Digital Commons Network^™

Infant Positioning And Its Effect On Development And Head Symmetry, Marjorie Dvorak

Occupational Therapy Capstones

Parents that do not provide their babies with a variety of proper body positions throughout everyday activities may increase their infant's risk for motor development problems and abnormal head shaping. The purpose of this scholarly project was to create parental educational materials in order to increase parent awareness and prevention of common problems due to lack of proper infant positioning in everyday activities.

The methodology used was an extensive research literature review, review of current professional resources on this topic, and this therapist's clinical expertise. The clinical products developed from this evidence included: A parental Developmental Care Guide which is …

Proposed Process: Practice Analysis, Design & Implementation Of Occupational Therapy In Community Behavioral Health Hospitals (Cbhh), Jill Gill

Occupational Therapy Capstones

The Minnesota Department of Human Services has adopted the Illness Management and Recovery (IMR) Program, developed by the Substance Abuse and Mental Health Services Administration. The IMR Program is an evidence-based and recovery focused model of intervention. The primary aim of the IMR Program is to empower consumers with severe mental illness (SMI) to manage their illness, find their own goals for recovery, and make informed decisions about their treatment by teaching them the necessary knowledge and skills to do so. The first Community Behavioral Health Hospital (CBHH), operated by the Minnesota Department of Human Services, was opened in 2006. …

The Use Of Aquatic Therapy For Children With Neuromuscular Disorders, Chris Hydukovich, Troy Schmitz

Occupational Therapy Capstones

Purpose: The purpose of this literature was to determine the effects aquatic intervention has on children suffering from neuromuscular disorders compared to that of traditional land-based physical and occupational therapy services.

Method: A literature search was conducted using PubMed, OT search, AJOT online, CINAHL, the Mayo Clinic Triage, and various occupational therapy textbooks regarding the use of aquatic therapy in a neuromuscular population. Information was extracted from this literature to generate educational material for parents of child receiving aquatic occupational therapy.

Results: A review of literature presented cerebral palsy as the main neuromuscular disorder of study associated with aquatic therapy. …

Treating The Whole Child: Recognizing And Addressing Depression In Children With Physical Disabilities, Kathleen A. Koehn

Occupational Therapy Capstones

The purpose of this scholarly project was to develop a tool that would assist occupational therapy practitioners working with children with physical disabilities in recognizing and addressing symptoms of depression in that population. Ailey (2003) reported that symptoms of depression in children with developmental disabilities are frequently attributed incorrectly to a child's primary diagnosis, rather than depression. Because occupational therapists typically see these children more frequently than primary care physicians, they are in a prime position to assist in the screening and referral processes related to depression.

This project involved a comprehensive review of the literature, including data on the …

Managing Post-Stroke Fatigue: A Guide For Daily Living For Clients And Caregivers, Carolyn Krum, Heather Satrom

Occupational Therapy Capstones

Several research studies have determined that fatigue is a common symptom, that should be viewed as an independent consequence following a stroke: it interferes with an individual's engagement in activities of daily living. Fatigue can be misinterpreted as depression, therefore, may be treated inappropriately or remain untreated. Fatigue is not often addressed by health care professionals, therefore, clients and their families are not receiving the proper education and resources to manage fatigue challenges (Glader, Stegmayr, & Aspuland, 2002; Schepers, Visser-Meily, Ketelaar, & Lindeman, 2006). The purpose of this project was to develop a guide for daily living for clients and …

An Occupational Therapy Guide For Improving Social Performance In Adolescents Within The Juvenile Justice System, Missy Law, Ashle Hicks

Occupational Therapy Capstones

Occupational therapists believe social participation is an important aspect of adolescent development. Social participation problems can be linked to mental health diagnoses and delinquency. Adolescents who are court ordered into the juvenile justice system often do not receive the necessary treatment due to lack of resources within the community.

A comprehensive literature review was conducted to gather information regarding social participation aspects in relation to adolescent delinquency and placement within the juvenile justice system. The findings suggest there is more emphasis placed on punishment for adolescents rather than rehabilitation. Interventions used to support rehabilitation are primarily limited to counseling. A …

Constraint Induced Movement Therapy: An Educational Module For Occupational Therapy Students, Tamira Ott, Grant Basko

Occupational Therapy Capstones

The literature indicates that approximately 730,000 Americans experience a new or recurrent stroke each year. There are approximately 4 million Americans living with some type of disability as a result of having suffered a stroke. Due to the high incidence of stroke related disability and associated economic costs; stroke rehabilitation is a health care priority. Even with early intervention only 10% of stroke survivors will recover completely, 25% recover with minor impairments, 40% experience moderate to severe impairments, 10% require care in a nursing home, and 15% die shortly after the stroke. Since the highest categories range from minimal to …

Physical Therapy 2008, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

A Manual Of Expected Milestones In Childhood And Occupation-Based Interventions, Laura J. Rabenberg, Chere L. Vosberg

Occupational Therapy Capstones

The purpose of this scholarly project was to develop a manual for parents of children ages birth to five years. The manual includes significant milestones and provides age-appropriate activities which can be used to facilitate development.

A literature review was conducted to identify how play is used to achieve developmental milestones. Resources included journal articles and textbooks from the disciplines of occupational therapy, psychology, education, and medicine.

A manual for parents was created and consists of a discussion on the importance of play in development, expected milestones, occupation-based interventions, and resources regarding child development. This manual is intended for distribution …

Assessment Of Practitioner Intervention In Physical Activity, Kristin Thea Schley

Master's Theses and Doctoral Dissertations

Lack of physical activity is a serious epidemic that affects one’s health. Primary care physicians can play a key role in influencing and changing people’s behaviors. The objective of this study was to assess primary care physicians’ role in physical activity counseling and what if any guidelines they use. One hundred and forty-seven primary care physicians completed and returned the 23-item Physical Activity Counseling Questionnaire. Most of the respondents were over the age of 50 (58.5%), group practitioners (60.5%), male (59.9%), and have been practicing more than 20 years (50.3%). The majority of physicians “almost always” (47.6%) counseled their patients …

The Meaning Of Natural Environment Occupations: Exploring The Experiences Of Sierra Club Members, Tulin Roselynn Ture

Master's Theses and Doctoral Dissertations

Poets and writers have long lauded the beauty and necessity of nature. More recent literature and research has provided support for the healthful benefits of the natural environment. This literature spans the breadth of many disciplines. Yet, very little occupational therapy literature focuses on the natural environment. This is somewhat surprising given occupational therapy’s focus on space and place.

This thesis explores the experience of participation in natural environment occupations by adult members of the Sierra Club. Five Sierra Club members were interviewed and two local Sierra Club outings were observed. Qualitative data analysis revealed two major themes: childhood beginnings …

A Narrative Study: Exploration Of Arts And Crafts As Meaningful Productivity In A Middle-Old Adult Who Resides In An Independent Living Facility, Sara E. Thornburg

Masters Theses

This qualitative study explored the meaningfulness of engagement in arts and crafts in one older adult who resides in an independent living facility. A narrative approach was used and one participant was purposefully selected for the study. Data was collected through the use of semi-structured interviews. Additional data sources included the participant’s book of memories, artifacts, and photos. Analysis consisted of thorough readings of the data and the development of a chronology from the participant’s stories and hook of memories. Participant feedback and peer debriefing was elicited in order to insure validity of the researcher’s findings. Consistent with narrative research, …

Low Frequency Fatigue In Human Quadriceps Is Fatigue Dependent And Not Task Dependent, Masaki Iguchi, Kris Baldwin, Charles Boeyink, Carol Engle, Michael Kehoe, Anish Ganju, Andrew J. Meszaros, Richard Shields

Faculty Publications - College of Physical Therapy

It is well accepted that a low intensity/long duration isometric contraction induces more low frequency fatigue (LFF) compared to a high-intensity/short-duration contraction. However, previous reports examined the intensity/duration of the contraction but did not control the level of fatigue when concluding fatigue is task dependent. The purpose of this study was to determine whether a long duration/low intensity fatiguing contraction would induce greater LFF than a short duration/high-intensity contraction when the quadriceps muscle was fatigued to similar levels. Eighteen healthy male subjects performed quadriceps contractions sustained at 35% and 65% of maximal voluntary contraction (MVC) on separate days, until the …

Effect Of Resistance Training In The Improvement Of H:Q Ratio In Males And Females, Pradeep Edupuganti

Open Access Theses & Dissertations

ABSTRACT

Objective: The purpose of this study was to examine the change in hamstrings to quadriceps (H:Q) strength ratio between males and females following a 12-week resistance training program.

Design and Setting: We used a pretest-posttest experimental design to determine the amount of change produced by the training intervention in males and females. Isokinetic testing was performed on a Biodex System 3 isokinetic machine at 30°/sec, 60°/sec, 180°/sec and 240°/sec angular velocities, both before and after a 12-week training program.

Subjects: Twenty eight (14 male, 14 female) university recreationally active volunteers.

Variables: The dependent variables of interest were the conventional …

Dependence In Prestroke Mobility Predicts Adverse Outcomes Among Patients With Acute Ischemic Stroke, Mary I. Dallas, Shari Rone-Adams, John L. Echternach, Lawrence M. Bass, Dawn M. Bravata

Rehabilitation Sciences Faculty Publications

Background and Purpose - Stroke survivors are commonly dependent in activities of daily living; however, the relation between prestroke mobility impairment and poststroke outcomes is poorly understood. The primary objective of this study was to evaluate the association between prestroke mobility impairment and 4 poststroke outcomes. The secondary objective was to evaluate the association between prestroke mobility impairment and a plan for physical therapy.

Methods - This was a secondary analysis of the National Stroke Project data, a retrospective cohort of Medicare beneficiaries who were hospitalized with an acute ischemic stroke (1998 to 2001). Logistic-regression modeling was used to examine …

Frontal Plane Pelvic Drop In Runners: Causes And Clinical Implications, Evie Neff Burnet

Theses and Dissertations

Running is becoming an increasingly popular sport; however, runners have a high rate of injury and are therefore often treated in the orthopedic or sports medicine setting. One current focus of these patients' treatment is gluteus medius muscle (GM) strengthening and gait retraining, with the goal of decreasing frontal plane pelvic drop. Unfortunately, there is a research void assessing the role of GM function on pelvic drop, and the effect of an increased pelvic drop on running performance. The specific aims of this research were to investigate a link between frontal plane pelvic drop and (1) isometric GM torque, (2) …

Making Sense Of Men's Workout Practices: The Body, Age And Identity, Andrew Dunne

Masters

Background: Within sociology it is generally accepted that the body has become an object or “project” that is worked on and transformed as a central part of self-identity (Baudrillard 1998; Corrigan 1997; Featherstone 1991; Giddens 1991; Turner 1995, 1992; Shilling 2003). An alternative to such arguments, Leder (1990) conceptualizes the body as an “absent presence”. He argues that, while the body plays a central role in shaping our experience of the world, we are frequently oblivious to our own bodies. For Leder, bodywork is sporadic. He contends that specific social and/or physiological experiences cause the body to “dys-appear”, or enter …

Modified Constraint-Induced Movement Therapy In Spastic Cerebral Palsy: A Pilot Study, Hsuan-Ju Lin, Ching-Yi Wu, Chia-Ling Chen

Rehabilitation Practice and Science

Children with spastic cerebral palsy (CP) usually exhibit motor deficits and limited daily activities. Studies in recent years indicated that constraint-induced movement therapy (CIMT) might improve motor performance in CP patients. Combining kinematic analysis with clinical assessments, this study investigated the effect of modified CIMT (mCIMT) in four children with spastic CP immediately and one month after treatment. During the 3-week intervention, subjects underwent task-related training using the affected hand with restraint of the unaffected hand.The experimental results revealed significant improvements of the affected hand in use frequency, movement quality, grasping pattern, and bimanual coordination, both immediately and one month …

A Psuedo-Mass Of Shoulder Girdle Due To Spinal Accessory Nerve Injury After Neck Lymph Node Biopsy: A Casereport, Yen-Nung Lin, Jing-Hwa Wey, Mei-Chun Huang, Kwang-Hwa Chang, Chun-Chieh Chiu

Rehabilitation Practice and Science

Shoulder problems such as pain, weakness, limited range of motion and palpable mass are common complaints in PM&R clinic. This casereport describes a less common but not rare condition: iatrogenic accessory nerve injury after neck lymph node biopsy. The patient in this study presented symptoms of shoulder girdle pain and weakness and also complained of a ”hard palpated mass” over her shoulder girdle.A 49-year-old female complained of gradually worsening left shoulder pain accompanied by weakness and limited range of motion in her left shoulder for many months. She had sought medical advice for many times and rotator cuff pathology was …

Self-Assessment Examination For Residents In Physical Medicine And Rehabilitation: First Experience In Taiwan, I-Nan Lien, Tyng-Guey Wang, Shin-Liang Pan, Rai-Chi Chan

Rehabilitation Practice and Science

Objective: The national Self-Assessment Examination (SAE) for residents has been held in the United States for many years. However, no similar test has been held by any medical specialty association in Taiwan. The first national SAE in Physical Medicine and Rehabilitation (PM & R) aimed to provide a benchmark for residents and medical institutes.Material and Methods: The written questions of the Certification Examination 2005 of the Taiwan Board of PM & R were used in the SAE for residents. Participants were first to third year residents in PM & R from various medical institutes and candidates for the board examination …

Medical Service Needs Of Special Education Students In Chiayi County, Taiwan, Shu-Yi Wang, Yuh-Chin Jean

Rehabilitation Practice and Science

The Buddist Tzu Chi Dalin Hospital was responsible for providing medical services to special education students of Chiayi County in 2004. We evaluated the cognitive skills, activities of daily living, language skills, and gross and fine motor functions of 160 disabled students, 113 male and 47 female. Students with mental retardation were the most frequent, followed by students with dyslalia, then autism, and attention deficit and hyperactivity disorder. A needs assessment revealed that 155, 132, and 107 students fed, dressed, and bathed themselves independently, respectively. Ninety-three students had a language disorder, 75 students had fine motor impairment, and 52 students …

Computer Alert System That Promotes Patient Safety By Identifying Possible Contraindications Of Prescribed Physical Agents, Hong-Nan Shih, Jing-Hwa Wey, Chun-Chieh Chiu, Po-Wei Lin, Tsan-Hon Liou, Chi-Hsien Chen

Rehabilitation Practice and Science

This study investigated and analyzed the prevalence of contraindications that can co-exist with a prescribed physical agent. To prevent likely complications, this study implemented a computer warning system, which prompts physiatrists to possible contraindications. Once a physical agent is prescribed, the system automatically reviewarticles the ICD-9 codes in the patients’ medical chart. Two pre-established databases are used in the warning system: one contains contraindications for each physical agent and the other has possible contraindications for each selected ICD-9 code. By cross-referencing between ICD-9 codes in a patient's chart and the two databases, the warning system was able to identify possible …

Bladder Management And Urologic Outcome In Patients With Chronic Spinal Cord Lesions, Je-Kuei Yang, Su-Ju Tsai, I-Chun Chen, Liu-Ing Bih

Rehabilitation Practice and Science

Between February and September 2004, 73 patients with spinal cord lesions of greater than 2 years duration were enrolled in this study. A chart reviewarticle was conducted to record the manner in which the patients' bladder management, previous urologic complications, and any corresponding treatments and effects. Among the patients, 55 were male and 18 were female, with an average age of 29.3±12.1 and 32.0±13.0 years, respectively. The mean duration of the patients' injuries was 9.5±6.9 years in men, and 7.0±4.5 years in women, respectively.Group Ⅰ included 8 patients (11.0%) who had indwelling catheters since the time of their injury and …

Intensive Cardiopulmonary Rehabilitation Program For Patients With Severe Heart Failure And Acute Stroke: A Report Of Two Cases, Chyi-Yann Wang, Jue-Long Wang, Ai-Lun Yang, Ko-Long Lin

Rehabilitation Practice and Science

Cardiovascular disease is a major factor restricting successful outcomes after stroke rehabilitation. While neurological recovery after stroke has been extensively investigated, cardiovascular adaptations to physical activities poststroke have received little attention. Severe heart failure patients have been well known for limitation of ambulation, but the influence over acute poststroke patients have rarely been investigated. Exercise testing has become a mainstay for the prognostic assessment of patients with heart failure. Various studies have shown that patients with impaired exercise capacity, as measured by low peak oxygen consumption (Vo2), have an unfavorable outcome, independent of other parameters. Whether parameters from submaximal test …

Hereditary Neuropathy With Liability To Pressure Palsies: A Report Of Two Cases, Chu-Hsu Lin, Long-Sun Ro, Hung-Chih Hsu, Wei-Chi Hsieh, Chih-Jung Lin, Jian-Der Lee

Rehabilitation Practice and Science

Hereditary neuropathy with liability to pressure palsies (HNPP) is an autosomal-dominant disorder characterized by self-limited, recurrent compressive mononeuropathies at common entrapment sites precipitated by trivial injuries. This disorder typically develops in early adulthood. Electrodiagnostic studies revealed diffuse mild demyelinating neuropathies with entrapment over common entrapment sites. Nerve biopsies frequently show segmental demyelination and thickening of the myelin sheath which is mostly caused by 1.5 Mb deletion of the 17p 11.2 site containing the peripheral myelin protein 22 (PMP22) gene on the 17(superscript th) chromosome. This report describes the clinical features, electrodiagnostic studies, and genetic studies of a Taiwanese family. Among …

Bickerstaff's Brainstem Encephalitis Combined With Guillain-Barré Syndrome: A Casereport, Yi-Ping Cheng, Jo-Tong Chen, Ta-Shen Kuan

Rehabilitation Practice and Science

Bickerstaff's brainstem encephalitis is a post-infectious brainstem inflammatory disorder of unknown etiology. The characteristic symptoms include: acute ophthalmoplegia with diplopia, ataxia, disturbed consciousness, and extensor plantar response. In this report we describe a 33-year-old woman with Bickerstaff's brainstem encephalitis combined with Guillain-Barré syndrome that presented 25 days after a Cesarean section. After five treatments with plasmapheresis and intravenous immunoglobin for 5 days, the patient's muscle strength recovered to MRC 4/5. The ophthalmoplegia and bilateral extensor plantar responses also disappeared. The patient then was transferred to the PM&R department for persistent slurred speech, ataxia, and diplopia. The rehabilitation program included training …

Low Back Pain Due To Infective Discitis: A Casereport, Hung Chi Lin, Chin-Liang Liu, The-Chen Wang, Mu-Jung Kao

Rehabilitation Practice and Science

Infective discitis accompanying low back pain is uncommon. In general, risk factors for infective discitis include an age greater than 50 years, a history of cancer, unexplained weight loss, pain that lasts more than 1 month, a history of intravenous drug abuse, presence of a urinary tract infection or other infections, diabetes mellitus, and recent invasive procedures. The presence of an elevated erythrocyte sedimentation rate (ESR) and a C-reactive protein (CRP) level have proven to be reliable laboratory criteria consistent with infective discitis. Moreover, magnetic resonance (MR) imaging findings have been shown to have a good sensitivity for infective discitis. …

A Reviewarticle Of Psychometric Properties Of Five Tests Of Attention Commonly Used In Patients With Stroke, Hui-Yan Chiau, I-Ping Hsueh, Chia-Lin Koh, Hui-Chun Chen, Chin-Ling Hsieh

Rehabilitation Practice and Science

Background and purpose: Comparison of the psychometric properties of tests of attention can provide guidelines with which clinicians and researchers can determine a useful measurement. The purpose of this study is to reviewarticle and appraise the psychometric properties of attentional tests frequently used during the last 3 years in empirical studies of stroke and to determine how well these tests can be applied on people with stroke.Methods: This study included two parts: first, a search from the MEDLINE, PsycINFO, CINAHL and Index to Chinese Periodical Literature databases for attentional tests used more than twice in empirical studies of stroke in …

Bone Mineral Density In Subjects With Cerebral Palsy: A Preliminary Study In Taiwan, Hsin-Chi Wu, Ming-Chuan Lin, Yi-Shiung Horng, Hong-Yi Chen, Kwang-Hwa Chang

Rehabilitation Practice and Science

Objective: Children with cerebral palsy (CP) have complicated disabilities, and also have the tendency to suffer from osteoporotic fractures. The aim of this study was to explore the bone mineral density (BMD) and to estimate the fracture rate in Taiwanese CP subjects.Materials and methods: To study the BMD and its related factors in 28 Taiwanese CP subjects (16 males, 12 females; age range, 2-24 years; mean age, 9.8 years), we evaluated their BMD in the lumbar spine (LS-BMD) with dual energy x-ray absorptiometry, clinical characteristics, biochemical bone metabolism-related factors, and nutritional status. The fracture rate was evaluated during a three-year …

Analysis Of Hospitalization-Related Factors Among Nursing Home Residents: A Preliminary Report, I-Chun Chen, May-Lien Liu, Cheng-Hsiu Lin

Rehabilitation Practice and Science

There are increasing numbers of elderly people spending the last years of their lives in a nursing home (NH) or other long-term care institution, mostly because of physical and/or mental disabilities. NH residents may have a variety of acute illnesses; hospitalization is an important treatment option for the frail NH resident owing to the insufficient resources of NHs. The purpose of this study is to investigate the cause of hospitalization, and to analyze the correlation between the NH residents’ characteristics and hospitalization.Residents staying in the participating NH for more than one year were recruited into this study, and from September …