Current Practice of Occupational Therapy for Common Disorders Seen in Rehabilitation Clinics in Saudi Arabia

TL;DR

This study explores the common disorders and treatment approaches used by occupational therapists in Saudi Arabia, highlighting a focus on neurological conditions and the need for more holistic care.

Contribution

The study provides the first detailed insight into occupational therapy practices in Saudi Arabia, identifying common disorders and interventions.

Findings

Neurological diseases like stroke and Parkinson's are the most common conditions managed by occupational therapists in Saudi Arabia.

Therapeutic exercise is the most frequently used intervention, while functional electrical stimulation is rarely applied.

There is a gap in applying a holistic, occupation-based approach in occupational therapy practice in the region.

Abstract

Background: The role of occupational therapy is to provide management for various conditions including neurological, musculoskeletal, and psychological disorders, with the aim of maximizing function and independency in daily occupations. According to the World Federation of Occupational Therapists (WFOT), occupational therapy is a client-centered health profession concerned with promoting health and well-being through occupation. In Saudi Arabia, there are escalating rates of chronic conditions, which create an increasing demand for occupational therapy services. Yet, occupational therapy practice frameworks, as well as areas of assessment and intervention, are not well explored within the context of Saudi Arabia.

Purpose: The aim of this research is to identify the most common disorders that occupational therapists work with within Saudi Arabia and the approaches used for managing these disorders.

Methods: This was a cross-sectional study. An electronic survey was distributed to 230 occupational therapists working in Saudi Arabia. The survey consisted of two sections; the first was on educational backgrounds, and the second section was about the common conditions encountered in a clinical setting and the treatment approaches applied. The interventions nominated by participants were mapped to the person–environment–occupation model and to the occupational therapy practice framework.

Results: The overall response rate was 57%. Analysis of data of 131 participants revealed that neurological diseases (e.g., stroke, multiple sclerosis, and Parkinson's disease) were the most common conditions managed by occupational therapists (64.3%), while respiratory diseases had the lowest percentage (4.7%). With regard to intervention approaches, “therapeutic exercise” was the most commonly applied approach as was reported by 77.1% of the therapists, while “functional electrical stimulation” was the lowest chosen approach as it was applied by 19.8% of the therapists.

Conclusion: Occupational therapists in Saudi Arabia manage a variety of conditions and apply a wide range of rehabilitation approaches, yet gaps still exist in providing a holistic approach. The study emphasizes the importance of redirecting the focus of occupational therapists to core concepts of maximizing functioning and occupational performance and using occupation as a mean and as an outcome of rehabilitation.