Occupational therapists
use work and well thought out activities to help clients maintain or improve the functional skills required in daily life, for both professional and leisure activities. The main goal is to promote optimum independence.
   Goals
To promote functional autonomy and integration into the client's environment by:
- Improving pain management
- Improving functional tolerance
- Increasing the range of motion
- Increasing strength
- Teaching proper posture
- Promoting independence when carrying out daily activities at home and at work.

   Clients
- Private (with or without insurance)
- Traffic accidents (SAAQ)
- Work accidents (CSST).

   Problems Treated
An occupational therapist can step in when a client's medical condition impedes his or her ability to carry out daily activities, whether at home or at work. The cause of problems that lead to reduced autonomy may be musculo-skeletal, neurological or rheumatological.

Musculo-skeletal conditions
• Sprain – Bursitis - Tendonitis
• Neck or back sprain
• Post surgery or post-fracture

Neurological conditions
• Carpal tunnel syndrome • Herniated disc
• Reflex sympathetic dystrophy • Radiculopathy

Rheumatological conditions
• Rheumatoid arthritis • Osteoarthritis


::::: OCCUPATIONAL THERAPY — PROGRAMS :::::
 — Orthopedic treatment

To improve the status of a client's functional abilities, occupational therapists choose from various therapeutic treatments that benefit clients, such as engaging in purposeful activities, aimed at increasing the range of motion, strength and functional tolerance and to keep the inflammatory process under control. The frequency and/or the intensity of these activities are gradually increased to optimize the client's functional status.

The occupational therapist may also use pain management and proper posture to prevent similar injuries.


 
 — Orthopedic treatment for hands

Purposeful activities that require specific hand functions are used to improve different grasp patterns as well as grip and pinch strength.

Occupational therapists can also make different types of orthotic devices (splints) for clients aimed at reducing pain, protecting and supporting a particular joint and even increasing the range of motion (serial splinting).

If it becomes impossible to use the dominant hand, our occupational therapists adopt a specific program and purposeful activities to transfer the dominance to the other hand.

 — Consultation
Proper posture and body mechanics
This service aims to teach the use of proper posture and good body mechanics when performing work-related activities (ex.: lifting, pushing, etc.) in order to prevent injuries .

Joint protection and energy conservation
When carrying out our everyday activities, our joints are put under a lot of stress. To prevent joint problems (ex.: pain), occupational therapists can teach you how to avoid putting your joints under unnecessary stress (joint protection). In addition, occupational therapists can help clients who are experiencing extreme fatigue by teaching them how to reduce the amount of energy required to perform their activities (energy conservation).

Assessing needs in terms of personal assistance and technical aids
By assessing the client's level of autonomy when performing everyday activities, an occupational therapist can recommand different technical aids aimed at raising the status of functional abilities. If external help remains required, an occupational therapist can then determine how much help is required for the client to complete his or her activities.

Job site analysis
This assessment is done in the client's work environment where the occupational therapist identifies the set up and/or the tasks that are likely to cause injuries. Recommandations on ergonomic set ups and work methods are provided following the assessment.

 
 — Work Reintegration

Assessment of functional capacity
This type of assessment allows the occupational therapist to gather information on the client's capabiliies in terms of carrying out everyday and work activities. This information is then used to determine functional limitations and to establish the treatment plan best suited for that client. Part of this assessment is done at the client's place of work, when possible.

Work hardening
One of the recommandations following the functional capacity assessment may be to improve the client's capacities. Work hardening is the way to achieve this. This intensive program is aimed at increasing the client's strength and functional tolerance to work activities.


  Transportation
Adapted transportation
The occupational therapist meets with the client and uses specific tests to determine his or her capacity to use public transportation. This information is needed to complete the application form for adapted transportation. However, since these applications are regulated by the city where the client resides, the regulations may vary from city to city. Clients must gather information on local regulations, the procedure to follow and if there are specific forms to be completed.

Parking permits for the disabled
The occupational therapist meets with the client and uses specific tests to evaluate his or her mobility. This assessment is required to ensure that the client is eligible for the parking permit program. It also allows the occupational therapist to make recommendations, if necessary. Clients must make sure to follow the application process and to check if any forms need to be completed. These forms are available at any license bureau or through our clinics.

Driving assessment
This service is available to anyone 16 years of age or over who has experienced changes in their physical health, their visual perception as well as cognitive and mental capacities. This assessment allows us to ensure the client's ability to safely drive a car. This assessment is conducted through two separate activities: an overall assessment of the client's health by our occupational therapist at one of our clinics, and a road test at a driving school accompanied by the occupational therapist and a driving instructor. The occupational therapist may make recommendations in terms of minor adjustments to be made to the client's car.


 — PROGRAM

Assessment of handwriting and motor skills in children
This program is intended for children between the ages of 3 and 7 years who are experiencing difficulty in learning, handwriting and motor skills. This program assesses the child's functional capacities to address the issues that are at the core of the child's handwriting difficulties. The aim of this program is to improve performance and the aptitudes required for handwriting. We also offer a testing service where tests are conducted in elementary schools.

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