Digital Commons Network^™

The Correlation Between Ankle Proprioception And Lower Extremity Muscle Reactions In Response To Simulated Ankle Sprains, Erin Carroll, Justin Stanek, Abby Salvadore

Clinical Practice in Athletic Training

Context: Neurological structures of the somatosensory system provide proprioceptive and neuromuscular input regarding joint positioning to the brain. Lower extremity motor control relies on local proprioceptive input to the central nervous system and neuromuscular control of individual joints to produce coordinated, global responses to external events. The purpose of this study was to investigate the relationship between ankle proprioception and lower extremity muscle reaction time in response to an unexpected ankle inversion perturbation.

Methods: Twenty healthy college-aged volunteers were recruited to participate by word of mouth. Absolute and exact errors for passive joint position sense (PJPS) were assessed using a …

The Evaluation Of A Soft Skills Curriculum In Athletic Training Education: A Mixed Methods Study, Emily A. Duckett, Heather Schugar, Alison Gardiner-Shires, Jacqueline S. Hodes

Clinical Practice in Athletic Training

Context: Developing athletic training students’ soft skills to effectively engage in patient-centered care is integrated throughout multiple Commission on Accreditation of Athletic Training Education Curricular Content Standards. Despite evidence supporting the importance of compassionate care, there is currently data to suggest that health care is experiencing a compassion crisis. The purpose of this study was to investigate the ways pre-professional athletic training students transfer knowledge from a soft skills curriculum to clinical experiences as students in an entry level master’s program.

Methods: This study is an explanatory sequential mixed methods design. Phase 1 includes participants (n = 19) enrolled in …

Breaking The Cycle: From Victimization To Offending Through The Lens Of Human Services, Colette R. Penalosa

Master of Arts in Human Services

The victim-offender overlap challenges the common view that victims and offenders are separately labeled by recognizing that both groups have experienced significant childhood trauma, physical, emotional, and psychological abuse, neglect, and other adverse childhood experiences (ACEs). Current research implies these experiences can increase the risk of offending as they all influence cognitive and behavioral development while leaving criminal behavior undetermined. The purpose of this capstone is to analyze the relationship between childhood victimization and offending from a human service perspective; analyzing the pathways a victim takes on the road to offending. Research conducted will focus on exploring the victim-offender overlap, …

Translational Initiative To Minimize Childhood Hemiparesis After Asymmetrical Perinatal Brain Injury, Susan V. Duff, Emily Garavatti, Terrie Inder

Physical Therapy Faculty Articles and Research

The purpose of this perspective paper is to present a translational approach aimed at identifying the critical periods in brain development during which to provide neuroprotective and neurorestorative strategies, followed by prehensile training, to minimize hemiparesis and foster skill acquisition after asymmetrical perinatal brain injury (APBI). We contend that hemiparesis could be minimized after APBI through a multimodal sequential approach based on timely implementation of evidence-based intervention strategies. If APBI is identified early, neuroprotective techniques can be used in the first 10 days of life to minimize cell death. This can be followed in the next 3 months by the …

Feasibility And Patient-Reported Outcomes Of Full-Body Red And Near-Infrared Photobiomodulation For Musculoskeletal Pain In A Predominantly Hispanic/Latino Population: A Single-Arm Pilot Study, Robson Dias Scoz, Frida Garza, Ivana Burberg, Isabella Moreno, Melissa Espinosa Cantu, Mia Dominguez, Juan Gonzalez

Physical Therapy Faculty Publications

Objective: To characterize feasibility, tolerability, and patient-reported outcomes after a 10-session full-body red and near-infrared photobiomodulation (PBM) protocol for musculoskeletal pain in a predominantly Hispanic/ Latino community sample.

Background: PBM is a non-pharmacological intervention with potential analgesic and anti-inflammatory effects. Evidence from community-based and Hispanic/Latino populations remains limited, and full-body LED protocols are incompletely standardized.

Methods: This single-arm observational pilot study included 40 adults with self-reported acute or chronic musculoskeletal pain. Participants completed baseline and post-protocol Qualtrics surveys. The intervention used a full-body LED panel emitting 630, 660, 830, and 850 nm light in continuous-wave mode for 20 min per …

Leadership Style And Employee Outcomes In Private Practice Outpatient Physical Therapy Clinics, Catherine Beuerle Martin, Debra Ann Beazley

Lynchburg Journal of Medical Science

Background: Workforce retention, employee engagement, and job satisfaction are ongoing challenges in outpatient physical therapy practice. Leadership style has been identified as a potentially modifiable organizational factor that may influence clinician experience and workplace outcomes. Despite extensive leadership research in other health professions, evidence specific to outpatient physical therapy settings remains limited. 

Purpose: To examine the relationships between private practice outpatient physical therapy clinic directors’ perceived leadership styles and staff physical therapists' work engagement, job satisfaction, turnover intention, leadership effectiveness, satisfaction with leadership, and willingness to exert extra effort.

Methods: This cross-sectional correlational study surveyed licensed staff physical …

Professional Values And Workplace Alignment In Dpt Alumni: A Quantitative Cohort Analysis, Debra Ann Beazley, Stephen Elam, Penny S. Elam, Lawrence S. Ramiscal, Pt, Dpt, Ph.D.

Lynchburg Journal of Medical Science

Background: Professional values are foundational to physical therapy practice and are emphasized throughout Doctor of Physical Therapy (DPT) education. Although identity formation literature suggests that core values may persist after graduation, less is known about how workplace context, career stage, and clinical performance relate to the long-term enactment of values among practicing clinicians.

Purpose: To examine whether professional values among DPT alumni differ across demographic groups, career stages, and outpatient settings, and to explore associations among organizational support, workplace value alignment, and historical educational performance.

Methods: A cross-sectional survey study was conducted among University of Lynchburg DPT alumni …

Osteoarthritis In Saudi Arabia: Current Evidence, Public Perceptions, And Future Research: A Narrative Review, Khalid Yaseen

Journal of Medical Rehabilitation Science

Background and Purpose: Osteoarthritis (OA) is a leading cause of pain and disability worldwide and represents a growing public health concern in Saudi Arabia. This narrative review synthesises current evidence on OA in the Saudi context, with particular emphasis on epidemiology, risk factors, public perceptions, clinical management patterns, and the utilisation of physiotherapy and other conservative interventions. The aim is to inform clinical practice, public health strategies, and health system planning in alignment with Saudi Vision 2030.
Methods: A narrative review was undertaken, drawing on evidence from PubMed/MEDLINE, Scopus, Web of Science, Saudi Digital Library, Ministry of Health (Saudi Arabia) …

The Forgotten Adl: An Educational Program Addressing Personal Hygiene And Grooming For Older Adults​, Ashlee D. Moten, Becky King

Summer 2026 OTD Capstone Symposium

Some older adults have difficulty completing personal hygiene and grooming tasks independently and require assistance from an informal caregiver. However, informal caregivers often become stressed and overwhelmed due to limited educational resources and support available. These tasks include all oral, skin, nail, and hair care, such as brushing hair, applying deodorant, clipping nails, or brushing teeth (AOTA, 2020). OTs can help develop interventions to enhance participation in personal hygiene and grooming tasks. The purpose of this capstone project was to create an educational program to equip older adults and their informal caregivers with strategies for participating in personal hygiene and …

Equity In Evaluation: Examining Grading Practices And Student Experiences In Speech-Language Pathology Education, Jennifer Essig

Teaching and Learning in Communication Sciences & Disorders

Traditional grading practices remain the norm in communication sciences and disorders (CSD) education, despite evidence these systems may exacerbate inequities and affect motivation and perceptions of learning. This study examined how traditional and alternative grading practices are experienced by undergraduate and graduate students enrolled in CSD programs. Using a convergent mixed-methods design, survey data were collected from 73 students regarding perceptions of grading, motivation to learn, and emotional responses to assessment. Quantitative analyses indicated that students in alternatively graded classrooms reported significantly higher perceptions of fairness, clarity, and learning than those in traditionally graded settings. Qualitative analysis revealed contrasting emotional …

Expressive Arts For Women Experiencing Homelessness, Theresa G. Karman, Susan Macdermott, Amy Lyons-Brown

Summer 2026 OTD Capstone Symposium

Background: Women experiencing homelessness due to domestic violence face significant occupational disruptions, including challenges related to emotional regulation, identity, social participation, and engagement in meaningful occupations. Occupational therapy (OT) can support recovery by addressing these occupational needs through trauma-informed and occupation-centered interventions.

Purpose: This doctoral capstone project developed and implemented Express & Empower Studio, a six-week expressive arts program designed to promote emotional expression, self-efficacy, social participation, and engagement in meaningful occupations among women residing in a domestic violence shelter.

Methods: Program development was guided by the Model of Human Occupation (MOHO) and the Expressive Therapies Continuum (ETC) within …

Cultivating Participation: Developing An Evidence-Based Farm-Based Sensory Integration Protocol For A Pediatric Occupational Therapy Clinic, Katelyn Childers

Occupational Therapy Doctoral Capstones

The purpose of this doctoral capstone project was to develop a comprehensive, evidence-informed farm-based sensory integration framework that translates current evidence into practical clinical resources to support therapist education, caregiver engagement, and consistent implementation of occupation centered intervention at Zion Therapy Services.

Sibstars: Empowering Siblings Through Support, Education, And Advocacy, Abbey Edrington

Occupational Therapy Doctoral Capstones

A primary needs assessment conducted through parent and sibling surveys supports these findings and identifies concerns related to anxiety, peer difficulties, uncertainty regarding future caregiving roles, and limited access to sibling-specific support services. Findings additionally reveal discrepancies between parent perceptions and sibling-reported experiences, highlighting the need for increased family awareness and sibling-focused interventions. Therefore, the purpose of the Doctoral Capstone Project was to develop and implement SibStars, a community based sibling support and education program designed to promote peer connection, coping skills, self-advocacy, emotional wellness, and occupational participation among siblings of individuals with IDD through family-centered, occupation based approaches.

Beyond The Birth: An Occupational Therapy Approach To Postpartum Support And Advocacy, Ashlei Aweis

Occupational Therapy Doctoral Capstones

The purpose of this capstone was to address identified gaps in maternal healthcare through the development of three occupational therapy resources: a postpartum wellness workshop, the Occupational Balance Screening Tool, and the “It’s Beyond Birth” educational podcast series. Together, these deliverables were designed to promote maternal health education, support occupational balance, and provide practical strategies that help mothers successfully navigate the transition into motherhood.

Hiking For All: An Adaptive Hiking Program For Disabled Individuals, Anna Grigg

Occupational Therapy Doctoral Capstones

Hiking is a valued activity in the lives of many people. Possessing or acquiring a disability should not prevent or limit someone from participating in hiking; however, many disabled individuals will avoid hiking due to the lack of hiking trails that are accessible to them or the lack of adaptive hiking skills that they have. The purpose of the Doctoral Capstone project was to promote occupational engagement in hiking for disabled individuals, advocate for increased access to hiking resources and information, and facilitate safety during adaptive hiking.

Addressing Pediatric Executive Function Through Nature-Based Occupational Therapy In Central Ohio, Morgan Mahan

Occupational Therapy Doctoral Capstones

Outdoor settings present unpredictable challenges that require children to simultaneously use inhibitory control, working memory, and cognitive flexibility in ways that mirror real-world contexts. This continuous adaptation to changing environmental demands supports the generalization of skills across settings. Despite this potential, no nature-based pediatric occupational therapy program previously existed to effectively address executive function deficits. To address this gap, the Nature Explorers Program was developed, consisting of a theoretical foundation and practical application. The Nature-Based Executive Function Frame of Reference (NBEF) was developed to guide the assessment and treatment of executive function within a nature-based setting, and the Nature Explorers …

Advocating For Access: Empowering Children With Disabilities Through Meaningful Connections To Durable Medical Equipment (Dme), Maddyson Lamb

Occupational Therapy Doctoral Capstones

Access to appropriate DME is vital; without it, children face severe occupational deprivation – the prolonged restriction from participating in meaningful daily activities. Furthermore, when families struggle to secure equipment due to high costs, it deepens the occupational deprivation across the entire family. Ultimately, managing these ongoing needs along a continuum is crucial to long-term health. However, families frequently face severe funding delays and systemic barriers when trying to acquire these vital resources. The purpose of the doctoral capstone was to utilize the PEO model to identify environmental restrictions and advocate for the necessary DME by having developed a multifaceted …

Meeting The Needs Of Individuals With Avoidant/Restrictive Food Intake Disorder Through Occupational Therapy, Tianna Matthews

Occupational Therapy Doctoral Capstones

Avoidant/Restrictive Food Intake Disorder (ARFID) is a relatively new and complex disorder that results in a significant impact on one’s overall health, well-being, and quality of life. The research study was designed to address practitioner knowledge and confidence gaps as they relate to ARFID care by assessing whether an educational in-service could increase pediatric healthcare practitioners’ knowledge of ARFID, confidence with treating ARFID, and their understanding of OT’s role on an interdisciplinary ARFID team.

Building Bridges: A Culturally Inclusive, Education-Based Program For A Pediatric Outpatient Therapy Clinic, Sarah Morgan

Occupational Therapy Doctoral Capstones

The purpose of the Doctoral Capstone Project is to develop and implement a culturally inclusive, education-based program, to address current gaps in pediatric outpatient occupational therapy and to allow the population to overcome challenges inhibiting their occupational adaptation and occupational fulfillment.

Epilepsy Simulation: Educating Occupational Therapy Students On Epilepsy And Community Resources, Cambria Grissom Tolar

Occupational Therapy Doctoral Capstones

Epilepsy is the fourth most common neurological disorder, affecting every 1 in 26 individuals during their lifetime. Individuals with epilepsy frequently experience barriers to employment, transportation, healthcare access, social participation, and more that influences occupational participation and quality of life. Despite the fact these factors fall under occupational therapy’s role and scope, many OT students do not receive adequate education about epilepsy, how to treat someone with epilepsy, and how to navigate community resources. The purpose of this doctoral capstone project was to develop and implement an epilepsy simulation that allows OT students to experience the everyday challenges faced by …

Empowering Middle School Students Through A Life Skills Enrichment Program, Kaitlyn Peavy

Occupational Therapy Doctoral Capstones

Occupational therapy practitioners are uniquely positioned to support this development through occupation-based opportunities that foster meaningful participation and functional independence. The purpose of the doctoral capstone project was to develop an evidence-informed, occupation-based life skills enrichment program that promotes independence, occupational participation, and future readiness for middle school students through structured, hands-on learning experiences.

Occupational Therapy's Role In Burn Rehabilitation, Hallie Poff

Occupational Therapy Doctoral Capstones

Current literature identifies the need for enhanced burn-specific competencies and standardized, patient-friendly discharge resources to improve long-term functional outcomes and occupational participation beyond the hospital setting. Together, these findings highlight the need to advance burn-specific clinical skills while improving the consistency and accessibility of patient resources and education.

Melodies & Memories: An Occupational Therapy-Based Music Program For Individuals With Dementia, Adrianna Mcentire

Occupational Therapy Doctoral Capstones

The purpose of the doctoral capstone experience was to develop and implement Melodies & Memories to use music interventions to improve quality of life, social participation, cognitive functioning, emotional and behavioral regulation, and physical functioning while providing personalized, client centered care through the use of music.

Sipping With A Purpose: Empowering Adults Of All Abilities Through Job Training And Work Skills While Enhancing Social Participation, Shelby Russell

Occupational Therapy Doctoral Capstones

The "Sipping with a Purpose" doctoral capstone project addresses an urgent societal need by bridging the employment gap for adults with IDD, a demographic experiencing an over 80% unemployment rate. Out of 41 local day center participants at The Learning Center (TLC) in Northeast Arkansas, only four are currently employed. This reveals a critical deficit in opportunities for local adults to build the work skills, independence, and self esteem that they desire far beyond a paycheck. To address primary employment barriers such as a lack of vocational skills and fears about disability benefit loss, this functional business provides simulated and …

Mindful Music Lessons: Exploring Emotions Through The Creation Of Music, Shelton Jones

Occupational Therapy Doctoral Capstones

Despite research categorizing mental health and occupational therapy as emerging, many intervention techniques from CBT principles remain applicable and fall within the scope of OT. The purpose of the Doctoral Capstone Project was to develop a healthy coping strategy by implementing a music-based therapeutic program that promotes symptom management, emotional regulation, social participation, and overall health and wellness among military service members

Development Of An Ergonomic Education Program At The Nestlé Usa Production Facility In Nea, Virginia Smith

Occupational Therapy Doctoral Capstones

A review of the literature, needs assessment findings, and collaboration with site stakeholders identified opportunities to strengthen ergonomics education, improve occupational health literacy, and support a more comprehensive approach to workplace ergonomics through the development of evidence-based resources. The purpose of the doctoral capstone project was to develop the Nestlé Ergonomics Program by applying the Person-Environment-Occupation (PEO) Model to create evidence-based ergonomic resources that increase workplace ergonomics education, promote occupational health literacy, and reduce the risk of work-related musculoskeletal disorders among employees at the Nestlé USA Production Facility in Jonesboro, Arkansas.

Fostering Development Through Participation In A Gymnastics-Based Occupational Therapy Program, Alex Theisen

Occupational Therapy Doctoral Capstones

The purpose of implementing a gymnastics-based OT program is to incorporate gymnastics-based movement into interventions that support and enhance each client’s progress toward their unique OT goals, address deficits affecting occupational performance, and increase participation through play-based interventions. The purpose of the doctoral capstone project is to expand knowledge of population needs to develop and facilitate the implementation of a gymnastics-based pediatric occupational therapy program that will promote participation and safety while meeting the individual needs of clients.

Enhancing A Trauma-Informed Reintegration Framework Through Occupation-Based Program Development For Adolescent Survivors Of Human Trafficking In Northeast Arkansas, Faith Welch

Occupational Therapy Doctoral Capstones

The purpose of the doctoral capstone was to enhance Hope Found's existing trauma informed reintegration framework through the development of an occupation-based framework. The enhanced framework focused on integrating developmentally responsive intervention planning, educational programming, implementation guidance, resource organization, documentation recommendations, and outcome measurement strategies to strengthen trauma-informed service delivery and support community reintegration for adolescent survivors of human trafficking and exploitation.

Cortical Plasticity Following Peripheral Nerve Injury In The Upper Extremity, Samah Gassass

WUSM Theses and Dissertations – All Programs

Peripheral nerve injury (PNI) in the upper extremity results in significant sensorimotor impairment. Nearly 40-50% of patients affected by PNI fail to restore normal hand and arm function and recovery remains variable. Recovery related cortical plasticity is recognized as an important factor, though its relationship to meaningful outcomes remains unclear. This dissertation examined how cortical activity patterns relate to functional recovery after PNI through a systematic review and three subsequent cross-sectional studies.

The systematic review of multimodal neuroimaging studies on cortical plasticity after upper extremity nerve transfer found that good recovery is generally linked to restoration of contralateral or typical …

The Parkinson's Pathway: Enhancing Knowledge And Care Management In Skilled Nursing, Kaitlyn Chau

Master's Projects and Capstones

Parkinson’s disease (PD) is commonly diagnosed among the older population, contributing to high utilization of skilled nursing facility (SNF) services. Objective: SNF A’s current onboarding and training program for staff discussed general geriatric topics but failed to include structured PD-specific education. This may lead to gaps in competence, confidence, and workflow related to PD care and management, resulting in low quality of patient care, poor health outcomes, and decreased safety and satisfaction. Aim: The project aimed to establish and incorporate a structured PD-specialized education program within a SNF located in Northern California, to increase employees’ self-reported confidence, competence, …