AOTA T H E A M E R I C A N O C C U P A T I O N A L T H E R A P Y A S S O C I A T I O N

PLUS
Fun Multidisciplinary Therapy Ideas
U.S. Supreme Court Hears
Health Care Reform Challenges
News, Reflections, & More
Hand Therapy
The Geriatric Hand
Learning
Functional Anatomy
in the Classroom
A Musicians
Recovery
MAY 7, 2012
DEPARTMENTS
News 2
Capital Briefing 5
U.S. Supreme Court Hears
Health Care Reform Challenges
In the Clinic 6
Therapy Days:
Fun (and Inexpensive)
Ideas for
Multidisciplinary
Therapy
Perspectives 17
Back in the Groove: Occupational
Therapy Helps Professional Bass Player
Recover From Motorcycle Accident
Calendar 19
Continuing Education Opportunities
Employment Opportunities 27
Living Life to Its Fullest 32
OT Reflections From the Heart
Never Say Never
AOTA THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION
VOLUME 17 I SSUE 8 MAY 7, 201 2
OT PRACTICE MAY 7, 2012
FEATURES
The Geriatric Hand 8
Degenerative Changes
That Affect Hand Function
and Occupational Performance
Lenore Frost, Frances Harmeyer,
and Salvador Bondoc get a handle on
evaluating age-related anatomical and
physiological changes and associated
conditions that affect hand function and
occupational performance.
Hands-on Engagement 13
Learning Functional Anatomy
in the Classroom
David LeVan and Julie Sonack
describe a hands-on hand model at
Gannon University that helps students
better understand and
apply functional anatomy
concepts to clinical
practice.
PAGE 8 PAGE 13 PAGE 17
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COVER ILLUSTRATION
OLGA AXYUTINA/ISTOCKPHOTO
1
2 MAY 7, 2012 WWW.AOTA.ORG
N E W S
Association updates...profession and industry news
AOTA News
Never Too Early
A
OTAs 2012 Conference &
Expo may have just ended,
but we are already calling
for your presentation proposals
for the 2013 Conference, to be
held in San Diego from April 25
to 28. Please share your practice
innovations, research, and expe-
rience by submitting a proposal
to present at the 93rd Annual
Conference & Expo. Papers may
be submitted anytime between
May 14 and June 19. For more,
log on to the AOTA Web site
(www.aota.org) and click on
Call for Papers.
We Want
Your Opinion
D
o you do home modifica-
tions as part of your OT or
OTA practice? If so, you are
invited to complete a survey to
help inform the profession about
current practice. The survey is
a collaboration between AOTA
and Duquesne Universitys
Occupational Therapy Depart-
ment. Please use this link to
complete the survey before May
31: www.surveymonkey.com/s/
YGZSMK3. For additional infor-
mation, e-mail Patricia Crist at
crist@duq.edu or Karen Smith
at ksmith@aota.org.
ACOTE Seeks
New Accreditation
Evaluators
A
re you interested in becom-
ing a volunteer accredita-
tion evaluator? Applications
are being accepted until June 15
for the Roster of Accreditation
Evaluators.
For the positions to be filled
in January 2013, the Accredita-
tion Council for Occupational
Therapy Education (ACOTE

)
is placing a strategic emphasis
on recruiting a diverse pool
of accreditation volunteers. Doc-
torally prepared occupational
therapy practitioners are espe-
cially needed and are strongly
encouraged to apply.
If you or someone you know
would be well suited for this
exciting and important volun-
teer position, download the
Educator or Practitioner appli-
cation for membership from the
Announcements & Newsletters
section of the ACOTE Web
site, at www.acoteonline.org,
or request an application from
AOTA Accreditation staff at
accred@aota.org or 301-652-
6611, ext. 2914.
Applications should be
completed and returned no later
than June 15 to accred@aota.
org or to the ACOTE Accredi-
tation Program, c/o AOTA,
P.O. Box 31220, Bethesda, MD
20824-1220.
Leaders Wanted
A
OTA is excited to con-
tinue our commitment to
leadership development
by offering an updated Leader-
ship Development Program for
occupational therapy manag-
ers who want to cultivate their
power and influence in their
practice setting and within the
profession. The future viability
of the profession demands that
we have solid and skilled leader-
ship at all levels of the profes-
sion. This program will assist in
meeting the Centennial Vision
strategic objective of build-
ing the professions capacity to
influence and lead. It is open to
occupational therapy practition-
ers (OTs and OTAs) with more
than 5 years of experience who
are currently in management
positions. Special consideration
will be given to practitioners
new to their rehabilitation/
school-based occupational ther-
apy manager/director position.
Applications will be accepted
from May 15 to June 15. For
submission requirements and
other details, please go to www.
aota.org/managers.
Industry Updates
Get a Head Start
H
ead Starts 11th National
Research Conference will
be held June 18 to 20 at
the Grand Hyatt Washington in
Washington, DC. The goals of
the conference are to identify
and disseminate research rel-
evant to young children (birth to
8 years) and their families, and
to encourage collaborations and
partnerships among research-
ers, practitioners, and policy-
makers. The conference will
focus on research that consid-
ers low-income families, who are
Head Starts service population.
For more information, including
registration details, visit www.
acf.hhs.gov/programs/opre/hsrc.
AOTA is a cooperating partner
organization for the conference.
80 Attend
Occupational
Science Summit
N
early 80 scientists and
researchers attended the
first-ever Occupational Sci-
ence Summit, held in St. Louis,
Missouri, on March 11. For 3
days, occupational therapy
researchers presented their
work to colleagues to garner
feedback and critiques. Spon-
sored by Washington University
School of Medicine, University
of Southern California, Uni-
versity of IllinoisChicago, and
Thomas Jefferson University,
the summit brought together
senior, mid-level, and entry-level
scientists to further develop
research in occupational
therapy. For more on the sum-
mit, check out the article under
the News and Events section on
the home page of AOTAs Web
site (www.aota.org).
Resources
New Pediatric Tools
S
everal new pediatric
information sheets have
been released by AOTA
with downloadable information
sheets for practitioners.
s Introductory Sheet reviewing
the use and intent of AOTAs
mental health information
sheets for children and
youth: www.aota.org/Practi-
tioners/PracticeAreas/Pedi-
atrics/Browse/MH/How-to.
aspx?FT=.pdf
s Recess Promotion Informa-
tion Sheet: www.aota.org/
Practitioners/PracticeAreas/
Pediatrics/New/Recess.
aspx?FT=.pdf
s Obesity Prevention and
Intervention Information
Sheet: www.aota.org/Practi
tioners/PracticeAreas/Pedi
atrics/Browse/MH/Obesity.
aspx?FT=.pdf
s Transitions Across Contexts
Checklist: www.aota.org/
Practitioners/PracticeAreas/
Pediatrics/New/Checklist.
aspx?FT=.pdf
New and Revised
Fact Sheets
AOTA has produced the follow-
ing new Fact Sheets:
s Occupational Therapys Role
in Sleep
s Occupational Therapys
Role in Breast Cancer
Rehabilitation
he U.S. Supreme Court heard oral argu-
ments from March 26 to 28 challenging
the constitutionality of the Afford-
able Care Act (ACA), the health care
reform law signed by President Obama
in 2010. The ACA is meant, in part, to
extend health insurance coverage to
tens of millions of previously uninsured
Americans.
Of the legal issues under consid-
eration by the Supreme Court in con-
nection with the law, the most divisive
and central issue is the requirement
that essentially all Americans obtain
insurance coverage or face a finan-
cial penalty. This requirement (the
minimum coverage provision or the
individual mandate) is considered
necessary to ensure other underly-
ing aspects of the law: that insurance
companies make coverage available to
all applicants without taking account
of pre-existing conditions and without
charging especially high fees to those
with costly health care needs.
The options available to the justices
are to deem a decision premature,
uphold the law, or strike it down in
whole or in part.
ANTI-INJUNCTION ACT
On the first day of oral arguments, the
justices considered whether they are
barred from hearing the case at this
early date. The Anti-Injunction Act
states, loosely, that litigation intended
to prevent the collection of a tax may
proceed only after the assessment of
the tax and not before. Notably, lawyers
for both the Obama administration and
the challengers agree that the Supreme
Court can decide the case now, and the
justices are expected to move forward
with a decision.
THE INDIVIDUAL MANDATE
On the second day of the hearings,
the central question in the case was
debated: whether Congress can
mandate that individuals purchase a
product (health insurance) or pay a
tax penalty. The U.S. solicitor gen-
eral, speaking on behalf of the Obama
administration, argued that Congress
is authorized to enact such a mandate
pursuant to its power to regulate
commerce and its power to tax under
Article I, Section 8, of the Constitution.
The challengers argued instead that
the requirement to buy a product is
unprecedented, unlawfully regulates
inactivity rather than activity, and
would allow Congress unlimited power
to intrude on individual freedom.
The solicitor general faced the
toughest questioning, with Justice
Scalia asking, May failure to purchase
something subject me to regulation?
Chief Justice Roberts wondered
whether the government could compel
the purchase of cell phones next, and
Justice Alito extended that line of
thought to include forcing people to
buy burial insurance.
SEVERABILITY
On day three of oral arguments, the jus-
tices dealt with the issue of severability:
Is the individual mandate severable
from the ACA? Or, if the mandate were
deemed unconstitutional, must the
ACA be invalidated in its entirety? This
question is of particular importance
because the mandate itself is widely
regarded as imperiled.
The solicitor general maintained
that if the mandate falls, the only provi-
sions of the ACA that should fall with
it are those prohibiting insurers from
denying coverage to consumers based
on pre-existing conditions and charg-
ing high premiums to consumers with
costly medical conditions. Justice Scalia
pointedly disagreed, however, stating,
My approach would be to say that if
you take the heart out of this statute,
the statutes gone.
MEDICAID EXPANSION
The last arguments the justices heard
concerned Medicaid expansion
specifically, whether the laws require-
ment that states expand Medicaid cov-
erage and increase program spending
or lose federal funding is unduly coer-
cive. The solicitor general, bolstered
by several justices, noted that there is
little question as to the constitutionality
of the expansion provisions, as states
are free to withdraw from the Medicaid
program at any time.
IMPLICATIONS
The Supreme Courts decision,
expected in June 2012, will have a
significant impact on health care and
possibly even the elections in Novem-
ber. Losing the individual mandate,
either alone or with other aspects of
the law, would be a significant setback
to the Obama administrations efforts to
reform health care, but we know many
foundational issues of the ACA are here
to stay, such as quality-based payment,
local efforts to extend coverage to unin-
sured citizens, and additional checks on
the practices of health insurance com-
panies. AOTA is closely following legal
developments related to the ACA and
will be analyzing the Supreme Courts
decision in June. s
Jennifer Hitchon, JD, MHA, is AOTAs regulatory
counsel. She can be reached at jhitchon@aota.org.
T
U.S. Supreme Court
Hears Health Care Reform Challenges
Jennifer Hitchon
5 OT PRACTICE MAY 7, 2012
C A P I T A L B R I E F I N G
6 MAY 7, 2012 WWW.AOTA.ORG
I N T H E C L I N I C
Therapy Days
Fun (and Inexpensive) Ideas for Multidisciplinary Therapy
Charlene Fitch Amy L. Fletcher Cynthia Kelleher Cherie N. Marsh Lorna Wilhelm
I N T H E C L I N I C
t Springbrook, a facility in
rural upstate New York
that serves people with
intellectual and physi-
cal disabilities, we as a
team of therapists in
five separate adult day
habilitation programs
(Day Habs) are always
thinking how best to use our
expertise to serve individual
clients despite our very limited
budgets. Our therapy team for
adults consists of an occupa-
tional therapist, an occupational
therapy assistant, a speech-
language pathologist, a physical
therapist, and a physical ther-
apy assistant. Each therapist
brings a traditional area of expertise
to a variety of clients, addressing their
varied diagnoses and wide array of
abilities. Great care is taken to include
and encourage every client to use all of
his or her individual capabilities. It is
our job to help remediate that disabil-
ity so that each can participate at an
optimum level.
INTEGRATED THERAPY MODEL
To meet this challenge, the therapy
team incorporates an integrated
therapy model that includes a 1-day-
per-week Therapy Day program.
Every week, one Day Hab participates
in a therapy teamled activity designed
specifically for the population it serves.
Initially, the team develops a theme
through brainstorming. This sets the
base upon which the activity is built.
Goals from each therapeutic discipline
are infused into the theme, focusing on
functional everyday life skill activities.
To prepare for the Therapy Day, the
team pulls recycled products, card-
board, duct tape, activities, games, and
supplies that are readily available in
each Day Habilitation site.
The goals for each Therapy Day
are written and distributed before the
actual Therapy Day occurs (see Figure
1 on p. 20). Adaptations are made so
that each client can become involved
in the activity of the day. Day Hab staff
members are encouraged to carry over
the goal-oriented activities and incorpo-
rate them into ongoing daily activities.
EXAMPLE THERAPY DAYS
Therapy Day is intended to give some
new and fresh ideas for activities as
well as demonstrate how every activity
can be tweaked for people with differ-
ent needs and capabilities. Over the
past 2 years, therapists have provided
a wide variety of activities, with every
activity incorporating picture commu-
nication and adaptive and positioning
equipment so that every individual
can participate as fully as possible. For
example, individuals with profound
intellectual disability and severe motor
limitation can use a sip-and-puff system
involving scanners to communi-
cate choices during activities.
For one Therapy Day, each
Day Hab built a bird feeder.
Every client rotated from station
to station, performing steps of
the project. The wood for the
birdfeeder was precut. The first
step was sanding, and each
individual took a turn sanding
the wood. Some sanded by hand,
those who could benefit from
increased sensory input used a
power sander, and still others
activated the electric sander
using a switch. For assembling,
each client had the opportunity
to use a screw driver or drill,
adapted to their level of skill.
Painting finished up the project, with
each individual using paint brushes or
sponges with built-up or long handles
to complete part of the painting. Thera-
pists provided hand-over-hand model-
ing and assistance as needed.
For the Amazing Race Therapy
Day, the Day Habilitation program
was split into three teams and raced
against each other through a series
of challenges. Once the challenge
was completed, hidden pictures of
gnomes gave the team picture clues
to find items in a Scavenger Hunt. The
team that completed all the chal-
lenges, found the Scavenger items, and
reached their destination the quickest
won the prizea sculpture that would
be crafted later that day using leaves
and wax.
Other Therapy Day themes and
ideas have included:
s Mayflower Daylike the colonists,
clients turned cream into butter
by incorporating upper-extremity
exercise to shake a recycled plastic
container
A
A client wins the PLINKO game during the Price Is Right
Therapy Day.
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s we age, the musculoskel-
etal, vascular, integument,
and nervous systems begin
to show signs of degenera-
tive changes that affect
hand functionprimarily strength,
dexterity, and prehension. Bone
demineralization, joint wear and tear,
muscle atrophy, decreased sensation,
and soft tissue changes combined with
associated health conditions decrease
a persons functional abilities. As the
aging population grows in the United
States, with persons older than 65
years of age expected to increase to
19% of the total population by 2030,
1
so
will the need for occupational therapy
services for adults as they age.
For some older adults, whether
retired, partially retired, or still working,
deteriorating hand function is a part of
the aging process.
2
Shumway-Cook and
Woollacott identified several features of
decreased reach, grasp, and manipula-
tion in older adults from a motor control
perspective.
3
These features include
reduction in manual dexterity such as
manipulating buttons and opening pill
bottles, and decreased efficiency in
grip-and-lift tasks such as carrying a
laundry basket or grasping and lifting
a milk carton off a refrigerator shelf.
Fortunately, these age-related changes
may be addressed through training. If
unaddressed, older adults are at risk for
decreased occupational performance.
Incel and colleagues suggested that a
loss of hand function is an important
predictor of a reduction in activities of
daily living (ADLs) performance and
quality of life of older adults.
4
TROPHIC CHANGES IN THE
AGING HAND
In the sixth decade of life, bone density
decreases at a rate of 0.72% per year
and contributes to functional disuse
secondary to joint degenerative disease
that causes instability and pain.
5
The
wrist and hand are composed of mul-
tiple joint surfaces and complex liga-
mentous and cartilaginous structures,
and they are prone to degenerative
changes, specifically the distal inter-
phalangeal (DIP), carpometacarpal
(CMC), and scaphotrapeziotrapezoid
(STT) joints. The proximal interpha-
langeal and metacarpal joints may show
degenerative signs, but the DIP, CMC,
and STT are most commonly affected,
in that order.
6
Absent specific dis-
ease, wrist pain caused by cumulative
trauma, or an inadequately treated or
previous undiagnosed injury, may cause
joint structural changes resulting in
decreased motion, increased pain, and
possible swelling.
Intrinsic and extrinsic muscle
strength decreases 20% to 25% after
the age of 60, with the hypothenar
muscle group showing the most signifi-
cant decline.
5
The opponens pollicis,
adductor pollicis, and flexor pollicis
brevis are the main stabilizers of the
thumb during manipulation tasks, and
evidence suggests that the number of
motor units of the median and ulnar
Evaluating age-related anatomical and physiological
changes and associated conditions that affect hand
function and occupational performance.
Hand Function and Occupational Performance
The Geriatric Hand
Degenerative Changes That Affect
LENORE FROST
FRANCES HARMEYER
SALVADOR BONDOC
A
13 OT PRACTICE MAY 7, 2012
or all practitioners, under-
standing functional anatomy
is critical to clinical reason-
ing and ultimately to quality
client care. In a neurological setting, for
example, when a client presents with a
tonal pattern, the therapist needs the
anatomical knowledge base to under-
stand which muscles are high in tone,
thus producing a pattern of imbalance.
Only then can appropriate splinting and
tonal reduction interventions be success-
ful. When a client comes into an orthope-
dic setting with a specific diagnosis, the
therapist must rely on his or her anatomi-
cal knowledge to locate the structures
involved, directing further occupational
therapy evaluation and developing suc-
cessful intervention strategies. In both
these examples, integrating knowledge
and fundamental skills in functional
anatomy in the educational setting is the
essence of creating the foundation of a
solid clinician.
Building that foundation begins in
occupational therapy programs, where
educators are constantly challenged
to find new ways to maintain students
interest in the learning process. One
area of study that occupational therapy
students typically find challenging is
functional anatomy. This is especially
true when students must apply ana-
tomical concepts to human movement
patterns used in everyday activities. It
is understandably difficult for students
to imagine how a muscle attaches to
the human skeleton and performs the
intricate movements we see on the
surface of the skin.
So, to promote better understanding
of these anatomical concepts, the Anal-
ysis of Human Movement, a required
undergraduate course during the third
year of the Master of Science in Occu-
pational Therapy Program at Gannon
University in Erie, Pennsylvania, has
begun using a three-dimensional learn-
ing and teaching tool called the Soft
Anatomy Forearm/Hand Model, which
contains the bones, muscles, major
nerves, and key ligaments from the
elbow to the digits. In this coursethe
first in which students are required to
describe how the function of muscles
affects motion of the upper extremities,
lower extremities, and trunk and iden-
tify common nerve innervations of each
of these regionsstudents also learn
to analyze human movement through
assessments such as range of motion
(ROM) and manual muscle testing
(MMT) and determine how limitations
in movement affect occupational per-
formance. It is also the first time when
they are required to apply previously
learned concepts of anatomy to normal
human movement.
A hands-on hand model at Gannon University helps students
better understand and apply functional anatomy concepts to
clinical practice.
Learning
Functional
Anatomy
in the
Classroom
DAVID LeVAN
JULIE SONACK
F
Hands-on Engagement
David LeVan demonstrates the
Soft Anatomy Forearm/Hand Model.
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Back in the Groove
Occupational Therapy Helps Professional Bass Player Recover
From Motorcycle Accident
Andrew Waite
17 OT PRACTICE MAY 7, 2012
P E R S P E C T I V E S
odney Jones leans back in
his chair, the soundboard
and music studio behind
him. He wears a black
baseball cap backward and
a long chain around his
neck as hes interviewed
about his bass playing in a
YouTube video uploaded
in 2010 (http://www.youtube.
com/watch?v=GeOPN6howxM).
Jones smiles often as he con-
verses, and does a lot of talking
with his hands. During one point
in the video, his interviewer asks
him about a recent single Jones
co-wrote with gospel singer and
pianist Smokie Norful. Jones nods
his head and swivels his chair,
clenching his left fist, which punches
the center of the screen as he rotates.
When Jones filmed the interview, he
wasnt thinking about that left hand
or its positioning in the frame. He was
thinking about his musical career,
lost in a question-and-answer session
about his sound, style, and groove.
Little did Jones, 25, know then
that 1 year later his left hand would
become the center of his focus dur-
ing a grueling recovery process that
would teach him more about himself
as a musician than he could possibly
convey in the 2010 interview.
Music runs in Joness family. His
father, grandfather, and great grandfa-
ther were musicians. But Jones never
fancied himself an artist.
When I was a kid, they asked me
what I wanted to be, and I said fire-
man, Jones recalls with a chuckle.
But when Joness grammar school
choir needed a bassist, who was he to
deny his lineage?
So I started playing. And from that
point on I have been a musician all my
life, he says in a gravelly voice fit for
radio.
His mom, LaWanda, 48, imme-
diately saw her sons love for his
instrument.
He was very happy, very loving.
He just had a passion to do it, and that
was something that he strove to do
really well. It meant more to him than
doing homework, than going outside
to hang out with the boys in the neigh-
borhood, LaWanda Jones says.
By 2006, Jones had made it. He was
first call for many prominent musi-
cians, including Avant, Stephanie Mills,
and Donald Lawrence. First call means
Jones fills in if an artists bassist is sick
and cant make a gig, no matter how
prominent the venue.
He was playing venues like Chi-
cagos United Center, Los Angeless
Staples Center, and the Pori Jazz
Festival.
On October 8, 2011, Jones flew
back to Chicago from Washington,
DC. Hed spent the past few days
in the nations capital playing in a
gospel and jazz festival. Two days
later, Jones thought that might be
the last concert of his life.
Its about 2 am on a Monday
morning [Oct. 10, 2011], Jones
recalls. I was a passenger of the
motorcycle. I was riding and she
lost control on the expressway.
When we hit the wall I went rolling
and flipping. I flew for about a
block. I really dont remember see-
ing it because I had the helmet on.
Jones went to the emergency
room.
I guess my adrenaline was still
rushing, so the pain that they were
expecting me to feel hadnt kicked
in yet, Jones says. I just wanted to
go home and go to sleep and take a
bath, but they told me I skinned my
pinky down to the bone and lost all the
tissue and muscle as well as [critically
damaged] my left knee.
LaWanda was horrified when she
saw her son in the hospital.
I couldnt really look at him with
the condition he was in. It was hard.
His hand was messed up and his leg
and stuff. Sometimes you see things
and you just really start thinking the
worst, she recalls.
Jones needed a series of surgeries
to repair the shredded left side of his
body. (The driver of the motorcycle
was not seriously injured in the crash
and is doing all right, Jones sayshe
saw her recently.) After the proce-
dures, Jones was in a wheelchair and
couldnt walk. But thats not what
upset him most.
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I didnt see my hand until maybe 4
days after the surgery, Jones recalls.
When I saw my hand, I pretty much
fainted. At that point I said that my music
career was over. I was trying to think of
other professions that I could pursue. So I
counted it as a loss.
Because of the plastic surgery required
to repair his skinned hand, the extremity
was stiff, seemingly frozen in a high-five
position.
The doctor was telling me that he
wanted me to start making fists as soon as
possible, and I couldnt move my hand a
half an inch toward a fist, he says.
Thats when Jones was introduced to
Sean Clancy, OTR/L, CHT, coordinator of
the Hand Therapy Program at the Univer-
sity of Chicago Medical Center.
So the functional problem, the main
problem, was his livelihood. Hes a profes-
sional bass player. The bass is four strings
and the frets are pretty big, so it takes a
lot of strength to push those things down,
Clancy says. The guys a pro, so he could
play with two fingers better than I probably
could after 3 years. But he couldnt play
like he did. And he really prides himself on
his tone, and his sound is kind of quick and
funky, so he goes up and down quickly and
he needs his pinky to reach up and abduct
out. That was impossible at the time.
Jones couldnt shake a defeatist
mentality.
It was a major downer moment,
depression moment, because in my
career, normally, whatever I do I am
always the best, Jones says.
Fortunately, Clancy believed in his
client. The therapist worked on scar mobi-
lization in Joness tendons, strengthened
range of motion, and employed custom-
fabricated orthotics to
help stretch the web
space in Joness
hand. Clancy
also pushed
Jones to
make a fist.
He said that
if I didnt make a
fist now, later it was
going to be harder
to make that fist. So
pretty much he just
kept having me going through
exercises of having to close my
hand and open it, Jones recalls.
It was a lot of pain because
every time I would stretch
it past one point to get
to the next level, and
my hand would
swell up. Then Id
be sitting with a
balloon for a left
hand.
Slowly, Jones
made progress.
And after a few
weeks, there was
nothing left to do but
play the basseven if
Jones could only use two
fingers on his left hand.
[Clancy] kept advising me to go
play, play, play, play. It helps when
you are working with someone
who has such a positive attitude,
Jones says.
When not in therapy, Jones did his
homework and constantly tested his range
of motion. He regularly utilized Clancys
splints to help expand his web spacing.
By December, Jones could almost
make a full fist. His pinky only needed
another quarter of an inch to reach the
palm.
I was playing with three fingers and
the week after that I am playing with
my pinky and it wasnt hurting. So when
I realized that my career wasnt over, I
came out of depression, Jones says.
Clancy saw the change in his client.
Now its like the artist has come out.
The marketer, the fast talker, the charmer.
Hes totally back to himself. Hes working.
Hes doing the stuff hes supposed to do,
Clancy says.
Jones even claims he is playing bet-
ter now than at any point in his career.
Consequently, he just released a new solo
album. To find out more about Jones and
his music, visit www.rodneyjonesjr.com.
Going to therapy is like going to the
gym. Its exercising, so you have no choice
but to get stronger. [Clancy] showed me
a lot of these different techniques and
exercises on what to dohow to spread
my fingers apart, and how to strengthen
all the muscles in my fingers, Jones says.
So, at first, lets say I am playing for an
hour or two. A lot of times my pinky may
get tired because the pinky is the weakest
finger on your hand. Now, my pinky is the
strongest finger on my hand because I had
to work it out so much.
The recovery process taught Jones
about the robustness of his self-discipline.
Before, he never would have imagined
adhering to such a strict exercise and
stretching routine. In fact, going to ther-
apy and strengthening his hand inspired
Jones to purchase a gym membership and
get the rest of his body in shape.
I approach my instrument differently
now, Jones explains. I approach it pro-
fessionally, of course, but now I also know
the pain that has been there. I know the
feeling of hurt.
And as for that fistonce the source
of stinging agony?
No pain, Jones says. Every time I
make a fist now there is just joy. s
Andrew Waite is the associate editor of OT Practice.
He can be reached at awaite@aota.org.
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Now its like the artist has come out.
The marketer, the fast talker, the charmer.
Hes totally back to himself.
Hes working. Hes doing the stuff
hes supposed to do.
19 OT PRACTICE MAY 7, 2012
C A L E ND A R
To advertise your upcoming event, contact the OT Practice advertising department at
800-877-1383, 301-652-6611, or otpracads@aota.org. Listings are $99 per insertion and
may be up to 15 lines long. Multiple listings may be eligible for discount. Please call for details.
Listings in the Calendar section do not signify AOTA endorsement of content, unless otherwise
specied.
Look for the AOTA Approved Provider Program (APP) logos on continuing edu-
cation promotional materials. The APP logo indicates the organization has met
the requirements of the full AOTA APP and can award AOTA CEUs to OT relevant
courses. The APP-C logo indicates that an individual course has met the APP requirements
and has been awarded AOTA CEUs.
June
Milwaukee, WI Jun. 12
Myofascial Release: An Encounter With Touch.
This workshop has been designed for therapists
who are new to the treatment technique of MFR. Pri-
mary emphasis will be on learning soft tissue mobili-
zation and deep tissue release, as well as the thera-
peutic exercises and activities that can be used to
complement them. Hands-on lab sessions will be
utilized so that all participants can feel and see the
direct results of their treatment. For additional infor-
mation and registration, visit our Web site at www.
chs-continuing.uwm.edu or call 414-227-3123.
Chattanooga, TN Jun. 212
Lymphedema Management. Certification courses
in Complete Decongestive Therapy (135 hours),
Lymphedema Management Seminars (31 hours).
Coursework includes anatomy, physiology, and
pathology of the lymphatic system, basic and ad-
vanced techniques of MLD, and bandaging for
primary/secondary UE and LE lymphedema (incl.
pediatric care) and other conditions. Insurance and
billing issues, certification for compression-garment
fitting included. Certification course meets LANA re-
quirements. Also in San Francisco, CA, June 212,
2012. AOTA Approved Provider. For more information
and additional class dates/locations or to order a free
brochure, please call 800-863-5935 or log on to www.
acols.com.
July
Kansas City, MO Jul. 2728
Introduction to Driver Rehabilitation. Course
designed for individuals new to the field of driver
rehabilitation. Topics include program develop-
ment, driver training, adaptive driving equipment,
and program documentation. Course will also em-
phasize collaboration with mobility dealers and con-
sumers and families. Contact ADED 866-672-9466
or visit our Web site at www.aded.net.
Kansas City, MO Jul. 2728
Application of Vehicle Modifications. Course
designed for those desiring knowledge of adaptive
driving equipment as well as the process for pre-
scribing and delivering such equipment to individu-
als with disabilities. Contact ADED 866-672-9466 or
visit our Web site at www.aded.net.
Kansas City, MO Jul. 2931
ADED Annual Conference and Exhibits. Profession-
als specializing in the field of driver rehabilitation
meet annually for continuing education through work-
shops, seminars, and hands-on learning. Earn con-
tact hours for CDRS renewal and advance your ca-
reer in the field of driver rehabilitation. Contact ADED
866-672-9466 or visit our Web site at www.aded.net.
September
St. Louis, MO Sept. 1215
Envision Conference 2012. Learn from leaders in
the field of low vision rehabilitation and research
while earning valuable continuing education credits.
Attend the multi-disciplinary low vision rehabilitation
and research conference dedicated to improving
the quality of low vision care through excellence in
professional collaboration, advocacy, research, and
education. Envision Conference, September 1215,
2012, Hilton St. Louis at the Ballpark. Learn more at
www.envisionconference.org.
Ongoing
Clinicians View Offers Unlimited CEUs
Two great options: $177 for 7 months or $199
for 1-Full Year of unlimited access to over 640
contact hours and over 90 courses. Take as many
courses as you want. Approved for AOTA and BOC
CEUs and NBCOT for PDUs. www.clinicians-view.
com 575-526-0012.
Internet & 2-Day On-Site Training
Become an Accessibility and Home Modifica-
tions Consultant. Instructor: Shoshana Shamberg,
OTR/L, MS, FAOTA. Over 22 years specializing in
design/build services, technologies, injury preven-
tion, and ADA/504 consulting for homes/jobsites.
Start a private practice or add to existing services.
Extensive manual. AOTA APP+NBCOT CE Registry.
Contact: Abilities OT Services, Inc. 410-358-7269 or
info@aotss.com. Group, COMBO, personal men-
toring, and 2 for 1 discounts. Calendar/info at
www.AOTSS.com. Seminar sponsorships avail-
able nationally.
AOTA Self-Paced Clinical Course
Occupational Therapy and Home Modification:
Promoting Safety and Supporting Participation.
Edited by Margaret Christenson, MPH, OTR/L,
FAOTA, and Carla Chase, EdD, OTR/L, CAPS. This
new SPCC consists of text, exam, and a CD-ROM
of hundreds of photographic and video resources
that provide education on home modification for
occupational therapy professionals. Practitioners
who work with either adults or children will find an
overview of evaluation and intervention, detailed
descriptions of assessment tools, and guidelines
for client-centered practice and occupation-based
outcomes. Earn 2 AOTA CEUs (20 NBCOT PDUs/
20 contact hours). Order #3029, AOTA Members:
$370, Nonmembers: $470. http://store.aota.org/view/
?SKU=3029.
AOTA Self-Paced Clinical Course
Mental Health Promotion, Prevention, and In-
tervention With Children and Youth: A Guiding
Framework for Occupational Therapy. Edited by
Susan Bazyk, PhD, OTR/L, FAOTA. This important
new SPCC provides a framework on the role of oc-
cupational therapy in mental health interventions for
children that can be applied in all pediatric practice
settings. The public health approach to occupation-
al therapy services at all levels puts an emphasis
on helping children develop and maintain positive
mental health psychologically, socially, functionally,
and in the face of adversity. Earn 2 AOTA CEUs
(20 NBCOT PDUs/20 contact hours). Order #3030,
AOTA Members: $370, Nonmembers: $470. http://
store.aota.org/view/?SKU=3030.
Continuing Education
0tteatiaa |ase tertitatiaa taerse
Order at www.liveconferences.com
Call: 727.341.1674
AOTA APP approved
4.5 CEUs
Treatment2Go`s
Physical Agent Modalities
Ior 45 contact hours
Thermal & Electri al Agents
AOTA Approved course
Meets most state requirements
This Iantastic interactive movie course
retails at $599.00. Save $50.00 Ior a limited
time. Use Promo Code: OTPAMS
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D-4410
Continuing Education
Santa Rosa, CA Starting July 12
Sensory Integration Certification Program Sponsored
by USC/WPS
Course 1: July 1216 Course 2: August 1620
Course 3: October 1822 Course 4: Nov. 30Dec. 4
For additional sites and dates, or to register, visit
www.wpspublish.com or call 800-648-8857
D-5782
Continuing Education

Assessment and ntervention
2-day hands-on workshop (1.6 CEU)
2008 Conference Schedule
San Antonio, TX Apr 19-20
Charleston, SC Apr 25-26
Tampa, FL May 2-3
Manhattan, NY Jul 17-18
Virginia Beach, VA Sep 20-21
Morganton, NC Sep 25-26
Chicago, IL Oct 10-11
Columbia, SC Oct 16-17
Sacramento, CA Oct 24-25
Orlando, FL Nov 14-15
For additional info and to register, visit
www.beckmanoralmotor.com
Host a Beckman Oral Motor Conference in 2009!
For Hosting info call (407) 590-4852, or email
info@beckmanoraImotor.com
San Francisco, CA Feb 29-Mar 1
Burlington, NC Mar. 14-15
Houston, TX Mar 28-29
Chicago, IL Apr 11-12
McAllen, TX Apr. 4-5
Assessment & Intervention Training
Two Days of Hands-On Learning (1.6 CEU)
Upcoming Locations & Dates:
San Antonio, TX May 1718
Kearney, NE May 311
Stafford, TX June 2829
Harrison, AR August 1617
Warrenton, VA August 2324
San Antonio, TX October 45
Miami, FL October 1314
Kissimmee, FL November 12
For complete training schedule & information visit
www.beckmanoralmotor.com
Host a Beckman Oral Motor Seminar!
Host info (407) 590-4852, or
info@beckmanoralmotor.com
D-6015
New Edition of Occupational Therapy Bestseller!
The Occupational
Therapy Manager,
5th Edition
Edited by Karen Jacobs, EdD, OTR/L, CPE, FAOTA, and
Guy L. McCormack, PhD, OTR/L, FAOTA
In todays health care environment,
occupational therapy practitioners in
clinical and leadership positions must be
prepared to ensure that clients receive
the highest quality of care; morale and
efficiency remain high; businesses and
organizations are profitable; and the
profession is recognized by other health
care professionals, reimbursers, and clients
as a valuable service steeped in evidence.
This new edition includes 37 new and updated chapters, discussing the how-to aspects of
creating evidence-based practice; effectively leading and motivating staff; ensuring ethical
service delivery; and important day-to-day items such as budgeting, documentation, and
reimbursement. Chapters feature case studies, learning activites, multiple-choice questions, and
topic-specific evidence tables and are updated to reflect health care reform and its potential
effects on occupational therapy.
Highlights Include
Section I: Defining and Rethinking Management
Section II: Strategic Planning
Section III: Leading and Organizing
Section IV: Controlling Outcomes
Section V: Public Policy, Professional Standards, and Collaboration
Section VI: Supervision
AppendixesOccupational Therapy Code of Ethics and Ethics Standards,
Scope of Practice, and more.
Order #1390C
AOTA Members: $79, Nonmembers: $112
To order, call 877-404-AOTA, or
shop online at http://store.aota.org/view/?SKU=1390C
BK-187
ISBN-13: 978-1-56900-273-5
The Occupational Therapy Manager
is the most comprehensive
leadership and management book
in occupational therapy.
27
OT PRACTICE MAY 7, 2012
E MP L O Y ME NT O P P O RT U NI T I E S
Faculty
Assistant Professor of Occupational Therapy
The Depmtment of Occupational Therapy in the School of Medicine and Health Sciences at the
University of North Dakota, is seeking applications for a full-time, 12-month faculty member
beginning August 1, 2012. Rank and salary will be determined based on qualifications and ex-
perience.
Candidates will have the opportunity to be an integral part of an occupational therapy program
that grants an entry-level Master of Occupational Therapy degree. The program is based in
Grand Forks, ND, with a satellite professional level MOT program available at Casper College,
Casper, WY. The faculty position is located in Grand Forks.
Position Qualifications and Responsibilities
Required: Occupational therapist with eamed masters degree, minimum of 3 years of clinical
experience, evidence of teaching experience, strong leadership background, and familiarity with
a variety of educational approaches (e.g., traditional, online education, distance education). Can-
didates must hold current certification by NBCOT and be eligible for licensure in North Dakota
and Wyoming. Each full-time faculty member is responsible for supporting the teaching, scholar-
ship, and service missions of the department as designated in collaboration with the department
chair. The faculty member is responsible for providing effective learning experiences for students
with diverse interests, abilities, and expectations. Faculty members are expected to engage in
creative/scholarly activities and be involved in activities that support individuals and or groups
in the institution, University System, professional associations, or external communities at the
local, state, regional, national, or international levels. The position also includes student advise-
ment and advisement for graduate students completing the scholarly project and/or independent
study process.
The individual will be responsible for teaching in his or her area(s) of expertise in relation to be-
ing able to teach a variety of courses within the physical disabilities and pediatric practice areas
and healthcare management, which requires broad clinical experiences. The individual must have
strong writing and interpersonal communication skills.
Preferred: Earned doctorate (or progress toward this degree) experience in higher education and
proficiency in using multiple modes of teaching/leaming technologies including video-conferenc-
ing and online instruction.
Application Process: Apply only online.
Application review will begin May 1st, 2012 and remain open until the position is filled. Inter-
ested candidates should submit: 1) a letter of application that includes a copy of current and in-
formation on past state licensure; 2) curriculum vita; 3) a teaching statement and; 4) the complete
names, addresses, and phone numbers of three references. A Criminal History Record Check will
also be completed per SBOHE (State Board of Higher Education) Procedures 602.3
Questions concerning this position may be directed to: Dr. LaVonne Fox, Search Committee
Chair, University of North Dakota; UND OT Department; Hyslop 210; 2751 2nd Ave. No.
STOP 7126; Grand Forks, ND 58202-7126; Phone: 701-777-2216; Email: lavonne.fox@med.
und.edu.
Currently, over 13,000 students attend classes on the UND campus each year. UND is one of only 47 public
universities in the United States that has both accredited schools of law and medicine. UND offers 89 under-
graduate majors, 63 undergraduate minors, 57 masters programs, 23 doctoral programs, two professional
programs (medicine and law), and a specialist diploma program in educational leadership. UND is an equal
opportunity/afrmative action institution.
F-6017
Faculty
School of Health Professions
Department of Occupational Therapy
1 University Plaza,
Brooklyn, New York 11201-8423
The Department of Occupational Therapy at Long
Island UniversityBrooklyn Campus is seeking to
fill two full-time, nontenure-track faculty positions
(NTTA). We are seeking educators with experience
in teaching (in class or online) and student advise-
ment. We are looking for one educator with expertise
in mental health/health and wellness promotion and
one educator with expertise in physical disabilities.
Qualifications: Qualified applicants will have an
earned doctoral degree or would be at the final stage
of completion of their doctoral degree. Clinical ex-
perience of 5 years or more and eligibility for state
of New York licensure required.
One of the positions is currently available and the
other position has a starting date of September 1,
2012.
Our department offers high quality education to
students from diverse socio-cultural backgrounds,
using innovative teaching pedagogies that inte-
grate theory, evidence-based practice, and ongo-
ing clinical experience through community service
and fieldwork education. Our faculty is committed
to teaching, scholarship, and service to the univer-
sity and the community. As an Equal Opportunity
Employer/Affirmative Action Employer, LIU seeks a
diverse pool of applicants.
For consideration please forward your letter of
interest, Curriculum Vitae, and three letters of
references to:
Supawadee-Cindy Lee, Ph.D., OTR/L, Chair,
Faculty Search Committee
Department of Occupational Therapy
Long Island UniversityBrooklyn Campus
718-780-4332
E-mail: supawadee.lee@liu.edu
F-5999
Faculty
Brown Mackie CollegeTucson is seeking a full-time aca-
demic fieldwork coordinator for its Occupational Therapy
Assistant Program. This position will include teaching re-
sponsibilities.
The minimum educational qualification is a bachelors de-
gree. The candidate may have a masters degree. The can-
didate needs to be a COTA (certified occupational therapy
assistant) or an OTR (registered occupational therapist).
Qualified candidates should submit resumes to www.edmc.
edu/careers/jobpostings.aspx.
F-5998
West
OCCUPATIONAL THERAPIST
Community Hospital, located in beautiful Grand
Junction, Colorado, is a 44-bed acute care hospital.
We are a smaller, communityminded organization
that works as a team. Our outpatient and inpatient
Therapy Works departments and Home Health agen-
cy are expanding due to our innovative, community-
oriented programs.
We are seeking a certified occupational therapist
to practice in our outpatient and inpatient therapy.
The qualified candidate will possess current, unre-
stricted certification as an occupational therapist
in the state of Colorado. Masters degree preferred;
new graduate acceptable.
Community Hospital provides a competitive salary
and generous benefit package. You may apply online
at yourcommunityhospital.com or submit resumes to:
Laurie Sinner, Director of Human Resources, Commu-
nity Hospital, 2021 North 12th St., Grand Junction, CO
81501, lsinner@gjhosp.org EOE
W-6019
West
EOE
Occupational Therapists needed by RehabCare Group,
and all its subsidiaries and affiliates, in Palm Desert, CA and
Concord, CA to be responsible for providing a full-range of
occupational therapy services, including assessment, treatment
planning, organizing and therapeutic interventions in an
interdisciplinary environment consistent with the position's
qualifications, professional practices, and ethical standards.
Requires a Bachelors or foreign equivalent in Occupational
Therapy or related field and a current State of California
Occupational Therapy license.
To apply, mail resume to J. Ark, RehabCare Group,
Inc., 680 South Fourth St., Louisville, KY 40202.
W-6018
Northeast
Amazing OTopportunities in
Low Vision Rehabilitation.
Part-time position
Allentown, PA.
Willing to train.
www.astorinovisionrehab.com
Call Ryan at 610-892-8767
N-5996
Become a Member
AOTAs Online Community
CONNECTIONS
www.otconnections.org
CHILDREN & YOUTH
Autism Topics Part I:
Relationship Building,
Evaluation Strategies,
and Sensory Integration
and Praxis
Edited by Renee Watling, PhD, OTR/L,
FAOTA
Earn .6 AOTA CEU
(7.5 NBCOT PDUs/6 contact hours)
Order #4848
AOTA Members: $210
Nonmembers: $299
Response to Intervention
(RtI) for At Risk Learners:
Advocating for Occupational
Therapys Role in General
Education
Authored by Gloria Frolek Clark, PhD,
OTR/L, BCP, FAOTA, and
Jean Polichino, OTR, MS, FAOTA
Earn .2 AOTA CEU
(2.5 NBCOT PDUs/2 contact hours)
Order #4876
AOTA Members: $68
Nonmembers: $97
The Short Child Occupational
Profile (SCOPE)
Presented by Patricia Bowyer, EdD,
MS, OTR, FAOTA; Hany Ngo, MOT,
OTR; and Jessica Kramer, PhD, OTR
Earn .6 AOTA CEU
(7.5 NBCOT PDUs/6 contact hours)
Order #4847
AOTA Members: $210
Nonmembers: $299
Young Adults on the Autism
Spectrum: Life After IDEA
Authored by Lisa Crabtree, PhD,
OTR/L, and Janet DeLany, DEd,
OTR/L, FAOTA
Earn .3 AOTA CEU
(3.75 NBCOT PDUs/3 contact hours)
Order #4878
AOTA Members: $105
Nonmembers: $150
PRODUCTIVE AGING
An Occupation-Based
Approach in Postacute Care to
Support Productive Aging
A collaborative project between
AOTA and Platinum Partner Genesis
Rehabilitation Services
Authored by Denise Chisholm, PhD,
OTR/L, FAOTA; Cathy Dolhi, OTD,
OTR/L, FAOTA; and Jodi L. Schreiber,
MS, OTR/L
Earn .6 AOTA CEU
(7.5 NBCOT PDUs/6 contact hours)
Order #4875
AOTA Members: $210
Nonmembers: $299
Using the Occupational
Therapy Practice Guidelines
for Adults With Stroke to
Enhance Your Practice
Presented by Joyce Sabari, PhD, OTR,
FAOTA
Earn .2 AOTA CEU
(2.5 NBCOT PDUs/2 contact hours)
Order #4845
AOTA Members: $68
Nonmembers: $97
Determining Capacity to Drive
for Drivers With Dementia
Using Research, Ethics, and
Professional Reasoning:
The Responsibility of All
Occupational Therapists
Presented by Linda A. Hunt, PhD,
OTR/L, FAOTA
Earn .2 AOTA CEU
(2.5 NBCOT PDUs/2 contact hours)
Order #4842
AOTA Members: $68
Nonmembers: $97
Skilled Nursing Facilities
101: Documentation,
Reimbursement, and Ethics in
Practice
Presented by Christine Kroll, MS,
OTR, and Nancy Richman, OTR/L,
FAOTA
Earn .3 AOTA CEU
(3.75 NBCOT PDUs/3 contact hours)
Order #4843
AOTA Members: $108
Nonmembers: $154
GENERAL PRACTICE
Lets Think BIG About
Wellness
Presented by Winnie Dunn, PhD, OTR,
FAOTA
Earn .25 AOTA CEU
(3.13 NBCOT PDUs/2.5 contact
hours)
Order #4879
AOTA Members: $68
Nonmembers: $97
Everyday Ethics:
Core Knowledge for
Occupational Therapy
Practitioners and Educators,
Second Edition
Developed by the AOTA Ethics
Commission
Earn .3 AOTA CEU
(3.75 NBCOT PDUs/3 contact hours)
Order #4846
AOTA Members: $105
Nonmembers: $150
Strategic Evidence-Based
Interviewing in Occupational
Therapy
Presented by Rene R. Taylor, PhD
Earn .2 AOTA CEU
(2.5 NBCOT PDUs/2 contact hours)
Order #4844
AOTA Members: $68
Nonmembers: $97
Model of Human Occupation
Screening Tool (MOHOST):
Theory, Content, and Purpose
Presented by Gary Kielhofner, DrPH,
OTR/L, FAOTA; Lisa Castle, MBA,
OTR/L; Supriya Sen, OTR/L; and
Sarah Skinner, MEd, OTR/L
Earn .4 AOTA CEU
(5 NBCOT PDUs/4 contact hours)
Order # 4838
Member Price: $125
Nonmember Price: $180
EARN YOUR CE CREDITS WITH AOTA CEonCDs
TM
!
Welcome to AOTA Learning! Our CEonCDs provide relevant continuing education
on a wide variety of topics in an easy-to-use format with electronic exam. Choose
any of these CEonCDs or others at http://store.aota.org to advance your professional
development and meet your state licensure requirements!
SHOP AT HTTP://STORE.AOTA.ORG OR CALL 877-404-AOTA!
CE-221
USE
PROMO CODE:
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