Occupational Therapy & Radiation: Clarifying the Scope

Occupational therapy (OT) does not involve the use of ionizing radiation (X-rays, CT, fluoroscopy) or radioactive materials.

What OTs Actually Do

• Evaluate and treat limitations in activities of daily living (ADLs), work, leisure.
• Use therapeutic exercises, manual therapy, adaptive equipment, environmental modifications.
• Address cognitive, sensory, motor, and psychosocial deficits.
• Fabricate custom orthoses (splints) for upper extremity.
• Train in assistive technology, wheelchair seating, driving rehab.

Modalities OTs May Use (Non-Ionizing)

• Therapeutic ultrasound (sound waves, not ionizing)
• Electrical stimulation (TENS, NMES, FES)
• Light therapy (LED, low-level laser – non-ionizing)
• Thermal agents (hot/cold packs, paraffin, fluidotherapy)

Radiation Use in Healthcare

Radiation is used by:

• Radiologic technologists (diagnostic imaging)
• Radiation therapists (cancer treatment)
• Interventional radiologists / cardiologists (fluoro-guided procedures)
• Nuclear medicine technologists (radioisotopes)

OTs collaborate with these professionals but do not operate radiation-emitting equipment. State practice acts define OT scope; none include radiation administration.