Occupational Therapy Commons^™

An Online Approach To Interprofessional Education, E. Adel Herge, Otd, Otr/L, Faota, Amber E. King, Pharmd, Bcps

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

Despite increasing interest in providing interprofessional education (IPE) opportunities for health profession students, the logistics of scheduling and integrating diverse curriculums remain challenging. Several models to address these potential barriers have been proposed and utilized (Blue et al, 2010). Faculty from three colleges within Thomas Jefferson University developed an asynchronous online interprofessional course as one solution to overcome logistical barriers to IPE.

Interprofessional Grand Rounds is offered to third year pharmacy students and second year occupational therapy (OT) students in the fall semester. The course utilizes a variety of learning activities to evaluate the influence of current public health and …

Acute Effects Of Whole-Body Vibration On Lower Extremity Muscle Performance In Persons With Multiple Sclerosis, Kurt Jackson, Harold Merriman, Paul Vanderburgh, C. Brahler

C. Jayne Brahler

Background and Purpose: Whole-body vibration (WBV) is a relatively new form of exercise training that may influence muscle performance. This study investigated the acute effects of high (26 Hz) and low (2 Hz) frequency WBV on isometric muscle torque of the quadriceps and hamstrings in persons with multiple sclerosis (MS).

Participants and Method: Fifteen individuals (mean age = 54.6 years, SD = 9.6) with MS and Expanded Disability Status Scale (EDSS) scores ranging from 0-6.5 (mean = 4.2, SD = 2.3) participated in this randomized cross-over study. Following baseline measures of isometric quadricep and hamstring torque, subjects were exposed to …

Autism Spectrum Disorder: A Case Study Of Mikey, Gabrielle Lober

Honors Theses

This paper describes Autism Spectrum Disorder (ASD) including diagnostic criteria, suspected causes, prevalence, comorbidities, and influences on client factors. A hypothetical case study is presented to give readers an illustration of what someone with ASD might look like. Possible treatment based on evidence and selected frame of references will be given for the hypothetical client. This paper is not all inclusive of the role of occupational therapy in the treatment of Autism Spectrum Disorder, but gives an illustrative example.

Self-Reported Load Carriage Injuries In Australian Regular Army Soldiers, Rob Orr, Rodney Pope, Julia Coyle, Venerina Johnston

Rodney P Pope

Access abstract in the Conference Abstract E-book, page 115

Incidence Rates Of Reported Work Health & Safety Incidents & Injuries In Part-Time & Full-Time Australian Army Personnel, Rodney Pope, Dylan Macdonald, Rob Orr

Rodney P Pope

Aims: 1. To investigate & compare the incidence rates of WHS incidents & injuries in ARES & ARA populations, reported in the WHSCAR database 2. To compare these injury incidence rates to injury rates reported by other injury surveillance systems for comparable army populations

Profiling A Workplace Physiotherapy And Rehabilitation Program Within A Police Force, Rob Orr, M Hua, Michael Stierli

Rob Marc Orr

Access abstract in the Conference Abstract E-book, page 116

Leg Power As An Indicator For Risk Of Injury Or Illness In Police Recruits, Rob Orr, Rodney Pope, Samantha Peterson, Michael Stierli, Ben Hinton

Rob Marc Orr

Access abstract in the Conference Abstract E-book, page 123

Incidence Rates Of Reported Work Health & Safety Incidents & Injuries In Part-Time & Full-Time Australian Army Personnel, Rodney Pope, Dylan Macdonald, Rob Orr

Rob Marc Orr

Aims: 1. To investigate & compare the incidence rates of WHS incidents & injuries in ARES & ARA populations, reported in the WHSCAR database 2. To compare these injury incidence rates to injury rates reported by other injury surveillance systems for comparable army populations

Load Carriage Distance Run And Pushups Tests: No Body Mass Bias And Occupationally Relevant, Paul M. Vanderburgh, Nicholas S. Mickley, Philip A. Anloague, Kimber Lucius

Philip A. Anloague

Recent research has demonstrated body mass (M) bias in military physical fi tness tests favoring lighter, not just leaner, service members. Mathematical modeling predicts that a distance run carrying a backpack of 30 lbs would eliminate M-bias. The purpose of this study was to empirically test this prediction for the U.S. Army push-ups and 2-mile run tests. Two tests were performed for both events for each of 56 university Reserve Offi cer Training Corps male cadets: with (loaded) and without backpack (unloaded). Results indicated signifi cant M-bias in the unloaded and no M-bias in the loaded condition for both events. …

Supporting Sensory Development: The Efficacy Of Sensory Integrative Approaches To School-Based Occupational Therapy, Rebecca Heilbrun

Psychology and Child Development

No abstract provided.

The Effects Of Applied Grip Force, Frequency And Duration On Ratings Of Perceived Exertion, Jessica Lynne Gall

Theses and Dissertations

This study investigates the interactions of various combinations of frequency and duration that result in the same duty cycle at a given applied grip force (measured in % maximum voluntary contraction (MVC)) to determine their relative effect on perceived exertion. Eight female subjects (median age 20.5 years) performed 27 randomized trials containing combinations of dynamic grips, performing each combination twice. Each session contained three 25 minute trials, with a minimum of 12 minutes of rest between trials. The design used a 3x3x3 factorial protocol: i) 3 grip forces (10%, 25%, 40%) ii) 3 duty cycles (25%, 50%, 75%) iii) 3 …

Determining Accessibility For Ios Applications: Piloting A Checklist For Practitioners, Katelyn White

Theses and Dissertations

Background: Mobile technologies have infiltrated every part of daily life, including the school system. While these technologies are highly customizable, there are 6.4 million children with disabilities who may not be able to utilize these devices because of their lack of accessibility. The iOS Application Accessibility Checklist (iA2C) is a “first of its kind” tool, used to determine if an iOS app is accessible for users with a variety of disabilities.

Hypothesis: When using the iA2C, novice users with little experience in accessible design will determine apps to have a statistically similar number of accessibility features as experts, assessing the …

The Child And Adolescent Scale Of Environment (Case): Further Validation With Youth Who Have Chronic Conditions, Gary Bedell, Janette Mcdougal

Occupational Therapy Publications

Objective: To further validate the Child and Adolescent Scale of Environment (CASE).

Methods: Baseline data (n = 430) were analyzed from a longitudinal study on quality of life for youth with chronic conditions ages 11–17 in Ontario, Canada. Internal consistency and structure, and convergent and discriminant validity were examined via Cronbach’s alpha (α), exploratory factor analyses, correlation analyses and ANOVA.

Results: The CASE had high internal consistency (α = 0.89). A three-factor solution was produced with 55% variance explained: (1) Community/Home Resources, (2) School Resources and (3) Physical Design/Access). CASE total and factor …

Upper Extremity Kinematic And Kinetic Comparison Of Anterior Versus Posterior Walkers During Functional Activities In Children With Cerebral Palsy, Chris Burckardt

Theses and Dissertations

Introduction: Investigating the differences in upper extremity (UE) joint biomechanics between anterior and posterior walkers has been explored in limited contexts, even though research has shown that prolonged use of walking aids can lead to UE joint weakening or musculoskeletal injuries. Recent studies have investigated some of these differences in children with spastic diplegic cerebral palsy (CP) during gait; however, no research has been conducted that compare these UE joint biomechanical differences during functional activities or activities of daily living (ADLs). The aim of this study is to use motion analysis to compare kinematic and kinetic differences between anterior and …

Community-Based Rehabilitation Supports For Social Inclusion And Work Participation Of Young Adults With Visual Impairment In Kenya: A Case Study, Philomena Jepkemboi Tanui

Graduate Theses and Dissertations

Young adults with a visual impairment (VI) experience less interaction with the community that impacts the way they relate to the world as they transition to the larger society where they face significant barriers of adjustment, exclusion, and work participation. Young adults with VI contend with cultural stigma, inequality, poor self-esteem caused by marginalization, a low quality of life (QOL), and lack of Social support systems that exist beyond the home. The aim of this study was to understand the perceptions of young adults with VI in Elgeyo-Marakwet and Kisumu Counties of Kenya concerning the barriers to community inclusion and …

Acute Effects Of Whole-Body Vibration On Lower Extremity Muscle Performance In Persons With Multiple Sclerosis, Kurt Jackson, Harold L. Merriman, Paul M. Vanderburgh, C. Jayne Brahler

Harold L. Merriman

Background and Purpose: Whole-body vibration (WBV) is a relatively new form of exercise training that may influence muscle performance. This study investigated the acute effects of high (26 Hz) and low (2 Hz) frequency WBV on isometric muscle torque of the quadriceps and hamstrings in persons with multiple sclerosis (MS). Participants and Method: Fifteen individuals (mean age = 54.6 years, SD = 9.6) with MS and Expanded Disability Status Scale (EDSS) scores ranging from 0-6.5 (mean = 4.2, SD = 2.3) participated in this randomized cross-over study. Following baseline measures of isometric quadricep and hamstring torque, subjects were exposed to …

Exercise: An Antecedent Based Intervention To Address Sensory Motor Needs And Learning Readiness, Laura Greiss Hess, Heather Maurin

Laura Greiss Hess

“Exercise (ECE) is a strategy that involves an increase in physical exertion as a means of reducing problem behaviors or increasing appropriate behavior while increasing physical fitness and motor skills” “ECE can be used effectively to address behavior, school-readiness, academic, and motor skills.” NPDC Exercise Fact Sheet, 2014

Effects Of Sertraline Treatment For Young Children With Fxs, Andrew Ligsay, Laura Greiss Hess, Sarah Fitzpatrick, Kerrie Lemons Chitwood, Jonathan Polussa, Salpi Siyahian, Randi Hagerman

Laura Greiss Hess

Selective serotonin reuptake inhibitors (SSRIs) help treat many of the phenotypic manifestations of fragile X syndrome (FXS) including anxiety, sensory processing challenges, and communication and intellectual deficits. However, the efficacy of SSRIs has not been previously studied in children with FXS under five-years-old. The purpose of this study was to elucidate group differences in behavior and developmental outcome measures for young children with FXS when treated with sertraline compared to placebo.

Assistive Technology Enhancement Of Written Expression For Individuals With Neurodevelopmental Disorders, Laura Hess, Kerrie Lemons Chitwood, Susan Harris

Laura Greiss Hess

This study involves the use of computer software to assess the use of assistive technology (AT) in individuals with neurodevelopmental disorders. We will present an update of the subjects in the study, including research issues, subject diagnoses and diagnostic trends as assessed through baseline and follow-up testing.

Assistive Technology Enhancement Of Written Expression For Individuals With Neurodevelopmental Disorders [Poster], Laura Hess, Kerrie Lemons Chitwood, Susan Harris

Laura Greiss Hess

The purpose of this project is to carry out an intensive training program in subjects with a broad range of neurodevelopmental disabilities to assess the efficacy of assistive technology (AT) intervention.

Sensory Processing Correlates Of Occupational Performance In Children With Fragile X Syndrome: Preliminary Findings, G. T. Baranek, Y. H. Chin, L. G. Hess, J. G. Hatton, S. R. Hooper

Laura Greiss Hess

This timely source book, featuring the latest in research (2000 - 2003) from the American Journal of Occupational Therapy in one easy reference, covers topics such as handwriting, ADHD, motor skills, sensory issues, play, physical disability, autism, school performance, stigma, and self-image. ~ Publisher

Gross Motor Development, Movement Abnormalities, And Early Identification Of Autism, Sally Ozonoff, Gregory S. Young, Stacy Goldring, Laura Greiss Hess, Andriana M. Herrera, Joel Steele, Suzanne Macari, Susan Hepburn, Sally J. Rogers

Laura Greiss Hess

Gross motor development (supine, prone, rolling, sitting, crawling, walking) and movement abnormalities were examined in the home videos of infants later diagnosed with autism (regression and no regression subgroups), developmental delays (DD), or typical development. Group differences in maturity were found for walking, prone, and supine, with the DD and Autism-No Regression groups both showing later developing motor maturity than typical children. The only statistically significant differences in movement abnormalities were in the DD group; the two autism groups did not differ from the typical group in rates of movement abnormalities or lack of protective responses. These findings do not …

Acute Reperfusion Therapy In St-Elevation Myocardial Infarction From 1994-2003, Brahmajee K. Nallamouthu, Martha E. Blaney, Susan M. Morris, Lori Parsons, Dave P. Miller, John G. Canto, Hal V. Barron, Harlan M. Krumholz

Susan Morris

Background—Appropriate utilization of acute reperfusion therapy is not a national performance measure for ST-elevation myocardial infarction at this time, and the extent of its contemporary use among ideal patients is unknown.

Methods—From the National Registry of Myocardial Infarction, we identified 238,291 patients enrolled from June 1994 to May 2003 who were ideally suited for acute reperfusion therapy with fibrinolytic therapy or primary percutaneous coronary intervention. We determined rates of not receiving therapy across 3 time periods (June 1994–May 1997, June 1997–May 2000, June 2000– May 2003) and evaluated factors associated with underutilization.

Results—The proportion of ideal patients …

Motor Abilities Of Children Diagnosed With Fragile X Syndrome With And Without Autism, C. Zingerevich, L. G. Hess, K. Lemons Chitwood, S. W. Harris, D. Hessl, K. Cook, R. J. Hagerman

Laura Greiss Hess

Background—Previous studies suggested that children diagnosed with Fragile X Syndrome (FXS) often meet criteria for autism or PDD. This study describes the fine motor abilities of children diagnosed with FXS with and without autism spectrum disorder, and compares the motor scores of those groups controlling for cognitive level. Method—Forty-eight children, ages 12-76 months (SD=16) diagnosed with FXS were assessed with the Mullen Scales of Early Learning, and the Autism Diagnostic Observation Schedule (ADOS). Their parents were interviewed with the Autism Diagnostic Interview-Revised (ADI-R). We used a one-way analysis of variance (ANOVA) to determine if the fine motor scale of the …

Effects Of Sertraline Treatment For Young Children With Fxs, Laura Greiss Hess, Peter Mundy, Randi Hagerman

Laura Greiss Hess

Phenotypic manifestations for young children with fragile X syndrome (FXS) include: anxiety, sensory processing challenges, global language and communication deficits and intellectual and developmental disabilities. Many of these symptoms can be treated with medications, including selective serotonin reuptake inhibitors (SSRIs). However to date a clinical trial has not been conducted for children under five years old. This study investigated the following question: Are there group differences on developmental outcome measures for those children treated with sertraline compared to placebo?

Family Meanings, Contexts And Hopes Within A Clinical Trial, Laura Greis Hess, Cynthia Carter Ching, Randi Hagerman

Laura Greiss Hess

These qualitative analyses are a component of the clinical trial: “Effects of Sertraline Treatment for Young Children with FXS: Examination of Developmental Outcomes and Family Contexts.” We argue that inclusion of a sociocultural perspective within the context of a clinical trial affords consideration of: A dynamic view of development – simultaneous consideration of biological and sociocultural factors (Vygotsky, 1978). Application of a bioecological framework and consideration of ever changing nested settings and contexts over time (Bronfenbrenner, 2005)

Improving Process And Enhancing Parent And Therapist Satisfaction Through A Coordinated Intake Approach, Sharla Piecowye, Devona Gibson, Janis Carscadden, Kayla Ueland, Gregory Wells, Scott Oddie

Patient Experience Journal

Recent research indicates that, in Canada, approximately one in five children entering school are not meeting age appropriate milestones in physical, social, language, or cognitive development. Even where support services are available families often face barriers in accessing these. With the goals of improving access to programs, reducing barriers and increasing consistency and efficiency, a new Coordinated Intake Approach (CIA) was developed for families accessing Children’s Rehabilitation Services. It was expected that the CIA would result in 1) parents finding the intake process more satisfactory and easier to complete, 2) therapists feeling more supported and satisfied and 3) a decrease …

Prevalence And Utilization Of Medical Care Services In Persons With Autism Spectrum Disorder Using Medicare Claims, Henry J. Carretta, Phd, Katelyn Graves, Ms, Teal W. Benevides, Phd, Ms, Otr/L

Department of Occupational Therapy Posters and Presentations

Objective:

To characterize the prevalence of autism spectrum disorder (ASD) among persons in Medicare claims and contrast with prevalence documented during disability determination in Social Security Administration (SSA) Supplemental Security Income (SSI) files.

Poster presented at APHA in Chicago Illinois.

Self-Care Project For Faculty And Staff Of Future Health Care Professionals: Case Report, Nancy Macrae, Kelley Strout

Occupational Therapy Faculty Publications

Self-care among health care providers is an important component of their ability to provide quality health care to patients. Health care institutions have programs in place for students that emphasize health and wellness, but few programs are available for faculty and staff. To address this gap and facilitate modeling health and wellness strategies for students, a New England institution that educates health care practitioners began a pilot self-care project for faculty and staff. Both quantitative and qualitative data were collected. The template used for this project could be used as a stepping-stone for future wellness self-care program in higher education …

Mild Cognitive Impairment In Heart Failure Affects Care Transition, Kitsum Li, Kristin Myers

Kitsum Li

Objectives After attending the presentation, the audiences will be able to: Understand the importance of cognition in everyday activity and the cognitive hierarchy to guide practice. Recognize the incidence of mild cognitive impairment in individuals with heart failure. Understand how mild cognitive impairment may affect heart failure self- care practice and hospitalization readmission. Identify the evidence that support use of cognitive screen to identify mild cognitive impairment in individuals with heart failure. Compare the evidence among three cognitive screens (Mini-mental Status Exam, Montreal Cognitive Assessment and St. Louis University Mental State Exam). (Using Montreal Cognitive Assessment as an example)Identify cognitive …