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Occupations As An Outcome Measure In A Clinical Trial: Fragile X Syndrome And Sertraline (Preliminary Results), Jennifer Sik, Michelle Beckwith, Brina Nguyen, Kenneth Yu 2016 Dominican University of California

Occupations As An Outcome Measure In A Clinical Trial: Fragile X Syndrome And Sertraline (Preliminary Results), Jennifer Sik, Michelle Beckwith, Brina Nguyen, Kenneth Yu

Department of Occupational Therapy: Graduate Student Capstone Presentations

Fragile X Syndrome (FXS) is the most common form of inherited intellectual and developmental disability, and a known genetic cause of autism. Individuals with FXS present with deficits in cognition, social skills, behavior, language and sensory processing skills; all of which are commonly assessed through standardized and norm-referenced assessments. However, these outcome measures are sometimes not sensitive to contextually based changes in daily life. Further, there is limited research employing qualitative methods in the FXS literature. The purpose of this research was to examine family perspectives collected via semi-structured interviews as part of a randomized controlled medication trial of sertraline ...


The Effects Of Therapeutic Listening On Bilateral Coordination, Avery Wilson, Mios Buccat, Amanda Grace Irao, Morgan Mousley, Michael Yra Munchua 2016 Dominican University of California

The Effects Of Therapeutic Listening On Bilateral Coordination, Avery Wilson, Mios Buccat, Amanda Grace Irao, Morgan Mousley, Michael Yra Munchua

Department of Occupational Therapy: Graduate Student Capstone Presentations

Therapeutic Listening® is an intervention increasingly used by occupational therapists despite the lack of supporting evidence in current literature. Therapeutic Listening® is a soundbased treatment developed by Sheila Frick, OTR/L, rooted in sensory integration. The purpose of this continuation study was to compare the quality of bilateral movement in typically developing children after either listening to Therapeutic Listening® Bilateral Coordination Quick Shift or listening to white noise. This study used a randomized control pretest-posttest experimental design to analyze posture, smooth and continuous movement, effort, precision, and arm/leg movements. Specific items were further analyzed after eliminating those with a ...


The Duc Healthy Aging Website: Providing Online Occupation-Based Information, Haley Caruthers, Samantha Talavera, Jackeline Ulloa, Stephanie Vera 2016 Dominican University of California

The Duc Healthy Aging Website: Providing Online Occupation-Based Information, Haley Caruthers, Samantha Talavera, Jackeline Ulloa, Stephanie Vera

Department of Occupational Therapy: Graduate Student Capstone Presentations

Access to current, evidence-based health information for older adults (OAs) is an important step to the promotion of health and wellness for all age groups, including OAs. Since the Internet is easily accessible and is being used more frequently by OAs, an effective way to convey relevant up-to-date health is through a website devoted to the dissemination of health promotion information tailored for OAs, including tips for integrating healthy habits into their lifestyle. Dominican University of California’s (DUC) Healthy Aging website contains relevant and evidence-based research, including activities and local community based programs that promote healthy aging on the ...


Fall Risk Reduction Using Lifestyle-Integrated Functional Exercise (Life), Kayla Comer, Tiffany Huang, Kelly Schmidt, Matt Tong 2016 Dominican University of California

Fall Risk Reduction Using Lifestyle-Integrated Functional Exercise (Life), Kayla Comer, Tiffany Huang, Kelly Schmidt, Matt Tong

Department of Occupational Therapy: Graduate Student Capstone Presentations

As the population and longevity of older adults’ increases, the prevalence of falls is becoming an ever-growing issue. Falls in older adults may lead to sedentary behavior, decreased independence, and lower quality of life. Evidence has shown that traditional exercise programs emphasizing strength and balance can decrease fall risk in older adults, but may be difficult to sustain over time. Emerging evidence suggests that exercises that are integrated into daily life, as seen in the Lifestyle-integrated Functional Exercise (LiFE) program, may have a more lasting effect in reducing fall risk in older adults. This study explored the effectiveness of a ...


Validation Of The Medication Box Task Assessment, Katherine Blank, Alison Chandler, Malcolm Isley, Serena Soria, Yamin Zaw 2016 Dominican University of California

Validation Of The Medication Box Task Assessment, Katherine Blank, Alison Chandler, Malcolm Isley, Serena Soria, Yamin Zaw

Department of Occupational Therapy: Graduate Student Capstone Presentations

Depending on the severity of cognitive impairments, individuals with acquired brain injury (ABI) may experience challenges in their everyday functional performance. Tabletop and occupationbased cognitive assessments are used to evaluate individuals with ABI. There is a need for occupation-based cognitive assessments because they possess ecological validity, which is the ability to reflect an individual’s functional performance in daily life. This study aimed to validate the Medication Box Task assessment (MBTa) as an occupation-based cognitive assessment. Pearson correlations were utilized to compare the results of the MBTa against the results of the battery of five gold standard tabletop assessments. Statistical ...


Fragile X Syndrome: An Examination Of Family Occupations, Samantha L. Alexander, Noelani Brisbane, Rebecca Schira, Kaitlyn Williams 2016 Dominican University of California

Fragile X Syndrome: An Examination Of Family Occupations, Samantha L. Alexander, Noelani Brisbane, Rebecca Schira, Kaitlyn Williams

Department of Occupational Therapy: Graduate Student Capstone Presentations

Fragile X Syndrome (FXS) is the most common form of inherited Intellectual Developmental Disorder and a genetic model for Autism Spectrum Disorder. Those living with FXS face, emotional, social, intellectual, and physical challenges that impact engagement in occupations, yet to date, there has been limited qualitative research examining family occupations in FXS. In this research, twelve interviews were transcribed, coded, and analyzed for common themes anchored in the Person, Environment, Occupation (PEO) model. Results indicated that while children with FXS exhibit strengths, there are certain occupations that families find difficult to engage in. A new model was created for consideration ...


Increasing Functional Task Performance In Adults With Low Vision, Carrie Payne, Lauren Kufer 2016 Dominican University of California

Increasing Functional Task Performance In Adults With Low Vision, Carrie Payne, Lauren Kufer

Department of Occupational Therapy: Graduate Student Capstone Presentations

This critically appraised topic explores the functional task performance of adults with low vision utilizing tactile vision substitution systems, specifically tongue display units (TDUs). TDUs are a novel assistive device that functions to provide artificial vision to those with low vision. TDUs pixelate images captured on a camera the person wears and the images are translated via electronic stimulation on the tongue to paint a picture. Two studies that measured functional task performance utilizing a TDU with adults with low vision were explored. Examples of functional tasks measured include word recognition, object recognition, and orientation and mobility tasks. The studies ...


Outcomes Of Project-Based Therapy In Individuals With Autism, Sarah Yoder, Nghi Tran, Jason Ichimaru, Emily Lu 2016 Dominican University of California

Outcomes Of Project-Based Therapy In Individuals With Autism, Sarah Yoder, Nghi Tran, Jason Ichimaru, Emily Lu

Department of Occupational Therapy: Graduate Student Capstone Presentations

As the number of individuals with ASD entering adulthood increases, this population faces limited resources to effectively foster independent living. Therefore, it is crucial to explore innovative interventions that help this population develop the skills necessary to live more independently. This exploratory prospective cohort study evaluated the effectiveness of projectbased therapy at Autistry Studios, which focuses on improving adaptive behavior skills for adults and adolescents with ASD. The study used the Brief Adaptive Behavior Scale (BABS), a novel quantitative assessment, to tracks the development of adaptive behaviors in individuals with ASD within the domains of executive functioning (EF), socialization (SOC ...


A Collaborative Approach To School-Based Occupational Therapy Sensorimotor Programs, Emily Garnica, Brooke Czuleger, Jessica Phung, Maciej Rzepka 2016 Dominican University of California

A Collaborative Approach To School-Based Occupational Therapy Sensorimotor Programs, Emily Garnica, Brooke Czuleger, Jessica Phung, Maciej Rzepka

Department of Occupational Therapy: Graduate Student Capstone Presentations

In the past decade, the prevalence of Autism Spectrum Disorder (ASD) and Intellectual Disabilities (ID) has increased. Sensory processing is an area of need for individuals with ASD and ID that requires specialized intervention services. In best practices, these services are delivered by an interdisciplinary team, often consisting of an occupational therapist, speech language pathologist, board certified behavior analyst, and special education teacher. There has been limited research examining interdisciplinary collaboration between professionals on the team. The purpose of this study was to empirically examine the interdisciplinary team practices at a special education center. This research employed interview methods and ...


Sleep In College Students: A Mixed Methods Study, Jacqueline Bloom, Savanah Hancock, Charlotte Sally, Rhianna Wallace 2016 Dominican University of California

Sleep In College Students: A Mixed Methods Study, Jacqueline Bloom, Savanah Hancock, Charlotte Sally, Rhianna Wallace

Department of Occupational Therapy: Graduate Student Capstone Presentations

Sleep is an emerging area of research and practice for occupational therapists. The purpose of this study was to identify and investigate how college students’ cognitive perceptions and beliefs about sleep affect their quality of sleep. Four college students participated in qualitative interviews investigating their sleep beliefs and attitudes. The students also completed a two-week daily sleep diary to report their sleep beliefs, attitudes, and daily living patterns. Four emerging themes were identified from the interviews: beliefs about sleep patterns related to temporal structure of sleep, stress, daytime performance associated with sleep, and conflicting beliefs about sleep. Daily sleep diaries ...


Physical Therapy Management Of A Patient With Chronic Knee Pain: A Case Report, Mohamed Elsaid 2016 University of New England

Physical Therapy Management Of A Patient With Chronic Knee Pain: A Case Report, Mohamed Elsaid

Case Report Posters

Knee pain affects approximately 25% of adults, and as a result limits functional mobility and may induce participation restrictions. Risk factors may contribute to knee pain, with osteoarthritis (OA) being the most prevalent cause in individuals 50 years and older. The rate of knee replacement surgery among individuals 65 and older has increased by approximately eight fold from 1979-2002. Physical Therapy (PT) is a nonsurgical option that offers individuals relief. The purpose of this case report is to review the PT treatment and management for a patient with chronic knee pain, and use evidence based interventions, such as therapeutic exercises ...


The Use Of Manual Therapy In The Treatment Of A Patient With Chronic Low Back Pain And Sciatica: A Case Report, Elia N. Darazi 2016 University of New England

The Use Of Manual Therapy In The Treatment Of A Patient With Chronic Low Back Pain And Sciatica: A Case Report, Elia N. Darazi

Case Report Posters

Low back pain (LBP) is the second most common cause of disability in adults with total costs estimated to be between $100 and $200 billion annually on the US economy. The prevalence of chronic LBP rose significantly over a 14-year interval (1992 to 2006), from 3.9% to 10.2%. Treatment of LBP may be conservative or surgical, with conservative being the mainstream initial treatment before a consideration of a surgical option. A surgical option is usually recommended when there is evidence of worsening nerve damage. In a physical therapy (PT) outpatient setting, chronic LBP is one of the most ...


Restoration Of Functional Mobility For A Young Adult Patient Following A Severe Motor Vehicle Accident: A Case Report, Zachary Mercier 2016 University of New England

Restoration Of Functional Mobility For A Young Adult Patient Following A Severe Motor Vehicle Accident: A Case Report, Zachary Mercier

Case Report Posters

Over 50 million people world-wide experience non-fatal injuries, and 1.2 million people die as a result of motor vehicle accidents (MVA) annually. Unintentional injury, including MVA, was the leading cause of death in females age 15-24 in 2014. Higher intensity therapy can result in greater gains in functional mobility in rehabilitation settings. Skilled nursing facilities typically care of older patients, but younger patients can also benefit. The purpose of this case report was to document a young adult patient’s response to skilled physical therapy interventions with the goal of returning the patient to prior level of function.


Physical Therapy Intervention For A Patient With Temporomandibular Joint Dysfunction Caused By Two Traumatic Events: A Case Study, Elyse Detweiler 2016 University of New England

Physical Therapy Intervention For A Patient With Temporomandibular Joint Dysfunction Caused By Two Traumatic Events: A Case Study, Elyse Detweiler

Case Report Posters

Temporomandibular disorders (TMD) are a collection of pathoanatomical dysfunctions of the temporomandibular joint (TMJ) and are associated with a variety of symptoms throughout the head and neck. There is a severe lack of supportive evidence for physical therapy management used in the conservative and/or post-surgical treatment of TMD. The dental profession provides much of the current literature on TMD but is limited in conservative and surgical interventions. Research has shown arthrocentesis to be a beneficial procedure to perform initially; long-term outcomes for pain and functional impairments were comparable with conservative treatment. The purpose of this case report is to ...


Physical Therapy Management Of A Patient With Chronic Brainstem Stroke Syndrome To Improve Functional Mobility: A Case Report, Kelley Flahaven 2016 University of New England

Physical Therapy Management Of A Patient With Chronic Brainstem Stroke Syndrome To Improve Functional Mobility: A Case Report, Kelley Flahaven

Case Report Posters

Strokes are a leading cause of disability, and the fifth leading cause of death in the U.S. Brainstem strokes are much less common and have a higher mortality rate than cortical strokes. Brainstem strokes can lead to physical impairments including gaze palsies, quadriplegia, ataxia, or cranial nerve deficits, which affect balance and safety, decreasing independence. Repetitive task gait training has been shown to create improvements in patients with stroke. Non-specific gait training can have a transfer effect on gait for patients with stroke. There are fewer accounts of brainstem stroke rehabilitation than cortical stroke rehabilitation due to poor prognosis ...


Functional Training In A Patient With Middle Cerebral Artery Stroke With Multiple Comorbidities: A Case Report, Darien Lewis 2016 University of New England

Functional Training In A Patient With Middle Cerebral Artery Stroke With Multiple Comorbidities: A Case Report, Darien Lewis

Case Report Posters

795,000 people experience a stroke yearly, making it the leading cause of long-term disability, costing $34 billion. Strokes affecting the middle cerebral artery (MCA) cause impairments of strength, sensation, coordination, and balance of the contralateral side. Recovery from stroke is affected by premorbid status. Cardiovascular disease causes a majority of strokes. The purpose of this case report is to describe a progressive PT plan of care for a patient following MCA stroke with multiple comorbidities in the skilled nursing setting.


Therapeutic Exercise In The Treatment Of Greater Trochanteric Pain Syndrome S/P Lumbar Discectomy: A Case Report, Sean Jeffrey 2016 University of New England

Therapeutic Exercise In The Treatment Of Greater Trochanteric Pain Syndrome S/P Lumbar Discectomy: A Case Report, Sean Jeffrey

Case Report Papers

Background and Purpose: Greater trochanteric pain syndrome (GTPS) is a multifactorial cause of lateral hip pain, affecting between 1.8 and 5.6 patients per 1000 per year. The prevalence of GTPS is more common in patients with coexisting low back pain. Though discectomy is effective in the treatment of prolapsed lumbar intervertebral discs, it does not correct concurrent hip pathology. As GTPS in the setting of discectomy rehabilitation lacks defined treatment guidelines, the purpose of this case report is to display physical therapy (PT) treatment of GTPS in conjunction with simultaneous rehab from lumbar microdiscectomy.
Case Description: A 56-year-old ...


Therapeutic Exercise In The Treatment Of Greater Trochanteric Pain Syndrome S/P Lumbar Discectomy: A Case Report, Sean Jeffrey 2016 University of New England

Therapeutic Exercise In The Treatment Of Greater Trochanteric Pain Syndrome S/P Lumbar Discectomy: A Case Report, Sean Jeffrey

Case Report Posters

Greater trochanteric pain syndrome (GTPS) is a common cause of lateral hip pain, affecting between 1.8 and 5.6 patients per 1000 annually. Inadequate core stability and gluteal weakness contribute to the probability of developing GTPS. GTPS is more common in patients with coexisting low back pain (LBP). Discectomy is effective in treating LBP pain caused by prolapsed lumbar intervertebral discs, however, it does not correct back muscle function. Lumbar stabilization exercises have demonstrated improved quality of life (QOL) outcomes. As both GTPS and discectomy rehabilitation lack defined treatment guidelines, the purpose of this case report is to describe ...


A Comparison Of Multipath And Conventional Neuromuscular Electrical Stimulation, Cody Brian Bremner 2016 University of Southern Mississippi

A Comparison Of Multipath And Conventional Neuromuscular Electrical Stimulation, Cody Brian Bremner

Dissertations

Neuromuscular electrical stimulation (NMES) is the use of an electrical current for the purpose of eliciting a muscular response, and these treatments are most often used clinically for the specific purpose of increasing quadriceps strength. It is commonly accepted that the effectiveness of NMES for this purpose is primarily determined by the NMES training intensity. However, spatially limited motor unit recruitment, fatigue and discomfort negatively impact NMES-induced torque, which subsequently reduces NMES training intensities. Due to the importance of NMES training intensity, a substantial amount of research has focused on strategies designed to increase NMES-induced torque production, as well as ...


Use Of The Task-Oriented Approach For Chronic Inflammatory Demyelinating Polyneuropathy: A Case Report, Alison Newell, Amy J. Litterini 2016 University of New England

Use Of The Task-Oriented Approach For Chronic Inflammatory Demyelinating Polyneuropathy: A Case Report, Alison Newell, Amy J. Litterini

Case Report Posters

Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) is an acquired neurological disorder similar to Guillain-Barre Syndrome (GBS) with rare a prevalence of 2-7.7/100,000.7. Etiology and pathogenesis are largely unknown but are thought to be immunological, targeting the myelin of peripheral nerves. Extensive literature exists regarding medical management of CIDP, but limited research exists regarding physical therapy (PT) management for patients with CIDP. Task-Oriented Approach (TOA) is based upon systems theory with influence from motor learning and motor control theories. Systems theory states abnormal movements are related to deficits in one or more system(s) and are comprised of ...


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