OT & PT: Same Team, No Games
June 25, 2025
by Cara
One of the most common questions I’m asked at outreach events is, “What’s the difference between OT and PT?” If you’re unfamiliar, there’s a bit of a running joke about the OT versus PT rivalry. It’s something I first noticed while shadowing in an inpatient setting, and now experience personally with my sister, who’s a PT. But what is often overlooked is how OTs and PTs complement each other. So let’s clear up the confusion.
What is Occupational Therapy (OT)?
OT empowers individuals to live their fullest lives by improving the fine motor, emotional, cognitive, and social skills needed to re-engage in everyday activities, or “occupations,” that provide meaning. Whether that’s getting dressed, cooking, socializing, a hobby, working, or self-care. The goal is to find alternative ways to maintain a sense of normalcy and fulfillment when adversity affects how they usually perform these activities.
What is Physical Therapy (PT)?
PT, as my sister described, is about the body’s gross motor skills such as ambulation lifting mechanics and balance. The goal is to reduce pain and injury risk while helping individuals move more freely, which in turn supports their ability to do their occupations.
Simply put, PT gets your body moving again, and OT teaches you to apply that movement towards something functional, like feeding yourself or getting dressed.
How do OT and PT work together?
During my time in an inpatient setting, I often observed OTs and PTs do joint treatments. PT would gently stretch the lower body, while the OT assessed upper body motion and strength. The OT also helped with getting out of bed and personal hygiene, and the PT helped them practice walking and standing. In my sister’s experience working in schools, she partners with OTs to address sensory-seeking behaviors she encounters among students, combining their expertise to provide more holistic support.
OTs and PTs may tease each other, but at the end of the day, there’s mutual respect. While we focus on different aspects of care, we share the same goal: supporting individuals in finding motivation, purpose, and direction in doing what matters most to them. So no, neither profession is “better.” We’re just different pieces of the same puzzle, and it’s only through collaboration that the full picture is complete.
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