Digital Commons Network^™

Occupational Therapy Education To Support Families Affected By Huntington's Disease And Their Care Team, Morgan R. Weber

Occupational Therapy Capstone Presentations

Introduction: Huntington’s Disease (HD) is a neurodegenerative disease that presents with motor, cognitive, and psychiatric and behavioral symptoms. This project aimed to understand the benefits of incorporating occupational therapy education within an HD clinic, creating educational material to support the HD care team, and advocating for occupational therapy. Methods: The project was created to gain advanced clinical practice skills to understand occupational therapy’s role on an interdisciplinary HD clinic team and to implement occupational therapy education in an HD clinic to support patient and caregiver care. Additionally, it was designed for education to create educational material based on HD to …

Promoting Inclusive Play And Social Skills Development In Sioux Falls And Harrisburg, South Dakota, Madison C. Snelling

Occupational Therapy Capstone Presentations

A lack of inclusive play opportunities hinders children's development and participation in a meaningful occupation. The purpose of this 14-week capstone experience was to advocate for inclusive playgrounds and play spaces in daycares, community recreation centers, and community playgrounds in addition to gaining further clinical skills in pediatrics providing home-based occupational therapy services and social skills interventions. Methods included caseload management, developing and facilitating social skills groups for children 4-5 years, and completing evaluations of current play spaces in Sioux Falls and Harrisburg, S.D.

Meeting Mental Health Needs Of Parents Caring For Children With Disabilities By Facilitating Occupational Balance And Well-Being, Emily J. Heumiller

Occupational Therapy Capstone Presentations

Parents caring for children with disabilities experience unique challenges which affects their well-being and occupational balance. The affects can contribute to further limitations within their family systems. The purpose of this capstone project is to explore the need and effectiveness of an occupation therapy-based program to address parents’ mental health needs. Needs assessment results and literary evidence supported the need for the proposed program, titled the Well Parent Program. Program development was guided by occupational therapy models and frames of reference. Three assessments were used to evaluate the effect of program interventions on parents’ perceived stress, perceived well-being, and goal …

Effects Of Exercise On Parkinson's Symptom Relief, Brooke Burnett

The Eleanor Mann School of Nursing Undergraduate Honors Theses

In this review of twenty research articles, the effects of moderate exercise therapy on the symptoms of Parkinson’s Disease will be explored. Appropriate literature was located using the research question, “In older adults with a Parkinson’s Disease Diagnosis, how does moderate exercise influence the symptoms of this disease?” Twenty peer-reviewed research articles were examined for the impact of different forms of exercise on various symptoms associated with Parkinson’s. Nineteen of the articles reviewed provide substantial evidence in support of exercise therapy as a treatment option for people with Parkinson’s, and one of the articles found inconclusive evidence neither in support …

Multimodal Approach To Chronic Pain Management And Prevention Of Opioid Use Disorder, Hannah Elston

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Background. Chronic pain (CP) is a major public health problem that affects one-third of the population and can interfere with the activities of daily life and cause decreased quality of life. Patients with CP have been increasingly prescribed opioids, contributing to the rise in the opioid epidemic. Due to the long-term nature of CP, the use of opioids as the sole treatment for CP can cause tolerance and increased dosages overtime which can lead to addiction and potentially overdose. Therefore, CP treatment should include multimodal approaches to treatment to prevent opioid misuse, opioid use disorder (OUD), and overdose. Multimodal treatments …

Impacts Of Methods And Pose On Performance Of Two Modern American Football Helmets, Ta’Quoris Newsome

Honors Theses

The standardization of American football helmets began with the development of the National Operating Committee for Safety in Athletic Equipment (NOCSAE). The organization successfully developed a certification that quantifies a helmet’s ability to mitigate blunt force to prevent skull fractures; however, the ability to assure the same level of protection against concussion has been elusive. Regardless, The National Football League (NFL) and Virginia Tech University (VT) have developed blunt and rotational impact testing methodologies that aim to provide consumers with the effectiveness and safety of American football helmets through their respective ranking system. These ranking systems are intended to aid …

Occupational Therapy’S Role In Music Student Health, Katie Ericsson

Occupational Therapy Capstone Presentations

Musicians are at risk of developing playing-related musculoskeletal disorders. Music students are at particular risk due to factors such as instrument type, age, and playing habits. The purpose of my capstone experience was to explore the role of occupational therapy in addressing music student health. Three approaches (research study, clinical experience, and collaboration) were used to complete this capstone experience since the project focused on both education and clinical practice. The education focus resulted in the completion of an institutional review board-approved study, a manuscript reporting the findings of the study, musician health education materials for the University of South …

Occupational Therapy In Oncology Care: Methods For Treating Cancer-Related Fatigue, Marissa Emberly Cardenas

Occupational Therapy Capstone Presentations

This capstone project aided in helping to develop advanced clinical knowledge and skills within oncology care, specifically when treating cancer-related fatigue while advocating for the use of occupational therapy. This project took place within Regions Hospital in St. Paul, Minnesota. The population for this project consisted of oncology patients within an inpatient and outpatient setting. A total of 12 patients with a diverse set of diagnoses were assessed and treated for cancer-related fatigue within 14 weeks. The Brief Fatigue Inventory scores decreased when patients participated in exercise and psychosocial interventions. Outcomes within this project consisted of a manuscript, advocacy materials, …

Structural And Functional Myocardial Adaptations To Task-Specific Epidural Stimulation In Chronic Spinal Cord Injury., Harley D. Ledbetter

Electronic Theses and Dissertations

Cardiovascular disease is a leading cause of mortality, and this is especially true in individuals with spinal cord injury. Decreased systemic blood pressure leads to cardiac deconditioning, thought to be related to the increased cardiovascular morbidity and mortality in this population. This study investigates effects of myocardial loading from epidural stimulation in a group of individuals with spinal cord injury to understand how changes in preload and afterload could lead to beneficial myocardial remodeling. The study conducted echocardiograms to describe the myocardial changes after training with two different types of epidural stimulation intervention: one designed to facilitate movement (Voluntary) and …

Mending The Mind: Exploring The Role Of Occupational Therapy For Executive Dysfunction Post-Pediatric Traumatic Brain Injury, Shannon E. Hegland

Occupational Therapy Capstone Presentations

Executive dysfunction is a common concern for children after experiencing a traumatic brain injury. This can greatly affect occupational performance. Occupational therapists can provide therapeutic services to improve executive function skills, utilize compensatory strategies to restore function over time, and educate parents and caregivers on the expected symptoms and impairments. During this capstone project, I focused on learning how to address executive dysfunction in the pediatric post TBI population and created deliverables to assist future therapists with the same task. Seven children who experienced executive dysfunction post- traumatic brain injury between the ages of two and eighteen were selected as …

Case Diagnosis: Jamestown Canyon Virus Causing Severe Guillain Barré Syndrome: A Case Report, Timothy Bazil, Megan Ziske, Evan Halchishick

Posters

No abstract provided.

Direction Of Attentional Focus In Prosthetic Training: Current Practice And Potential For Improving Motor Learning In Individuals With Lower Limb Loss, Alexander Bonczyk, Maria Katrina Tillada Dimapilis, Sarah Partridge, Samantha Ruiz

UNLV Theses, Dissertations, Professional Papers, and Capstones

Objective: Adopting an external focus of attention has been shown to benefit motor performance and learning. However, the potential of optimizing attentional focus for improving prosthetic motor skills in lower limb prosthesis (LLP) users has not been examined. In this study, we investigated the frequency and direction of attentional focus embedded in the verbal instructions in a clinical prosthetic training setting.

Methods: Twenty-one adult LLP users (8 female, 13 male; 85% at K3 level; mean age=50.5) were recruited from prosthetic clinics in the Southern Nevada region. Verbal interactions between LLP users and their prosthetists (mean experience=10 years, range=4-21 years) during …

Essential Tools For Sustainability Of A Student-Led, Pro-Bono Back School, Cory Brown, Rosalie Gutierrez, Jennifer Montes, Rondale Scruggs

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background: In 2018, University of Nevada Las Vegas Doctor of Physical Therapy (DPT) students and faculty, in cooperation with a community partner, created a student-led pro bono Back School to address a gap in healthcare for underinsured individuals with low back pain in Southern Nevada. To support the sustainability of the Back School, the authors of this paper set out to develop a student club to recruit and train DPT students to volunteer in the program using a specifically designed electronic training manual. Overall, the aim was to encourage students to join the new club's leadership team to prepare future …

Increasing Utilization Of Otago Fall Prevention Program By Nevada Physical Therapists: A Service-Learning Project, Jared Apostol, Erica Mooy Brown, Danielle Uptain

UNLV Theses, Dissertations, Professional Papers, and Capstones

Otago is an evidence-based program that is designed to reduce falls in community dwelling older adults by individualizing an exercise program with three key components: strength, balance, and a walking program. Unfortunately, Nevada clinicians do not utilize the program frequently or entirely with patients in outpatient and/or home health physical therapy. Evidence shows it reduces fall risk, but it has barriers to implementation in the United States. The barriers to integration are primarily due to the plan of care that stems from a 12-month timeframe and several phone call appointments which does not fit well in the American healthcare system. …

Effects Of A Remote Exercise Intervention On Aerobic Endurance In Individuals With Down Syndrome, Andrew Murata, Elena Wolf, Jonathan Crimm, Benjamin Lee

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose: Down syndrome (Ds) or Trisomy 21 is a common genetic birth condition, and those with Ds typically display decreased cardiorespiratory fitness compared to those without Ds, potentially leading to an increased risk for cardiovascular conditions and mortality. Low cardiorespiratory fitness is partially caused by low physical activity levels in this population. The COVID-19 pandemic caused community-based activity programs to shut down, as individuals with Ds are at increased risk for COVID-19 hospitalization and death. Thus, it was vital to explore alternatives of in-person exercise during the pandemic. The purpose of this study was to investigate the effects of a …

Perceived Value Of Acute Care Physical Therapy, Juliana Amenta, Andrew Falcinelli, Erin Heenan, Hannah Kendall

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background/Significance/Objective: Although there is some research regarding physical therapy in the acute hospital setting, much of it is focused on the role physical therapists play with specific patient populations or diagnoses. By understanding more about how physical therapy services can add value in the acute hospital, their skills could be better utilized to maximize benefit for both individual patients and the hospital. The purpose of this study was to investigate the perceived value that physical therapists bring to the acute care hospital from the perspective of both physical therapists and their supervisors in Southern Nevada.

Methods: This study used an …

Walking With Poles Improves Step Length Of Simulated Prosthetic Gait, Marissa Elquist, Daniel Perez, Jonathan Garcia, Brady Owens

UNLV Theses, Dissertations, Professional Papers, and Capstones

Individuals with lower limb loss often demonstrate gait deviations which cause instability and asymmetry. Walking with poles has been shown to improve stride length and stability in older adult and other patient populations. The enhanced arm involvement in bipedal walking with poles has the potential to facilitate interlimb coordination among arms and legs, and therefore is likely to improve prosthetic gait. The purpose of this study was to examine the effect of walking poles on temporal gait parameters and the center of mass (COM) displacement during prosthetic and simulated prosthetic gait. It was hypothesized that walking with poles would improve …

Effects Of A 12-Week Telehealth Exercise Intervention On Gait Speed And Gait Deviations In Adults With Down Syndrome, Robert Lum, Taylor Souza, Christopher Roys, Daniel Stopka

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background: Down syndrome (Ds) is associated with impairments affecting overall motor development including gait pattern and speed. Research on the effects of exercise on adults with Ds is lacking. The purpose of this study is to evaluate the effects of a 12-week telehealth exercise program on gait impairments in adults with Ds.

Methods: Twenty participants performed a 12-week telehealth exercise program based upon a diagnosis-specific procedure developed by Sarah Mann, PT, DPT. Gait deviations were assessed with the Ranchos Los Amigos Observational Gait Analysis. Comfortable gait speed was evaluated with the 4-meter walk test.

Results: Improvements in comfortable gait speed …

Factors Predicting Fear Of Falling Avoidance Behavior In Parkinsonisms, Kameron Eckard, Franjo Vukojevic, Ryan Hammar

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background: Fear of falling avoidance behavior (FFAB) is common in parkinsonisms and results in potentially mitigable downstream consequences.

Objective: Determine the characteristics of individuals with parkinsonisms most associated with FFAB.

Methods: A retrospective, cross-sectional study was conducted from medical records data of 142 patients with parkinsonisms. These data included: demographics (age, sex), disease characteristics (Movement Disorders Society – Unified Parkinson’s Disease Rating Scale Part III (MDS-UPDRS III), years since diagnosis), fall history (number of fall injuries in previous year), and gait and balance function (five times sit to stand, MiniBESTest, Timed Up and Go (TUG), dual-task TUG, ten-meter walk test …

Efficacy And Benefits Of Providing A Screening Clinic For Performing Arts Students, Shaun Bean, Joanna Centeno, Elizabeth Williams

UNLV Theses, Dissertations, Professional Papers, and Capstones

In past years, University of Nevada, Las Vegas physical therapy students (UNLVPT) have provided UNLV dance students with screening clinics, injury evaluations, and treatment sessions to help address their need for direct and specialized services. Through this project, UNLVPT has worked to help reduce injury risk in dancers and provided treatment and rehabilitation for injuries that have occurred. Due to the COVID-19 pandemic, our group was unable to treat dancers in person over the course of the 2020-2021 school year. In response to these limitations, we worked to reformat our screening process to make it practical in a virtual setting. …

Development Of Online Modules To Introduce Prospective Students To The Profession Of Occupational Therapy, Hosia Towery

UNLV Theses, Dissertations, Professional Papers, and Capstones

Prospective students interested in Occupational Therapy academic programs are subject to the admission criteria of each educational institution, including experiential learning, clinical observation hours, volunteer experiences, or similar prerequisites. There are no standardized criteria established for these prerequisite requirements b the accreditation agency, as it is within the scope of Higher Education. There is no accountability at the regional or local level to ensure educational opportunities for prospective students interested in higher education, creating a gap as highlighted in the recent global pandemic, where student access to education was further challenged. Students are reliant on a variable set of requirements …

The Road Ahead: An Occupational Therapy Manual To Infant Development For Parents In The Nicu, Nicole Suzuki-Uyeno

UNLV Theses, Dissertations, Professional Papers, and Capstones

Occupational therapists have been collaborating with the parents of our tiniest patients in the neonatal intensive care unit (NICU) for quite some time. They have a wealth of information and expertise in the area on infant development and parent education. Admitting a baby to the NICU is a shock for most parents and can take a toll on a family. The role of the occupational therapist is to help educate the family and to provide the tools to safely take care of their baby and to smoothen the transition from the hospital to home.

In the NICU, the OT has …

Occupational Therapy’S Role In The Holistic Management Of Chronic Pain, Megan K. Rodahl

Occupational Therapy Capstone Presentations

Chronic pain is a common yet debilitating condition, affecting over 1 in 5 adults in the United States (Dahlhamer et al., 2018) and limiting participation in valued occupations (Duenas et al., 2016). Despite its prevalence, chronic pain tends to be dismissed in the healthcare system and many clients begin to lose hope in recovery (National Guideline Centre, 2021). To address current deficits healthcare and education, this capstone project examines occupational therapy’s role in the holistic treatment of chronic pain. To explore this, a wide variety of client-centered interventions were used to treat clients with chronic pain conditions. Progress was assessed …

Expanding The Role Of Occupational Therapy For Oncology Patients: A Focus On Tumor- And Blood-Based Cancers, Erika N. Clark

Occupational Therapy Capstone Presentations

Tumor and blood-based cancer diagnosis rates are increasing rapidly in the United States. To improve survivorship, treatment practices are constantly evolving, however, patients are often left to face the consequences of survival. With decreased range of motion, strength, and ability to participate in desired activities, patients may experience a decrease in overall quality of life. Through a holistic lens, occupational therapists are well suited to address the diverse needs of cancer patients through the duration of their cancer treatments. Unfortunately, occupational therapy remains a widely underutilized service for this population. This capstone experience worked to address this gap by expanding …

Exploring Occupational Therapy In Perinatal Care: Promoting The Mental Health And Well-Being Of Women During And After An Unplanned Pregnancy, Sydney M. Korn

Occupational Therapy Capstone Presentations

Unplanned pregnancy can have a significant effect on the health and well-being of both the mother and her child. Those who experience an unplanned pregnancy are two times more likely to experience maternal depression or stress than those who plan their pregnancies which can negatively impact the mother-infant bond. This capstone sought to explore occupational therapy’s role within perinatal care, specifically addressing the mental health needs of women in unplanned pregnancies by collaborating with already established programs at a pregnancy resource center in Sioux Falls, South Dakota and incorporating the principles of occupational therapy. It explored the use of modules …

Incorporating Trust-Based Relational Intervention In Occupational Therapy To Address Mental Health Needs Of Elementary Students, Maci K. Stouffer

Occupational Therapy Capstone Presentations

Background. The rate of children experiencing mental health issues is increasing exponentially. Many mental health conditions could be successfully treated in childhood, yet they are overlooked, with only half of the diagnosed cases treated and many others undiagnosed. Youth spend much of their day in school. Therefore, their mental health must be addressed within this setting. Purpose. This capstone project aimed to develop and implement a trauma-informed, occupation-based intervention program for elementary students. Equipping students with self-regulation skills, teaching appropriate calming strategies, and providing opportunities to practice the main components of building healthy relationships. The school staff was educated on …

Supporting The Role Of Professional Caregivers In Long-Term Care: Education, Training, And Caregiver Mental Health Interventions That Promote Dementia Care Excellence, Katelyn A. Nelson

Occupational Therapy Capstone Presentations

The purpose of this capstone experience was to create a dementia caregiver education program to support caregivers in their role of caring for individuals with dementia. The first four weeks of the capstone experience were spent at Emerald Crest in Burnsville, MN, learning from an occupational therapist with more than 13 years of experience. Advanced knowledge was gained through engaging in OT evaluation and intervention sessions, completing two dementia certifications, interviewing staff members to highlight the value of interdisciplinary collaboration, and applying theory to practice. Knowledge was then synthesized, applied, and built upon to create a training manual for the …

The Occupational Therapy Approach To Pain Treatment: A Pain Curriculum, Rosalee Howell

UNLV Theses, Dissertations, Professional Papers, and Capstones

It is within the scope of the occupational therapy profession to treat patients experiencing pain. The holistic approach used to assess and treat patients to improve functional performance is vital in treating pain. The focus is to decrease the detrimental impact of pain on the patient’s mental health, enhancing their ability to function in social and vocational roles. However, education is not adequately addressed in occupational therapy programs and is vital in preparing clinicians to meet the patient’s needs effectively.

This Doctoral Capstone was developed to highlight the importance and the benefit of education in preparing clinicians to treat patients …

Emergency Preparedness: Perceptions Of People With Disabilities, Lidia Adamina Fonseca

Theses and Dissertations

The prevalence of emergencies and disasters has increased over the past decade which has caused cities, states and countries to routinely develop emergency preparedness and management plans (Turk, 2016). Although these demands have increased, individuals with disabilities have been less represented in the development of the plans (Timmons, 2017; Turk, 2016). According to The World Bank Disaster Risk Management Report (2020), disasters (e.g., infectious disease outbreaks such as COVID-19, hurricanes, earthquakes, industrial accidents.) and post-disaster consequences have increased over recent years.

Although individuals with disabilities have become more aware of emergency preparedness and its importance, researchers have noted that there …

Developing A Resilience Program For Occupational Therapy Students, Sienna Guzman, Jenna Lazo, Rachel Thompson, Madisson Walker

Occupational Therapy | MSOT Capstone Projects

Developing resilience in healthcare students is recognized as a valuable endeavor and programs at the university level exist for students in healthcare fields including medicine and nursing; however, there are no current programs for occupational therapy students (Delany et al., 2015). Research has shown that occupational therapy students experience high levels of stress that can lead to burnout (Everly et al., 1994). To address this programming gap, we developed and piloted a resilience program for occupational therapy students at Dominican University of California consisting of three components: 1) a self-compassion workshop, 2) a resilience website, and 3) a community building …