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Improving Functional Outcomes For Children And Adolescents With Anxiety Related Disorders Through Occupational Thrapy : A Narrative Review ; Perceptions Of The Role Of Occupational Therapy In Community Child And Adolescent Mental Health Services (Camhs), Paula J. Anderson

Theses : Honours

Background/Aim: Children and adolescents experiencing anxiety find it challenging to maintain optimal occupational performance, thus the specific role of occupational therapy in the management of anxiety requires investigation. This narrative review examines the current available literature surrounding the use of occupational therapy approaches for children and adolescents experiencing anxiety.

Methods: Academic journals as well as a variety of sources were considered, due to the paucity of literature surrounding this topic. Articles were included if they discussed the occupational therapy role in treatment of children experiencing anxiety symptoms, including anxiety related disorders such as post traumatic stress disorder (PTSD) and obsessive …

What Keeps Us Well? Professional Quality Of Life And Career Sustaining Behaviors Of Music Therapy Professionals, Shane C. Swezey

Theses and Dissertations--Music

Self-care can be seen as not only critical for individual professionals, but also for the growth of the helping professions and the quality of care which clients receive. The purpose of this study was to investigate use of career-sustaining behaviors and the levels of professional quality of life in music therapy professionals. This study investigated research questions regarding use of career sustaining behaviors and levels of professional quality of life, the relationship between these variables, the differences in the use of career sustaining behavior by demographics, and the use of music as a self-care strategy.

An online survey was sent …

Is Yoga Effective In Improving Functional Disability In Adults With Chronic Low Back Pain?, Alicia Kilpatrick

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether or not yoga is effective in improving functional disability in adults with chronic low back pain.

STUDY DESIGN: This review consists of two randomized controlled trials published in 2009 and 2011 and one pilot randomized controlled trial published in 2010.

DATA SOURCES: Data sources were articles published in peer reviewed journals comparing yoga for the treatment of chronic low back pain compared to standard medical care found in PubMed and MEDLINE.

OUTCOMES MEASURED: Each of the three articles analyzed the effects of yoga therapy on improving …

Is The Use Of Animal Assisted Therapy/Activity Effective In Improving Quality Of Life Through Self-Efficacy, Self-Perceived Health, Sense Of Coherence And Mood?, Kendra B. Keene

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether or not the use of Animal Assisted Therapy/Activity is effective in improving quality of life through self-efficacy, self-perceived health, sense of coherence and mood.

STUDY DESIGN: Review of three English language randomized control trials, two published in 2008, and one published in 2009.

DATA SOURCES: Three randomized, controlled trials comparing Animal Assisted Therapy/Activity to restricted or absent animal contact or alternative control therapy were found using PubMed Health and Cochrane Systematic Reviews.

OUTCOMES MEASURED: Depression measured via BDI (Beck Depression Inventory), Anxiety measured via BAI (Beck Anxiety …

Is Electrical Muscle Stimulation Effective In The Progression Of Oral Feeding, For Patients With Dysphagia, Caused By A Stroke?, Kristen Iaconelli

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether or not electrical muscle stimulation is effective in the progression of oral feeding, for patients with dysphagia, caused by a stroke.

STUDY DESIGN: Review of 3 randomized controlled trials, published between 2008-2009.

DATA SOURCES: All 3 randomized controlled trials were found using the Cochrane database.

OUTCOMES MEASURED: All 3 studies measured subjective swallowing function pre- and post-treatment, however, each trial differed in the way they measured this. Permsirivanich et al used a functional oral intake scale (FOIS), or a 7-point scale reflecting the patient’s report of …

Is Noninhaled Intranasal Carbon Dioxide Gas A Safe And Effective Treatment For Improvement Of Nasal Symptoms Of Allergic Rhinitis?, Andrew R. Couchara

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether or not noninhaled intranasal carbon dioxide (CO2) gas is a safe and effective treatment for improvement of nasal symptoms of allergic rhinitis.

STUDY DESIGN: Systematic review of three randomized controlled trials published in 2008, 2011, and 2011.

DATA SOURCES: Three randomized controlled trials published after 2007 were obtained using PubMed.

OUTCOMES MEASURED: Number of sneezes and severity of nasal symptoms (nasal congestion, rhinorrhea) were recorded by subjects using an ordinal scale to obtain a Total Nasal Symptom Score (TNSS). Scores recorded before and after treatment were compared to …

Is Horticultural Therapy A Safe And Effective Treatment In Reducing Agitation For Dementia Patients In Nursing Homes?, Renee J. Chiodo

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether or not horticultural therapy is a safe and effective treatment in reducing agitation for dementia patients in nursing homes.

STUDY DESIGN: Review of three English language primary studies published between 2008 and 2010.

DATA SOURCES: Two randomized control trials and a case series, which compare horticultural therapy to the use of traditional therapy methods.

OUTCOMES MEASURED: The primary outcome measured in all three studies focus on the level of agitation in dementia patients. Secondary outcomes also included efficacy of sleep as well as level of cognition. …

Is Yoga An Effective Management Strategy For Disordered Eating?, Patricia G. Byrne

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether yoga is an effective management strategy for disordered eating.

STUDY DESIGN: Review of three English language primary studies published in 2007, 2009, and 2010.

DATA SOURCES: Three randomized control trials that evaluated yoga as a treatment intervention for disordered eating found using Medline@OVID and PubMed.

OUTCOME MEASURED: Outcomes were interpreted by eating disorder severity as measured on the Eating Disorder Examination, Eating Disorder Diagnostic Scale, and Binge Eating Scale. Secondarily, there was an assessment of associated attitudes and behaviors towards eating, including body satisfaction, physical activity level, …

Does Parent And Therapist Delivered Qigong Massage Therapy Decrease Sensory And Self-Regulation Impairments In Children Ages 3-6 Years Old With Autism?, Lisa A. White

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether or not parent and therapist delivered Qigong massage therapy decreases sensory and self-regulation impairments in children ages 3-6 years old with autism.

STUDY DESIGN: Reviewed three English primary studies published in 2005, 2009 and 2011.

DATA SOURCES: All studies were randomized controlled trials that compared a group of children with autism who received Qigong massage treatments to a controlled group of children with autism who did not receive the treatments. All studies were found using PubMED and Cochrane research databases.

OUTCOMES MEASURED: Overall reduction …

Does Nicotine Replacement Therapy Reduce The Withdrawal Symptom Of Craving, Or Urge To Smoke, In Dependent Adult Smokers During Smoking Cessation?, Theresa Dijoseph

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether or not nicotine replacement therapy reduces the withdrawal symptom of craving, or urge to smoke, in dependent adult smokers during smoking cessation.

STUDY DESIGN: Systematic review of three English language and peer-reviewed randomized-controlled trials published in 2009, 2010, and 2011.

DATA SOURCES: One single-blinded randomized-controlled crossover trial, one double-blinded, placebo controlled, randomized-controlled crossover trial, and one single-blinded, placebo controlled, randomized-controlled crossover trial

OUTCOMES MEASURED: Withdrawal symptoms of craving, irritability, difficulty concentrating, and restlessness were measured on a 100mm visual analog scale (VAS). Adverse effects (AEs) of mouth and …

Circumstances Of Falls And Falls-Related Injuries In A Cohort Of Older Patients Following Hospital Discharge, Anne-Marie Hill, Tammy Hoffman, Terry P. Haines

Physiotherapy Papers and Journal Articles

Background:

Older people are at increased risk of falls after hospital discharge. This study aimed to describe the circumstances of falls in the six months after hospital discharge and to identify factors associated with the time and location of these falls.

Methods:

Participants in this randomized controlled study comprised fallers (n = 138) who were part of a prospective observational cohort (n = 343) nested within a randomized controlled trial (n = 1206). The study tested patient education on falls prevention in hospital compared with usual care in older patients who were discharged from hospital and followed for six months …

Bronchial Thermoplasty, Javier Diaz-Mendoza, Chong Bai, Hai-Dong Huang, Michael J. Simoff

Internal Medicine Faculty Publications

No abstract provided.

Ability And Skill Retraining With Task-Oriented Intervention To Improve Functional Independence In Persons With Stroke, Trista Thacker

Online Theses and Dissertations

The purpose of the study was to examine the difference that ability and skill retraining used with task-oriented intervention can make on functional independence (as measured by FIM subscales) in persons with stroke. The findings of this study can contribute to the body of literature to support occupational therapy. Review of related literature includes background support for the use of FIM with the stroke population through analysis of the psychometric properties of the instrument. Also, the review of related literature provides support for the use of ability and skill retraining and task-oriented interventions with the stroke population. This supports the …

A Case Study Of One Service Member With Traumatic Limb Loss And The Decision Of Whether Or Not To Return To Duty, Carly Braun

Online Theses and Dissertations

The goal of this qualitative case study was to describe the experience of one service member's decision of whether or not to return to duty (RTD) following limb amputation. The participants included a combat-wounded amputee and an occupational therapist who worked with the amputee during his period of transition. Participants were interviewed over the phone. Data from the interviews was transcribed and analyzed by a manual coding process. The service member completed a self-report questionnaire called the Values in Action Inventory of Strengths. Four themes were found: 1) the decision to RTD takes a long time, 2) life factors before …

The First Ten Years: A Descriptive Analysis Of Presentation Abstracts Of The Sso: Usa, 2002 To 2011, Amanda Schneider

Online Theses and Dissertations

This mixed methods study of the first ten years of presentations at the Society for the Study of Occupation: USA (SSO: USA) yields important information about the development of occupational science as a disciplinary body of knowledge. A descriptive, quantitative analysis of the abstracts of peer-reviewed presentations at the first ten annual meetings of the SSO:USA was separately and then collaboratively completed by a group of three researchers. This ten-year study used descriptive statistics with an ex-post facto design to portray research trends in occupational science over the first ten years of the Society. Implications of the study for the …

Expectation Vs. Perspective: A Personal Experience Of Completing Transition From High School To Community, Katherine Steinman

Online Theses and Dissertations

A challenging transition occurs when students with intellectual disabilities leave high school, yet there is little data in the literature covering this period of secondary transition. The purpose of this qualitative study was to describe the perspectives of a young adult with an intellectual disability who completed the secondary transition process, his parent, and a vocational specialist. Data was collected through a semi-structured interview with each of the three participants about their experiences during the secondary transition. Three themes emerged from the data, including "I had no expectations": Expectations of the parent and transition plan; "He can do all those …

Impact Of Disability On Celebration Of Wedding Anniversaries, Emily Lemaster

Online Theses and Dissertations

The purpose of this study was to determine how married couples observe their wedding anniversaries. Semi-structured interviews were conducted with 19 couples (four of which one partner has a disability) to determine how they celebrate their wedding anniversaries. This data was compared to how having a disability within the couple affects anniversary celebrations. Several themes emerged that were common among all participants including: an exchange of items, participants, reminiscing about the past, change within the marriage and celebration (which encompasses ritual and tradition). Few differences were noted in the couples who are living with disability. The most prominent is being …

Children With Asd And Their Experience Of Friendship And Co-Occupation, Joshua Eric Line

Online Theses and Dissertations

This study set out to answer four questions regarding the friendships of children with ASD: 1) what elements of friendship are most important, 2) what elements of friendship are most common, 3) do these elements change with peer exposure, and 4) how do these children experience co-occupations? Phenomenological methods were used to analyze interviews of three children with ASD (age 10). Literature review included discussion of definitions of friendship, and definitions of co-occupation, as relevant to the study. Identified themes include the lunchroom as a social context, reciprocity through co-occupations, trust, keeping friends means being a good friend, engagement in …

The Sensory Processing Patterns And Activity Choices Of A Child With Autism Spectrum Disorder: A Mixed-Methods Case Study, Valerie Miller

Online Theses and Dissertations

It is estimated that up to 95% of children with autism spectrum disorder experience sensory processing problems. Minimal research is available on the relationship between specific sensory processing patterns, activity preference and behavior patterns in children. It is hypothesized that if children participate in play activities that support their sensory needs, they will experience less behavioral problems, more self-regulating behavior and a higher quality of life. This mixed-methods case study examines how a child with autism spectrum disorder participates in activities and looks at if those activities support sensory needs, thus reinforcing self-regulatory behaviors.

Does Fall Risk Education Tailored By Motivation Increase Fall Risk Identification And Fall Prevention Behaviors In Community-Dwelling Older Adults When Compared To Fall Risk Education Tailored By Authenticity?, Jonathan William Alonso, Brittnee Jane Witham, Cournety Brooke Mcintosh, Kitsum Li

Occupational Therapy | Critically Appraised Papers Series

To determine whether multimedia fall prevention education using different instructional strategies increases older adults’ ability to identify fall risks and implement fall prevention behaviors into their daily activities.

Are Physical, Cognitive, And Perceptual Exercises Effective At Improving Abilities Associated With Driving (Such As Behavioral Speed, Visual Attention, Psychomotor Performance, Speed Of Perception, And Executive Functioning) In Older Adults Compared To A Control Group Of Older Adults Not Participating In An Exercise Group?, Caitlin Danae Mcintyre, Regina Okun, Josue Julian Zamora, Kitsum Li

Occupational Therapy | Critically Appraised Papers Series

To study the effect of a specific exercise program on changes in performance in the areas of behavioral speed, visual attention, psychomotor performance, speed of perception, and executive functioning in older adult drivers.

Driving Characteristics Of Teens With Attention Deficit Hyperactivity And Autism Spectrum Disorder, Sherrilene Classen, Miriam Monahan, Yanning Wang

Collected Faculty Scholarship

Vehicle crashes are a leading cause of death among teens. Teens with attention deficit hyperactivity disorder (ADHD), autism spectrum disorder (ASD), or both (ADHD–ASD) may have a greater crash risk. We examined the between-groups demographic, clinical, and predriving performance differences of 22 teens with ADHD– ASD (mean age 5 15.05, standard deviation [SD] 5 0.95) and 22 healthy control (HC) teens (mean age 5 14.32, SD 5 0.72). Compared with HC teens, the teens with ADHD–ASD performed more poorly on righteye visual acuity, selective attention, visual–motor integration, cognition, and motor performance and made more errors on the driving simulator pertaining …

Does Dance-Based Therapy Improve Balance And Mobility In Older Adults?, Emily Ann Dodge, Florina Mendoza-Battle, Tanya Elesia Orgill, Kitsum Li

Occupational Therapy | Critically Appraised Papers Series

This study explores the effects of dance-based therapy on balance and mobility in older adults living in an AIP facility.

For Community-Dwelling Older Adults With Functional Limitations, Does An Occupational Therapy Home Modification Intervention Program That Includes The Provision Of Adaptive Equipment And/Or Architectural Renovations To The Home Help Improve Occupational Performance And Satisfaction With The Ability To Perform Everyday Activities?, Sarah Jane Dequis Calub, Matthew Jordan Carlson, Monica Fernandez, Kitsum Li

Occupational Therapy | Critically Appraised Papers Series

Determine the effect of an occupational therapy home modification intervention program on occupational performance and self-reported levels of satisfaction of occupational performance.

Corticospinal Reorganization After Locomotor Training In A Person With Motor Incomplete Paraplegia, Nupur Hajela, Chaithanya K. Mummidisetty, Andrew C. Smith, Maria Knikou

Publications and Research

Activity-dependent plasticity as a result of reorganization of neural circuits is a fundamental characteristic of the central nervous system that occurs simultaneously in multiple sites. In this study, we established the effects of subthreshold transcranial magnetic stimulation (TMS) over the primary motor cortex region on the tibialis anterior (TA) long-latency flexion reflex. Neurophysiological tests were conducted before and after robotic gait training in one person with a motor incomplete spinal cord injury (SCI) while at rest and during robotic-assisted stepping. The TA flexion reflex was evoked following nonnociceptive sural nerve stimulation and was conditioned by TMS at 0.9 TA motor …

The Correlation Of Repeat Sprint Measures To Predicted Vo2 In Recreationally Active Males, Matthew R. Miltenberger

Seton Hall University Dissertations and Theses (ETDs)

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Assistive Technology: Fixing Humans, Petros J. Katsioloudis, Millie Jones

STEMPS Faculty Publications

The need for assistive technology--technology that assists persons with disabilities--is great. At no time has there been a greater need to provide assistive technologies than to assist the thousands of military veterans returning home from the Middle East with a range of physical and mental disabilities. Mobility impairment is a significant concern for many returning veterans. Assistive technologies are playing a major role in assisting war veterans returning with physical limitations through the loss of a limb or, in many cases, several limbs. This article presents the history and background of assistive technology and how mobile- and computer-assistive technologies can …

Sex Differences In Marathon Running With Advanced Age: Physiology Or Participation?, Sandra K. Hunter, Alyssa A. Stevens

Exercise Science Faculty Research and Publications

The sex difference in marathon performance increases with age and place of the finisher, even at the elite level. Sociological factors may explain the increased sex gap, but there is limited empirical evidence for specific factors.

Purpose: The purposes of this study were to determine the sex difference in velocity for the marathon across the place of finisher (1st–10th place) with advanced age and (2) to determine the association between the sex difference in participation (ratio of men-to-women finishers) and the sex difference in running velocity.

Methods: Running times of the first 10 placed men and women in the 5-yr …

Functional Implications Of Impaired Control Of Submaximal Hip Flexion Following Stroke, Allison S. Hyngstrom, Sandra K. Hunter

Exercise Science Faculty Research and Publications

Introduction: We quantified sub-maximal torque regulation during low to moderate intensity isometric hip flexion contractions in individuals with stroke and the associations with leg function. Methods: 10 participants with chronic stroke and 10 controls performed isometric hip flexion contractions at 5%, 10%, 15%, 20%, and 40% of maximal voluntary contraction (MVC) in paretic, non-paretic, and control legs. Results: Participants with stroke had larger torque fluctuations (coefficient of variation, CV), for both the paretic and non-paretic legs, than controls (Pr² =0.45) and Berg Balance Score (r²=0.38). At 5% MVC, there were larger torque fluctuations in the …

Changes In Neurochemicals Within The Ventrolateral Medullary Respiratory Column In Awake Goats After Carotid Body Denervation, Justin Robert Miller, Suzanne E. Neumueller, Clarissa Muere, Samantha Olesiak, Lawrence Pan, Matthew R. Hodges, Hubert V. Forster

Physical Therapy Faculty Research and Publications

A current and major unanswered question is why the highly sensitive central CO₂/H⁺ chemoreceptors do not prevent hypoventilation-induced hypercapnia following carotid body denervation (CBD). Because perturbations involving the carotid bodies affect central neuromodulator and/or neurotransmitter levels within the respiratory network, we tested the hypothesis that after CBD there is an increase in inhibitory and/or a decrease in excitatory neurochemicals within the ventrolateral medullary column (VMC) in awake goats. Microtubules for chronic use were implanted bilaterally in the VMC within or near the pre-Bötzinger Complex (preBötC) through which mock cerebrospinal fluid (mCSF) was dialyzed. Effluent mCSF was collected …