Conceptual Model of OT

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A jOurney Through the decades: 1940's

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The ERA project we have just completed was the most entertaining and informative group project I have ever participated in. I really enjoyed seeing how OT has been impacted by societal preferences, technological trends and major events. I was most intrigued by the discussion of the 1940's. While WWII was raging on there were leaps and bounds being made by women in the workforce. The Rosie the Riveter campaign increased women in the workforce from 27% to 37%! During this time OT "school" lasted 18 months. However, the military needed help and did not have the resources or the time. Thus, the two week OT course was created. I can't even imagine how these therapists felt going into the profession with only two weeks of school! Through this demand arose one of the most influential occupational therapists of the decade, Winifred Conrick Kahmann. In WWII she served as the Chief of the Occupational Therapy Branch of the Reconditioning Division of the Office of the Surgeon G...
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Imposter Phenomenon

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Scapulohumeral Rhythm

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The scapulohumeral rhythm allows full ROM and muscle length tension through the motion of shoulder elevation. Shoulder elevation is a synchronous movement between the glenohumeral joint and then scapulothoracic joint.  This means that as the angle of the glenohumeral joint increases during abduction, the scapulothoracic joint moves as well in upward rotation. The scapulohumeral rhythm consists of a 2:1 ratio of glenohuneral joint movement to scapulothoracic movement that produces 180° of full ROM. When we have a client perform abduction/elevation of the upper extremity we observe the rhythm to ensure the total motion. We can observe weakness in the muscles that produce scapular upward rotation such as the trapezius or serratus anterior during the motion. If the scapula does not upwardly rotate, abduction of the humerus will not be complete.  Moreover, dysfunction in one of the joints can decrease ROM or cause impingement/pain.  This may be evident if th...
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