Medicine and Health Sciences Commons^™

Amantadine Minimally Improves Arousal In Patients With Severe Traumatic Brain Injury, Michelle Eventov

Clinical Research in Practice: The Journal of Team Hippocrates

A critical appraisal and clinical application of Giacino JT, Whyte J, Bagiella E, et al. Placebo-Controlled Trial of Amantadine for Severe Traumatic Brain Injury. New England Journal of Medicine. 2012;366(9):819-826. doi: 10.1056/nejmoa1102609.

Brain Activity Associated With Dual-Task Performance Of Ankle Motor Control During Cognitive Challenge., Sue Peters, Janice J Eng, Teresa Liu-Ambrose, Michael R Borich, Elizabeth Dao, Ameen Amanian, Lara A Boyd

Physical Therapy Publications

INTRODUCTION: Skilled Ankle motor control is frequently required while performing secondary cognitively demanding tasks such as socializing and avoiding obstacles while walking, termed "Dual tasking." It is likely that Dual-task performance increases demand on the brain, as both motor and cognitive systems require neural resources. The purpose of this study was to use functional MRI to understand which brain regions are involved in resolving Dual-task interference created by requiring high levels of Ankle motor control during a cognitive task.

METHODS: Using functional MRI, brain activity was measured in sixteen young adults during performance of visually cued Ankle plantar flexion to …

The Impact Of Cognitive Functioning On Daily Occupations For People With Multiple Sclerosis: A Qualitative Study, Aoife Mc Auliffe, Sinéad M. Hynes

The Open Journal of Occupational Therapy

Background: Cognitive rehabilitation research in multiple sclerosis is ever-developing, but the impact of cognitive difficulties, seen in 40% to 80% of people, on daily occupations is not well known. The aim of this study is to explore the needs of people with MS who have self-reported cognitive deficits.

Methods: An exploratory qualitative descriptive research design was used. Data was collected through semi-structured telephone interviews with the participants. Recordings were transcribed and analyzed thematically.

Results: Seven participants were recruited (mean age 47). Three themes were developed through associations found in the data. “Neglected symptom” reported the participants’ frustrations …

Effect Of Learning To Use A Mobility Aid On Gait And Cognitive Demands In People With Mild To Moderate Alzheimer's Disease: Part I - Cane, Susan W. Hunter, Alison Divine, Humberto Omana, Walter Wittich, Keith D Hill, Andrew M Johnson, Jeffrey D Holmes

Physical Therapy Publications

BACKGROUND: People with Alzheimer's disease (AD) exhibit balance and walking impairments that increase falls risk. Prescription of a mobility aid is done to improve stability, yet also requires increased cognitive resources. Single-point canes require unique motor sequencing for safe use. The effect of learning to use a single-point cane has not been evaluated in people with AD.

OBJECTIVES: In people with AD and healthy adult controls: 1) examine changes in gait while using a cane under various walking conditions; and 2) determine the cognitive and gait costs associated with concurrent cane walking while multi-tasking.

METHODS: Seventeen participants with AD (age …

Executive Function And Motor Skills In Preschool Children, Meggin Kelley

Undergraduate Distinction Papers

The purpose of the present study was to examine the effects of a short-term motor program on the executive function and motor skills in preschool children utilizing a Pretest and Post test design. The present study was designed with two periods of program intervention- once in the fall and once in the spring. It was hypothesized that a 10-week motor intervention would demonstrate positive motor and executive function gains in the experimental (motor) group. Children ranging from 4 to 6 years of age participated in this study. Baseline motor and executive function scores were obtained during the Pretest phase. Subsequently, …

The Role Of Motivation And Cognition In Adults With Schizophrenia, Jaime Willard, Evangeline Abraham

Thinking Matters Symposium Archive

Our work is based around the holistic nature of the field of occupational therapy. This evidence-based project initially began, at the request of our community partner, with the intention of finding one or more assessments that may help identify the cause of a lack of motivation among group home residents at Tri County Mental Health in Lewiston, ME who suffer from schizophrenia. Schizophrenia is a chronic and severe mental illness that is now diagnosed as a spectrum disorder. It is characterized by distortions in the perception of reality and impairments in cognition and motivation. Schizophrenia can be categorized into three …

The Development Of A Cancer-Related Cognitive Impairments Seminar For Occupational Therapy Practitioners, Sara S. Ulfers, Christine Berg

Journal of Occupational Therapy Education

Occupational therapy practitioners are qualified to address the emergence of functional deficits from cancer-related cognitive impairments (CRCI); however, they have reported a need to address gaps in their knowledge of CRCI. The purpose of this study was to comprehensively design, disseminate and examine the impact of implementing a face-to-face continuing education seminar designed to enhance occupational therapy practitioners’ knowledge of CRCI in adults and older adults. After completing a needs assessment and designing the seminar, the seminar was piloted with occupational therapy students (n = 64) where student feedback guided modifications to the seminar’s content, design and evaluation. The …

Entry-Level Occupational Therapy Students’ Beliefs About Knowledge And Knowing: Findings From Three Masters Level Programs In The Us, Diane M. Long, Anita W. Mitchell, Carla Chase, Bernadette Mineo

Journal of Occupational Therapy Education

One of the expected outcomes of higher education for all entry-level occupational therapy (OT) students is to develop the capacity to think critically and engage in complex clinical reasoning. Beliefs about the justification of knowledge (epistemic cognition) and the nature of knowledge (ontological cognition) underlie the ability to develop sophisticated ways of thinking. There is a scarcity of research specific to occupational therapy students in the literature related to epistemic and ontological cognition. Based on a discussion prompted during an AOTA Scholarship of Teaching and Learning (SoTL) workshop in 2014, OT faculty members from three entry-level occupational therapy …

Cognition Predicts Mobility Change In Lower Extremity Amputees Between Discharge From Rehabilitation And 4-Month Follow-Up: A Prospective Cohort Study., Susan W. Hunter, Pavlos Bobos, Courtney Frengopoulos, Austin Macpherson, Ricardo Viana, Michael W Payne

Physical Therapy Publications

OBJECTIVES: To assess (1) the effect of task (single and dual task), time (discharge and 4mo), and their interaction for mobility; (2) task prioritization during dual-task testing; and (3) the association between cognition on change in mobility between discharge from rehabilitation and 4 months' follow-up.

DESIGN: Prospective cohort study.

SETTING: Rehabilitation hospital.

PARTICIPANTS: People with lower extremity amputations (N=22) were consecutively recruited at discharge from an inpatient prosthetic rehabilitation program.

INTERVENTIONS: Not applicable.

MAIN OUTCOME MEASURES: Gait velocity and the L Test of Functional Mobility, single and dual task (serial subtractions by 3), were the primary outcomes. Montreal Cognitive Assessment …

Effect Of Learning To Use A Mobility Aid On Gait And Cognitive Demands In People With Mild To Moderate Alzheimer's Disease: Part Ii - 4-Wheeled Walker., Susan W. Hunter, Alison Divine, Humberto Omana, Walter Wittich, Keith D Hill, Andrew M Johnson, Jeffrey D Holmes

Physical Therapy Publications

BACKGROUND: Cognitive deficits and gait problems are common and progressive in Alzheimer's disease (AD). Prescription of a 4-wheeled walker is a common intervention to improve stability and independence, yet can be associated with an increased falls risk.

OBJECTIVES: 1) To examine changes in spatial-temporal gait parameters while using a 4-wheeled walker under different walking conditions, and 2) to determine the cognitive and gait task costs of walking with the aid in adults with AD and healthy older adults.

METHODS: Twenty participants with AD (age 79.1±7.1 years) and 22 controls (age 68.5±10.7 years) walked using a 4-wheeled walker in a straight …

Can Brain Training Through Replicating A Three-Dimensional Object Improve Visuospatial Performance?, Rachael Rice

Senior Projects Spring 2019

Studies have shown that cognitive training improves brain function. There are many forms of training that have been used to improve brain function from recalling a list to improve memory, using aerobic exercise to increase brain activation, to increasing the ability to talk in nonverbal autistic children. Training the brain and focusing on one task can also improve untargeted areas of the brain. This study uses the understanding of how perceiving biological movement of hands and how working with one’s hands can activate the superior temporal sulcus to create a brain training task that will activate and improve participants visuospatial …