Abstract
Background and Objectives: Since all aspects of occupational performance are affected by cervical spinal cord injury (SCI), one of the goals of occupational therapy for these clients is to restore the abilities and routines necessary for independence in activities of daily living (ADL). The model of human occupation (MOHO) seems to help occupational therapists develop a framework for clinical reasoning about the living conditions of people with cervical SCI emphasizing the interaction between volition, habituation, and performance capacity. This study aims to investigate the use of MOHO in occupational therapy for cervical SCI and focuses on the significance of comprehending and adjusting to these specific needs to improve their participation in purposeful daily activities leading to occupational adaptation. Case Presentation: The focus of this study is on a 26-year-old man who experienced a cervical SCI at the C6 level due to a diving accident. He exhibits varying degrees of motor and sensory deficits, characterized by partial upper extremity function and complete loss of function in the lower extremities. The client expresses a strong desire to develop skills for safe and effective transfers, the need for strategies that promote community reintegration and social interaction, and adaptive strategies and utilize assistive devices that will enable him to perform ADLs with greater independence. Conclusion: Because in a person with cervical SCI, values and interests, internalized roles, and performance capacities are affected by impairment, designing a program based on the MOHO will help occupational therapists perform more effectively.
Published Version
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