiencies.

During the rehabilitation and reinsertion, patients learn to live with their new condition. The occupational therapist allows them to experiment real life situations in order to find ways to compensate for the inabilities and develop solutions through training.

Through activities, the occupational therapist allows the patients to develop their remaining capacities of adaptation, to materialize their reinsertion projects (walking through the city autonomously for the blinds, automation of specific moves for people suffering from lower back pain, training for cardiac efforts...)

The occupational therapist is fully aware of the different parameters required to the re adaptation and to a return to a professional life (evaluation of capacities, effort training, preparation to go back to work...)

  • Technical Help: to replace or to make up for deficiencies, technical help can be conceived and built by the occupational therapist or picked among available special devices.
  • Furniture, architectural and urban arrangements: the occupational therapist gives insights to construction specialists.

Occupational therapists take part in the conception process of industrial products for home usage or parts of home equipment (lifts, home supplies, lavatories...). The involvement of occupational therapists goes with ones of other specialists (industrial designers, engineers, ergonomists, marketing consultant...) as well as with the efforts of tow planners to make cities more accessible to disabled people.

Occupational therapists are also hired to train and inform, about the concept of autonomy, the different staff members involved in the treatments.

Insurance companies can consult occupational therapists for appraisal and evaluation of a prejudice. This analysis is necessary for the patients to get compensations for the remaining incapacities after the accident.

Traumatology, rheumatology, neurology, cardiology, hand surgery, burnt victims, psychiatry, gerontology, geriatrics, geronto-psychiatry, sensitive handicaps...