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Efficacy Of A Stress Management Module In Managing Stress And Clean Time In Dual Diagnosis (Mental Illness And Substance Misuse) Clients, Pat J. Precin

The School of Health Sciences Publications and Research

A 1‐year pilot quasi‐experimental efficacy study of the Stress Management for Recovery Module (SM) was performed with 37 dual diagnosis (DD) clients from a DD outpatient clinic in the United States. It was hypothesized that clients who received the SM would show more improvement in their ability to manage stress and clean time than controls and when compared to themselves before and after the SM intervention. Outcome data showed that clients who received the SM learned new material and used it to make changes in their lives. Results from paired sample t tests demonstrated that clients who received the SM …

When Are The Patients Satisfied With Their Outcome? Correlation Of Promis Values With Patient Acceptable Symptom State (Pass) Scores In Foot And Ankle Patients, Michael Anderson, Judith Baumhauer, Adolph Flemister, John Ketz, Irvin Oh, Benedict Digiovani, Jeff Houck

Faculty Publications - College of Physical Therapy

Introduction/Purpose: PROMIS values are being adopted due to ease of use and influence on clinical decision making. Studies support the use of PROMIS physical function (PF), pain interference (PI), and Depression (D) for pre-surgical decision making. Patient Acceptable Symptom State (PASS) is a validated outcome measure commonly used in other areas of medicine and surgery that captures when patient’s symptoms reach a daily acceptable level. Knowing what PROMIS scores are associated with a patient’s PASS(Yes)/(No) rating would further enhance the use of PROMIS scales. The purpose of this study: 1) association of PROMIS scales with a PASS rating, 2) threshold …

Rehabilitation After Glenohumeral Microfracture And Type Ii Slap Repair Surgery: A Case Report, Judson Williams, Eric Chaconas

Physical Therapy Collection

Background and Purpose: There are few rehabilitation protocols for patients who have undergone glenohumeral microfracture procedure. The purpose of this paper is to present a patient case after both glenohumeral microfracture and Type II SLAP repair procedures and present a rehabilitation protocol.

Methods: The patient in this case is a 41-year-old male who had a sudden onset of pain, mechanical catching, and audible popping in his right shoulder, particularly with athletic activities. This patient was seen for 27 treatments and progressed per the presented protocol.

Findings: The overall improvement when combining the sections of the Quick- DASH was 72.96%, the …

Exercise Tolerance Improves After Pulmonary Rehabilitation In Pulmonary Hypertension Patients, Arunabh Talwar, Sonu Sahni, Sameer Verma, Sara Z. Khan, Sean Dhar, Nina Kohn

Touro College of Osteopathic Medicine (New York) Publications and Research

Pulmonary rehabilitation (PR) is part of the recommended management plan of pulmonary hypertension (PHTN) and is important to better quality of life and exercise tolerance. This study aimed at determining effectiveness of PR on exercise capacity. Retrospective chart analysis was conducted on patients referred to our PHTN clinic for PR. Patients who had PHTN diagnosed on right heart catheterization (defined by mean pulmonary artery pressure>25 mmHg) and completed a standardized 12-week PR program were considered for the study. Patients’ baseline exercise tolerance was recorded as speed attainable on a treadmill and duration of exercise in minutes. Demographics, age, sex, …

Life History Of Ladonna Bannach, Otr/L, Kelsey Raymond, Shelby Wassink

Oral History Posters

The purpose of the project is to gather information about the history and evolution of occupational therapy (OT) practice in North Dakota and Wyoming through life histories of individuals who have been influential in developing OT in these two states. This study is intended to provide current and future generations of occupational therapists a view of the history and how occupational therapy practice has evolved from its inception to current practice. A life history approach was utilized to allow the focus to be on the participant’s involvement in the evolution of occupational therapy practice. The Kawa model was used as …

Physical Therapy 2017, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Occupational Therapy Program 2017, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

High Prevalence Of Nontraumatic Shoulder Pain In A Regional Sample Of Female High School Volleyball Athletes, Kayt E. Frisch

Faculty Publications - Biomedical, Mechanical, and Civil Engineering

Background: Shoulder pain is becoming increasingly problematic in young players as volleyball gains popularity. Associations between repetitive motion and pain and overuse injury have been observed in other overhand sports (most notably baseball). Studies of adult athletes suggest that there is a shoulder pain and overuse problem present in volleyball players, but minimal research has been done to establish rates and causes in juvenile participants.

Purpose: To establish rates of shoulder pain, regardless of whether it resulted in a loss of playing time, in female high school volleyball players. A secondary goal was to determine whether high repetition volumes correlated …

Stroke Survivor And Physical Therapist Perceptions Of Community-Based Exercise In Northwest Oregon: A Qualitative Pilot Study, Angela Grenier, Megan Hofstede, Matthew Hornback, Sara Mason, Breanne Myers, David Sjelin, Cindy Zablotny

Student-Faculty Research - College of Physical Therapy

Upon discharge from formal rehabilitation programs, individuals with chronic stroke are often constrained by physical limitations, leading to a diminished quality of life, participation restrictions, and an increased risk of further disability. (Rose et al, 2013) Community-based exercise (CBE) programs specific to individuals post-stroke may offer a mechanism to ameliorate these sequelae. (Pang et al, 2005) Current evidence supports the efficacy of CBEs in improving health-related outcomes, quality of life, and social participation post-stroke. (Lau et al, 2016)

The aim of this region-specific study is to explore current physical therapy practice in educating and preparing stroke survivors for CBE, from …

Lessons From The Field: Kinship As An Intervention (Library Resources), Holy Cross Libraries

Library Resources for Campus Events

A bibliography of resources available through the Holy Cross Libraries which provide additional information related to “Lessons from the Field: Kinship as an Intervention,” a lecture by Rev. Gregory Boyle, S.J., founder and executive director of Homeboy Industries, held at the College of the Holy Cross on February 6, 2017.

Homeboy Industries is the largest gang intervention, rehabilitation and re-entry program in the world

Ergonomics Within The Workplace: An Occupation Based Injury Prevention Program For Computer Users, Jessica T. Maxwell

Occupational Therapy Doctorate Capstone Projects

An ergonomic intervention increased computer workers’ knowledge of ergonomics, and improved their work station, thereby reducing risk for injury. Occupational therapy’s ability to implement ergonomic training programs for computer workers is an effective way to improve worker safety.

Examining The Impact On Praxis For Children With Sensorimotor Deficits, Sara Elizabeth Durham

Online Theses and Dissertations

The aim of this study was to discover how a movement program, utilizing principles of dance and sensory integration, effects motor and sensory outcomes for children with sensorimotor impairments. Participants' motor performance was assessed using the Bruininks-Oseretsky Test of Motor Proficiency prior to and following participation in the movement program. Additionally, sensory function was assessed using the Child Sensory Profile prior to participation, and sensory modulation was tracked throughout the program. This short-term, intensive program followed a protocol based on sensory integration principles and theories of motor learning. The analysis demonstrated the change in motor performance to be statistically significant, …

Investigating The Effectiveness Of Web-Based Modules Reinforcing Therapy Topics For Caregivers Involved In Early Intervention, Terri L. Beard Ms, Otr/L

Occupational Therapy Doctorate Capstone Projects

Research questions answered in this capstone pilot study project were two-fold: 1) determine if web-based tutorials are effective for caregivers of children in early intervention (EI) programs to reinforce general topic information and 2) examine caregiver attitudes towards using online training modules.The scientific underpinnings used were the Occupational Therapy Practice Framework (OTPF) (AOTA, 2014) and the Technological Pedagogical and Content Knowledge (TPACK) framework (Brown & Green, 2011).

The study was created on CourseSites website powered by Blackboard, using technology to reinforce occupation-based EI topics, through tutorial presentations and videos. Quantitative data was collected from caregivers using pre-and post-testing measures including …

Implementation Of Modified Constraint-Induced Therapy In Upper Limb Stroke Rehabilitation In An Inpatient Rehabilitation Hospital, Umana W. Udoeyop

Occupational Therapy Doctorate Capstone Projects

Background: Despite increasing and strong evidence of modified constraint-induced therapy (mCIT) as an effective intervention approach for patients with chronic and subacute stroke in outpatient settings, it is still not widely used for the rehabilitation of patients with acute stroke who are typically admitted to inpatient rehabilitation hospitals.

Purpose: The purpose of this study is to implement an evidence-based approach using mCIT in the upper extremity rehabilitation of patients with acute stroke in an inpatient rehabilitation hospital and to demonstrate its feasibility and efficacy in increasing the motor recovery, and the amount and quality of arm use when compared to …

Exploring Fieldwork Educators' Expectations Of Occupational Therapy Students' Professional And Technical Skills, Jessica A. Mason

Occupational Therapy Doctorate Capstone Projects

Background: This capstone project focused on professional and technical skills of occupational therapy students beginning Level II Fieldwork. Fieldwork educators are essential personnel to the development of successful occupational therapy students. The education provided by the fieldwork educators is vital to the growth of each occupational therapy student in the profession.

Purpose: The purpose of this capstone project was to explore perceptions held by Level II Fieldwork educators of occupational therapy students’ professional and technical skills at the beginning of Level II Fieldwork. By identifying these perceptions, academic occupational therapy educators can assist students to develop these skills while they …

Leadership Roles: Creating Inclusiveness Within A Worship Environment, Susan L. Morreau

Occupational Therapy Doctorate Capstone Projects

This Capstone Project sought to investigate and measure the process of social change in the community setting of a Christian church. A committee of stakeholders came together with a common passion to engage and integrate individuals of varying disabilities at all levels of church participation. As a new committee, stakeholders agreed to use the cyclical process of Participatory Action Research (PAR) to guide them in creating an action plan for promoting this congregational change. The occupational therapist served on the committee as both a co-facilitator and researcher.

While the primary purpose of the project was to objectively measure the degree …

Investigating The Effectiveness Of Web-Based Recommended Practice Tutorials For Caregivers Of Children In Early Intervention Programs, Terri L. Beard

Occupational Therapy Doctorate Capstone Projects

The purpose of this mixed-method investigational pilot study is two-fold: are web-based tutorials effective for caregivers of children in early intervention programs to learn recommended practice content and 2) examine caregiver attitudes towards using online training tutorials. The problem addressed will be “Is using an online learning platform an effective adjunct way for caregivers of young children in early intervention programs to learn recommended practice information?” In early intervention programs, practitioner time, resources, and availability is often limited. Frequently, children in early intervention programs are taken care of by multiple caregivers. To improve carryover, this study focuses on determining if …

Evolution Of Occupational Therapy Practice: Life History Of Cassady Hoff, Amanda Callahan, Danielle Chartier

Oral History Student Papers

This life history 1 of 29 life history interviews which is part of a larger project, Life Histories of Individual Who Have Been Influential In Developing Occupational Therapy (OT) in North Dakota and Wyoming. The purpose of the project is to gather information about the history and evolution of occupational therapy (OT) practice in North Dakota and Wyoming through life histories of individuals who have influenced the development of OT in these two states. It is anticipated that the life history process will be a powerful way to gather this information. This study is intended to provide current and future …

The Life History Of Ron Meier, Otr/L, Kylie Browen, Olivia Mayasich

Oral History Posters

Objective: The purpose of this qualitative study was to examine the life history of Ron Meier and his experiences as an occupational therapist. More specifically, researchers explored his roles as a supervisor, manager, and director in the mental health setting in the states of North Dakota and Minnesota.

Method: A semi-structured interview via phone was conducted. Ron was assigned to the researchers from a list developed by the Project Directors through purposive sampling.

Results: the major themes that were prevalent throughout Ron's career included: the many close relationships he formed, the programs he established and administered, the positions he held …

Low Back Pain And Mechanical Diagnosis Treatment: A Case Report, Alicia Bullinger

Physical Therapy Scholarly Projects

Background and Purpose: Acute low back pain is one of the most common and expensive reasons for adults to see a family physician and is commonly treated by physical therapists. Although most patients recover quickly with minimal treatment, patient education and exercises directed by a physical therapist may decrease recurrent pain and need for health care services. The purpose of this case study is to determine if the McKenzie Method is effective treatment for acute low back pain in the medical workforce using evidence based practice.

Case Description: Patient was a 37-year-old Caucasian female who worked as a registered nurse …

Barefoot Versus Shod Training: Effects On Navicular Drop And Foot Pressure Analysis, Evan Condry, Daniel Himmerick, Tiffany Vanhaaften

Physical Therapy Scholarly Projects

Background and Purpose: Running is a popular form of exercise around the world. The running population generally runs in a rear-foot strike pattern (RFSP), yet there is questioning on the possible benefits of running in a forefoot strike pattern (FFSP). The main goal of FFSP is the possible reduction of running related injuries by reducing the stress on the medial longitudinal arch. The purpose of this research study is to determine if a barefoot running retraining program will have an effect on navicular drop height, plantar pressure area, and peak plantar pressure of the medial aspect of the foot.

Material/Methods …

Shinrin-Yoku (Forest Bathing) And Nature Therapy: A State-Of-The-Art Review, Dr. Margaret M. Hansen, Reo Jones, Kirsten Tocchini

Nursing and Health Professions Faculty Research and Publications

Background: Current literature supports the comprehensive health benefits of exposure to nature and green environments on human systems. The aim of this state-of-the-art review is to elucidate empirical research conducted on the physiological and psychological effects of Shinrin-Yoku (or Forest Bathing) in transcontinental Japan and China. Furthermore, we aim to encourage healthcare professionals to conduct longitudinal research in Western cultures regarding the clinically therapeutic effects of Shinrin-Yoku and, for healthcare providers/students to consider practicing Shinrin-Yoku to decrease undue stress and potential burnout. Methods: A thorough review was conducted to identify research published with an initial open date range and then …

Are Preseason Functional And Biomechanical Measures Associated With Lower Quadrant Injury Risk In Division Iii Athletes?, Natalie Ellis, Jordan Petersen, Jordon Reyes, Victor Wilson, Cj Zita

Student-Faculty Research - College of Physical Therapy

A recent trend in sports medicine research is to determine risk of injury during sport based on preseason functional performance test (FPT) measures.

Equivocal findings associated with prior studies may leave PTs with uncertainty as to which FPT, or combination of FPTs, can best identify athletes who have a greater risk for injury.

Previous studies have utilized "low-tech" FPT measures: standing long jump (SLJ), single-leg hop (SLH), lower extremity functional test (LEFT), and the Y-balance test (YBT) (1,3,4).

These "low-tech" options may not be able to identify potential deficits that could be collected with "high-tech" measures (e.g., DVJ measures collected …

Morphological Changes In Achilles Tendon Thickness Following An 8-Week Heavy Load Eccentric Exercise Program, W. Howe, B. Telfer, J. Leung, M. Suzuki, C. Young, Tyler Cuddeford

Student-Faculty Research - College of Physical Therapy

• Achilles Tendinopathy (AT) is an overuse injury characterized by pain, focal tenderness, and intratendinous imaging changes.

• Current protocols for treating mid-portion AT are not effective, likely due to not providing sufficient load to the tendon.

• Alfredson’s eccentric protocol, which utilizes high repetition with low load, reduces pain with mid-portion AT in 60.3% of individuals (Van der Plas, 2011)

• Research indicates that heavier loading of the Achilles tendon yields superior results to high repetition with low load (Stevens, 2014)

• Tendons have demonstrated plasticity in their ability to adapt to heavy resistance training. Combined with knowledge that …

The Neuropsychology Of Sport And Performance, Arthur C. Maerlender

Center for Brain, Biology, and Behavior: Faculty Publications

Neuropsychological theory has been a mainstay for understanding pathology within the brain-behavior context. However, our theories for predicting superior behavior are not as well developed. Sport neuropsychology was developed on the presumption that athletes represent a population in a relatively well-controlled environment for studying brain pathology due to injury. This study of pathology within a high-performance environment has been responsible for identifying the effects of mild traumatic brain injury (mTBI) on individual functioning. Far less attention has been paid to the other end of the performance continuum, and yet, viable brain-behavior hypotheses should hold true across the spectrum of function …

Validity And Reliability Of Baseline Testing In A Standardized Environment, Kathryn L. Higgins, Todd Caze, Arthur C. Maerlender

Center for Brain, Biology, and Behavior: Faculty Publications

Objective — The Immediate Postconcussion Assessment and Cognitive Testing (ImPACT) is a computerized neuropsychological test battery commonly used to determine cognitive recovery from concussion based on comparing post-injury scores to baseline scores. This model is based on the premise that ImPACT baseline test scores are a valid and reliable measure of optimal cognitive function at baseline. Growing evidence suggests that this premise may not be accurate and a large contributor to invalid and unreliable baseline test scores may be the protocol and environment in which baseline tests are administered. This study examined the effects of a standardized environment and administration …

Measurement Of Cortisol In Saliva: A Comparison Of Measurement Error Within And Between International Academic‑Research Laboratories, Jessica L. Calvi, Frances R. Chen, Victoria Brann Benson, Eleanor Brindle, Matt Bristow, Alpana De, Sonja Entringer, Helen Findlay, Christine Heim, Eric A. Hodges, Heiko Klawitter, Sonia Lupien, Holly M. Rus, Jitske Tiemensma, Silvanna Verlezza, Claire-Dominique Walker, Douglas A. Granger

Center for Brain, Biology, and Behavior: Faculty Publications

Objective: Hundreds of scientific publications are produced annually that involve the measurement of cortisol in saliva. Intra- and inter-laboratory variation in salivary cortisol results has the potential to contribute to crossstudy inconsistencies in findings, and the perception that salivary cortisol results are unreliable. This study rigorously estimates sources of measurement variability in the assay of salivary cortisol within and between established international academic-based laboratories that specialize in saliva analyses. One hundred young adults (Mean age: 23.10 years; 62 females) donated 2 mL of whole saliva by passive drool. Each sample was split into multiple- 100 μL aliquots and …

Patterns Of Referral In High School Concussion Management Programs: A Pilot Study Of Consultants From Different Disciplines, Jonathan Lichtenstein, Kate S. Linnea, Arthur C. Maerlender

Center for Brain, Biology, and Behavior: Faculty Publications

School-based concussion management programs cover thousands of young athletes, yet there is little in the way of research to assess program processes or outcomes. This study examined the referral patterns of consultants working with ten high school concussion management programs. In addition to the number of referrals made to specialists, other potential outcome variables were explored. The sample included over 5,000 athlete-seasons and 298 concussions managed directly by certified athletic trainers. All programs used computerized neuropsychological testing (both baseline and post injury). Two groups were compared: five programs used a clinical neuropsychologist (NP) as the testing consultant and five used …

Attention Is Associated With Postural Control In Those With Chronic Ankle Instability, Adam B. Rosen, Nicholas T. Than, William Z. Smith, Jennifer M. Yentes, Melanie L. Mcgrath, Mukul Mukherjee, Sarah A. Myers, Arthur C. Maerlender

Center for Brain, Biology, and Behavior: Faculty Publications

Chronic ankle instability (CAI) is often debilitating and may be affected by a number of intrinsic and environmental factors. Alterations in neurocognitive function and attention may contribute to repetitive injury in those with CAI and influence postural control strategies. Thus, the purpose of this study was to determine if there was a difference in attentional functioning and static postural control among groups of Comparison, Coper and CAI participants and assess the relationship between them within each of the groups. Recruited participants performed single-limb balance trials and completed the CNS Vital Signs (CNSVS) computer-based assessment to assess their attentional function. Center …

Sandbagging On The Immediate Post-Concussion Assessment And Cognitive Testing (Impact) In A High School Athlete Population, Kathryn L. Higgins, Robert L. Denny, Arthur C. Maerlender

Center for Brain, Biology, and Behavior: Faculty Publications

The Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) is a computerized neuropsychological test battery commonly used to assess cognitive functioning after a concussion. It is recommended that application of ImPACT utilizes a baseline administration so athletes have an individualized baseline with which to compare post-injury results should they sustain a concussion. It has been suggested that athletes may provide suboptimal effort, called “sandbagging,” in order to return to their baseline cognitive scores, and thus to play, more quickly. This research examines ImPACT baseline scores when high school athletes were asked to attempt to “sandbag,” and compares those scores with scores …