Digital Commons Network^™

Occupational Therapy's Role In Transition Planning For Students With Learning Differences And The Significance Of The Kawa Model, Rita Marzeena, Jazminne Orozco-Arteaga, Holly Reed

Fall 2022 Virtual OTD Capstone Symposium

This capstone project seeks to define the role of occupational therapy in supporting a high school to college and career transition program by providing occupation-based interventions for the unique needs of students in the classroom. Using the KAWA Model, the students begin on a journey of self-discovery to identify the individual supports, strengths and barriers that help them to understand the factors that influence their life. In this process, the KAWA Model attempts to merge the holistic approach that is common in the western themes of occupational therapy with the expectations and trajectory that is common of a secondary student …

Joseph T. Freeman Award And Excellence In Rehabilitation Of Aging Persons Award Presentations And Lectures, Cynthia J. Brown

School of Medicine Faculty Publications

Gerontological Society of America 2022 Annual Scientific Meeting; November 2 - 6, 2022; Indianapolis, IN

Arab American Muslims’ Attitudes Toward Seeking Mental Health Services: The Roles Of Acculturation, Religion, And Cultural Beliefs, Tharwah Alzoubi

Theses and Dissertations

The purpose of this study was to identify the relationship between acculturation, religion, cultural beliefs, and attitudes toward seeking mental health services among Arab American Muslims. A total of 280 participants were surveyed for this study. Regression analysis was conducted to explore relationships among the variables; the alpha level was set at .05. The first research hypothesis was accepted as it showed statistical significance in the relationship between attitudes toward seeking mental health services and demographic variables. The standardized regression coefficients, or beta coefficients ranged from -.008 for gender to .24 for marital status, R=.31 (P<.05). Two variables were significant at the .05 level (marital status, and health insurance). The second hypothesis was also accepted as it showed relationship between attitudes toward mental health services and acculturation, religion and cultural beliefs; the standardized regression coefficients, or beta coefficients ranged from .05 for cultural beliefs to a -.25 for religion, R=.44 (P<.05). The variables of acculturation and religion were significant at the .01 level. Cultural beliefs were not significant at .05 level.

The Impact Of Supervisory Training And Workload Upon The Licensed Specialist In School Psychology Supervisors’ Perception Providing Field-Based Supervision To Interns In A Public-School Setting, Christopher L. King

Theses and Dissertations

Quality supervision is essential for developing high-performing professionals in the mental health profession. Licensed Specialists in School Psychology (LSSP) in Texas can begin supervising LSSP Interns after three years of unsupervised field experience. Workloads for LSSP supervisors can be highly diverse, and LSSP supervision training can be limited. The present study explored the impact of workload and lack of supervision training on the supervisors’ perceived ability to supervise Licensed Specialist in School Psychology (LSSP) interns in Texas public school settings. Using a quantitative cross-sectional survey design, 146 LSSP supervisors with at least three years of unsupervised field experience, and one …

Examination Of The Attitudes Towards Substance Use Treatment Approaches By Substance Use Professionals, Cameron Lacy Ortega

Theses and Dissertations

This quantitative study focuses on substance use professionals and students who are seeking employment in substance use treatment or support services. The substance use treatment profession started as a group of people who were supporting each other in recovery through abstinence based practices and has developed in to a recognized profession with multiple methods of treatment approaches. Abstinence based treatment has been and continues to be the primary method of treatment preferred in the United States. Since the 1980, harm reduction increased in application in the profession, but remains a less popular method of treatment. This study examines substance use …

Scuba Diving Social Identity, Type Of Experience, Sociopsychobio Health, Health-Related Quality Of Life, Self-Efficacy, Disability Level, And Personality Among People With Physical Impairments: A Mixed Methods Study, Tania Santiago Perez

All Dissertations

The most common type of disability in the US is mobility or physical impairment, occurring in one in seven adults. Globally, musculoskeletal and neurological conditions account for nearly two-thirds (65.6%) of total physical rehabilitation needs. Approaches that promote healthy community living, rehabilitation, and reduce relapse and rehospitalization among people with physical impairments are critical. Participation in recreational activities and identification with social recreational groups may promote the health, quality of life, and functional abilities of people with physical impairments, contributing to reducing their hospitalization and healthcare needs. This explanatory sequential mixed methods research study had two aims. Using the experience-type …

The Role Of Leisure Engagement In Fostering Cognition In Aging, Karen Wenzel

All Dissertations

Leisure activities are a major component of healthy aging, associated with reduced risk of cognitive decline and enhanced cognitive function. However, there is wide variation in the conceptualization and measurement of leisure. Specific leisure activities or domains have been studied in association with cognition in aging. More recently, researchers have noted that attributes of the activity, rather than the activity itself, may be significant. This study explored the current state of knowledge regarding attributes of leisure activities that foster cognition in aging. A literature review using PRISMA Scoping Review guidelines identified objectively and subjectively measured attributes of leisure engagement in …

Moderate-To-Vigorous Physical Activity Is Related With Retinal Neuronal And Axonal Integrity In Persons With Multiple Sclerosis, Jeongwoon Kim, Rachel E. Bollaert, Jonathan Cerna, Brynn C. Adamson, Connor M. Robbs, Naiman A. Khan, Robert W. Motl

Exercise Science Faculty Research and Publications

Background

Moderate-to-vigorous physical activity (MVPA) may confer benefits for axonal and/or neuronal integrity in adults with multiple sclerosis (MS).

Purpose

Examine the association between device-measured MVPA with optical coherence tomography (OCT) metrics of retinal nerve fiber layer (RNFL) thickness and total macular volume (TMV) in persons with and without MS.

Methods

Adults with MS (N = 41), along with sex-matched healthy control (HC) participants (N = 79), underwent measurements of retinal morphology via OCT and wore an accelerometer for a period of 7 days as a measure of MVPA.

Results

Persons with MS had significantly lower MVPA, RNFL thickness, and …

Single Muscle Fibre Contractile Function With Ageing, Gregory J. Grosicki, Carlos S. Zepeda, Christopher W. Sundberg

Physical Therapy Faculty Research and Publications

Ageing is accompanied by decrements in the size and function of skeletal muscle that compromise independence and quality of life in older adults. Developing therapeutic strategies to ameliorate these changes is critical but requires an in-depth mechanistic understanding of the underlying physiology. Over the past 25 years, studies on the contractile mechanics of isolated human muscle fibres have been instrumental in facilitating our understanding of the cellular mechanisms contributing to age-related skeletal muscle dysfunction. The purpose of this review is to characterize the changes that occur in single muscle fibre size and contractile function with ageing and identify key areas …

Correction Of Velopharyngeal Insufficiency Secondary To Palatal Gunshot Wound: Case Presentation And Review Of The Literature, Rogelio Martinez-Wagner, Cristopher Cardenas-Cruz, Ivan Ortiz-Monasterio, Edgar Vargas, Maria M. Cabrera, Pablo A. Ysunza, M. Del Carmen Pamplona, Diane E. Campos-Lopez

Articles

Reconstruction of midfacial traumatic defects secondary to a gunshot wound (GSW) is one of the most challenging head surgeries. The high impact on the functional and aesthetic quality of life, and the small margin of error to achieve a successful outcome are significant hurdles in the surgical treatment of these cases. Here we report a 33-years old patient who suffered a GSW with an entrance wound penetrating between the soft and hard palate and an exit wound on the right malar region. A description of the case and a systematic review of the literature were conducted. The treatment depends on …

The Role Of Dysfunctional Sleep Beliefs In Mediating The Outcomes Of Web-Based Cognitive Behavioral Therapy For Insomnia In Community-Dwelling Older Adults: Protocol For A Single-Group, Nonrandomized Trial, Yvonne Kutzer, Lisa Whitehead, Eimear Quigley, Mandy Stanley

Research outputs 2022 to 2026

Background: Sleeping well is an essential part of good health. Older adult populations report a high rate of sleep problems, with recent studies suggesting that cognitive processes as well as behavioral and hyperarousal-related mechanisms could be important factors in the development and maintenance of insomnia. Individuals who have an asynchronous or uncoupled sleep pattern and sleep appraisal-those who complain about their sleep but do not have poor sleep quality, and vice versa-might show differences in subjective sleep and sleep perceptions and other characteristics that could impact their treatment outcomes following cognitive behavioral therapy for insomnia (CBT-I). Objective: The purpose of …

Salivary Cortisol Levels And Stress In Adults With Profound Intellectual And Multiple Disabilities Participating In The Structured Water Dance Intervention: A Randomised Controlled Crossover Trial, Lars-Olov Lundqvist, Marie Matérne, Andre Frank, Evalotte Mörelius, Anna Duberg

Research outputs 2022 to 2026

The Structured Water Dance Intervention (SWAN) is a dance-oriented aquatic group activity directed to give opportunities for the joy of movement, relaxation, and reduced stress. This study aimed to evaluate the effects of SWAN on salivary cortisol and stress in adults with profound intellectual and multiple disabilities (PIMD). A total of 34 adults with PIMD at four habilitation centres in Sweden completed the SWAN intervention. The intervention was administered for 40 min once a week during a 12-week period. Saliva cortisol was collected in the morning and evening at baseline one week before the intervention, thrice during the intervention period, …

The Practice Of Dry Needling In Physical Therapy, Sarah A. Robertson

University Honors Theses

This thesis is a systematic review that discusses the current state of the treatment modality of "Dry Needling" in the field of physical therapy. To do this, current studies of the patient outcomes associated with Dry Needling are analyzed and discussed, as well as legislation at both the state and national levels.

Bone–Patellar Tendon–Bone Autograft Harvest Prolongs Extensor Latency During Gait 2 Yr After Aclr, Naoaki Ito, Jacob J. Capin, Ashutosh Khandha, Thomas S. Buchanan, Karin Grävare Silbernagel, Lynn Snyder-Mackler

Physical Therapy Faculty Research and Publications

Purpose

Bone–patellar tendon–bone (BPTB) graft harvest for anterior cruciate ligament reconstruction alters patellar tendon properties, which inflict poor quadriceps neuromuscular function. BPTB autografts are associated with higher rates of posttraumatic osteoarthritis, which in turn is associated with pathological gait. The purpose of this study was to investigate the latency between the time of peak quadriceps activity and the peak knee flexion moment during gait, between those with BPTB grafts (n = 23) and other graft types (hamstring autograft or allografts, n = 54), 5 ± 2 months and 2 yr (25 ± 3 months) after anterior cruciate ligament reconstruction. …

Development And Feasibility Testing Of An Evidence-Based Occupational Therapy Program For Adults With Both Down Syndrome And Dementia, Sujatha E. Raj, Shylie Mackintosh, Jocelyn Kernot, Caroline Fryer, Mandy Stanley

Research outputs 2022 to 2026

This paper describes the development of a home-based occupational therapy intervention program for people with Down syndrome who experience early on-set dementia causing a decline in their performance skills and increasing care dependency on their informal caregivers. A six-step methodological process adapted from the Medical Research Council framework for developing and evaluating complex interventions was formulated to develop an evidence-based occupational therapy program for people with both Down syndrome and dementia and their informal caregivers. The first two steps gathered evidence through systematic reviews of the literature and determined the scope of current occupational therapy practice. The gathered evidence was …

Utilizing Teslasuit To Analyze Changes In Joint Angles And Galvanic Skin Responses During Slips (A Stress-Inducing Task), Olivia Johnson, Caitlin Ha, Audrey Arenal

Student Scholar Symposium Abstracts and Posters

When experiencing dangerous situations, humans have two different responses: fight or flight. During these moments, the sympathetic nervous system takes over and causes the body to work overtime to give the person the best chance at survival. Although the average person doesn’t face a life-or-death experience every day, slips are fairly common and can trigger this fight-or-flight response. Exploring what happens during a slip and quantifying a body’s response can be difficult. Still, with the help of motion capture suits and biometric sensors, there is a unique opportunity to learn more about the kinematics and physiological responses of the human …

Reliability Of Accelerometer-Based Reaction Time Tests, Jacob Hepp, Warner Rhodes, Jordan Walton, Rahul Soangra, Brent Harper

Student Scholar Symposium Abstracts and Posters

Concussions are traumatic brain injuries that affect the function of the brain. One of the primary symptoms of a concussion is a lack of reaction time. The people that are most susceptible to concussions are athletes; Laker’s (2011) study found that 135,000 patients that suffer concussions from playing sports are expected to be hospitalized each year, with football making up 75% of concussions at high school and college levels. Honda et al. (2018) suggested reaction time as an important biomarker of concussion. Laboratory camera-based motion capture data, while reliable, is not a realistic tool to use outside of a laboratory …

Understanding Parkinson’S Disease Through Gait Initiation And Center Of Pressure, Mira Ananthanarayanan, Kiara Salceda, Michael Shiraishi, Rahul Soangra

Student Scholar Symposium Abstracts and Posters

Parkinson's disease is a neurological disorder that causes tremors and freezing of gait in diagnosed patients. Freezing of gait can be difficult to identify and intervene without laboratory based instruments data collection. Force plates have been proven to show viable results in identifying gait events such as heel contact and toe off. The complete gait cycle consists of a right-heel strike, right heel-to-toe shift, simultaneous right-toe off/left heel strike, left heel-to-toe shift, and a simultaneous left-toe off/right heel strike. This study will investigate center of pressure trajectories when initiating gait between healthy and Parkinson's participants. It is predicted that the …

Identifying Voice-Based Digital Biomarkers Of Parkinson's Disease, Rachelle Beshay, Madison Gill, Michael Shiraishi, Rahul Soangra

Student Scholar Symposium Abstracts and Posters

Introduction: Parkinson's disease is a disorder in the central nervous system that causes tremors, abnormal gait and balance, and muscle rigidity due to loss of function in parts of the brain. Traditionally, Parkinson's is identified by the physical symptoms seen in a patient's gait and motor skills, but irregular speech patterns (hypokinetic dysarthria) is one of the first symptoms to be derived from the disease. Objective: The goal of this ongoing study is to use Mel Frequency Centrum Coefficients (MFCC), to diagnose Parkinson's in the early stages by identifying hypokinetic dysarthria. MFCC's process speech recognition patterns and produce …

Anna Magee’S Vision 100 Years Past 1923-2023!, Christopher Formal, John F. Ditunno Jr.

Department of Rehabilitation Medicine Faculty Papers

Anna Magee's vision of Magee Rehabilitation Hospital has been realized in three phases. The first spanned the writing of her will until groundbreaking of the new hospital. This was followed by the early years as an entirely independent institution. The third phase began with its association with Thomas Jefferson University, and continues to this day with integration into a complete system of patient care, education, and research. Magee owes its existence to the philanthropy of Anna Magee and it continues to fortify her legacy and fulfill her vision of an institution where patients whose acute illness has passed can receive …

Professional Perspectives On Bilingualism In Persons With Autism Spectrum Disorder: A Pilot Study, Rosa N. Benavidez Saldivar, Jessica R. Stewart, Ruth Crutchfield, Roy K. Chen, Lily Puente

Internet Journal of Allied Health Sciences and Practice

Purpose: The present study examined the perspectives of professionals regarding bilingualism and ASD. Methods: A total of 27 professionals participated in this study. Data was collected via an online survey. The survey was designed based on a literature review and consultation with a team of experts in the field of ASD. Information relating to demographic information, professional practice information, and perspectives of bilingualism and ASD was collected. Results: Professionals participating in the present study were most likely to agree with the statement, “A child with ASD from a bilingual household is able to understand both languages” and least likely to …

Multi-Disciplinary Biopsychosocial Approach In Low Back Pain Benchmark Study, Liza Beth Cocanougher Short Rn, Ms

MSN Capstone Projects

Low back pain (LBP) is the third most common reason people seek care in America and is the primary reason for missed work days. Working in a pain clinic for eight years and managing research studies directed toward improving low back pain in patients was the motivation for choosing the evidence based intervention in this population. The health care professionals (HCP) in the pain clinic usually have a conversation with the patients who have acute or subacute onset of LBP about their disease and give them a written handout with exercises and ask them to perform these exercises at home. …

Developing Guiding Principles For Technology-Based Rehabilitation Program By Engaging People With Motor Incomplete Tetraplegia, Alison Bell, Namrata Grampurohit, Gabrielle Kains, Ralph J. Marino

Department of Rehabilitation Medicine Faculty Papers

Background: Technology-aided rehabilitation is well established in the field of neurologic rehabilitation. Despite the widespread availability, the development of technology-based interventions that incorporate perspectives of the people who will use them is lacking.

Objectives: This qualitative study aims to understand how people with chronic motor incomplete cervical spinal cord injury view rehabilitation technology to improve upper extremity function and neuromuscular recovery to inform future intervention development.

Methods: Seven participants with chronic upper extremity impairment due to spinal cord injury/dysfunction trialed five rehabilitation technology devices. After a 30-45 min trial for each device, participants engaged in a semi-structured interview. Interviews were …

How Does Exposure To Pelvic Health Content In Entry Level Physical Therapy Curricula Impact Students’ Comfort Level Discussing Sexual Health With Future Patients?, Elizabeth Levay

Graduate Theses, Dissertations, and Capstones

The purpose of this quantitative study was to investigate the relationship between exposure to pelvic health content in physical therapy school curricula and Doctor of Physical Therapy (DPT) students’ comfort levels discussing sexual health issues with future patients. As holistic, autonomous health care providers, physical therapists must be confident in addressing all aspects of health with patients, including sexual health. Lack of attention to patients’ sexual issues may result in aspects of health going unaddressed, leading to poor patient care. The research hypothesis was that increased exposure to pelvic health topics within entry level physical therapy education will improve students’ …

Interaction Of Sequentially Applied Interventions For Gait Symmetry, Adila Hoque

USF Tampa Graduate Theses and Dissertations

More than 50% of stroke survivors over 65 years of age experience long-term mobilityloss [50]. Hemiparesis is a form of disability that arises from this, causing paralysis on one side of the body. The long-term effects of hemiparesis include loss of locomotion, muscle spasticity, and excessive use of muscles on the non-paretic side. This leads to a gait pattern that is kinematically and kinetically asymmetric.

Several rehabilitation techniques currently exist that aim to minimize this asymmetric gait, including split-belt treadmill training, rhythmic cueing (auditory or tactile), adding mass to one foot. Each form of treatment comes with its unique strengths …

Social Isolation, Third Places, And Precarious Employment Circumstances: A Scoping Review, Debbie Laliberte Rudman, Rebecca M. Aldrich

Occupational Therapy Publications

No abstract provided.

Reliability And Validity Of Inertial Sensor Assisted Reaction Time Measurement Tools Among Healthy Young Adults, Brent Harper, Michael Shiraishi, Rahul Soangra

Physical Therapy Faculty Articles and Research

The assessment of movement reaction time (RT) as a sideline assessment is a valuable biomarker for mild TBI or concussion. However, such assessments require controlled laboratory environments, which may not be feasible for sideline testing during a game. Body-worn wearable devices are advantageous as being cost-effective, easy to don and use, wirelessly transmit data, and ensure unhindered movement performance. This study aimed to develop a Drop-stick Test System (DTS) with a wireless inertial sensor and confirm its reliability for different standing conditions (Foam versus No Foam) and task types (Single versus Dual), and postures (Standing versus sitting). Fourteen healthy young …

Kinematic And Kinetic Gait Characteristics In People With Patellofemoral Pain: A Systematic Review And Meta-Analysis, Harvi Hart Dr.

Physical Therapy Publications

Abstract

Background

Patellofemoral pain (PFP) is a prevalent knee condition with many proposed biomechanically orientated etiological factors and treatments.

Objective

We aimed to systematically review and synthesize the evidence for biomechanical variables (spatiotemporal, kinematic, kinetic) during walking and running in people with PFP compared with pain-free controls, and determine if biomechanical variables contribute to the development of PFP.

Design

Systematic review and meta-analysis.

Data sources

We searched Medline, CINAHL, SPORTDiscus, Embase, and Web of Science from inception to October 2021.

Eligibility criteria for selecting studies

All study designs (prospective, case–control [± interventional component, provided pre-intervention data were reported for both …

Applying The 4ps Of Social Marketing To Retain And Engage Participants In Longitudinal Cohort Studies: Generation 2 Raine Study Participant Perspectives, Leesa Costello, Julie Dare, Manon Dontje, Claire Lambert, Leon Straker

Research outputs 2022 to 2026

Background: Investigations of participant retention in longitudinal health and medical research, document strategies that work best but overlook social marketing’s capacity to influence participant retention. After applying the social marketing framework: the idea that determining what longitudinal participants ‘buy’ (product), at what cost (price), in what location (place) and through which communication channels (promotion), this paper aims to inform and enhance retention efforts. Methods: This qualitative study was conducted through in-depth interviews with participants from the Raine Study that began in Western Australia in 1989. The Generation 2 participants, initially enrolled into the Raine Study as babies by their parents …

Using Social Media To Examine Disabled Veterans’ Adaptive Sports Lived Experience At The National Veterans’ Wheelchair Games, Heather Harding

Graduate Theses, Dissertations, and Capstones

Considered the world’s largest annual rehabilitative wheelchair games event for Veterans in the United States, the National Veterans Wheelchair Games (NVWG or the Games), co-hosted annually by the Department of Veterans Affairs and Paralyzed Veterans of America, is a long-standing event that offers a view into how adaptive sports and recreational activities can impact Veterans with disabilities. This hermeneutic phenomenological qualitative study sought to discover if the Veteran athletes, who participated in the NVWG between 2017 and 2021, described their lived experiences through the lens of their public social media posts on Instagram, and if so, what can be gleaned …