First, happy Occupational Therapy Month to all the OTs out there! Second, our therapists start their workday before 9 a.m.  just an FYI. Each of our centers has an in-house occupational therapist whose job is to help their patients learn how to use their device, perform outcome measures tests that help current and future patients, research and participate in our Comprehensive Accelerated Fitting Process™  and more, as you will read below!

Let’s start with that Comprehensive Accelerated Fitting Process™. While our centers deliver all our prostheses in a timely manner, people who travel to our centers need to be fit in a matter of days so they can get back to their jobs and lives. It varies by center how often these happen, but Jamison, the OT at our Portland center, estimates that they perform accelerated fittings about once a month sometimes less, sometimes more. These almost always start on a Monday, and oftentimes, the patient is accompanied by some of their family. There is a lot of chatting and getting to know everyone, before the patient is taken to do some impressions that is, taking a mold of their residual limb so the socket creation can begin. “While our prosthetist and technician, Mac and Cullen, are getting started on the initial socket, I get started with the patient on their therapy evaluation. So, we’ll do some screenings and outcome measures, but we’re also going to talk about what are their goals for the week. And then what are their more long-term goals  what do they want to be able to do once they’re back home.”

Jamison continues: “By Tuesday, we almost always have that initial socket ready for them and it’s time for them to start donning and doffing it, first with help, then on their own. Then Mac and Cullen start making adjustments and getting started on the definitive prosthesis, and I continue to train with the patient. Wednesday is more practice, going through strategies. We’ll discuss adaptive equipment or activity modification and how they can meet their goals.” By Thursday, the definitive device, the one they’re taking home, is ready for the patient. Jamison: “Things are more real we’re making any necessary changes, we’re discussing goals and addressing what they need to do at work. The patient will often go out to dinner with their new device on Thursday as a test-run, then they can come in Friday with any questions they may have. Friday is a wrap up day more testing, making sure the patient understands our process of follow-up care. And then we send them on their way!”

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Jamison with his patient Doug

So that’s what a week is like for our OTs during a patient’s Comprehensive Accelerated Fitting Process™, with some variation for each center. But what about a non-CAFP week? Well, in some ways, they’re even more busy!

Carina, the OT at our Dallas center: “During other weeks, our task lists include follow-up phone calls with our patients to discuss how they’re doing, how they’re meeting their goals, any questions or issues they have about their device and what we can do to help. There are also local patients who come in to do routine occupational therapy with us. When possible, home visits can be incredibly helpful to our patients and help us understand more about how the patient performs their Activities of Daily Living or ADLs, and how their device can support those.”

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Carina working with her patient Jason

Research also plays a large role in the professional lives of our OTs. “Research is key to our Arm Dynamics team pushing the boundaries, finding new ways that our patients can do more with their prostheses, now and in the future,” Lauren, the OT at our Kansas City center. “Research can include writing or contributing to publications, protocol creation, following up with clinicians on the progress of a study, and pulling data from the outcome measures we administer. Our Arm Dynamics team also partners with the American Occupational Therapy Association (AOTA) to offer Continuing Education Units for OTs. Additionally, our team has regular meetings with each other and other Arm Dynamics clinicians to keep each other up-to-date, troubleshoot and brainstorm.”

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Lauren working with a patient wearing a multi-articulating myoelectric hand

Some of our patients travel from other cities or states to Arm Dynamics centers for their prosthetic care, and if they have a therapist in their community, we strive to be involved with them. Tim, our OT in Houston, seen at the top of this article with his patient Ernesto: “We are in regular contact with many community therapists, usually on the phone, but sometimes meeting in person with them. They see all types of patients, but we are in a very niche field of upper limb prosthetic care, so we try to be there to answer any questions regarding prosthetic care they may have.”

What we heard from all our OTs is that their patients are the most important and rewarding part of their job. Our Minneapolis OT, Becky, expanded on this: “What I love about my position is that it’s never the same day twice. I have ample time to create meaningful relationships with my patients. Each patient has unique needs. Some benefit from education on pain management strategies; some need help navigating how to best perform work-related activities; some need to practice activities in clinic to improve their control of their devices; and others benefit from education on a full-body stretching, stabilizing, and strengthening program. It feels great to help patients improve their independence and quality of life  and I love seeing them smile.”

Clinical Therapy Specialist Becky Park works with a transradial patient on muscle recovery
Becky and her patient working on strengthening exercises

We know  they do a lot! We feel so lucky to have each of our OTs and so thankful that they are there to guide our patients through their prosthetic training and rehabilitation.

If this is the type of holistic prosthetic care that you or someone you know are hoping to receive, please contact us. Our occupational therapists work closely with our prosthetists as part of an integrated clinical team. Each of our OTs and prosthetists are upper limb specialists with years of experience, so they’re going to offer you the best care possible. If you’d like to leave a comment regarding this article, or for one of our incredible OTs, please do so below.

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