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Embracing an occupational perspective: Occupation-based interventions in hand therapy practice.

The founding philosophies of occupational therapy and the medical model have had an uneasy relationship for more than 60 years. In the late 20th century, a paradigm shift occurred within the discipline from the deeply ingrained medical model, which resulted in the creation of practice-based theories of occupation and models of occupational therapy across the globe (Townsend & Polatajko, 2013). This paradigmatic shift was a direct challenge to the previous practice models and frameworks that stemmed from level of impairment and disability rather than the client’s perspective of participation in daily activities and occupations. Although embracing theory as part of practice is important for the growth and evolution of occupational therapy, its implementation remains a challenge for many therapists. As the profession moves to reassert our philosophical foundations of the intrinsic relationship between occupation, health and wellbeing (Wilcock, 2006), should hand therapists endeavour to focus more on embracing an occupational perspective and incorporate interventions that are grounded in the key principles of the profession?