Digital Commons Network^™

Experiential Learning To Advance Student Readiness For Level Ii Fieldwork, Wendy P. Goldbach, Tiffany C. Stella

Journal of Occupational Therapy Education

Occupational therapy (OT) students question their readiness for Level II fieldwork prior to their first placement. Many request more hands-on experiences with clients during their coursework, in preparation for the practice setting. As part of a two year Master of Occupational Therapy program, a fourth semester course was designed to address readiness for fieldwork and engage students in the OT process with actual volunteer clients. This course utilized the primary components of a clinical setting: client interaction, evaluation, intervention and outcomes review, clinical decision making, documentation, and communication, to promote student proficiencies as clinicians in preparation for fieldwork experiences. Weekly …

Identifying Instructional Methods For Development Of Clinical Reasoning In Entry-Level Occupational Therapy Education: A Mixed Methods Design, Whitney Henderson, Brenda Coppard, Yongyue Qi

Journal of Occupational Therapy Education

Occupational therapy education must teach using contemporary and evidence-based practices that yield graduates with clinical reasoning skills to successfully practice in dynamic and challenging environments. Researchers used a mixed-methods research design to identify the most frequently used and valued instructional methods for developing clinical reasoning with entry-level occupational therapy students. Researchers recruited full-time educators teaching in entry-level occupational therapy programs throughout the United States. Ninety-two occupational therapy educators completed the survey for the quantitative portion of the study. Subsequently, six occupational therapy educators participated in an interview for the qualitative portion of the study. Participants most frequently used laboratory experiences …

First Year Occupational Therapy Students’ Clinical Reasoning Approach To Addressing Challenging Behaviors Related To Sensory Processing Using A Simulated Case Study, Bryan M. Gee, Kelly E. Thompson, Jane Strickland, Lucy Jane Miller

Journal of Occupational Therapy Education

Occupational therapy students must be prepared to use clinical reasoning to select appropriate interventions for children with sensory processing disorders (SPDs). Although these interventions are typically taught in entry-level occupational therapy programs, there is little information regarding the method by which occupational therapy students are taught a clinical reasoning process to determine which sensory processing intervention to use with pediatric clients. A problem-solving framework called A SECRET was used to teach students clinical reasoning for children with SPDs, via an online, module-based course. Following the module, the students were tested with an online assessment tool regarding their ability to discriminate …

Student Perceptions Of Non-Traditional Level I Fieldwork, Sarah Nielsen, Janet S. Jedlicka, Debra Hanson, Lavonne Fox, Cherie Graves

Journal of Occupational Therapy Education

Academic programs commonly face challenges in developing Level I fieldwork where students have ample opportunity to practice and understand occupation. In response to this challenge, our academic program developed a non-traditional Level I fieldwork. The purpose of this study was to understand the student perceptions of this learning experience. Focus group methodology was employed. Fifty-nine students participated in one of six focus groups. Six themes were identified through the data analysis process. These included challenges and rewards of effective communication, learning to think like an OT, a greater understanding and focus on occupations, developing skills in cultural understanding and advocacy, …

Promoting Environments That Measure Outcomes: Partnerships For Change, Roseann C. Schaaf, Amy P. Carroll, Susan Toth-Cohen, Janice P. Burke, Caryn Johnson, E. Adel Herge

Journal of Occupational Therapy Education

This paper describes the development of the PrEMO^© (Promoting Environments that Measure Outcomes) program. PrEMO^© is an innovative model promoting evidence-based practice (EBP) while developing capacity and quality of Level II fieldwork placements. The PrEMO^© program is described from initiation to completion, including development of site-specific learning objectives, the twelve week schedule and the role of faculty mentorship. Occupational therapy (OT) students, and university OT program faculty including academic fieldwork coordinators, partner with fieldwork educators at the site to implement EBP using a data-driven decision making (DDDM) process to guide the development of evidence-based practices. PrEMO^{© …}

Education For Occupational Therapists To Develop The Role Of Healthcare Leaders In Screening, Brief Intervention, And Referral To Treatment (Sbirt), Amy Mattila, Ingrid Provident

Journal of Occupational Therapy Education

This mixed methods study explored the development, content, and impact of best practice post-professional clinical doctorate education related to assisting persons with substance use disorders (SUDs) using screening, brief interventions, and referral to treatment (SBIRT). A blended learning curriculum was developed and outcomes were measured through various participant report surveys. Results indicated that participants reported positive change in their understanding of SBIRT content; however, mixed beliefs exist in attitudes and perceptions towards individuals with SUDs. This article will discuss the overall impact of the SBIRT training on the occupational therapy students enrolled in a post-professional Occupational Therapy Doctorate Program. A …

Relationship Between Occupational And Physical Therapist Students’ Belongingness And Perceived Competence In The Clinic Using The Ascent To Competence Scale, Patti J. Berg-Poppe, Joy R. Karges, Ranelle Nissen, Susan Deutsch, Kendra Webster

Journal of Occupational Therapy Education

Clinical education experiences (CEEs) serve an essential role in physical therapist (PT) and occupational therapist (OT) student development. The Ascent to Competence Scale (ACS) measures valuable attributes of belongingness, competence, and welcoming associated with CEE placement. The purpose of this study was to examine the relationship between PT and OT students’ belongingness and perceived competence during CEE using the ACS. A survey consisting of 35 questions from the ACS measuring students’ feelings of belongingness and perceived competence in the clinic was administered to PT and OT students from 7 Midwest universities. Respondents rated statements using a 5-point Likert-type scale (“never …

A Community Based Experience To Enhance Occupational Therapy Student Clinical Skills With Clients With Mental Illness, Monica S. Perlmutter, Quinn Tyminski

Journal of Occupational Therapy Education

Despite the high number of individuals living with severe mental illness and the evidence to support effective interventions, only a small percentage of occupational therapy practitioners work in community mental health settings. To address the need for more occupational therapists in this area of practice, schools must provide educational experiences that facilitate interactions with individuals experiencing severe mental illness to increase students’ competence with this population. The Washington University Program in Occupational Therapy fosters students’ clinical reasoning skills throughout a two semester case-based learning course. For the community mental health module at the end of the 2^nd semester, the …

The Psychosocial Occupational Therapy Competency Assessment (Pot-Ca): Development And Implementation In A Level I Fieldwork Course, Jenna C. Yeager, Derek Piggott

Journal of Occupational Therapy Education

A competency assessment was developed to assess students' skills at the culmination of courses relating to mental health, including a Psychosocial Level I Fieldwork course. The intention of the assessment, titled the Psychosocial Occupational Therapy Competency Assessment (POT-CA), was to engage students in a practical skill demonstration and use of clinical reasoning in relation to brief case studies. Key skills assessed included: administration of the ACLS-5, establishing and maintaining therapeutic rapport, defining OT in client centered language, and use of clinical reasoning to identify additional assessment, intervention, and discharge recommendations. The purpose of this article is to present the tool …

Underperforming Students: Factors And Decision-Making In Occupational Therapy Programs, Beth Cardell, Jeanette Koski, Jessica Wahl, Wendi Rock, Anne Kirby

Journal of Occupational Therapy Education

The purpose of this study was to better understand factors related to occupational therapy (OT) educators’ decisions to fail underperforming students and to clarify why educators sometimes fail to fail or pass students despite sub-standard performance. Assessing student competence is an essential part of ensuring the safety of those receiving occupational therapy services and ensuring the integrity of the OT profession. Educators in academic and fieldwork settings are responsible for confirming that students who graduate from their programs are able to demonstrate skills required for entry into the profession. A total of 323 OT academic and fieldwork educators responded to …

The Impact Of Instructional Method On The Application Of Kinesio Taping® Techniques For Occupational Therapy Students, Theresa Rice, Husny Amerih, Diane Brown

Journal of Occupational Therapy Education

This research utilized a crossover study design to analyze the differences in learner satisfaction, confidence, and accuracy when comparing in-person, video, and written instructional methods. The study was conducted on a group of 32 occupational therapy students from a local university by teaching them two different Kinesio Taping® protocols. Satisfaction and confidence were measured by survey. The participants completed tapings, then were rated by an instructor to obtain accuracy data. The study found that learning satisfaction was rated higher following video instruction. Regarding confidence, there was a statistically significant difference in the level of confidence for students viewing video instruction …

Student-Led Special Interest Groups As A Model For Inclusion Of Specialty Hand Content In Otd Curriculum, Nathan Short, Jennifer Bain, Courtney Barker, Zack Bolton, Kristina Dammeyer, Ethan Fahrney, Kalin Hale, Carter Maples

Journal of Occupational Therapy Education

This article presents a student-led special interest group within a doctorate of occupational therapy (OTD) program as a model to supplement the core curriculum for inclusion of specialty content related to hand therapy. Consisting of advanced educational modules, research article review and discussion, as well as related service projects, the group provides ancillary benefits as well as networking opportunities for student participants. An initial program evaluation demonstrates efficacy as students reported a positive impact on various areas of professional and clinical skills to support specialization in hand therapy upon graduation. The student-driven nature of this experiential learning approach provides more …

Investigating The Practice And Capacity Of Paediatric Occupational Therapists To Promote The Physical Activity Levels Of Children In Western Australia, Sally Coombs

Theses: Doctorates and Masters

Reorientation of the Australian health care system to meet the increasing burden of disease requires health workers to develop a focus on disease prevention and health promotion. In Western Australia (WA) a priority area for the promotion of health involves increasing the physical activity levels (PAL) of children in accordance with Australia’s Physical Activity and Sedentary Behaviour Guidelines. There is substantial support in the literature for paediatric occupational therapists, who assist children to participate in a range of meaningful occupations, to incorporate the promotion of children’s PAL into their service. However, there is a dearth of research world-wide regarding occupational …

The Relationship Between Physical Exercise And Cognition In Children With Typical Development And Neurodevelopmental Disorders, Beron Wei Zhong Tan

Theses: Doctorates and Masters

This research project sought to investigate the relationship between physical exercise and cognition in children with and without a neurodevelopmental condition. To achieve this aim, three approaches were undertaken to explore the exercise and cognition relationship. The first approach sought to understand the efficacy of exercise interventions on cognition in individuals with a neurodevelopmental disorder. The second approach was to understand the effectiveness of an exercise activity when compared to a cognitively-engaging tablet game activity on measures of implicit learning and attention in children with and without a neurodevelopmental condition. The third approach was to investigate if psychophysiological measures could …

Activity Behavior And Physiological Profile Of Advanced-Stage Ovarian Cancer Survivors, Christelle Schofield

Theses: Doctorates and Masters

Background: Advanced-stage ovarian cancer survivors (OCS) often experience a multitude of disease symptoms and treatment-related side-effects. Additionally, most OCS are older, have comorbidities, are overweight or obese, and report being insufficiently physically active. Ovarian cancer survivors may benefit from exercise oncology interventions to reduce symptom-burden, manage comorbidities, minimize functional decline and maximize health-related quality of life (HRQoL). However, current knowledge gaps regarding the physiological characteristics of OCS throughout the entire survivorship spectrum challenge the development of tailored exercise interventions.

Purpose: The overall purpose of this thesis was to provide a more comprehensive physiological and activity behavior profile of post-treatment advanced-stage …

The Efficacy Of High Intensity Interval Training On Cancer Survivors: A Systematic Reviewarticle, Yuping Huang, Weihwa Liaw, Kueiyu Chien, Chienming Chen

Rehabilitation Practice and Science

Recent studies have begun to replace low-intensity exercise with high-intensity interval training (HIIT) to improve physical fitness and health-related quality of life of cancer survivors. To the best of our knowledge, there is no systematic reviewarticle to investigate the effect of HIIT on cancer survivors. Therefore, the aim of this systematic reviewarticle study is to summarize relevant randomized controlled trials on the physiologic efficacy of HIIT on cancer survivors, and to establish the clinical intervention principles of HIIT for cancer survivors. The literature reviewarticle covered online electronic databases (Pubmed, Medline, PEDro, and CEPS) from 2000 to 2016, and searched for …

Comparison Of Clinical And Electromyographic Characteristics Between Surgery-Related And Tumor-Related Unilateral Vocal Fold Paralysis, Chenglun Chen, Wanni Lin, Shuchun Huang, Alice M. K. Wong, Tuanjen Fang, Yucheng Pei

Rehabilitation Practice and Science

Background: The etiologies of unilateral vocal fold paralysis (UVFP) could be highly varied. It could be idiopathic or related to surgery, infection, radiation, and tumor. Among these causes of UVFP, surgery-related and idiopathic UVFP were the most well studied. However, the clinical characteristics of tumor-related UVFP have been discussed in only a few studies. Therefore, we evaluated the clinical and electromyographic characteristics of tumor-related UVFP and compared them with those of surgery-related UVFP. Methods: Laryngeal electromyography (LEMG) was performed in the thyroarytenoid-lateral cricoarytenoid muscle complexes and the cricothyroid muscles. The Short Form-36 quality-of-life questionnaire (SF-36) was applied to evaluate the …

Taiwan Guideline For Stroke Rehabilitation, Dersheng Han, Chiawei Lin, Lu Lu, Mingyen Hsiao, Chuehhung Wu, Hueywen Liang, Kevin Chang, Shinliang Pan, Tyngguey Wang, Cheinwei Chang

Rehabilitation Practice and Science

Post-stroke rehabilitation is beneficial in treatment of the impairment, disability recovery, secondary prevention, and quality-of-life enhancement. However, up-to-date treatment guidelines are still not available in Taiwan. This article reviewarticles the evidence on post-stroke rehabilitation, on which treatment guidelines in Taiwan can be based.

Comparing The Application Of Assessment Tests On Patients With Cerebrovascular Accident: The Mini-Mental Status Examination-Chinese Test Versus The Luria-Nebraska Neuropsychological Battery-Screening Test, Tingchia Wang, Yuhsin Wu, Naiwen Guo, Maohsiung Huang, Jyonghuei Su

Rehabilitation Practice and Science

Purposes: Patients with stroke often experience neurocognitive impairment; thus, an effective screening test should be developed. The Mini-Mental Status Examination-Chinese (MMSE-C) test and the Luria-Nebraska Neuropsychological Battery-Screening (LNNB-S) test are two commonly used tests for assessing cognitive impairment. In Taiwan, few studies have been conducted on the applicability of cognitive assessment tests. In the present study, we examined the assessment effectiveness of the MMSE-C and LNNB-S and compared them regarding their assessment effectiveness for impairment in various brain regions. Methods: This study was a retrospective study. Medical records from the 2005-2014 period for patients with stroke at the rehabilitation division …

Development Of A Clinical Guideline For Preventing Lower Limb Lymphedema In Patients With Gynecologic Cancer, Shinchan Lee, Chengfeng Lin, Keng Fu Hsu, Yuyun Hsu

Rehabilitation Practice and Science

Background: Women receiving gynecological cancer surgery with lymph node dissection may experience lower limb lymphedema, resulting in physical discomfort and poor quality of life (QOL). Purpose: This study developed and assessed the effectiveness of a clinical guideline for preventing lower limb lymphedema in women with gynecological cancer following surgery. Methods: The guideline was created through the following processes: defining the topic and generating clinical questions by using the PICO process, conducting a systematic literature reviewarticle and evidence appraisal, drafting the clinical guideline for Preventing Lower Limb Lymphedema in Patients with Gynecological Cancer (CGP-3L-in-GC), performing two rounds of Delphi consensus, and …

An Empirical Study Of The Relationship Among Physician-Patient Relationship Quality, Satisfaction And Loyalty Base On Experiential Marketing Perspective- Department Of Rehabilitation, Yuli Lan, Yuhua Yan, Yiching Lin, Yuping Tang, Chingming Ting

Rehabilitation Practice and Science

Objective: The purpose of the study was to use experiential marketing to explore the relationship among physician-patient relationship quality, satisfaction, and loyalty in a department of rehabilitation. Methods: A cross-sectional study was conducted. The study subjects were patients of rehabilitation department recruited from a regional hospital in Northern Taiwan using a convenient sampling strategy. A structured questionnaire was applied for data collection; the valid response rate of 190 distributed questionnaires was 96.31%. The statistical analysis methods utilized in the present study included descriptive analysis, one-way ANOVA, Pearson correlation analysis, and regression analysis. Results: The results indicated that age and occupation …

Preliminary Studies Of The Developmental Motor Assessment Scale For Preschool Children: Development And Validation, Yihan Po, Chialing Chen, Chienju Chang, Pohsi Chen, Hsiehching Chen, Chiaying Chung, Chiachi Wang, Renhuei Fu, Lituan Chou

Rehabilitation Practice and Science

Many countries have developed comprehensive developmental motor assessment scale for preschool children (DMASPC). At present, there is no comprehensive gross motor and fine motor assessment scales for preschool children in Taiwan. The purpose of this study is to develop a DMASPC specifically for Taiwanese preschool children. This study is a cross-sectional study. One hundred and seventy-seven children with typical development (91 boys and 86 girls) were enrolled and received the DMASPC test. Fifty-four of the recruited children then received a second DMASPC test within the first week after recruitment, while the other 24 children were randomly selected and received clinical …

Using Objective Ultrasonographic Findings And Subjective Self-Reported Measures To Evaluate The Effectiveness Of A Novel Single Intra-Articular Injection Of Hyaluronic Acid For The Treatment Of Knee Osteoarthritis: A Preliminary Report, Shenghui Tuan, Ihsiu Liou, Minhui Li, Yunjeng Tsai, Yinhan Chen, Tinyun Liao, Chialing Hung, Hungya Huang, Shufen Sun

Rehabilitation Practice and Science

Purpose: Osteoarthritis (OA) is the most common musculoskeletal disease worldwide. Knee OA is the most common type of OA and is the main cause of disability in elderly people. Intra-articular (IA) injection of hyaluronic acid (HA) has been widely proven to improve pain, physical function, and quality of life among patients with knee OA. However, most of the previous studies have used low-to-moderate molecular weight (MW) HA and have evaluated the clinical benefits by using subjective self-reported measures. In this study, we evaluated the efficacy of a single IA injection of a novel cross-linked HA (HYAJOINT Plus) through objective ultrasonographic …

Effects Of Virtual Reality-Based On Constraint-Induced Therapy On Upper-Extremity Function In Children With Cerebral Palsy: A Pilot Study, Yunju Lin, Chunwen Chen, Chiaying Chung, Hsiehching Chen, Chishiun Wu, Tzuling Chang, Chialing Chen

Rehabilitation Practice and Science

Children with unilateral spastic cerebral palsy (CP) often use their sound limb to perform daily activities, which results in the learned non-use of the affected limb. Recently, many clinical researches have demonstrated the effectiveness of modified constraint-induced movement therapy (mCIMT). With the development of technology, virtual reality (VR) has gradually become one of auxiliary tools in novel rehabilitation therapy. However, mCIMT often causes frustrations in using the affected upper limb. This study uses VR as auxiliary rehabilitation equipment to form a new treatment approach-virtual reality-based constraint-induced movement therapy (VRCIT)-to investigate the effects VRCIT has on the function of the upper …

Recording Somatosensory Evoked Potential Of The Posterior Tibial Nerve With A Subdural Strip During Surgery For Spinal Dysraphism And Tethered Cord Syndrome, Han-Lin Wu, Muh-Lii Liang, Hsin-Hung Chen, Chen-Liang Chou, Tsui-Fen Yang

Rehabilitation Practice and Science

Objective: To investigate the feasibility of a subdural strip, placed just proximal to the surgical field, to record somatosensory evoked potentials (SSEPs) of the posterior tibial nerve (PTN) during detethering surgery for spinal dysraphism and/or tethered cord syndrome (TCS). Method: Twenty three patients (thirteen boys and ten girls; age, 4 months to 15 years) were enrolled in this study. Eleven patients had lipomyelomeningoceles, seven had TCS, two had split cord malformations, one with terminal myelocystocele, one with VACTERL syndrome, and one had a spinal tumor at the T11 to L4 level. Aside from the routine preparation needed for functional mapping …

Cervical Disc Herniation With Myelopathy Following Cervical Tuina Manipulation, Valeria Jia-Yi Chiu, Shu-Yuan Chou, Yu-Ting Hsieh, Yi-Shiung Horng

Rehabilitation Practice and Science

Complications following cervical manipulation can be classified as cerebrovascular or noncerebrovascular complications. The former complications occur more frequently, and they are usually due to vertebral artery occlusion, damage or thrombus formation. The latter include spinal cord or nerve root injuries and have seldom been reported. Herniation of the cervical disc with myelopathy following manipulation is rare. However, we have encountered two patients who developed cervical disc herniation with myelopathy secondary to cervical tuina manipulation for nuchalgia at the bone setting facilities. One of the patients suffered from shooting pain during manipulation and developed tetraparesis two days later. An MRI examination …

The Use Of Ultrasonography To Assess Outcomes And Prognostic Indicators In Carpal Tunnel Syndrome: A Study In Patients Treated With Night Splinting, Lin-Yi Wang, Mei-Yun Liaw, Yu-Chi Huang, Hsiao-Lan Chen, Yiu-Chung Lau, Ya-Ping Pong

Rehabilitation Practice and Science

Background: Controversy exists regarding the use of ultrasonography (US) to assess outcome variables and prognostic indicators of carpal tunnel syndrome (CTS). Objective: To investigate the value of US in evaluating outcomes and prognosis for CTS treated with night splinting. Methods: Fifty-eight hands with mild to moderate CTS were prospectively enrolled; 42 diseased hands completed the study. Satisfaction rating, symptom severity score (SSS), functional status score (FSS), nerve conduction study (NCS) data, and US data were evaluated as outcome variables before and after 3 and 6 months of night splinting. On an intent-to-treat basis, a binary logistic regression analysis was used …

The Performance And Occupational Therapy Intervention Effect Of Visual-Motor Integration In Adults With Prader-Willi Syndrome: A Pilot Study, Wanling Hsu, Weihsiu Chang, Meichun Lin, Kueiyu Chou, Jangting Wei, Valeria Chiu

Rehabilitation Practice and Science

Objective. This study was attempted to investigate the performance and the effect of occupational therapy intervention via visual-motor integration (VMI), visual perception and motor coordination in adults with Prader-Willi Syndrome (PWS). Methods. seven adults with PWS were included in the study. VMI, visual perception and motor coordination were assessed using the Beery Visual-Motor Integration test and VMI Supplemental tests in the beginning of the study, shortly after receiving the treatment and one month after the intervention. Treatment was scheduled for 2 hour per week for 2 months. Results. Every adult with PWS received a low age equivalent score in VMI, …

The Effect Of Wearing Compression Tights On Cardiopulmonary Function And Running Economy In Sedentary Overweight Or Obese Females, Shuming Yeh, Huangyuan Chang, Kuosheng Yang, Guanyu Lin, Souncheng Wang, Yunju Chen

Rehabilitation Practice and Science

Purpose: Previous studies conducted on pressure garments have suggested that compression garments may have positive effects on cardiopulmonary function while performing exercises by improving peripheral venous return and reducing muscle oscillation that may cause energy loss. However, most studies have not been able to prove this hypothesis and concluded that compression has no positive effect on cardiopulmonary function while performing exercises. This study was aimed at determining whether compression garments with a pressure gradient can reduce energy loss caused by muscle oscillation and subsequently promote running economy and cardiopulmonary function in sedentary overweight females. Methods: This study was conducted with …

A Casereport Of Concomitant Injection Of Botulinum Toxin Type A In Detrusor And External Sphincter For Treatment Of Neurogenic Bladder Dysfunction, Sheng-Wei Zeng, Yu-Hui Huang

Rehabilitation Practice and Science

Patients with spinal cord injury above the sacral level usually have spastic type neurogenic bladder dysfunction (NBD). Spastic NBD is usually manifested with detrusor overactivity and detrusor-external sphincter dyssynergia (DESD). Botulinum toxin type A (BoNT-A) injection has been used in treating spastic NBD for long time. This injection can be performed either on the detrusor (which needs an intermittent catheterization program and a greater decrease in intravesicle pressure) or on the external sphincter (which may cause urinary incontinence and a smaller decrease in intravesicle pressure). Here we present a SCI patient receiving a new injection method involving BoNT-A injection simultaneously …