Lisa's Holistic Rehab

        Occupational Therapy and Neurofeedback Inc.

  Rehabilitate your Brain

Rehabilitation Principles



When dealing with a disability or injury it is important to follow a logical approach to treatment in the following order:


1)  Rehabilitate


2) Find an alternative way


3) Compensate


4) Substitute

Based on the diagnosis the occupational therapist (OT) will determine where to start.  In most cases, the OT  should first help to rehabilitate the person to restore previous function or improve to a new level of function.  Once the person reaches a "plateau", the OT determines if the person is back to normal function, if not then the OT needs to find an alternative way of getting the person to do the task.  If this is not possible, then the OT would give the client compensatory strategies to cope.  If the client is not able to compensate, the OT puts resources in place to substitute for lost function.  If the diagnosis will cause the person to deteriorate, then rehabilitation is not possible and steps 2-4 are implemented.


When dealing with children or adults with learning disabilities or brain injury, although steps 2-4 help with day to day living, it is important to rehabilitate the brain by focusing on interventions that improve neuroplasticity (the ability of the brain to change itself)

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