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ARTICLES

Integrating the Dynamical Systems Theory, the Task-Oriented Approach, and the Practice Framework for Clinical Reasoning

, PhD, OTR/L, CHT & , PhD, OTD, OTR/L
Pages 223-238 | Accepted 25 May 2010, Published online: 22 Jun 2010
 

ABSTRACT

This paper describes the purposeful integration of dynamical systems theory, the occupational therapy task-oriented approach, and Framework II to inform clinical reasoning. Dynamical systems theory provides the clinician with information about how systems interact to influence motor behavior. The task-oriented approach helps the practitioner to clinically improve motor behavior. Framework II gives the clinician guidance in terms of scope of practice and an overarching goal of intervention. Ideological similarities between these three resources for clinical reasoning include client-centeredness, an emphasis on occupation, and interaction between person, task, and environment. The process of clinical reasoning is illustrated using an integrated practice model applied to a clinical example of an adult with a hand injury requiring transfer of hand dominance.

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