Introduction to Functional Therapy Magazine.

Ed Kaine, Publisher of Functional Therapy Magazine introduces the theme of the magazine.

There are a few ideas here:

1. It's time to lead or be left behind.
2. Function is very fashionable... because it works.
3. The CRAFT Model is a holistic model that will help all health care to provide better care.
4. Many disciplines are becoming more functional and Occupational Therapists must work to lead this. It is our responsibility to guide the world to the optimal health we seek.

I have a significant number of people who are interested in helping define function and health care for the future but I want to open it up to anyone from any discipline to join us and help shape the future of health care.

Please Like us on Facebook https://www.facebook.com/FunctionalTherapyMagazine and contact us through facebook if you'd like more information or to contribute an article or promote your point of view.

Yours,

Ed Kaine, OTR/L, RFT
Publisher of Functional Therapy Magazine

P.S. Please check out www.FunctionalTherapy.org for all the latest articles in health care and therapy topics that we and our readers can find.

The Scientific Method Within the Treatment Session.

Functional Therapists see new and unique cases every day. The most successful therapists continue to conduct mini-experiments and expect to see rapid results. If patients are improving within the sessions and progressing session to session we can know we're making an impact. We know it empirically... 

Definition of Empirical:

1. originating in or based on observation or experience
2. relying on experience or observation alone often without due regard for system and theory
3. capable of being verified or disproved by observation or experiment <empirical laws>

Every treatment should result in positive change. That simple standard requires that we pay attention, measure and change our approach when things aren't working.

Paying Attention

We look, feel and hear things as we're working with and helping someone. We pay attention and we remember. The observation is improved by experience. The more tools and experiences we bring to our helping relationships help us stay observant. Functional Therapy and Occupational Therapy training gives us a tremendously broad toolkit to practice from. Experiencing illness and injury through our patients gives us a unique perspective as we develop in our careers. Beyond this, experiencing illness ourselves is a powerful educator (as I can attest). All of this helps us to really focus on our patients.

Measurement

If you want to improve something it is crucial to measure it. Attention and remembering is partly a form of measurement. Finding quick ways to compare initial status to post treatment status is important if you're going to help someone improve. It also becomes important that you help your patient notice improvements. Patient compliance will increase as patients notice improvements. We have so much we can bring to people and we owe it to them to help them see the benefits. Some things may be uncomfortable but there is a tangible reason for doing what we do, the measurable benefit. We shouldn't keep this to ourselves, we want to involve our patients. Also, we must measure functional changes. I'm a big fan of the DASH, (Disabilities of the Arm, Shoulder and Hand). This measure rates the difficulties with various functional tasks.

Changing as Needed

The tremendous toolkit of skills Functional Therapy  and Occupational Therapy training I mentioned before is not only useful for helping observation, it is absolutely critical for the flexibility when we need to change things. If something is not working you need to change it. When we get into typical patterns of treatment we may miss the optimal treatment for the patient. Certain treatments are very effective in many people and often we can get close to the ideal when we deviate from the typical. There are sometimes barriers to going after the root cause of the problem but often we can find solutions that help.

In short, we need to rely on Attention, Measurement and Change to follow what we are learning empirically about the patient. Functional Therapy is an applied science. Every session is a series of experiments where the results happen very rapidly. If, as a therapist, you hold to the goal of making positive change within the session and carrying that progress through from session to session. We want our patients to get through their difficulties quickly and back to their lives and functioning.

Good luck with all your efforts to help your patients.

Yours,

Ed Kaine, OTR/L, RFT
Publisher of Functional Therapy Magazine

The CRAFT Model - Dynamic Variations of a Holistic Model - Part 5

Restoring Balance To The Platform

In the preceding scenarios we reviewed the sources of imbalance, now we will discuss a central principle of Functional Therapy, supporting function.

Let's revisit the model as it is unbalanced by a deficit in abilities. No matter the ability pillar we can upset the balance of functions. Most often healthcare professionals work to restore the physical body, in fact, most of medicine is working towards addressing physical complaints, symptoms and problems. The deficits from mental, social and motivational impairments can lead to similar imbalances.

Let's return to the person with the deficit of the motivational pillar. This might have been caused by a depression or perhaps the depression is caused by the imbalance of functions; by not performing a balance of functions you can lose your motivation. Consider the lack of balanced function as a risk for other deficits.

The CRAFT Model is a snapshot of the status of an individual; consider personal history an elucidation of which caused which, in other words we get to find out if it was 'the chicken or the egg'. I wish to popularize the idea that an imbalance in functions could lead to other deficits any of the other areas. 

In order to most effectively help a person we work to restore balance to function. In this case we depict an external support, possibly a social support, to help restore balance to the platform of functions. 

"The worst place to decide whether to get up and get dressed is in bed." - Unknown  

By supporting a person doing functional things we allow them to use their mental, social, physical and motivational abilities in  functional way. In short, "the more you do, the more you can do." They also engage with their physical environment, social supports, temporal situation and consider their cultural background more deeply. The Functional Therapist and Functional Therapy Associate works to assess the limitations and then seeks to expediently restore balance. The ability to call on the whole model and more gives Functional Therapy its strength.

OTs and Functional Therapists might occasionally find themselves off the course of purely a functional or occupational approach to care; the CRAFT model seeks to help get us back to the value of doing functional things in therapy. We must consider the paths of remediation and compensation as ways to restore function along with external support and means to seek balance in function as a reasonable jump off point for a return to living.

Thank you for reading.

Yours,


Ed Kaine, OTR, RFT
President of the American League of Functional Therapists, LLC

P.S. If you would like to join our emailing list and get updates and newsletters about ALOFT and the International LOFT please email ALOFTMail@FunctionalTherapist.org and enter "Subscribe" in the subject line. 

The CRAFT Model - Dynamic Variations of a Holistic Model - Part 4

Contextual Barriers to Function

Today we'll explore the imbalances in the model as imposed by contextual barriers. Let's review the CRAFT Model as we consider the Context Level.

The CRAFT Model is built on the Context of the individual. One premise advanced by the World Health Organization in 1980 is that environmental, or as we call them contextual, barriers can limit life roles and hold a person back from reaching their full potential. In the CRAFT Model we represent this as unbalancing the person. Let's look at the external barrier as a depiction of contextually imposed imbalance...

With or without any disability or volitional causes, external barriers can impose functional imbalances; let's consider some particular external barriers.

Cultural Barriers

The culture of a people can be hard to define but fresh eyes can often distinguish differences. For instance, in New England some basic premises are that most work days are 8 hours, that men and women work in certain careers that are somewhat gender typed, that racial prejudice is discouraged and that education is valued. In some European cultures a siesta, or afternoon period when work closes for a nap is customary, in other places it is very discouraged for women to work outside the home or even to be educated, and other stark differences in equality between different groups. Imagine the effect of a culture which prevents a little girl from learning to read, or who's family must give a dowry to have their young daughter married. These are just more dramatic examples of how the culture of a place, an institution or even a family may affect an imbalance in the roles you take on.

Temporal or Situational Barriers

The temporal (time based) or situational context is often interpreted through cultural eyes. What happens in the different times of day, times of year, times of life? What happens in a situation where people or events are involved? In the middle of the night, after 'bankers hours', in the winter, or when we're at retirement age in America. In terms of situational barriers, times of war or famine spring to mind as particular situational and temporal barriers to full human potential.

Social Barriers
When there may be many positive people and supports in a person's life imagine the debilitating impact if a harmful person as a parent, or caregiver. A person in a position of trust may betray it; a misleading statement or a lie may lead to disaster. In a group people may make unwise choices, a gang may influence a person to harm others or break the law. In light of these, more and less dramatic mistakes can be made.

Physical Barriers
When a person with a mild limitation in mobility confronts a major physical barrier it can prevent them from participating in activity. Something we now take for granted, like ramps into buildings and at curb sides, can allow a person to enter their workplace, and a lack of them can prevent someone from working, or shopping, or getting into a movie. Our culture has often worked to limit physical barriers, and OTs have often been the catalysts to find other barriers. Not all cultures have such strong advocates or such resourses that they can provide these adaptations. Consider the availability of prosthetics, wheelchairs, reading glasses and other devices to overcome physical ability barriers in the developing world. Consider the availability of clean drinking water, food and shelter as aspects of physical context and we can see part of how this area can expand.

The areas of the 4 contexts overlap in areas and are interpreted through the experience of the person in their context. In this article we only touched the surface of how we might interpret barriers in context; it is for the eyes of the OTs and Functional Therapists along with engineers, architects, governments, businesses, and individuals to find and continue to work for the betterment of personhood through removal or compensation for external barriers.

In light of all the potential limitations that may be caused by external environmental or contextual barriers we may also find where external supports help a person regain balance. That will be the focus of our next discussion as we elaborate on dynamic variations of the CRAFT Model.

Thanks for reading,

Ed Kaine, OTR, RFT
President of the American League of Functional Therapists, LLC




P.S. If you would like to join our emailing list and get updates and newsletters about ALOFT and the International LOFT please email ALOFTMail@FunctionalTherapist.org and enter "Subscribe" in the subject line.










 

The CRAFT Model - Dynamic Variations of a Holistic Model - Part 3

The latest posts have depicted imbalances at the Functional level and the Ability pillar level. In this we will identify the change we have made at the Context level; you'll notice that, with a nod to Gary Kielhofner and the Model of Human Occupation, we have added the Temporal Context to the context level.

Each of the contexts influence the effectiveness of the Abilities and the choice and balance of Functions. In previous posts we have reviewed the Physical, Cutural and Social aspects of context; why does the temporal context merit inclusion at the context level? We'll see it plays a particularly important role in our lives.   

Temporal relates to factors of time. On the most rudimentary level that could include the time of day, or time of year, but let's also consider factors like time of life. For instance, we are currently preparing for the start of a new school year. That has aspects of it being August, but also of the time of our lives; it is much different for my children who will be going to school than for me who will be getting them ready in the morning and helping to get them there 'on time'. Also, it will be different at 7am than it will be at 3pm; temporal factors have influence on all other areas.

Time influences us greatly and we initially left it as part of the Abilities as in the time of a person's life (and it certainly remains there) and as a modifier for social and cultural contexts. Now though, considering that we have included it here I hope you can see how well it fits.

If you would like to learn more about the Model of Human Occupation for a thorough look at the multifactorial influences in a persons life I reccommend this link: http://books.google.com/books?id=WOYkTQNvNUgC&pg=PA5&lpg=PA5&dq=temporal+moho+model+of+human+occupation&source=bl&ots=ZL9YhsqRGG&sig=y10u4LhupUoOU1z0c8xu5WNFHTI&hl=en&ei=3ExvTL7DNYK88ga98ZHwCw&sa=X&oi=book_result&ct=result&resnum=3&ved=0CCIQ6AEwAg#v=onepage&q=temporal%20moho%20model%20of%20human%20occupation&f=false. This is Google Book's full version of the text Model of Human Occupation: Theory and Application By Gary Kielhofner. This important text is a core part of an OTs training, and I am proud to reference it here. 

When we graduated from University with our degrees in Occupational Therapy we marvelled at our new eyes for seeing the world. We were given a gift in being able to pull together the many ways that people function and we had tools to help them. It is the gift of seeing a person wholistically and in relation to the many other persons and factors around them. In some ways we are almost constantly surprised at the amazing feats we can acheive and at the relative of simplicity of its 'common sense'. OTs and Registered Functional Therapists and Associates have a very refined and deeply trained 'common sense'; and I want us to share it with the world.

Thank you for reading.

Yours,

Ed Kaine, OTR, RFT
President of the American League of Functional Therapists, LLC

P.S. If you would like to join our emailing list and get updates and newsletters about ALOFT and the International LOFT please email ALOFTMail@FunctionalTherapist.org and enter "Subscribe" in the subject line.  

The CRAFT Model - Dynamic Variations of a Holistic Model - Part 1

Balance and the CRAFT Model


The CRAFT Model, the Context Related Abilities Functional Therapy Model, is a holistic model for a person living a life. As a concept it is designed to be dynamic and responsive to changes. In this article we will review the model and then focus on our the things we do (functions or occupations) and the concept of striving towards balance.

Lets review the CRAFT Model briefly. The Model is built upon the surface of a globe, this represents the context of the individual. The 3 aspects of context are the Physical Environment, Cultural Background, and Social Supports. If we consider a person in their workplace we encounter the physical layout of the place, this includes obvious things like accessibility with ramps and elevators but also less concrete things like propinquity (the proximity of your colleagues). This ties closely to the social environment and supports of your workplace; who can you rely on, who can you consult and who you can't. This is closely tied to the culture of your institution and to the area of the country in which you live; does work start at 8 am, are there lunch breaks, is overtime expected / appreciated / discouraged, is there a siesta?

Upon this context springs the abilities of the individual; the following are some examples to help you as you consider a person and the various abilities they display. The Physical pillar may be the most obvious, almost all of the effort in medicine goes towards realigning this area. Medications are most often directed at restoring organ function, reducing pain, reducing inflammation, etc.; surgical medicine is primarily focused on physical correction while most exercise and therapy is dedicated to restoring physical strength and structural integrity of a persons physical self. The Mental pillar is also significant as a person's safety and function relates to their attention, judgement, memory, orientation, etc.; more attention has been placed on this as the population ages as conditions like Alzheimer's Syndrome are more prevalent, but brain injury has highlighted coping skills and many challenges even for the very young. The Social pillar governs how a person interacts with others, different from the the social supports, these are the abilities that allow a person to maintain friendships, read others reactions, be empathetic, etc.; autism and schizophrenia have highlighted some of the social interaction disorders but as we know the spectrum from the charismatic to the recluse displays many skill levels. The Motivational pillar embodies those skills that get us up in the morning, ready for the world and its challenges; depression may make its biggest impact on this area, causing a malaise that may prevent a person from using many of the other abilities.

Upon the ability pillars sits the platform of functions or 'things we do', these are sometimes called 'occupations' by OTs. In particular we have three categories: Work, Leisure and Self Care. These are divided by the meaning of the activity; for instance cooking can be for work if you are employed as a chef or are preparing food for your family, or cooking could be self care if you are making a meal for yourself, or it could also be leisure if you are making a recipe from a new cookbook or magazine for a fun change. The meanings of the tasks reflect which category it goes into. Now let's explore an old adage where someone is out of balance.

"All work and no play makes Jack a dull boy."

This is what it might look like on the CRAFT model. What might be the consequences for Jack? Well, we can see that Jack's sleep and hygiene might be suffering, also his creativity may be stunted as he is not opening himself to outside leisure pursuits. He may in fact be a "dull boy." What might happen to his ability pillars, he might most obviously suffer from a lack of exercise and his physical health may falter, there is some evidence that working far too much overtime may lead to other deficits in mental performance, but he may also find himself irritable or lacking motivation. This may then impact his social supports who might be angry about him cancelling the vacation and a wife who is considering divorce.

As you can see, we have a dynamic model that allows us to quickly visualize the state of imbalance that someone is in. Over the next few articles we will explore other imbalances and what we might visualize as ways to help a person back to a purposeful and functional life.


Please leave any questions, ideas, or comments on the model below or email: RFT@FunctionalTherapist.org.

Thanks,



Ed Kaine, OTR, RFT
President of the League of Functional Therapists

"Functional Therapy... the Next Generation of Occupational Therapy."

More about CENT - Principles of Controlled Eccentric Neuromuscular Training.

Now to the meat...

CENT stands for Controlled Eccentric Neuromuscular training. It is partly because the acronym spells something that it was chosen. It will stick in your head and make writing about it easier. (See "Introducing DAP notes" article for some of my views on acronyms.)

Guiding Principles:

Switching between agonist / antagonist muscle actions takes time, effort and is not necessary to start.

The Flexor Synergy exists for a very good reason, if you're a caveman...

Praxis is the key to purposeful movement.

"The more you do the more you can do" (a basic Functional Therapy tenent that applies here too).

Next time we'll break these out a little.


Ed Kaine, OTR/L, RFT
President of the League of Functional Therapists, LLC.

Introducing CENT - Controlled Eccentric Neuromuscular Training.

Today I am introducing CENT - Controlled Eccentric Neuromuscular Training. Over the next few days I will give you more information about this marvelous treatment option I am exploring and developing. I will tell you the foundational tenents of CENT in a moment but first a bit of history.

I desperately want to give credit where it is due... but I can't find that person. Instead I will tell you a brief story and maybe you can help.

About 5 years ago we had a Physical Therapist from India come to our facility. While transitioning and looking to finish requirements to allow her to be licensed here she volunteered on Bridgeport Hospital's Acute Rehabilitation Unit in Bridgeport, Connecticut. Her name was Priti or Preeti. If you read this or know Priti please contact me at RegisteredFunctionalTherapist@gmail.com.

Priti gave a presentation on a paper she had read that she said came out of Australia. From this she identified several things, and I have refined those into this this:

• Work on movements opposite to abnormal synergies (the flexor synergy in the arm).
• Overflow movements or movements outside of the specific action you want should be discouraged and stopped.
• Eccentric muscle actions are often first to recover.
• Work on one muscle action eccentrically and concentrically to keep the patient's focus on a single effort.
• Any muscle action could be your starting point. Just get some success.

Using this on many patients and experimenting in light of other observations I have about stroke I have come to the synthesis known as CENT. I know that the novel direction this has taken would not have occuring without Preeti. Unfortunately I can't find any papers from Australia or elsewhere about this approach. If you read this and think it is referring to something you had heard, read or done I would love to hear about it. Also, if you'd like to collaborate on this and develop your own skills please contact me.

I will give you the meat of this great technique over the next week.

Ed Kaine, OTR/L, RFT
President of the League of Functional Therapists

"Functional Therapy... the Next Generation of Occupational Therapy."

www.FunctionalTherapist.org

Online Meetings And The Next Wave Of Innovation!

The League of Functional Therapists (LOFT) is an international organization. Communicating with diverse people over vast distances is one of our key business needs. A phone is an essential tool, the internet and email have been remarkable enablers... and now online meeting has the potential to be a revolution.

As part of our business software we have a subscription to GoToMeeting. This Citrix product allows up to 16 people to be on a conference call (as a phone call or as Voice over Internet Protocol (VOIP)) and all looking at the same screen. Any attendee's screen can be viewed and or, with your permission, completely controlled. Is this functionality worth less than $50/month? It is to me.

I have met with people all over. I have used this in my work to avoid a long walk, kept all my tools and materials on hand, solved a problem in 2-5 minutes and gone on to do other things. With a software developer we designed together as he taught me what he was doing. With family we have met and planned together and shared photos.

Oh, by the way, the distance is not required... we could do this in the same room too, a few laptops in a conference room and an old fashioned meeting turns into generating work. These capabilities are incredible.

Why then does it seem so routine to people I introduce it to? I have them go to a site (JoinGoToMeeting.com) and put in a meeting number. The program downloads a little file to let it run on your system and the person is asked to put in their name and email address. Then, suddenly, we are meeting together. Instead of talking or planning and sending someone off to do it and report back later, we are able to finish the project in real time together. Just because it's easy doesn't mean it's routine. Can you imagine the possibilities?

If you're an Occupational Therapist and you want know more about our organization we want to talk with you. We can set up a meeting anywhere in the world. So far the farthest East is London, England and farthest West is Queensland, Australia. We want people to understand our mission and objectives and sometimes it takes a guided tour.

So far we have met with supporters and detractors. It is incredible to problem solve together with supporters and it is remarkably inciteful to get feedback from detractors. There is so much that we can learn together.

Set up a meeting with us, learn about the League of Functional Therapists and get to try out GoToMeeting. Contact me at EdKaine@FunctionalTherapist.org.

I'm looking forward to meeting with you.

Yours,


Ed Kaine, OTR/L, RFT
President of the League of Functional Therapists

"Functional Therapy... the Next Generation of Occupational Therapy."

ALOFT Sponsors A Survey Of Health Care.

In our pursuit of real information about the state of understanding of various healthcare fields ALOFT has sponsored a survey. It is a general health care information survey and we would like you to take it.

There are 3 arms of the study and each will be handled differently (statistically speaking). We have a randomly selected group which is a stratified sample that may give us the best picture of the general population. There are particular people we have requested to take the survey and there's you. You represent the cutting edge of thought and the awareness of technology and the markets.

Please take our survey to help us tailor our services and positively influence health care.

Please follow this link here:
http://www.surveymethods.com/EndUser.aspx?C3E78B97C2819291

Thank you so much for your input. We appreciate your opinion and support.

Thanks so much,

Ed Kaine, OTR, RFT
President of ALOFT

P.S. If you have any questions, comments or suggestions please send them to us at ALOFTSurveys@gmail.com

A gift in a question... what have you always wanted to do?

We have long had "Patient Goals" on all our assessment documentation. We always ask patients what they want to acheive in their therapy. As an OT and RFT we would still get the most common answer "I want to be able to walk." Instead of ever being discouraged by this response (and especially if ambulation seemed like a distant possibility) I would try to get the functional aspects of why the patient wants to walk. The patient's goal would rapidly become "to be able to walk into the kitchen and make myself a sandwich" or up to "walk into the woods to sit by a stream". Then if ambulation was a long way off I'd see if there were a way to meet the functional need from another level, hence independent at wheelchair level could be more palatable. Again, if ambulation was appropriate and the functional barrier to the goal, it has always seemed that functional mobility is right up OT's alley.

I was reading a thread on the OTNow list about a particular patient's goals when I recalled an old lesson that I have incorporated many times since. When the patient cannot come up with any goal, or only states a raw task like walking with no functional reason for it, I've asked the more "bucket list" type question. "What is something you always wanted to do?" It had been put to me in university as "what is something you've always wanted to do before you die?" I haven't always used the weight of "before you die" but having it in my mind keeps me focused on what I want them to think about. What a gift if we can get someone out of ruminating on the physical limitations and seeing the possibilities.

In particular this has played out in patients with paraplegia/quadriplegia. Where the "I just want you to get me walking again!" can really turn into a new and positive direction if we open up this type of conversation. Also, having it can remind people that they always wanted to play an instrument or write a book.

We have so much to offer, sometimes it may just be a simple question that helps someone think about a future that isn't dealing with an acute illness or injury.

Yours,

Ed Kaine, OTR, RFT
President of the League of Functional Therapists
http:www.FunctionalTherapist.org

Functional Therapy... the Next Generation of Occupational Therapy!

Early physical and occupational therapy in mechanically ventilated, critically ill patients: a randomised controlled trial

This is a very important article for patients anticipating or recovering from ICU stays. In this randomized controlled clinical trial, Occupational And Physical Therapists took ventillated patients through a course of functional tasks. In the process they had a trememdous impact on patient's lives.

http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)60658-9/fulltext

This shows that it is not just about surviving. Healthcare has the technology to save your life, but it's therapy, and particularly "Functional Therapy", that cares about getting you back to a life of purpose and meaning.

Congratulations to the excellent teams at the University of Pennsylvania, University of Chicago and University of Iowa. The effort to take and confirm scientifically things we know (or think we know) intuitively is very appreciated.

Go Therapy, even in this critical and frightening time in a person's life, the worry that you are too sick to do therapy is turned on it's head. You might be too sick not to do therapy.

Yours,

Ed Kaine, OTR, RFT
President of the American League of Functional Therapists
http://www.functionaltherapist.org/

Functional Therapy... the Next Generation of Occupational Therapy!

Change... the easy path.

We were having a meeting the other day about how to increase the awareness of Functional Therapy and get more OTs and COTAs to join. We got to talking about how difficult change is. Lindsay Neumann, RFT, said, "Sometimes it's just easier to go along the way that things are. Most times actually."

Well it didn't take long for it to come around to how difficult it has been for each of us to be Occupational Therapists. There were a cascade of difficulties:

1. To learn about the profession in time to choose it as a career - Very Difficult.
2. To explain to your family what you were studying - Very very difficult... because you barely knew yourself.
3. Graduating, finding a job. Not too difficult... because so many people were beat by #1. Therefore there is a huge shortage of OTs. Easy to find job, but...
4. Staffing for OTs is largely influenced by the difficulty that upper administration has in understanding what OT might do. Incredibly difficult.
5. Then, let's mention the many discussions you'll have trying to explain OT. Difficult but fun.
6. Then, your ears perk up when someone says Occupation or Occupational and you wonder if they are talking about anything related to your profession. They aren't. Our definition still hasn't got into the dictionary - difficult.
7. Then you do this for year after year... it was so much more fun when I started. Difficult.
8. Then you get involved with a group who wants to provide an alternative name and change is difficult.

So, the only thing that would have made this easier would have been to do something about it 89 years ago, or 8 or 9 years ago. There is no time like the present. Make the change now and maybe we'll get past some of this stuff.

Please check us out at www.FunctionalTherapist.org and look at joining us. And if you're already a member let's get to work popularizing Functional Therapy.

Yours,

Ed Kaine, OTR/L, RFT

President of the American League of Functional Therapists

Contact us at: RegisteredFunctionalTherapist@gmail.com

We are opening up Comments as of June 4th, 2009.

I was asked if I would consider opening comments up on our Blog. We talked about it and here it is.

As a trial of the commenting process we are looking to see what you think about our content. You can go back to former articles and post comments or you can just use this feature going forward.

We have a lot we'd like to say and we'd like to hear it in a public forum too. Please be open and courteous. A differing opinion is just that. It is really an opportunity to learn more about another person's perspective.

As always, you can email us directly at RegisteredFunctionalTherapist@gmail.com or check us out at www.FunctionalTherapist.org. Thank you for all your support so far.

Yours,

Ed Kaine
President of The American League of Functional Therapists

Functional Therapy... the Next Generation of Occupational Therapy!