Content:
1-Introduction
This training equips practitioners to integrate functional adaptation, assistive devices, and environmental modifications using an OT perspective, emphasizing client-centered, participation-focused rehabilitation.
2-Training Objectives
Participants will be able to:
- Apply the Person–Environment–Occupation (PEO) model in clinical decision-making
- Identify and select appropriate assistive devices for mobility, upper limb function, ADLs, and cognition
- Adapt home, school, or work environments to support function
- Follow structured referral and interdisciplinary processes
- Evaluate device manufacturing, procurement, and maintenance considerations
3-Functional Adaptation Process
- When it starts: at the first functional limitation, not only after severe disability
- Assessment: evaluate the person’s abilities, task demands, and environmental factors
- Goal setting: participation-focused goals, short-term and long-term
- Adaptation strategies
4-Assistive Devices
Mobility: AFO/KAFO, canes, walkers, wheelchairs
Upper limb: Resting/functional/dynamic splints, mobile arm supports
ADL: Feeding, dressing, hygiene aids, bathroom safety equipment
Positioning: Bed and wheelchair supports, pressure-relief devices
Communication & cognition: AAC systems, memory aids, smart home controls
Key principle: devices are tools within the adaptation process, not isolated solutions
5-Environmental Adaptation
- Adjust home, school, or workplace layout for safety and accessibility
- Include ramps, grab bars, lighting, furniture arrangement, and workspace setup
- Integration of devices with the environment enhances participation and independence
6-Referral and Procurement
- Interdisciplinary assessment → prescription → orthotist/vendor referral → fitting → training → follow-up
7-Expected Outcomes
- Improved clinical reasoning for device prescription
- Better integration of devices and environmental modifications
- Participation-focused, client-centered rehabilitation
- Stronger interdisciplinary collaboration and follow-up
Biography:
Mariam Issa, Licensed Occupational Therapist – Lebanese University, Faculty of Public Health (2021)
- Occupational therapist at ECIL
- MSc in Health Care Management, Quality, and Technology – Lebanese University, Faculty of Science (September 2024)
- Certified in Feeding Therapy (Sensory–Motor Approach and Oral Placement Therapy) (November 2024)
- Passionate about environmental adaptation and is certified in Mobility Assistive Products through the World Health Organization’s Learning on TAP program (September 7, 2025).
- Over 4 years of clinical experience working with children and adults with sensory processing challenges, autism spectrum disorder (ASD), attention deficit hyperactivity disorder (ADHD), and developmental delays.
- Experienced educational advisor and math & language coordinator for preschool and early primary levels (KG1 to Grade 1).
- Actively involved in parental guidance, empowering families in their child’s learning and developmental journey.
- Committed to teacher training and professional development, with a multidisciplinary approach integrating speech therapy, pedagogy, and leadership.
- Demonstrates strong collaborative spirit, excellent interpersonal skills, and proven leadership in educational management.
- Engaged in ongoing educational innovation and school improvement initiatives, with a focus on differentiated instruction and competency-based learning.
- Also practicing as an independent speech therapist since 2009 (Dbayeh, Lebanon).