Occupation-Based Model 

Ecology of Human Performance (EHP)

• Person: 

  • Left arm amputation above the elbow (still has strong balance, coordination, and mentality) 

  • Motivation 

  • Faith 

  • Identity as a surfer 

• Context: 

  • Ocean and surfboard

  • Family, friends, coaches, surfing community (emotional and reality support) 

  • Christian mindset (faith and values determine her coping strategies/goals) 

• Task:

  • Surfing as an occupation (her passion drove her rehabilitation) 

  • Modified techniques (new ways to paddle, duck dive (handle on board), and work with one arm) 

• Performance: 

  • Resume to competitive surfing 

  • Expanding roles (broadening her occupational identity) 

Intervention Strategies using EHP 

• • Establish/Restore: 

    • Strengthening her remaining arm and core muscles to have Bethany continue with what she loves to do (surfing) 

    • Surf-specific drills: Practicing pop-ups, wave timing, and balance techniques tailored to her new physical abilities

• • Create: 

    • Promoting new roles and opportunities for Bethany beyond surfing 

    • Engaging in media and outreach: Participating in interviews, documentaries, and public events to inspire others

    • Creating inclusive surf programs: She could help launch adaptive surfing clinics or camps for others with disabilities