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Rehabilitation and Therapy Commons

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Sculpting The Illness Experience, Molly Bathje MS, OTR/L 2014 Western Michigan University

Sculpting The Illness Experience, Molly Bathje Ms, Otr/L

The Open Journal of Occupational Therapy

Otto Kamensek provided the cover art for the Fall 2014 issue of the Open Journal of Occupational Therapy. “Glimmer of Hope” is part of Otto’s collection “Shard’s, Bone Deep,” which includes hand-built ceramic sculptures that portray his experiences with a lifelong chronic illness. Engaging in ceramic sculpture helps him process the experiences associated with Juvenile Rheumatoid Arthritis and provides a means to support others experiencing chronic illness.


The Significance Of Somatosensory Stimulation To The Hand: Implications For Occupational Therapy Practice, Guy L. McCormack PhD,OTR/L 2014 Western Michigan University

The Significance Of Somatosensory Stimulation To The Hand: Implications For Occupational Therapy Practice, Guy L. Mccormack Phd,Otr/L

The Open Journal of Occupational Therapy

The hands contain numerous nerve endings that are intimately connected to the brain. Mounting evidence supports the concept that willful manipulation of objects contributes to expansion or reorganization of the somatosensory cortex and can produce therapeutic outcomes. In the past decade, research has demonstrated that cortical plasticity can continue throughout adulthood. Brain plasticity is a core principle that demonstrates the ability of the central nervous system to respond to stimuli and modify its structural organization and function as an adaptive response. Occupation-based interventions, which engage the use of the hands, are conceived in this article as a “mindbody” experience because ...


The Role Of Reusable Learning Objects In Occupational Therapy Entry-Level Education, Bryan M. Gee PhD(c), MEd, OTR/L, BCP, Jane Strickland Ed.D., Lisa Salazar Ph.D.(c), M.Ed., MPH 2014 Western Michigan University

The Role Of Reusable Learning Objects In Occupational Therapy Entry-Level Education, Bryan M. Gee Phd(C), Med, Otr/L, Bcp, Jane Strickland Ed.D., Lisa Salazar Ph.D.(C), M.Ed., Mph

The Open Journal of Occupational Therapy

Out of early research, Cisco Systems (1999) have built an impressive foundation that advocates for reusable learning objects (RLOs). As the need for online methods for delivering both formal and informal educational content has increased, the prospect of greater influence through carefully constructed RLOs has grown. RLOs are any digital resource that can be used and reused to enhance online learning. RLOs typically are small, discrete, self-contained digital objects that may be sequenced, combined, and used within a variety of instructional activities. RLOs have been implemented in nursing, pharmacy, and physician assistant programs. However, there is a lack of literature ...


Relationships Among Occupation/Activity Patterns, Health And Stress Perceptions, And Life Orientation In Well Adults, Barbara Prudhomme White Ph.D., OTR/L, Amy Ma M.S., OT, UNH, Deborah Whitney M.S., OTR/L 2014 Western Michigan University

Relationships Among Occupation/Activity Patterns, Health And Stress Perceptions, And Life Orientation In Well Adults, Barbara Prudhomme White Ph.D., Otr/L, Amy Ma M.S., Ot, Unh, Deborah Whitney M.S., Otr/L

The Open Journal of Occupational Therapy

Background: This study examined the relationships among activity choices, perceived health, stress, and life orientation (optimism-pessimism) in a general population of 675 healthy adults ranging in age from 18-91 years. The objective was to examine assumptions that occupational scientists and practitioners hold regarding the relationships among health factors and engagement in activities/occupations.

Method: The study used four self-report measures, including a customized activity card sort that asked participants about both healthy and unhealthy activity patterns. Responses were then compared with the participants’ perceptions of overall health, stress levels, and degrees of optimism and pessimism (life orientation).

Results: Major findings ...


“Putting The Occupation Back In Occupational Therapy:” A Survey Of Occupational Therapy Practitioners’ Use Of Gardening As An Intervention, Amy Wagenfeld PhD, OTR/L, SCEM, CAPS, Ben Atchison Ph.D., OTR/L, FAOTA 2014 Western Michigan University

“Putting The Occupation Back In Occupational Therapy:” A Survey Of Occupational Therapy Practitioners’ Use Of Gardening As An Intervention, Amy Wagenfeld Phd, Otr/L, Scem, Caps, Ben Atchison Ph.D., Otr/L, Faota

The Open Journal of Occupational Therapy

Background. This study examines how and why occupational therapy practitioners across practice areas use gardening as an intervention. Respondents’ interpretation of the best and least desirable aspects of their facility’s garden and whether they contributed to its design was also examined.

Method. A description and link to a 15-question online survey about gardening as an occupational therapy intervention was emailed to Western Michigan University Occupational Therapy alumni and posted on four OT Connections groups and the AOTA LinkedIn site.

Results. Gardening as an occupational therapy intervention is meaningful and purposeful (93.66%, n = 56), motivating (80%, n = 48), fun ...


Home-Based Constraint Induced Movement Therapy Poststroke, Stephen Isbel HScD, Christine Chapparo PhD, David McConnell PhD, Judy Ranka PhD 2014 Western Michigan University

Home-Based Constraint Induced Movement Therapy Poststroke, Stephen Isbel Hscd, Christine Chapparo Phd, David Mcconnell Phd, Judy Ranka Phd

The Open Journal of Occupational Therapy

Background: This study examined the efficacy of a home-based Constraint Induced Movement Therapy (CI Therapy) protocol with eight poststroke survivors.

Method: Eight ABA, single case experiments were conducted in the homes of poststroke survivors. The intervention comprised restraint of the intact upper limb in a mitt for 21 days combined with a home-based and self-directed daily activity regime. Motor changes were measured using The Wolf Motor Function Test (WMFT) and the Motor Activity Log (MAL).

Results: Grouped results showed statistically and clinically significant differences on the WMFT (WMFT [timed items]): Mean 7.28 seconds, SEM 1.41, 95% CI 4 ...


“I Think Relax, Relax And It Flows A Lot Easier”: Exploring Client-Generated Relax Strategies, Dianne Cirone OT Reg. (Ont.), MSc(RS), Sara E. McEwen PT, PhD 2014 Western Michigan University

“I Think Relax, Relax And It Flows A Lot Easier”: Exploring Client-Generated Relax Strategies, Dianne Cirone Ot Reg. (Ont.), Msc(Rs), Sara E. Mcewen Pt, Phd

The Open Journal of Occupational Therapy

Background. Some adult stroke survivors participating in Cognitive Orientation to daily Occupational Performance (CO-OP) treatment programs self-generated relax strategies that have not been explored in previous CO-OP publications. The objective of this study was to describe the process by which adults with stroke used relax strategies and to explore the outcomes associated with their use.

Methods. Secondary analysis of transcripts of intervention sessions from five participants was conducted.

Results. All five participants applied relax strategies after initially observing a breakdown in performance that was attributed to increased fatigue or tension. The relax strategies used by the participants during their occupations ...


Introducing Breakouts, Diane Powers Dirette Ph.D., OTL 2014 Western Michigan University

Introducing Breakouts, Diane Powers Dirette Ph.D., Otl

The Open Journal of Occupational Therapy

No abstract provided.


Psychometric Evaluation Of Self-Report Pain And Disability Measures For Elbow Disorders, Joshua Vincent 2014 Western University

Psychometric Evaluation Of Self-Report Pain And Disability Measures For Elbow Disorders, Joshua Vincent

University of Western Ontario - Electronic Thesis and Dissertation Repository

Elbow disorders are one of the commonest musculoskeletal problems with a prevalence of 9% in men and 8.1% in women. Patient centered care is the goal of current healthcare delivery models; but optimizing treatment outcome and clinical research is hampered by a lack of outcome measures. Since pain and disability resulting from elbow disorders are experienced differently across individuals, they are best captured by patient reported outcome measures (PROM).

PROMs like the Patient-rated Elbow Evaluation (PREE); American Shoulder and Elbow surgeons – Elbow form (pASES-e) have been developed for use in elbow disorders, but important questions remain about their measurement ...


Body Image And Quality Of Life: An Exploration Among Individuals With Head And Neck Cancer, Melissa M. Nash 2014 Western University

Body Image And Quality Of Life: An Exploration Among Individuals With Head And Neck Cancer, Melissa M. Nash

University of Western Ontario - Electronic Thesis and Dissertation Repository

Background: One of the most distressing aspects of head and neck cancer (HNC) is the potential for physical disfigurement. Such changes may impact one’s body image (BI) with a secondary potential to impact long-term functioning; hence, changes in perceived BI may be seen as a critical component that influences post-treatment quality of life (QOL).

Methods: Forty participants completed 4 validated questionnaires during regular clinical follow-up visits.

Results: Perception of BI image does influence perception of QOL following HNC treatment(s), yet perceptions are highly individualized. Gender related differences are notable on BI questionnaire scores.

Conclusions: Data suggest that efforts ...


Towards Earlier Discharge, Better Outcomes, Lower Costs: Stroke Rehabilitation In Ireland, Maev-Ann Wren, Paddy Gillespie, Samantha Smith, Karen Kearns, Charles Wolfe, David Parkin, Siobhan Crichton, Anne Hickey, Frances Horgan, Miriam Wiley, Seamus Cowman, Mark Delargy, Sean Murphy, Des O'Neill, David Williams, Cliona Loughnane 2014 Royal College of Surgeons in Ireland

Towards Earlier Discharge, Better Outcomes, Lower Costs: Stroke Rehabilitation In Ireland, Maev-Ann Wren, Paddy Gillespie, Samantha Smith, Karen Kearns, Charles Wolfe, David Parkin, Siobhan Crichton, Anne Hickey, Frances Horgan, Miriam Wiley, Seamus Cowman, Mark Delargy, Sean Murphy, Des O'Neill, David Williams, Cliona Loughnane

School of Physiotherapy Reports

Towards Earlier Discharge, Better Outcomes, Lower Cost is a new and valuable study which adds to our understanding of how to better patient outcomes within the budgetary realities of our current healthcare system. This study, undertaken by the ESRI and the RCSI with the support of the Irish Heart Foundation, provides a strong economic justification for policymakers to develop Ireland's community rehabilitation and care services, and equally, shows the potential benefits for patients that can come from healthcare research.

This study brought together a range of disciplines and expertise to build on the previous Irish Heart Foundation-supported study, The ...


Inter-Relationships Of Functional Status In Children With Cerebral Palsy: An Extension, Emily Dyszuk 2014 Western University

Inter-Relationships Of Functional Status In Children With Cerebral Palsy: An Extension, Emily Dyszuk

University of Western Ontario - Electronic Thesis and Dissertation Repository

The primary aim of this study was to establish functional profiles for children with cerebral palsy (CP), by determining the relationships between three classification systems (the Gross Motor Function Classification System, the Manual Ability Classification System, and the Communication Function Classification System). The secondary aim of this study was to investigate the number and impact of health conditions in the most prevalent clusters. Data were analyzed on 222 children with CP with an average age of 6.1 years, from several locations across North America. A total of 56 out of 125 possible combinations were recorded; four most prevalent cell ...


Measuring The Playfulness Of Children With Special Needs In Occupational Therapist Led, Caregiver-Included Community Playgroups, Sarah Elizabeth Fabrizi 2014 Nova Southeastern University

Measuring The Playfulness Of Children With Special Needs In Occupational Therapist Led, Caregiver-Included Community Playgroups, Sarah Elizabeth Fabrizi

Occupational Therapy Program Student Theses, Dissertations and Capstones

The aim of this study was to investigate the effectiveness of community playgroups on the playfulness of children ages 15 months to 3 years with special needs. In addition to playfulness of the child, the sensitivity and responsiveness of the caregiver were examined. A quasi-experimental, pretest-and-posttest, repeated measures design was used to follow eight children and their caregivers receiving early intervention services and taking part in a community playgroup. The children and their caregivers were measured during a 4-week standard-of-care baseline, before and after an 8-week intervention period, and 4 week post-intervention. The Test of Playfulness (ToP) was utilized to ...


Diverseot: Increasing Diversity Within The Field Of Occupational Therapy, Jocelyn Dressel, OTS, Erin Shervinskie, OTS, Lauren Yaker, OTS 2014 Thomas Jefferson University

Diverseot: Increasing Diversity Within The Field Of Occupational Therapy, Jocelyn Dressel, Ots, Erin Shervinskie, Ots, Lauren Yaker, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Objectives of Presentation:

At the end of this session, participants will be able to:

1. Describe the need to increase diversity among occupational therapy professionals

2. Recognize the impact of the absence of diversity within health professions

3. Discuss strategies utilized by other health professions to increase diversity in their student and professional workforce

4. Analyze and adapt effective strategies to increase diversity in the occupational therapy workforce

PICO What are effective strategies to increase diversity among OT students in order to create a diverse workforce?

Note: Handout only, no audio


An Overview Of Cancer Rehabilitation And Exercise In The Literature: Promoting Increased Referrals To Improve Oncology Outcomes, Leslie J. Waltke 2014 Aurora Health Care

An Overview Of Cancer Rehabilitation And Exercise In The Literature: Promoting Increased Referrals To Improve Oncology Outcomes, Leslie J. Waltke

Journal of Patient-Centered Research and Reviews

Medical management for malignant neoplastic diseases includes surgery, chemotherapy, radiation, and hormonal and biological therapies. Each of these antineoplastic interventions has unique impacts on physiological, musculoskeletal and functional performance. Cancer rehabilitation is the area of physical medicine responsible for addressing impairments associated with cancer treatment and survivorship, advanced disease and end of life. Although it is expected that more than one-half of persons being treated for cancer will suffer moderate pain and physical and functional decline, and that most will describe fatigue, referrals to rehabilitation are traditionally low. Evidence suggests that referrals to rehabilitation before, during and after treatment for ...


Concept Mapping And The Cognitive Orientation To Daily Occupational Performance (Co-Op) Approach As An Intervention Framework For Adolescents With Autism Spectrum Disorder (Asd), Jessie A. Wilson 2014 Western University

Concept Mapping And The Cognitive Orientation To Daily Occupational Performance (Co-Op) Approach As An Intervention Framework For Adolescents With Autism Spectrum Disorder (Asd), Jessie A. Wilson

University of Western Ontario - Electronic Thesis and Dissertation Repository

Individuals who are diagnosed with Autism Spectrum Disorder (ASD) experience a range of difficulties that impact their daily occupational performance. The current body of research identifies the importance of occupational engagement and competence as fundamental elements in facilitating an individual’s social connections, development of personal autonomy and overall wellbeing. This dissertation explores the use of concept mapping embedded within the meta-cognitive framework of the Cognitive Orientation to Daily Occupational Performance (CO-OP) approach, to engage adolescents with ASD in meaningful occupations.

This thesis contains three manuscripts, an introductory and a final reflection chapter. The first manuscript is a methodological paper ...


Quantitative Ultrasound: Measurement Considerations For The Assessment Of Muscular Dystrophy And Sarcopenia, Michael O. Harris-Love, Reza Monfaredi, Catheeja Ismail, Marc R. Blackman, Kevin Cleary 2014 Himmelfarb Health Sciences Library, The George Washington University

Quantitative Ultrasound: Measurement Considerations For The Assessment Of Muscular Dystrophy And Sarcopenia, Michael O. Harris-Love, Reza Monfaredi, Catheeja Ismail, Marc R. Blackman, Kevin Cleary

Exercise Science Faculty Publications

Diagnostic musculoskeletal ultrasound has potential clinical utility in characterizing pathological muscle tissue. Sonography has been long proposed as method of assessing muscle damage due to neuromuscular diseases such as muscular dystrophy, and more recently, changes in body and tissue composition associated with muscle wasting disorders such as sarcopenia. The use of quantitative ultrasound as an adjunct diagnostic procedure has different technical challenges than the traditional use of ultrasound in clinical medicine. Operator-dependent technique and variation are critical considerations when obtaining measures of echointensity (i.e., tissue composition estimates) and tissue dimensions (i.e., muscle thickness) – key elements of the ultrasound ...


A Mosaic Of Creativity In Occupational Therapy, Molly Bathje MS, OTR/L 2014 Western Michigan University

A Mosaic Of Creativity In Occupational Therapy, Molly Bathje Ms, Otr/L

The Open Journal of Occupational Therapy

Martha Branson-Banks, OT, provided the cover art for the summer 2014 issue of the Open Journal of Occupational Therapy. The piece is titled “Garden with thanks to Klimt” and is one of several mosaic art pieces in her collection of works. She created the piece with art glass and resin on an abandoned door. Her use of a repurposed door represents her belief in the capacity for transformation and beauty within each individual she has treated and taught throughout her career. Martha’s work as an occupational therapist, educator, and artist reminds us of the foundational beliefs of the occupational ...


Impact Of International Collaborative Project On Cultural Competence Among Occupational Therapy Students, Divya Sood OTD, OTR/L, Danila Cepa DHS, OTR/L, Sebestina Anita Dsouza PhD, Shovan Saha MOT, PhD, Ruby Aikat MOT, Alicia Tuuk 2014 Western Michigan University

Impact Of International Collaborative Project On Cultural Competence Among Occupational Therapy Students, Divya Sood Otd, Otr/L, Danila Cepa Dhs, Otr/L, Sebestina Anita Dsouza Phd, Shovan Saha Mot, Phd, Ruby Aikat Mot, Alicia Tuuk

The Open Journal of Occupational Therapy

Occupational therapy (OT) educators recognize a need to ensure that OT students are culturally competent. The researchers developed the International Collaborative Project on Cultural Competence (ICPCC) to help students understand the impact of cultural context on client care. Entry-level MOT students from a university in the US (N = 18) collaborated with BOT students (N = 4) and advanced MOT students (N = 9) from two universities in India using an online course management system WebCT. The study explored the impact of the ICPCC on OT students’ cultural competence and discusses students’ perceptions of culture on the OT process. The Inventory for Assessing ...


The Relationship Between Admission Criteria And Fieldwork Performance In A Masters-Level Ot Program: Implications For Admissions, Molly Bathje MS, OTR/L, Rebecca Ozelie DHS, OTR/L, BCPD, Elisabeth Deavila MS, OTR/L 2014 Western Michigan University

The Relationship Between Admission Criteria And Fieldwork Performance In A Masters-Level Ot Program: Implications For Admissions, Molly Bathje Ms, Otr/L, Rebecca Ozelie Dhs, Otr/L, Bcpd, Elisabeth Deavila Ms, Otr/L

The Open Journal of Occupational Therapy

Occupational therapy (OT) graduate programs strive to produce an effective OT workforce with competent and engaged OT practitioners. Admission into OT graduate programs is an increasingly competitive process, with most programs having more applicants than spaces available. Programs need to select applicants that will be the most successful in meeting graduation requirements, including both academic and clinical components. This pilot study was designed to examine the relationship between admission criteria and fieldwork (FW) performance. The study utilized a retrospective analysis with a convenience sample of 108 students with complete data from a private university in the Midwest. Independent variables of ...


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