Online Occupational Therapy – PresenceLearning

Occupational therapy is an evidence based, science-driven discipline and the American Occupational Therapy Association ( provides an abundance of evidence-based resources for families, teachers and administrators. AOTA recognizes online OT as effective.

Research shows that online OT produces comparable outcomes related to treatment planning, intervention and client satisfaction. Feasible and effective, online OT improves access and reduces costs for schools and families.

Research Articles


School-based Telerehabilitation In Occupational Therapy: Using Telerehabilitation Technologies to Promote Improvements in Student Performance

SUMMARY: This pilot study was conducted with children attending an online charter school with difficulties in the areas of fine motor and/or visual motor skills which impacted success with handwriting. Each participant completed a virtual evaluation and six 30-minute intervention sessions. The Print Tool™ Assessment was used to determine progress pre- and post-program. Outcomes revealed improvements in handwriting performance for most students and high satisfaction rates.


Position Paper: Telehealth

SUMMARY: Occupational therapy practitioners use telehealth as a service delivery model to help clients develop skills; incorporate assistive technology and adaptive techniques; modify work, home, or school environments; and create health-promoting habits and routines. Benefits of a telehealth service delivery model include increased accessibility of services to clients who live in remote or underserved areas, improved access to providers and specialists otherwise unavailable to clients, prevention of unnecessary delays in receiving care, and workforce enhancement through consultation and research among others (Cason, 2012a, 2012b). By removing barriers to accessing care, including social stigma, travel, and socioeconomic and cultural barriers, the use of telehealth as a service delivery model within occupational therapy leads to improved access to care and ameliorates the impact of personnel shortages in underserved areas. Telehealth has potential as a service delivery model in each major practice area within occupational therapy.


A pilot telerehabilitation program: Delivering early intervention services to rural families

SUMMARY: Using telerehabilitation for early intervention therapy services, rural families received occupational therapy services over a 12-week period. Results indicated that telerehabilitation has the potential to cost-effectively meet the therapeutic needs of children living in rural areas where provider shortages exist, and can ameliorate health disparities and improve access to rehabilitation services.


Augmentation of special needs services and information to students and teachers “ASSIST”: A telerehabilitation innovation providing school-based medical intervention

SUMMARY: Parents, teachers and providers reported significant improvement in the following three areas upon the introduction of school-based telehealth technology in Hawaii:

  1. Evaluations of students for medical or developmental conditions that have educational implications
  2. Professionally monitored system for online learning and development
  3. Delivery of physical and occupational therapy in the students’ school


Internet-based outpatient telerehabilitation for patients following total knee arthroplasty: A randomized controlled trial

SUMMARY: Baseline characteristics between telerehabilitation and conventional rehabilitation groups were similar, and all participants in telerehabilitation intervention had significant improvement on all outcome measures. Participants in the telerehabilitation group achieved outcomes comparable to those of the conventional rehabilitation group with regard to flexion and extension range of motion, muscle strength, limb girth, pain, timed up-and-go test, quality of life, and clinical gait and WOMAC scores. Participants in the telerehabilitation group showed better outcomes for the Patient-Specific Functional Scale and the stiffness subscale of the WOMAC. The telerehabilitation intervention was well received by participants, who reported a high level of satisfaction with this technology.


Group tele-exercise for improving balance in elders

SUMMARY: Using videoconferencing, 17 balance-impaired senior citizens living independently participated in a real-time, supervised, group Tai Chi Quan class from their own homes three times per week for 15 weeks in order to improve balance and reduce the fear of falling. Those who completed the study had significant improvement, were able to operate the videoconferencing equipment and expressed interest in similar online exercise classes in the future.

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