1) We do not work “basically” in rehabilitation centers. We do work in that setting, but we will also be found working in acute care (hospitals), sub-acute care, outpatient clinics, home health, school systems, and nursing homes.

2) OT’s also work directly with injuries, many specialize in orthopedic injuries to the hand, arm and shoulder. OT’s rehabilitate the injury with healing modalities (ultrasound, for example), strengthening, and pt education. PT’s focus is usually the neck, spine, hips and lower extremities. PT’s main concern in ambulation, stairs, ability to move in bed, transfers, etc., in addition to healing the injury (hip replacement, for example), itself. OT also looks at these areas and how diminished ability to perform any of these affects their independence.

3) The key difference in the training is not in oral and hand skill interventions, which I don’t remember having much education about. Rather the main difference is OT’s learn how to look at a person’s limitations and help them adapt to their job and/or activities that are both essential (bathing, dressing, cooking, etc) and meaningful (gardening, playing cards, spending time with grandchildren, etc). OT’s are trained in modifiying both the physical environment (simple home modification based on person’s condition) and in using adaptive equipment to allow for more independent completion of daily tasks.

The stated technical differences were accurate, however OT”s are just as versed in anatomy and body systems. Both OT’s and PT’s educate the patient, families and caregivers. Both PT’s and OT’s help the pt achieve improved balance, strength and endurance.

There really are quite a few “grey” areas and much overlapping in what PT/OT is capable of doing. The type of facility usually dictates specifics (some outpatient facilities allow PT’s to rehabilitate shoulder injuries, other facilities allow OT’s to treat shoulders).

While I appreciate the attempt to help people understand the difference between these therapies, I feel a bit more research could have been completed. As the number of seniors continues to rise, more people will need a clear understanding of OT and PT as these services will become widely and regularly used.

I would hope other therapists comment here. My comment is from an OT perspecitve, so a PT perspective would be great.

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