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Non-Pharmacological Management Of Idiopathic/Persistent Dyspareunia, Iveshia Ford

Capstone Showcase

Painful sexual intercourse, or dyspareunia, is a condition numerous women experience. An unknown, but still important, number of those affected find no relief with medication or surgery. Yet, it can be difficult for patients to discuss concerns with their provider. In addition, many providers do not have an adequate comfort level to discuss such topics. This paper aims to equip providers with non-pharmacological treatment options which include pelvic floor physical therapy, sex therapy and lifestyle changes. With the cultural shifts and changing ideas of sexuality in today’s age, it is important that clinicians remain versed in sexual health and patient …

Non-Pharmacological Management Of Idiopathic/Persistent Dyspareunia, Iveshia Ford

Capstone Showcase

Painful sexual intercourse, or dyspareunia, is a condition numerous women experience. An unknown, but still important, number of those affected find no relief with medication or surgery. Yet, it can be difficult for patients to discuss concerns with their provider. In addition, many providers do not have an adequate comfort level to discuss such topics. This paper aims to equip providers with non-pharmacological treatment options which include pelvic floor physical therapy, sex therapy and lifestyle changes. With the cultural shifts and changing ideas of sexuality in today’s age, it is important that clinicians remain versed in sexual health and patient …

Psychosocial Factors Affecting Intention To Play Esports, Soojung Park

Theses, Dissertations and Capstones

In recent years, the negative perspective about esports that used to dominate the opinion of many people as well as sports researchers has gradually been changing in the academic world. Previous studies have shown that psychosocial values of esports such as having fun, escaping from daily life, and social interaction. However, previous studies on motivations for esports gameplay were conducted from qualitative research perspectives, focusing on esports viewership, and there has comparatively been little esports gameplay research from a quantitative perspective. Against the qualitative research heavy background, the purpose of this research is to examine the psychosocial factors that influence …

Prevalence Of Musculoskeletal Disorders And Ergonomic Risk Factors Among Firefighters, Hamza Farooq

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Injury to the musculoskeletal system or the human body's ability to move is known as a musculoskeletal disorder (i.e. muscles, tendons, ligaments, nerves, discs, blood vessels, etc.). Firefighting is a physically hard and dangerous job. Firefighters carry out emergencies and prevent fire and respond to disaster. Workers who deal with fireworks often have musculoskeletal disorders. Objective: To investigated the prevalence of musculoskeletal disorders and ergonomic risk factors among firefighters. Methodology: Nordic musculoskeletal questionnaire was used to report musculoskeletal disorders in 106 firefighters and quick exposure check (QEC) questionnaire was used in 20 firefighters for 3 different tasks to evaluated …

Effects Of Lower Extremity Muscle Strengthening Exercise And Foot Orthoseson Medial Longitudinal Arch Height In Individuals With Flexible Flatfoot, Phoomchai Engkananuwat

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Foot orthoses and lower extremity exercises have been widely recommended to improve medial longitudinal arch (MLA) height in adults with flexible flatfoot. However, there is little evidence to guide the choice between foot orthoses or lower extremity exercises. Objectives: This study comprised two separate studies. Study 1 aimed to establish the more effective exercise protocol by comparing the MLA height in groups performing foot exercises with and without gluteus medius (GMed) muscle strengthening exercise. Study 2 compared the established exercise protocol in Study 1 with foot orthoses to determine the actual effectiveness of each intervention. Main outcome measures: Navicular …

The Effect Of Breathing Training Program Using A Toy Blower On Lung Function, Respiratory Muscles Strength, And Functional Capacity In People With Obesity Level 2, Sarawut Jansang

Chulalongkorn University Theses and Dissertations (Chula ETD)

Obesity level 2 has major implications on the respiratory system, particularly the impact of breathing exercises on lung function, which may now be trained employing a variety of breathing exercises and equipment. Therefore, researcher was interested in applying inflatable toys to be applied along with breathing patterns in people with obesity level 2 between the ages of 30 and 65, which affected lung function, respiratory muscle strength and physical activity in way of life. Therefore, the researcher aimed to study the effects of a breathing training program using a toy blower device on breathing performance and respiratory muscle strength. The …

Midwestern Communities’ Reaction To The 1940s And 1950s Polio Epidemics, Lauren Mcdonald

Departmental Honors Projects

The 1940s and 50s’ polio epidemics resulted in the illness, death, and paralysis of thousands of children throughout the United States. Unlike other illnesses spread by poor sanitation which usually affected the lower classes, polio cases were far more prevalent among the middle class. Middle class neighborhoods’ conditions did not allow for natural immunity in early childhood. Prior research explored the urban and suburban middle class families in highly infected states like New York. However, the experiences of Midwesterners were largely ignored. In crowded city neighborhoods, polio could spread rapidly in a short period of time and then die down …

Rural Community Park Accessibility, Ashleymarie Patricia Hirdler

Occupational Therapy Capstones

Title: Rural Community Park Accessibility

Background: Play is a primary occupation for children and is critical for development (Yogman et al., 2018). School readiness and relationships with others can be impacted when opportunity for play is limited. Play also benefits adults by reestablishing their passion for activities and reducing stress responses to everyday events (Yogman et al., 2018). Lynch et al. (2019) found that when playgrounds were not accessible, children and parents with disabilities felt odd and experienced increased stress due to limited opportunities. It is important for children and their families to have access to accessible parks and spaces …

Educating The Interprofessional Team And Family About Sensory Challenges Children With Autism Spectrum Disorder May Experience, Delanie Vitosh

Occupational Therapy Capstones

Introduction: Children with autism spectrum disorder (ASD) often demonstrate difficulties processing and interpreting sensory input experiencing over-responsiveness or under-responsiveness to sensory stimulation (Autism Speaks, n.d.). A sensory education program was created to educate the interprofessional team and families about sensory challenges children with ASD experience and what strategies can be used to prevent or decrease the number of outbursts caused by over-stimulation, under-stimulation, and their potential impact on participation in meaningful occupations. Based on the literature review, non-compliance with home programs is a major factor negatively affecting therapeutic outcomes (Rone-Adams, Stern, & Walker, 2004). However, Koegel, Bryan, Su, Vaidya, and …

Iris Clubhouse: Experiences Of Community Integration, Rebecca J. Reeves

Occupational Therapy Capstones

The lived experience of community integration for those living with a serious mental illness (SMI) who are members of an unaccredited Clubhouse is an under investigated topic. The goal of this study is to better understand this phenomenon to inform the development of efficient and effective community integration programming for a local Clubhouse who is working toward becoming accredited. 15 active and inactive members of a local Clubhouse participated in a semi-structured interview to discuss their experiences of community integration while living with an SMI. The interviews were analyzed using a hermeneutic phenomenological approach (Dibley et al., 2020). Seven themes …

Interoception Toolkit: A Resource For Occupational Therapy Practitioners To Use With Children And Their Families, Heidi Lynn Janssen

Occupational Therapy Capstones

Purpose: Interoception refers to one’s ability to sense the internal condition of the body, including sensory messages from body parts and internal organs (Craig, 2002). In the past 30 years, scientists and researchers have discovered a powerful connection between interoceptive appraisal skills and self-regulation, emotional identification, emotional regulation, social skills, and nearly every task in daily life (Mahler, 2017). The purpose of this project is to provide practitioners with an educational platform that describes the sensorimotor skill of interoception applied throughout the occupational therapy process.

Methods: The development of this product was initiated with a thorough review of literature to …

Addressing The Recreation And Social Participation Gap In Children With Disabilities: Program Development Of A Recreational Summer Camp, Benjamin Isaac Germolus

Occupational Therapy Capstones

Recreation, social participation, and leisure are important occupations of children, however, children with disabilities participate in them less frequently and more often with parents when compared to their typically developing (TD) peers (Lin, 2020; Schreuer et al., 2014; Solish et al., 2010). Therapeutic summer camps have been shown to reduce these disparities in participation while achieving positive functional gains (Flynn et al., 2019; Guest et al., 2017; Kaboski et al., 2015; Petersen et al., 2020; Sakzewski et al., 2015; Sterman et al., 2016; Walker et al., 2010; Yang et al., 2021). However, few summer camp programs are available for occupational …

Meeting Sensory Needs: A Childcare Provider’S Guide To Support Sensory Strategies In The Daycare Setting, Mckenzie Dye

Occupational Therapy Capstones

Meeting Sensory Needs: A childcare provider’s guide to support sensory strategies in the daycare setting.

Purpose: The purpose of this project is to create a supplemental sensory guide to support childcare providers in creating a sensory rich environment. This product incorporated the expertise of occupational therapy to create a sensory guide that outlines a sensory activity bank and environmental modifications.

Background: A high percentage of children in childcare experience sensory related difficulties that hinder their performance in daily activities. Many children in daycare who have sensory processing difficulties are being treated as if they have behavior problems, which can have …

Secondary To Post-Secondary Education Transition: A Guide For Self-Advocacy And Self-Determination, Karleen T. Vonkrosigk

Occupational Therapy Capstones

Introduction: Post-secondary transitions encapsulate the stage of life between high school and adulthood where adolescents transition to college, technical school, work, or other options (Palmon et al., 2017). It is not uncommon for students to lack the skills and strategies needed for self-advocacy and self-determination, which are crucial to success throughout adulthood (Palmon et al., 2017). Upon reviewing current literature, it was identified that supportive transition services begin to diminish after secondary education ends (Kramer, 2015). A product that helps guide and support individuals transitioning to post-secondary education is beneficial and needed.

Methodology: Extensive research was completed through a literature …

Occupational Therapist’S Role In Addressing The Psychological Impacts Of Pain In Clients With Upper Extremity Conditions, Shivangi Patel

Occupational Therapy Capstones

Background & Purpose: The experience of pain is different for every client (Felman, 2020). There are various ways to feel and describe the pain (Felman, 2020). A maladaptive response to pain has been associated with increased pain and physical limitations in clients with upper extremity pain (Verhiel et al., 2019). Upper extremity impairments can result in the disruption of many activities of daily living and instrumental activities of daily living (American Occupational Therapy Association, 2014). Clients with upper extremity pain often resort to maladaptive coping strategies, such as catastrophic thinking (Verhiel et al., 2019). The most common psychological factors related …

Functional Cognition In Long-Term Care: Implementing Allen’S Cognitive Level Screen, Sarah Janean Schumacher

Occupational Therapy Capstones

Title: Functional Cognition in Long-Term Care: Implementing Allen’s Cognitive Level Screen

Purpose: It is motivating to many individuals to remain as independent as possible for as long as possible. As we age, there is a shift to balancing needed support while maintaining independence. According to Allen (1991), cognition is the number one factor affecting an individual’s ability to live independently. Within long-term care, specifically assisted living facilities, cognitive screening processes are in place to measure one’s cognition, however, often the tools in place do not measure functional cognition (Stewart, O’Riley, Edelstein, & Gould, 2012). The purpose of this scholarly project …

Interventions Addressing Social And Leisure Participation For Adults With Musculoskeletal Chronic Pain, Kady Locke, Emily Ray, Josie Sylte

Critically Appraised Topics

FOCUS QUESTION:

P - Adults 18-90 years of age

I - Exploration of most effective OT programs and interventions

C - Musculoskeletal chronic pain

O - Improved participation in social and leisure activities

What are the most effective occupational therapy interventions to improve social and leisure participation in adults aged 18 to 90 who experience chronic musculoskeletal pain?

Pooled Efficacy Analysis Of Incobotulinumtoxina In The Multipattern Treatment Of Upper- And Lower-Limb Spasticity In Children And Adolescents With Cerebral Palsy, Florian Heinen, Petr Kanovsky, A Sebastitan Schroeder, Henry G. Chambers, Edward Dabrowski, Thorin L. Geister, Hanna Dersch, Irena Pulte, Michael Althaus, Marta Banach, Deborah Gaebler-Spirag

Conference Presentation Abstracts

Introduction: This pooled analysis assessed the efficacy of incobotulinumtoxinA for lower-limb (LL) and upper-limb (UL) spasticity in children and adolescents with cerebral palsy (CP) using data from the first controlled injection cycle of 2 large Phase 3 studies, TIM (NCT01893411) and XARA (NCT02002884).

Methods: Ambulant and non-ambulant pediatric patients with spasticity due to CP (2–17 years of age; uni- or bilateral CP; Ashworth Scale [AS] score ≥2 in clinical patterns for treatment) were enrolled. Patients were randomized (2:1:1) to 3 incobotulinumtoxinA dose groups: 8, 6, 2 U/kg body weight (BW), maximum 200, 150, 50 U per LL clinical pattern in …

Safety Of Incobotulinumtoxina In Multipattern Treatment Of Upper And Lower Limb Spasticity In Children/Adolescents With Cerebral Palsy: Pooled Analysis Of 3 Large Phase 3 Studies, Marta Banach, Petr Kanovsky, A Sebastian Schroeder, Henry G. Chambers, Edward Dabrowski, Thorin L. Geister, Hanna Dersch, Michael Althaus, Deborah Gaebler-Spriag, Florian Heinen

Conference Presentation Abstracts

Introduction: This analysis assessed the safety and tolerability of repeated incobotulinumtoxinA treatment for lower-limb (LL), upper-limb (UL), or combined LL/UL spasticity in ambulant and non-ambulant children/adolescents with cerebral palsy (CP) using pooled data from 3 large Phase 3 studies.

Methods: Pediatric patients with spasticity (2–17 years of age; uni- or bilateral CP; Gross Motor Function Classification System [GMFCS] level I-V; Ashworth Scale [AS] score ≥2 in clinical patterns for treatment; clinical need for treatment) were enrolled. Patients received total body incobotulinumtoxinA doses of 16 U/kg body weight (BW, ≤400 U) for LL spasticity in 2 injection cycles (ICs) in TIM …

Improvement Of Spasticity-Related Pain With Incobotulinumtoxina Treatment In Children/Adolescents With Cerebral Palsy: Pooled Analysis Of 3 Phase 3 Studies, Florian Heinen, Petr Kanovsky, A Sebastian Schroeder, Henry G. Chambers, Edward Dabrowski, Thorin L. Geister, Hanna Dersch, Irena Pulte, Michael Althaus, Marta Banach, Deborah Gaebler-Spirag

Conference Presentation Abstracts

Introduction: Spasticity-related pain (SRP) in children and adolescents with cerebral palsy (CP) is common, often neglected, and impacts daily quality of life. We assessed the effect of incobotulinumtoxinA on SRP using pooled data from 3 large Phase 3 pediatric studies.

Methods: Ambulant and non-ambulant patients (2–17 years of age; uni- or bilateral CP; Ashworth Scale score ≥2 in clinical patterns for treatment) were enrolled. Patients received total body incobotulinumtoxinA doses of ≤16 U/kg (≤400 U) for lower-limb (LL) treatment in 2 injection cycles (ICs) in TIM (NCT01893411). In TIMO (NCT01905683), TIM completers and new recruits received 4 ICs with 16–20 …

The Fit-For-Purpose Model: Conceptualizing And Managing Chronic Nonspecific Low Back Pain As An Information Problem, Benedict M. Wand, Aidan G. Cashin, James H. Mcauley, Matthew K. Bagg, Gemma M. Orange, G. Lorimer Moseley

Physiotherapy Papers and Journal Articles

Chronic nonspecific low back pain (CNSLBP) is a complex and multifaceted problem. The following Perspective Piece tries to help make sense of this complexity by describing a model for the development and maintenance of persistent low back pain that integrates modifiable factors across the biopsychosocial spectrum. The Fit-for-Purpose model (FFPM) posits the view that chronic nonspecific low back pain represents a state in which the person in pain holds strong and relatively intransient internal models of an immutably damaged, fragile, and unhealthy back, and information that supports these models is more available and trustworthy than information that counters them. This …

Patient And Therapist Perceptions Of Respiratory Functioning Due To Spinal Cord Injury: Implications For Music Therapists, A'Marie Dotson

Theses and Dissertations--Music

Decreased respiratory functioning is a common symptom of spinal cord injury (SCI) and can impact individuals’ personal, professional, and social lives. In spite of this, researchers have not explored the use of music in the lives of individuals with SCIs or music’s role in their healthcare professionals’ treatment plans to improve respiratory functioning. The purpose of this qualitative study was to better understand how decreased respiratory functioning affects individuals with SCIs and healthcare professionals through a multiple case study design. Participants were two individuals with SCIs and three healthcare professionals (physical therapist, recreational therapist, and music therapist) who worked with …

Educators' Perceptions Of Characteristics That Define Athletic Training Student Competence: A Report From The Association For Athletic Training Education Research Network, Cailee E. Welch Bacon, Julie M. Cavallario, Alicia M. Pike Lacy, Stacy E. Walker, Lindsey E. Eberman

Rehabilitation Sciences Faculty Publications

Context

As health professions education continues to transition toward competency-based education, it is essential that educators have an in-depth understanding of student competence and how it is achieved. However, little is known concerning the perceptions of educators regarding student competence in athletic training.

Objective

To explore athletic training educators' perceptions of student competence.

Design

Cross-sectional.

Setting

Online survey with open-ended questions.

Patients or Other Participants

In total, 368 of 1577 athletic training educators accessed the survey (23.3% access rate); 327 were included in data analysis because they indicated they served as an athletic training educator at the time of data …

Characteristics Of Patient Encounters For Athletic Training Students During Clinical Education: A Report From The Aate Research Network, Cailee E. Welch Bacon, Julie M. Cavallario, Stacy E. Walker, R.Curtis Bay, Bonnie L. Van Lunen

Rehabilitation Sciences Faculty Publications

Context: To enhance the quality of patient care, athletic training students (ATSs) should experience a wide variety of clinical practice settings, interact with diverse patient populations, and engage with patients that have a wide variety of conditions. It is unclear in what ways, if any, ATSs have diverse opportunities during clinical experiences.

Objective: To describe the characteristics of patient encounters (PEs) ATSs engage in during clinical experiences. Design: Multi-site, panel design.

Setting: 12 professional athletic training programs (ATPs; 5 Bachelor, 7 Master's).

Patients or Other Participants: 363 ATSs from the ATPs that used E*Value software to document PEs during clinical …

Core Competency-Related Professional Behaviors During Patient Encounters: A Report From The Association For Athletic Training Education Research Network, Cailee E. Welch Bacon, Julie M. Cavallario, Stacy E. Walker, Curtis Bay, Bonnie L. Van Lunen

Rehabilitation Sciences Faculty Publications

Context: To enhance the quality of patient care, it is important that athletic trainers integrate the components of the core competencies (CCs; evidence-based practice [EBP], patient-centered care [PCC], health information technology [HIT], interprofessional education and collaborative practice [IPECP], quality improvement [QI], professionalism) as a part of routine clinical practice. In what ways, if any, athletic training students (ATSs) are currently integrating CCs into patient encounters (PEs) during clinical experiences is unclear.

Objective: To describe which professional behaviors associated with the CCs were implemented by ATSs during PEs that occurred during clinical experiences.

Design: Multisite panel design.

Setting: A total of …

Cross-Education Balance Effects After Unilateral Rehabilitation In Individuals With Chronic Ankle Instability: A Systematic Review, Briana Lawry-Popelka, Sunghoon Chung, Ryan S. Mccann

Rehabilitation Sciences Faculty Publications

Objective: To conduct a systematic review of existing literature on cross-education balance effects after unilateral training in the population with chronic ankle instability (CAI).

Data Sources: PubMed, SPORTDiscus, CINAHL Plus.

Study Selection: To be included in the systematic review, studies were required to have been published in English, included participants with CAI, had participants undergo a unilateral therapeutic exercise for the lower extremity, and measured balance performance of the untrained lower extremity before and after the intervention.

Data Extraction: The certainty of evidence in each included study was assessed via the Downs and Black checklist. A score of 24 to …

Does Gua Sha Therapy Reduce Pain Intensity In Patients With Chronic Back Pain?, Anh Y. Cao

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine “Does Gua shatherapy reduce pain intensity in patients with chronic back pain?”

STUDY DESIGN: A systematic review of three randomized controlled trials/studies published in English between 2013-2019.

DATA SOURCES: All articles were published in peer-reviewed journals and obtained from PubMed. The studies were selected based on their applicability to the topic listed above.

OUTCOMES MEASURED: A common outcome measured across all three articles included pain intensity. Each study used the 100 mm Visual Analog Scale (VAS). Participants were asked to rate their pain before and after therapeutic interventions. A …

Is Acupuncture Effective In Improving Pain In Patients With Knee Osteoarthritis?, Despina Lianidis

PCOM Physician Assistant Studies Student Scholarship

Objective: The objective of this selective EBM review is to determine whether or not “Is acupuncture effective in improving pain in patients with knee osteoarthritis?”

Study design: A systematic review of three randomized controlled trials (RCTs) published in between 2015-2018.

Data sources: All three RCTs were discovered using PubMed. The articles were published in English in peer-reviewed journals and selected based on applicability to the clinical question.

Outcome measured: Based on the studies done by Lin et al. and Chen et al., using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), a self-reported measure of lower extremity pain, stiffness, …

Does Exercise Decrease The Level Of Anxiety In Adults?, Alexa N. Wister

PCOM Physician Assistant Studies Student Scholarship

 Objective: The objective of this selective EBM review is to determine whether or not “Does exercise decrease the level of anxiety in adults?”

Study Design: A systematic review of three randomized controlled trials (RCTs) that were peer reviewed and published between 2016 and 2020.

Data Sources: All articles were published in peer-reviewed journals. Two of the RCTs were researched using Pubmed and one RCT was found using Academic Search Premier, AMED. All studies were selected based on applicability to the clinical question presented in the objective, and if the researched outcomes were patient oriented.

Outcome Measured: A reduction in anxiety …

Are Quarterly Fremanezumab Injections As Effective As Monthly Fremanezumab Injections At Reducing The Number Of Migraine Days Per Month In Adults With Chronic Migraines?, Elaine Mellinger

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this systematic EBM review is to determine “Are quarterly fremanezumabinjections as effective as monthly fremanezumab injections at reducing the number of migraine days per month in adults with chronic migraines?”

STUDY DESIGN: A systematic review of three randomized controlled trials (RCTs) that were peer reviewed and published in English after 2015 comparing quarterly versus monthly fremanezumab injections in adults 18-70 with chronic migraines.

DATA SOURCE: Three RCTs were obtained from PubMed and selected based on their relevance to the clinical question and if the RCTs addressed patient oriented outcomes.

OUTCOMES: The three selected RCTs for review, …