Affiliations: UQ Work Service Clinic, School of Health and
Rehabilitation Sciences, The University of Queensland, Brisbane,
Australia | Division of Occupational Therapy, School of Health and
Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland,
Australia
Note: [] Address for correspondence: Kerry Adam, Manager UQ Work Service
Clinic, School of Health and Rehabilitation Sciences, The University of
Queensland, Sir Fred Schonell Drive, St Lucia, Queensland 4072, Australia.
Tel.: +61 07 3365 2912; Fax: +61 07 3365 3754; E-mail: k.adam@uq.edu.au
Abstract: Objective: This paper will explore the development of occupational
therapists' and physiotherapists' roles in work related practice from an early
focus on rehabilitation of injured workers, to one including prevention and
health promotion. Methods: A review of international evidence identified
the roles, tasks and employment paths for occupational therapists and
physiotherapists in work related practice. The relationship between government
regulation and therapists' access to the workplace was also examined. Results: Occupational therapists and physiotherapists hold valued positions in
work related professional practice. Whilst initially their roles were based on
injury management through occupational rehabilitation, both professions have
demonstrated a clear vision of the importance of prevention of work related
injury and disease. Social and workplace changes in the late 1970s in a number
of western countries, commencing with the Robens' reforms in the United
Kingdom, led to improved legislation and regulation for managing occupational
health and safety. Conclusions: The approach of both disciplines to
practice in this field reflects their individual professional education.
However, some role overlaps exists in consultancy activities in the industrial
environment. Implementation of modern OHS regulatory programs in other western
countries, including Australia, has increased and broadened the opportunities
for therapists, as governments, employers and insurers support early
intervention to minimise the impact of workplace injuries and diseases.
Keywords: Occupational health and safety, rehabilitation, prevention, occupational therapy, physiotherapy, work related practice
