Digital Commons Network^™

Massachusetts Employment And Disability Snapshot Report, 2000-2005, Jennifer Sullivan Sulewski, John Butterworth

All Institute for Community Inclusion Publications

This monograph presents the results of secondary analysis of the RSA-911 database from the Rehabilitation Services Administration. All successful VR closures for individuals with mental retardation, cerebral palsy, and epilepsy for six data points between 1985 and 1998 were investigated. Trends in competitive labor market and extended employment (sheltered workshops) closures were examined. The use of supported employment in the VR system and its outcomes were also discussed. Findings include increased incidence of competitive labor market closures and supported employment services, with a decrease in extended employment closures.

This is the second in an annual series of snapshot reports on …

There Is More To Vision Than Seeing Clearly, Dawn Cardinal, Genea Nannemann

Occupational Therapy Capstones

"Vision is not simply the ability to read a certain size letter at a distance of 20 feet. Vision is a complex and adaptable information gathering and processing system which collects, groups, analyzes, accumulates, equates, and remembers information" (American Optometric Association, 2005, p.1). The purpose of this project is to develop a parent/caregiver handbook that will educate parent/caregivers with children who have visual deficits and to benefit the Vision Therapy Project, which is located in Casper, Wyoming. This project is a non-profit organization dedicated to provide assistance and education to parents/caregivers with children in need of vision therapy. Information for …

Information Literacy And Library Attitudes Of Occupational Therapy Students, Daniel G. Kipnis, Msi, Anthony J. Frisby, Phd

Academic Commons and Scott Memorial Library Staff Papers and Presentations

Information literacy, often described as a person's ability to effectively find and evaluate answers to questions using a variety of information resources, is of particular importance to health care workers. This paper presents the results of an information literacy survey presented to the occupational therapy (OT) students at Thomas Jefferson University during a series of required class activities. Also described are the authors' activities with the faculty and courses at Jefferson. The survey was made available to first-, second-, third-, and fourth-year occupational therapy students along with nursing students and pharmacy students. The survey is designed to identify research habits, …

Word-Retrieval Treatment In Aphasia: Effects Of Sentence Context, Anastasia Raymer, Francine Kohen

Communication Disorders & Special Education Faculty Publications

Word-retrieval treatment studies in aphasia have reported the greatest influences on picture naming for trained words. To increase treatment effects to untrained words and sentence contexts, we investigated a sentence-reading treatment hierarchy that moves from errorless to generative production of sentences incorporating target nouns and verbs. In an individual with nonfluent aphasia, treatment resulted in improved picture naming for nouns and verbs and generalized increases in numbers of grammatical sentences and content words following noun therapy. A second individual with fluent aphasia improved little in picture-naming and sentence-generation tasks for both nouns and verbs. This sentence-based word-retrieval training, in which …

Top 10 Positional-Release Therapy Techniques To Break The Chain Of Pain, Part 1, Timothy E. Speicher, David O. Draper

All PTHMS Faculty Publications

Positional-Release Therapy (PRT) is a treatment technique that is gaining popularity. The purpose of this two-part column is to briefly explain the theory and application of PRT. Then, we will present our top 10 list of what we think are the most commonly treated tender points by athletic therapists, five in Part 1 and five in Part 2, along with general tips, patient self-treatments, and adjunctive techniques.

PRT, originally termed strain–counterstrain, is a therapeutic technique that uses tender points (TPs) and a position of comfort (POC) to resolve the associated dysfunction. Essentially, PRT is the opposite of stretching.

PRT is …

A Sensory Processing Approach For Young Children With An Adversity To Eating, Zondra S. Thompson

Occupational Therapy Capstones

Eating and drinking are basic to our health and survival; it is also an integral part of our social life. For parents, feeding their children is a vital part of how they care for and nurture them. It is difficult for both the parents and the child when eating becomes a stressful experience. Children with sensory processing dysfunction often approach mealtimes with apprehension and discomfort. The willingness or inability to eat may be a sensory-processing based problem, which often exhibits as a behavioral problem such as, the child refusing to eat, to try new foods, or to touch different foods. …

Adults With Low Vision: Continuing Education For Occupational Therapists And Occupational Therapy Students, Ashley Berglund, Kelli Hughes

Occupational Therapy Capstones

Low vision is a condition that occurs when an individual has "some amount of usable vision, but their visual functioning is impaired and interferes with their ability to carry out desired tasks" (Lampert & Lapolice, 1995, p. 885). Impairments in vision cause disruptions in areas of daily living including work and leisure, routines, habits, roles, and social participation. There is a great need for holistic and client-centered occupational therapy in low vision rehabilitation services to improve an individual's functional performance and overall quality of life.

A comprehensive literature review was conducted on low vision definitions and medical conditions, the variety …

Assistive Technology Guide For The Occupational Therapy Treatment Of Elementary School-Aged Children With Duchenne Muscular Dystropy, Kara Cook, Jessica Mcmahan

Occupational Therapy Capstones

No abstract provided.

Eating Disorders: A Guide For The Occupational Therapist, Randi Horner

Occupational Therapy Capstones

Eating disorders are serious illnesses that can impact physical and mental health. Increasingly, occupational therapists encounter this population in general psychiatric hospitals and treatment facilities, as well as specialized eating disorders treatment facilities. Yet, questions concerning the role of occupational therapy in the treatment of eating disorders remain. The purpose of this project is to increase the awareness of the role of occupational therapy in the treatment of eating disorders by providing a guide for effective treatment of these illnesses. A literature review includes information regarding eating disorders, the demographics and diagnostic criteria of eating disorders, multidisciplinary treatment settings and …

A Hippotherapy Protocol For Occupational Therapists, Callie Holt, Kirsten Sonderland

Occupational Therapy Capstones

Hippotherapy is an occupational, physical, and speech therapy treatment strategy that utilizes equine movement. Hippotherapy is utilized as part of an integrated treatment program to achieve functional outcomes. In hippo therapy, the client engages in activities that are enjoyable and challenging while the therapist modifies the horse's movement and grades sensory input to improve neurological function and sensory processing (American Hippotherapy Association, 2003).

The purpose of this scholarly project was to create a hippotherapy protocol for occupational therapists interested in developing a hippotherapy program. It was the intent that this hippotherapy protocol be utilized with individuals of all ages who …

A Wellness Program Module For Employees Of A Skilled Nursing Facility, Cindy Janssen

Occupational Therapy Capstones

No abstract provided.

Aquatic Therapy For Clients With Neurological Impairments: An Introductory Manual For Occupational Therapists, Jason C. Kjar

Occupational Therapy Capstones

No abstract provided.

A Model And Resource For Organizational Leadership For Occupational Therapists, April M. Kingsbury

Occupational Therapy Capstones

No abstract provided.

Training Assistance For Caregivers Working With Students With Traumatic Brain Injury, Randi L. Price

Occupational Therapy Capstones

Students who have suffered a traumatic brain injury (TBI) often require assistance from a variety of professionals and staff to complete their daily routines. Frequently it is a classroom assistant (paraprofessional), under the direction of a teacher, who attends to the student's basic and daily needs. Teachers and their assistants may receive some general training, but assistants, especially, are seldom offered an opportunity to attend trainings specific to managing the needs, difficulties, and behaviors that they are likely to encounter in their students. Unfortunately, according to J. Shuiz, Training Director and Special Education Services Coordinator for Natrona County School District …

A Family Guide To The Neonatal Intensive Care Unit, Merri M. Reese, Lori M. Thompson

Occupational Therapy Capstones

One of the many challenges facing health care professionals practicing in the neonatal intensive care unit (NICU) is providing appropriate care that is sensitive, individualized, and supportive to infant development and parental roles (Lawhon, 2002). Because the families are often the ultimate advocates and caregivers for infants in the NICU it is important that they understand and take part in their babies' care. Therefore, by providing clear and easy to understand explanations of equipment, technology, and procedures that are a part of the NICU environment, professionals can help alleviate parental stress and promote parental involvement.

An extensive review of literature …

Recreational Manual For Caregivers Of Individuals With Cerebral Palsy, Erica Bucher

Occupational Therapy Capstones

A brief literature review was conducted on cerebral palsy to gain general information and statistics. After reviewing the literature, it was noted that there is a significantly high number of children diagnosed with cerebral palsy each year. These individuals are at a high risk to experience the lack of opportunity for a wide choice of recreational activities. To understand the magnitude of the problem an extensive literature review was done on this topic. It was found that the lack of access and participation in independent recreational opportunities may lead to the development of dependent behavioral patterns, learned helplessness and depression. …

Resource Manual For Rural Occupational Therapy Practitioners, Janae Marie. Hughes

Occupational Therapy Capstones

Rural hospitals have been an integral part of the culture of rural America, where clients were once able to seek services needed in their hometowns. Now more than ever, rural facilities are facing increased challenges to remain viable and at the same time continue to deliver high quality care to their communities (American Hospital Association, 2005). With small towns becoming smaller, it is becoming increasingly difficult to recruit allied health professionals to these areas. The reasons for this vary from area to area yet there are some commonalities such as; the misperceptions of limited community activities and resources, lower pay …

A Treatment Protocol Utilizing Sensory Integrative Techniques For Treating Self-Mutilation, Nikki Stevens

Occupational Therapy Capstones

“It is estimated that one to two million people in the United States intentionally and repeatedly bruise, cut, burn, mark, scratch and mutilate different parts of their own bodies. This estimate represents only the adolescents and adults who actually seek help for the behavior” (Ferentz, 2002). The reasons for self-mutilation behaviors span across a considerable range from post-traumatic stress disorder to hypersensitivity. The research indicates parallels between children who have been sexually, physically, or emotionally abused and self-mulitlation. Basically, it is an unhealthy coping strategy to deal with overwhelming and intense feelings. The current treatment regime varies and includes: medication, …

Universal Design: An Educational Presentation For Occupational Therapy Students, Steve Fugere, Heather Grasser

Occupational Therapy Capstones

Purpose: Universal design is an emerging practice area within the profession of occupational therapy. Because universal design is an emerging area, educational resources on the topic are limited. If practitioners wish to work in this emerging area, more knowledge and skills need to be developed. The purpose of this scholarly project was to create a resource that could be used to educate occupational therapy students on universal design concepts. Information included in the presentation will help students understand the role of the occupational therapist in the design process.

Method: A literature review was conducted to examine the impact of the …

Body Mechanics Program For A Material Handling Environment, Jeremy Laine

Occupational Therapy Capstones

A series of improper body mechanics can lead to injury with in a manual material handling environment (Hagan, 2001). Improper body mechanics are a result of poor work habits that negatively reinforce a worker. When a worker in a manual material handling environment conducts his or her essential job functions, while ambulating to do their job, certain behaviors negatively reward a worker such as completing their tasks faster or what is perceived as more efficient. These behaviors specifically include, but are not limited to: increasing job pace or reckless speed, twisting repetitively, bending at the pelvis, back extension, forceful action, …

Giving All Children A Good Start To School: A Protocol In Defining Occupational Therapist's Role In School Readiness, Specifically In The Smart Program, Melissa Boll

Occupational Therapy Capstones

More children are entering school "not ready." Current research is showing that many "healthy" children are entering school not developmentally ready for formal learning. Based my own experiences working as a school occupational therapist for the past four years in rural area schools, this new trend is becoming more apparent. Teachers and other school professionals have increasing concerns over the numbers of children that seem "clumsy" or "awkward" compared to their peers. Children are expected to learn more than ever before upon entering school, the curriculum is no longer age-appropriate due to the pushing down of academics. Upon entrance to …

A Retrospective, Descriptive Study Of Shoulder Outcomes In Outpatient Physical Therapy, A. Lynn Millar, Philip A. Jasheway, Wendy Eaton, Frances Christensen

Faculty Publications

Study Design: A retrospective, descriptive study of clients with shoulder dysfunction referred to physical therapy. Objectives: To (1) describe the clinical and functional outcomes of clients with shoulder dysfunction following outpatient physical therapy, and (2) to compare the outcomes by type of shoulder dysfunction. Background: Although individuals with shoulder dysfunction are commonly referred to physical therapy, few large descriptive studies regarding outcomes following physical therapy are available. Methods and Measures: Data for 878 clients (468 female, 410 male) were retrieved and analyzed. This database was developed between 1997 and 2000 and included 4 outpatient facilities from 1 healthcare system in …

Effect Of Keyswitch Design Of Desktop And Notebook Keyboards Related To Key Stiffness And Typing Force, Marcia J. Bufton, Richard W. Marklin, Mark L. Nagurka, Guy G. Simoneau

Mechanical Engineering Faculty Research and Publications

This study aimed to compare and analyse rubber-dome desktop, spring column desktop and notebook keyboards in terms of key stiffness and fingertip typing force. The spring-column keyboard resulted in the highest mean peak contact force (0.86N), followed by the rubber dome desktop (0.68N) and the notebook (0.59N). All these differences were statistically significant. Likewise, the spring-column keyboard registered the highest fingertip typing force and the notebook keyboard the lowest. A comparison of forces showed the notebook (rubber dome) keyboard had the highest fingertip-to-peak contact force ratio (overstrike force), and the spring-column generated the least excess force (as a ratio of …

Role Identity Formation Of Occupational Therapy Students, Denise A. Rotert

Electronic Theses and Dissertations

This study is an examination of the professional socialization process of occupational therapy students from a role identity theoretical perspective. First-year students, second-year students, fieldwork students, and faculty at an occupational therapy educational program at a Midwestern institution volunteered to participate in the study. Data were collected through focus group interviews and surveys. The focus of the study was to determine factors associated with occupational therapy students’ identity salience, commitment, and role-person merger. Interviews and surveys were used to determine what factors, over and above didactic education, influence the socialization of students into the profession of occupational therapy and what …

Low Back Pain In Police Officers, Jennifer Gwyn Arts

Masters Theses

Low back pain (LBP) is something that police officers deal with on a daily basis. The purpose of this research was to explore whether police officers have a higher incidence of LBP than the general population and to explore what factors officers believe contribute to the LBP they experience. Surveys were made available to all police departments in Kent County and all sworn officers were asked to participate. The difference between LBP experienced by police officers (60.2%) and that experienced by the general population (60-90%) was not found to be significant. The top two answers given by officers as to …

Effects Of Sprint Training On Extrarenal Potassium Regulation With Intense Exercise In Type 1 Diabetes, Alison R. Harmer, Patricia A. Ruell, Michael J. Mckenna, Donald J. Chisholm, Sandra K. Hunter, Jeanette M. Thom, Norman R. Morris, Jeff R. Flack

Exercise Science Faculty Research and Publications

Effects of sprint training on plasma K⁺ concentration ([K⁺]) regulation during intense exercise and on muscle Na⁺-K⁺-ATPase were investigated in subjects with Type 1 diabetes mellitus (T1D) under real-life conditions and in nondiabetic subjects(CON). Eight subjects with T1D and seven CON undertook 7 wk of sprint cycling training. Before training, subjects cycled to exhaustion at 130% peak O₂ uptake. After training, identical work was performed. Arterialized venous blood was drawn at rest, during exercise, and at recovery and analyzed for plasma glucose, [K⁺], Na⁺ concentration ([Na⁺]), catecholamines, …

The Role Of Lower Leg Muscle Activity In Blood Pressure Maintenance Of Older Adults, Michelle M. Masterson, Amy L. Morgan, Christine E. Multer, Daniel Cipriani

Physical Therapy Faculty Articles and Research

Purpose. Age-associated muscle weakness, postural instability, and orthostatic hypotension have been identified as contributing factors to falls , but the relationships among them are not clear. Therefore, the purpose of this study, a two-way factorial design, was to investigate the differences in lower extremity (LE) muscle activity, blood pressure (BP), and heart rate (HR) between young and older individuals in an upright position. Methods. Ten young males (20-24 yrs.) and 10 older males (65-82 yrs.) stood for 15 minutes while BP, HR, and LE electromyography (EMG) were recorded at one minute intervals . A two-way ANOVA was used …

Influences On Health Related Quality Of Life In Community Dwelling Adults Aged 60 Years And Over, Hilary Beth Greenberger

Theses and Dissertations

Interest in patient-reported health care outcomes such as health related quality of life (HRQL) has increased dramatically over the past two decades. Typically, HRQL has been conceptualized as having at least three domains: physical, psychological, and social functioning. Although research has attempted to identify factors that influence HRQL,few studies have simultaneously examined how various factors impact HRQL in the elderly. The purpose of this study was to develop and test a causal model to identify factors influencing HRQL. The constructs and observed variables hypothesized to influence HRQL included medical burden, housing satisfaction, socioeconomic status,religion/spirituality, age, gender, and marital status.Three hundred …

Parent And Therapist Perceptions Of Sensory Based Strategies Used By Occupational Therapists In Family-Centered Early Intervention Practice, Juliet Bertaut Copeland

Theses and Dissertations

A qualitative approach was used to explore the perceptions of parents and therapists in early intervention regarding sensory diets and their efficacy, particularly their goodness of fit within family routines and occupations. Open-ended interviews were conducted with therapist and parent participants and analysis of the data resulted in a model depicting how sensory diets became a "way of life" for families. The Sensory Diet "Way of Life" Model revealed seven themes that illustrated how occupational therapists in early intervention enter the homes of the families they serve and establish a "partnership" with parents to address a child's needs. Once this …

An Exploration Of How And Why Primary Care Providers Educate Infant Caregivers About Positioning, Amy Greenspon Choffin

Theses and Dissertations

A review of the literature indicates that how infants are positioned is related to the risk of SIDS, the incidence and severity of plagiocephaly, torticollis, and developmental delays. A quantitative approach with survey methodology was used with 66 pediatric primary care providers responding to 26 questions. Overall, PCPs are educating caregivers about sleep positioning with a high frequency. There was a relationship between practice site, and the frequency of sleep positioning education is provided. While the participants provide education about awake positioning, and the use of positioning devices, it was with less frequency than they do about sleep positioning; there …