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Guidelines for using both activity and exercise.

R Dutton1

  • 1College of Allied Health Professions, Temple University, Philadelphia, Pennsylvania 19140.

The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association
|September 1, 1989
PubMed
Summary
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Occupational therapy can integrate exercise as preparation and purposeful activity as application, viewing them as a continuum. This approach resolves debates about therapeutic tools by providing guidelines for using both activity and exercise effectively.

Area of Science:

  • Occupational therapy
  • Rehabilitation science

Background:

  • Debate exists within occupational therapy regarding the use of 'activity' versus 'exercise' as primary therapeutic tools.
  • This division impacts the selection and application of interventions in treatment plans.

Purpose of the Study:

  • To propose a resolution to the activity versus exercise debate in occupational therapy.
  • To explore the integration of exercise as preparation and purposeful activity as application within a treatment continuum.
  • To develop guidelines for utilizing biomechanical and sensorimotor frames of reference to inform the use of activity and exercise.

Main Methods:

  • Conceptual analysis of the 'activity' versus 'exercise' dichotomy.
  • Application of continua from biomechanical and sensorimotor frames of reference.

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  • Development of evidence-based guidelines for therapeutic intervention selection.

    • Main Results:

    • Exercise and purposeful activity are presented not as opposing concepts but as points on a continuum.
    • Specific continua from biomechanical and sensorimotor frames of reference can guide the application of exercise and activity.
    • Guidelines can be generated to differentiate when to use exercise versus activity in treatment.

    Conclusions:

    • Integrating exercise as preparation and purposeful activity as application offers a unified approach in occupational therapy.
    • Utilizing continua from established frames of reference enhances clinical reasoning for intervention selection.
    • This integrated model supports a more cohesive and effective therapeutic practice.