Digital Commons Network^™

Guidebook For Occupational Therapy For End-Of-Life Care, Shannon Sudrla, Mary Smith, Alexandria Cannata, Anna Norene Carlson

Spring 2023 Virtual OTD Capstone Symposium

Patients at the end-of-life (EoL) experience functional decline in response to terminal illness and the active dying process, inhibiting participation and engagement in meaningful daily activities. Occupational therapy practitioners (OTP) are equipped to address patients’ occupational needs and desires despite their declining capacities; however, the absence of occupational therapy (OT) services in EoL care leaves patients’ occupational needs unmet, directly affecting their quality of life. The literature demonstrates the need for enhanced education and training among occupational therapy students (OTS) and practitioners to better prepare them to work with terminally ill patients who face progressive functional decline and imminent death. …

Therapeutic Gardening For Addiction Recovery, Hugo A. Rivera Lopez

Master's Projects and Capstones

Problem: The use of evidence-based alternative forms of therapy like horticulture therapy and therapeutic gardening is underutilized in substance use recovery programs in the United States. As the country continues to struggle with addiction, it is important that recovery programs look to and incorporate these alternative therapies into official curricula. Currently, 46.3 million individuals living in the United States are living with a substance use disorder (U.S Department of Health and Human Services’ Substance Abuse and Mental Health Services Administration, 2022).

Context: The intervention was implemented at an all-male substance use treatment facility in San Jose, CA that houses up …

Is College Liberating For All Students? The Impact Of Sensory Challenges On Participation Of Students On The Autism Spectrum And With Other Neurodivergent Diagnoses, Sophia Starvaggi, Mary Smith Otr/L, Phd

Spring 2023 Virtual OTD Capstone Symposium

Neurodiversity describes unique ways in which an individual's brain works, impacting skills such as executive function, social interaction, communication, and sensory processing. Sensory processing describes the system which receives, processes, organizes, and responds to sensory information received in several environments throughout the day. Sensory sensitivity involves both over- and under-responsiveness to sensory information received, both causing an impact on one’s participation. An occupational area that seems to lack support for sensory challenges is that of postsecondary, or college, settings.

Several policies exist to protect the right to equal education for students with disabilities, however, these protections only last until students …

Post-Activation Potentiation For Firefighter Daily Preparedness, Nick Curtis

Master of Science in Kinesiology

Firefighters commonly face dangers that call upon numerous energy systems to achieve fireground objectives. If firefighters could be put in a state of greater physical activation, then it may be possible to achieve better outcomes regarding speed and safety of objective completion. Post-activation potentiation (PAP) is a possible mechanism for achieving this readiness state that translates to firefighter activity. This paper is going to investigate whether a low volume, but high-power exercise routine will reduce time to completion of fireground simulating tasks such as a stair climb, charged hose line advance, and victim drag. Pre-intervention data will be collected before …

The Multidimensional Symptom Index: User Manual And Questionnaire, David Walton

Physical Therapy Publications

The user manual for the MultiDimensional Symptom Index, including hard copy versions in both English and Canadian French translations.

Click here for a direct link to an online interactive version of the MSI: dwalton5.pythonanywhere.com

Developing Tools For The Implementation And Evaluation Of Participatory Worker Health Promotion Interventions, Ryan J. Walsh

WUSM Theses and Dissertations – All Programs

The chronic disease burden among American workers leads to substantial expenditures on healthcare, lost productivity at work, and reduced quality of life. Workers from communities of lower socioeconomic status (SES) shoulder a disproportionate burden of chronic diseases and costs. A promising strategy for addressing this population health burden is to develop and implement participatory worker health promotion interventions in workplaces. Part of this effort to develop and implement these programs entails improving the quality of evaluation tools and approaches. Thus, we completed a series of secondary analyses of a large participatory worker health promotion program trial called Working For You. …

Occupation-Based Social Skills Training Program With Animal-Assisted Therapy For Individuals With Intellectual/Developmental Disabilities (I/Dd), Jason Sebastian, Karen Park

Spring 2023 Virtual OTD Capstone Symposium

This presentation describes the development and implementation of an occupation-based social skills training program with Animal-Assisted Therapy (AAT) for Individuals with Intellectual/Developmental Disabilities (I/DD) and the implications for occupational therapy after program implementation.

Goal Setting And Goal Management For Chronic Conditions: Intervention And Implementation Strategies, Eunyoung Kang

WUSM Theses and Dissertations – All Programs

Adults with chronic conditions experience limited participation in personally meaningful activities and roles. Chronic conditions can present challenges across personal factors such as cognitive, psychological, physiological, or neurobehavioral functions. These personal factors then dynamically interact with environmental factors, occupation, and performance, ultimately hindering adults with chronic conditions in achieving their goals to fully participate in meaningful activities and roles.

Goal setting and goal management has evolved from diverse theories including Social Cognitive Theory, Self-Determination Theory, and The Theory of Intentional Action Control. These theories emphasize the importance of addressing influential theoretical constructs such as self-efficacy and outcome expectancy but also …

Self-Regulation Processes Of Depressive Symptoms And Participation In Persons With Stroke Using Heart Rate Variability As A Real-Time Biomarker, Yejin Lee

WUSM Theses and Dissertations – All Programs

Depressive symptoms are a key risk factor for restrictions in participation in daily activities in persons with stroke. Thus, many researchers have attempted to develop interventions for relieving depressive symptoms after stroke, however, post-stroke depressive symptoms are still undertreated. To develop evidence-based approaches for reducing depressive symptoms, and thereby ultimately enhancing participation in daily activities, it is important to understand what moderates the associations between depressive symptoms and participation in daily activities in persons with stroke to employ the moderator as an intervention target.

One possible mechanism to moderate such associations is self-regulation – cognitive, behavioral, and emotion regulation. Self-regulation …

The Influence Of The Built Environment On The Community Participation Of Adults Aging With Long-Term Physical Disabilities: A Mixed Methods Approach, Rachel H. Desai

WUSM Theses and Dissertations – All Programs

Adults living with a long-term physical disability experience difficulties living independently and participating in the community as they age. A combination of personal (e.g., fatigue) and environmental (e.g., transportation accessibility) factors influence these restrictions in participation. The impact of the built environment is a key aspect to consider when understanding community participation restrictions for adults aging with long-term physical disabilities (AAwPD) because these factors are often more modifiable. However, the processes by which the built environment impacts AAwPD are not well understood. Interventions targeting these factors to address the community participation needs of AAwPD are limited.

Research informing community-based organizations …

Expanding Accessibility For Guests With Autism-Spectrum Disorder (Asd) Who Visit The Jacksonville Zoo And Gardens In Jacksonville, Fl, Lauren Schermerhorn, Thais Petrocelli

Spring 2023 Virtual OTD Capstone Symposium

Problem: Due to public events being commonly characterized by crowded spaces, loud volumes, and unpredictable changes, attractions such as the Jacksonville Zoo can be challenging for those with ASD without proper accommodations (Kimura et al., 2020)

Purpose: The purpose of this capstone project was to advocate for updated evidence-based sensory accommodations at the Jacksonville Zoo and Gardens for those with an ASD diagnosis with the intention of creating a more inclusive zoo experience.

Eco-Interoception: What Plants, Fungi And Protista Have Taught My Body, Sara Riley Dotterer

Art Theses and Dissertations

To me, ecology is the relational, full-body awareness that I am made up of and deeply connected to everything around me; and for better or worse, this is reciprocal. I form ecotones, an ecological transitional zone between two ecosystems, with the world around me. I use this ecotonal lens to blur binaries and dissolve boundaries between me and the world “outside my body.” During my Masters of Fine Arts at Southern Methodist University, I have continuously explored and represented the lives of various more-than-human species outside of my body, including plants, fungi and protista through an ecotonal lens. Although these …

Strategies To Manage And Prevent Lower Back Pain In College Students, Onique Bryson

Honors Capstones

Many young adults who are in college often struggle with maintaining their physical well-being and thus encounter severe-moderate lower back pain (LBP). In this project, a research development plan was created that will test the effectiveness of utilizing physical therapy (PT) to treat and or prevent LBP. The scope includes using standard PT techniques to evaluate students who may be struggling with LBP and teach them different measures to help themselves. The limit of the project is that the hypothesis will only be tested on Northern Illinois University (NIU) students, so results may vary for larger populations. A survey will …

Mental Health In College Athletes: An Ot Perspective, Olivia Sarik, Lakeisa Boykin, Susan Didino

Spring 2023 Virtual OTD Capstone Symposium

Problem: There is often increased stigma surrounding college athletes in the spotlight, thus preventing them from seeking help with their mental health (Kaier et al., 2015). There are currently no known programs that offer resources specifically for college athletes (Sudano & Miles, 2016). It is important for occupational therapists to advocate for mental health resources for student-athletes to create healthy habits and routines within the athletic environment.

Purpose: The purpose of this capstone was to increase awareness of mental health resources that are available to student-athletes and coaching staff at Baldwin Wallace University to improve mental health in athletics and …

Improvement On The Slopes: The Impact Of An Adaptive Snow Sports Program On Children And Young Adults With Disabilities, Stephanie Green, Mark T. Fisher, J Eichner, Matthew J. Mclaughlin

Research Days

Background: Adaptive downhill skiing has been described as a fun, safe, engaging recreational activity for those with disabilities (Sterba, 2006). There are numerous ways the alpine skiing can be modified to meet these athletes’ needs. For instance, athletes can use tethered skis, horizontal poles held by their instructors, or modified walkers. For those that have poor standing balance, or are non-ambulatory, sit-skis are an option, with or without outriggers to add additional support and balance for athletes with poor trunk stability or core strength. These options provide equal and accessible alternatives for those with disabilities to get out and enjoy …

An Exploration Of Intimate Partner Violence In Lgbt Relationships, Amaris Sanvictores, Karen Park

Spring 2023 Virtual OTD Capstone Symposium

Background: Lesbian, gay, bisexual, and transgender (LGBT) individuals experience disproportionate rates of intimate partner violence (IPV) compared to their heterosexual and cisgender counterparts. Findings report rates of IPV among LGBT individuals ranging from 31.1%-61.1%, which is higher compared to 29%-35% with their cisgender peers. There is limited research regarding the impact of IPV in LGBT relationships through an occupational therapy lens. Purpose: This research project intends to identify occupational limitations by addressing the required needs and resources of individuals from LGBT IPV to improve their quality of life. The research acquired can be used to identify problem areas to provide …

Evaluation Of The Train 2 Run Program At The Joplin Va Community Based Outpatient Clinic (Cboc), Jenifer Webb

Doctor of Nursing Practice Scholarly Project

THE EVALUATION OF A TRAIN 2 RUN PROGRAM AT THE JOPLIN VA CLINIC

An Abstract of the Scholarly Project

by Jenifer Webb, MSN, RN, FNP-C

The purpose of this project is to evaluate the effectiveness and satisfaction levels of participants in the Train 2 Run program that was started at the Joplin VA in Joplin, MO. The program was from May 3, 2022, to October 8, 2022, for a total of 5 months. The participants for this study were selected from the patients, family members, and staff who participated in the Train 2 Run program for a minimum of six …

Art Therapy As A Comprehensive Complementary Treatment For Parkinson’S Disease, Tom Ettinger, Marygrace Berberian, Ikuko Acosta, Alberto Cucca, Andrew Feigin, Danilo Genovese, Travis Pollen, Julianne Reiders, Rohita Kilachand, Clara Gomez, Milton Biagioni, Alessandro Di Rocco, Felice M. Ghilardi, John-Ross Rizzo

Department of Exercise Science Faculty Papers

Introduction: Parkinson’s disease (PD) is the second most prevalent neurodegenerative disease. Complementary and alternative therapies are increasingly utilized to address its complex multisystem symptomatology. Art therapy involves motoric action and visuospatial processing while promoting broad biopsychosocial wellness. The process involves hedonic absorption, which provides an escape from otherwise persistent and cumulative PD symptoms, refreshing internal resources. It involves the expression in nonverbal form of multilayered psychological and somatic phenomena; once these are externalized in a symbolic arts medium, they can be explored, understood, integrated, and reorganized through verbal dialogue, effecting relief and positive change.

Methods: 42 participants with mild to …

Efficient Cancer Modeling Through Crispr-Cas9/Hdr-Based Somatic Precision Gene Editing In Mice, Wen Bu, Chad J Creighton, Kelsey S Heavener, Carolina Gutierrez, Yongchao Dou, Amy T Ku, Yiqun Zhang, Weiyu Jiang, Jazmin Urrutia, Wen Jiang, Fei Yue, Luyu Jia, Ahmed Atef Ibrahim, Bing Zhang, Shixia Huang, Yi Li

Faculty, Staff and Student Publications

CRISPR-Cas9 has been used successfully to introduce indels in somatic cells of rodents; however, precise editing of single nucleotides has been hampered by limitations of flexibility and efficiency. Here, we report technological modifications to the CRISPR-Cas9 vector system that now allows homology-directed repair-mediated precise editing of any proto-oncogene in murine somatic tissues to generate tumor models with high flexibility and efficiency. Somatic editing of either

The Effect Of A Lumbopelvic Compression Belt On Load Transfer During The Active Straight Leg Test: A Proof Of Concept Study Using Ultrasound Imaging, Shania D. Evans, Kelsey B. Hales, Elizabeth P. Lomax, Erin N. Roberts, Jalesa C. Wright, Elizabeth Chaffin, Ruth Maher

Research Day

INTRODUCTION: The active straight leg raise (ASLR) test assesses load transfer through the pelvis. During the ASLR, intraabdominal pressure (IAP) rises, increasing the load on the lumbopelvic region. Several studies have shown a correlation between the magnitude of bladder base displacement (BBD) during the ASLR and lumbopelvic instability. Additionally, greater depression of the bladder and pelvic floor muscles is associated with motor control impairments associated with form and force closure. Pelvic stability belts are a common therapeutic intervention for individuals who report pelvic girdle pain. Their mechanism of action is to improve form closure and assist force closure and motor …

Does The Use Of Vestibular Infrared Video Goggles Impact Physical Therapy Student’S Ability To Diagnose The Direction Of Nystagmus?, Erin Farmer, Tanna Mcpherson, Sabrina Samuels, Katherine Wellborn, Jeanne Welch

Research Day

INTRODUCTION:

Vestibular goggles are infrared video goggles that can improve patient care by providing accurate assessment and treatment of vertigo, dizziness, and feelings of imbalance. These goggles track the eye movement allowing clinicians to evaluate the function of the vestibular system, which controls balance and spatial coordination. During an evaluation, the patient wears the infrared goggle while performing a series of movements designed to stimulate the vestibular system. The embedded infrared cameras capture eye motion, providing real time information to the clinician. Physical therapists (PT) need to be able to detect nystagmus and its direction in order to provide appropriate …

The Impact Of Focal Mechanical Vibration On Muscle Morphology: A Proof Of Concept Study Using Ultrasound Imaging With Shear Wave Elastography, Breana Fair, Amiah Williams, Hannah Yancy, Cameron Ogden, Ruth Maher

Research Day

INTRODUCTION: Focal mechanical vibration (FMV) uses mechanical vibration to stimulate specific muscles or areas of the body. The reported benefits include increased muscle strength, decreased pain, improved range of motion (ROM), and enhanced muscle coordination. When FMV is applied, it stimulates muscle fibers and sensory receptors in the muscle and tendon, which facilitates cyclical rapid muscle contraction and relaxation. When the muscle spindle is stimulated, a vibratory-induced inhibition can occur, which is frequency and amplitude-dependent, causing a reduction in muscle activity which may lead to improvements in joint mobility. Consequently, applying FMV to specific muscles increases the elasticity via contraction …

Improving Performance And Participation Of Elementary School Students Through A Coteaching Model, Carson Roberts, Angela Labrie Blackwell, Anna Fung

Spring 2023 Virtual OTD Capstone Symposium

This project explored the use of a coteaching program with a general education teacher and OTD student at an elementary school. The poster provides an overview of the methods used, an overview of the coteaching program that was implemented, and the significance and implications of this project. The purpose of this coteaching program was to develop a coteaching program in which occupational therapists and general education teachers work together in classrooms to improve performance and participation of students with and without disabilities.

A Mindfulness Intervention For Veterans With Post-Traumatic Stress Disorder, Ashley N. Ries, Steven M. Gerardi Phd, Otd, Mss, Otr, Mary Horne Lcsw

Spring 2023 Virtual OTD Capstone Symposium

Every day, many United States veterans are suffering from the effects of post-traumatic stress disorder (PTSD). Responses to trauma may vary from person to person; however, a diagnosis of PTSD includes the individual experiencing clinically significant distress in their social and occupational areas of functioning. The impact of PTSD on a veteran’s life could impact their ability to carry out activities of daily living, decrease the amount of social participation they have, and limit their ability to perform instrumental daily activities, such as grocery shopping. Mindfulness is the practice of paying full attention to the present moment, without judgment, and …

Identifying The Neural Correlates Of Anticipatory Postural Control: A Novel Fmri Paradigm, Jo Armour Smith, Rongwen Tain, Kelli G. Sharp, Laura M. Glynn, Linda R. Van Dillen, Korinne Henslee, Jesse V. Jacobs, Steven C. Cramer

Physical Therapy Faculty Articles and Research

Altered postural control in the trunk/hip musculature is a characteristic of multiple neurological and musculoskeletal conditions. Previously it was not possible to determine if altered cortical and subcortical sensorimotor brain activation underlies impairments in postural control. This study used a novel fMRI-compatible paradigm to identify the brain activation associated with postural control in the trunk and hip musculature. BOLD fMRI imaging was conducted as participants performed two versions of a lower limb task involving lifting the left leg to touch the foot to a target. For the supported leg raise (SLR) the leg is raised from the knee while the …

The Impact Of A Lower Body Positive Pressure Treadmill On Exercise Regulation, Camille Couey

Honors Theses

Objective: The benefits of lower body positive pressure treadmills have recently been investigated as a tool for rehabilitation, but research is lacking on whether participants can regulate exercise utilizing rate of perceived exertion (RPE) at reduced body weight loads on lower body positive pressure (LBPP) treadmills. The purpose of the study is to examine the potential for RPE production estimation at various body weight loads. Methods: Fifteen apparently healthy young adults between the ages of 18-35 participated and completed this study. Each participant completed a graded VO_2max test after being familiarized with an OMNI pictorial RPE scale ranging from …

Occupational Therapy's Role In Mealtime Participation In Schools, Jaidee Mae Reyes, Karen Park

Spring 2023 Virtual OTD Capstone Symposium

A mixed-methods research design was utilized to explore the role of occupational therapy in mealtime participation in school-based settings. Interviews and surveys were completed to understand occupational therapy practicers' perceptions, attitudes, and experiences with providing services related to mealtime. The themes that emerged from the study including (a) occupational therapy practitioners experience inhibiting and supporting contextual factors that affect their involvement in mealtime, (b) admin and occupational therapy culture and the interpretation of educational relevance can differ between each school, and (c) occupational therapy practitioners go through a decision-making process when deciding to address mealtime.

Converting Paper Faxes To Electronic Faxes To Improve Patient Care, Decrease Paper Burden, And Improve Staff And Provider Satisfaction: A Quality Improvement Project, Stephanie Green, Amanda Lindenberg

Research Days

Problem Statement/Question: Reliance on provider and administrative staff to be physically present at Adele Hall creates delays in delivery of completed documentation. Delays of up to 7-14 days are possible. Delays in completion result in outside offices resending (wasted duplication of work) requests and delay downstream delivery of equipment/services, ultimately negatively impacting patient care. Over a 2-week period in November 2022, it took at average of 6.08 days for time to completion of requests. Over a 4-week period in August 2022, divisional outgoing faxes in response to requests averaged 79.5 per week. In addition, reliance on hardcopies of requests increases …

The Participation And Exploration Of Play For Children In Foster Care, Isabella J. Relph, Jazminne Orozco Arteaga

Spring 2023 Virtual OTD Capstone Symposium

This capstone project, The Participation and Exploration of Play for Children in Foster Care, was completed by a Doctor of Occupational Therapy candidate at the University of St. Augustine for Health Sciences. Project objectives develop an understanding of the occupational therapy involvement in foster care and how to improve current advocacy and educational efforts related to play. A literature review of play participation, engagement, and exploration was conducted in conjunction with analysis of environmental barriers, generalized background information on children in foster care, and the role of occupational therapy for children in foster care. Play is essential for the pediatric …

Cultural Humility When Caring For Lgbtqia+ Older Adults: A Resource Guide For Occupational Therapy Practitioners And Students, Michele Ramos, Deb Meyers, Mary Ann Smith

Spring 2023 Virtual OTD Capstone Symposium

The LGBTQIA+ older adult population has unique needs due to their experience as diverse individuals in a cisgender, heteronormative society. Experiences and effects of discrimination need to be considered when providing care. Occupational therapists have a role in addressing disparities of all marginalized groups, including LGBTQIA+ older adults. Practitioners may utilize cultural humility and trauma-informed practices when treating the LGBTQIA+ population. Existing resources to guide culturally humble occupational therapy care for LGBTQIA+ older adults are insufficient. The purpose of this project was to build on existing cultural humble resources and create a website on the focus of occupational therapy cultural …