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Maryland OT Scope of Practice

How is occupational therapy defined in Maryland?

“Occupational therapy” means the therapeutic use of purposeful and meaningful goal–directed activities to evaluate, consult, and treat individuals who:

    • Have a disease or disorder, impairment, activity limitation, or participation restriction that interferes with their ability to function independently in daily life roles; or
    • Benefit from the prevention of impairments and activity limitations.

What is included in the practice of occupational therapy?

“Occupational therapy principles” include:

    • The use of therapeutic activities that promote independence in daily life roles;
    • Remediation or restoration of performance abilities that are limited due to impairment in biological, physiological, psychological, or neurological processes;
    • In order to enhance performance, the adaption of task, process, or the environment, or the teaching of compensatory techniques;
    • Methods and techniques for preventing disability that facilitate the development or safe application of performance skills;
    • Health promotion strategies and practices that enhance performance abilities; and
    • Education, instruction, and research in the practice of occupational therapy.

“Occupational therapy procedures” include:

    • Developing, improving, sustaining, or restoring skills in activities of daily living, work, or productive activities, including:
      • Instrumental activities of daily activity; and
      • Play and leisure activities;
    • Developing, remediating, or restoring sensorimotor, perceptual, cognitive, or psychological components of performance;
    • Designing, fabricating, applying, or training in the use of assistive technology, splinting, or orthotic devices, including training in the use of prosthetic devices;
    • Adapting environments and processes, including the application of ergonomic principles to enhance performance and safety in daily life roles;
    • Applying physical agent modalities as adjuncts to or in preparation for purposeful activity with appropriate training, as specified by the Board in regulations;
    • Promoting safe, functional mobility in daily life tasks;
    • Providing intervention in collaboration with the client, the client’s family, the client’s caregiver, or others;
    • Educating the client, the client’s family, the client’s caregiver, or others in carrying out appropriate nonskilled interventions; and
    • Consulting with groups, programs, organizations, and communities to provide population-based services.

What is specifically excluded from the practice?

“Occupational therapy procedures” do not include the adjustment or manipulation of any of the osseous structures of the body or spine.

Are there any special trainings or requirements?

Physical Agent Modalities

Position Statements

Wound Care  (Updated June 18, 2002)

Feeding and Swallowing Therapy - OT and OTA Authority to Perform
(Updated May 18, 2007)


Md. Code, Gho. §10–101

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