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The Effect Of Obstacle Intervals On Foot Integrated Pressure And Obstacle Negotiation Strategy, Zhuo Wang

Theses & Dissertations

When stepping over a single obstacle, despite of some spatiotemporal parameter changes, the impulse of the leading and trailing leg stays the same. This is considered an efficient obstacle avoidance strategy. However, research has shown that the strategy of multiple obstacles negotiation is different from a single obstacle crossing. Would this efficient strategy still exist during multiple obstacles negotiation? This study attempted to answer this question. Nineteen healthy young adults were recruited in this study. Each participant was required to complete 15 trials under 3 conditions: one-step, two-step, and three-step intervals. Data were collected for foot integrated pressure (FIP), walking …

Adaptation Of Human Locomotion And Unilateral Limb Loading During Different Inclination Treadmill Walking, Yuhang Zhang

Theses & Dissertations

Human locomotion is adaptive in any external environment or different terrains, which has been widely investigated. For example, people can walk at different walking speeds in each leg on a split-belt treadmill. However, human locomotor behaviors are passively adapted during the split-belt treadmill walking. Therefore, the knowledge of how humans actively adjust the flexibility of locomotion is limited by using the split-belt treadmill. To address this gap, this study investigated the flexibility of locomotion by using a 4-lb ankle weight on the dominant leg to induce the asymmetric walking pattern when walking on the inclined, declined, and level treadmill. Twenty …

Is The Walking Pattern Similar Between Slope Walking And Obstacle Negotiation?, Jiani Lu

Theses & Dissertations

Studying biomechanical characteristics of human motion sheds light on the motor control strategies in the central nervous system. Slope walking and obstacle negotiation appear to have some similarities in control strategies based on subjective observation, but these two motions have never been compared objectively in biomechanics literature. This study aimed to investigate the similarities between obstacle negotiation and slope walking in kinematics and muscle activity. The similarities were determined by the correlation of the maximum heel elevation and muscle co-activation index between obstacle negotiation and inclined treadmill walking. The strength of correlation was compared in four different pairs of conditions: …

Caregiver Perceptions Of Environmental Modifications For Sensory Processing, Jaimie Lynn Smith

Occupational Therapy Capstone Presentations

This capstone project explored in-depth clinical practice skills in sensory based therapy along with caregiver perceptions of sensory environmental modifications. In person and telehealth treatment sessions focused on the achievement of sensory based goals. A three-part continuing education course was also completed to expand knowledge and understanding of sensory environmental modifications and strategies that were family friendly. The main project was to gain an understanding of caregiver perceptions of sensory environmental modifications. This was accomplished through interviews with families that focused on sensory aspects of the environmental, completion of Participation and Sensory Environmental Questionnaire, and feel-good menus. After environmental recommendations …

Complex Conditions Of The Hand: A Resource For Rural Therapists, Jay D. Cooper

Occupational Therapy Capstone Presentations

The purpose of this project was to address multiple disparities in the complex treatment of upper extremity conditions and injuries in the rural therapy setting with an accessible educational resource. These disparities include the lack of continuing education specifically targeted at the rural healthcare setting, the barriers to unique occupation-based treatment which occupational therapists are obligated to administer, and the need to provide information regarding hand therapy protocols to bridge the communication gap between hand specialists and rural therapists. The project was completed at the Monument Health Orthopedic and Specialty Hospital in Rapid City, SD, in an outpatient hand therapy …

Advanced Practice In Aquatic Therapy: Exploring Occupational Therapy In An Aquatic Environment, Brenna K. Barash

Occupational Therapy Capstone Presentations

Properties of water have been utilized as a therapeutic treatment method for the past 100 years (Becker, 2009). Aquatic-based occupational therapy services are used as an adjunct to traditional land-based occupational therapy intervention (Franken et al., 2013). The OTS developed a 14-week capstone project with assistance provided by faculty and site mentors. The purpose of this capstone project was to develop aquatic-based intervention skills and explore the use and benefits of aquatic-based occupational therapy in patient care. To facilitate appropriate outcomes, three learning objectives with numerous project deliverables were developed. In order to demonstrate competence and understanding of aquatic-based occupational …

Exploring Occupational Therapy With Athletes Using Principles Of Lifestyle Redesign® To Support Academic Success And Life Balance., Michaela M. Dendinger

Occupational Therapy Capstone Presentations

Occupational therapists have a range of skills that can benefit a variety of populations. Despite these skills, occupational therapy has limited exploration within the field of athletics. The capstone project gave insight to the services occupational therapy can provide to the student-athlete population. Through the lens of Lifestyle Redesign®, the Student-Athlete Wellness Program was created to support student-athlete academic success and life balance. Following a needs assessment an online program was developed. The program was provided to students and athletes a University in the Midwest U.S. The program attracted 21 student-athletes and five students. Limited participation in surveys provided difficulties …

Creating Inclusive Classroom Environments Through Education And Coaching, Leah Hagen

Occupational Therapy Capstone Presentations

The aim of this capstone project was to educate teachers on inclusive practices and strategies to create an inclusive classroom environment for students with disabilities and at-risk needs. An educational workshop including eight hours of asynchronous pre-recorded modules and four one-hour synchronous sessions was created. The workshop covered the following topics: Introduction to inclusion, accommodations and modifications, assistive technology, supporting sensory needs, supporting physical needs, supporting academic and learning needs, supporting social, emotional, and behavioral needs, virtual inclusion, empowering students, and creating an inclusive classroom environment. Optional inclusive classroom coaching sessions were offered to promote implementation of inclusive practices and …

Culminating Capstone Project: Critical Illness Myopathy, Min S. Yu

Department of Occupational Therapy Entry-Level Capstone Projects

The capstone project was completed in the focus area of clinical practice skills at AdventHealth hospital. The objective was to educate the rehabilitation team on critical illness myopathy (CIM), a condition that was requested to be further investigated by Megan Graf, OTR/L, who served as the capstone mentor. Through an extensive search, a literature review was completed. The rehabilitation team was informed scholarly and clinically with a PowerPoint presentation. Currently there is a gap within the literature between occupational therapy and CIM. Conversely, physical therapy had a plethora of research conducted on patients with CIM

Essential Competencies For Occupational Therapy In End-Of-Life Care, Karmella Bognot

UNLV Theses, Dissertations, Professional Papers, and Capstones

Occupational therapists carry an abundance of expertise in helping patients and caregivers navigate the end-of-life journey. The lack of knowledge of OT’s role impacts occupational therapy utilization and service provision in hospice. It reduces opportunities for this population to increase their understanding on how to maintain quality-of-life. The more a patient is able to do lessens the burdens shouldered by the caregiver. Education on pain management and promoting comfort are typical priorities addressed; however, not enough training is focused on maximizing independence or engagement in occupations. Competencies encompass a unique set of skills, knowledge, and abilities necessary for successful performance …

Highlighting Gaps In Spinal Cord Injury Research In Activity-Based Interventions For The Upper Extremity: A Scoping Review., Namrata Grampurohit, Alison Bell, Susan Duff, M. J. Mulcahey, Christina Calhoun Thielen, Gary Kaplan, Ralph J. Marino

Department of Occupational Therapy Faculty Papers

BACKGROUND: Upper extremity activity-based therapy for neurologic disorders employs high-intensity, high repetition functional training to exploit neuroplasticity and improve function. Research focused on high-intensity upper extremity activity-based therapy for persons with spinal cord injury (SCI) is limited.

OBJECTIVE: To summarize high-intensity activity-based interventions used in neurological disorders for their current or potential application to SCI.

METHODS: The scoping review included articles from MEDLINE, CINAHL, Cochrane CENTRAL, and OTseeker with the criteria: non-invasive activity-based interventions delivered atleast three times/week for two weeks, upper extremity functional outcomes, 13 years or older, English language, and neurological disorders three months post onset/injury.

RESULTS: The …

Supporting Caregivers And Survivors Of Stroke In Their Journey Through Stroke Recovery Via Telehealth Services, Keri Kamphoff

Occupational Therapy Capstone Presentations

Supporting Caregivers and Survivors of Stroke in their Journey through Stroke Recovery via Telehealth Services

Background: Strokes are a prevalent condition around the world that cause chronic functional deficits. Survivors of stroke and their caregivers in the community report limited social participation, decreased involvement in favored occupations, worse health outcomes, and increased rates of anxiety and stress. Occupational therapists have the skills to provide education and support for this population through community programs using telehealth.

Methodology: This project was completed at the American Stroke Foundation (ASF), which was operating virtually due to the COVID-19 pandemic. Webinars, caregiver support groups, daily …

The Benefits Of Utilizing A Sensory Room In A Pediatric Outpatient Setting, Mackenzie L. Wand

Occupational Therapy Capstone Presentations

The purpose of this Capstone project was to develop a sensory room in an outpatient setting to support child-led sensory integration. The Capstone experience was completed at Mayo Clinic Health System in Mankato, Minnesota in an outpatient setting. The project was geared towards working primarily with the pediatric population with a diagnosis of Sensory Processing Disorder (SPD) and Autism Spectrum Disorder (ASD). The main learning objective was creating the sensory room which included creating a list of equipment for the room and setting up the room once the items were delivered. Another main learning objective was creating binders to provide …

Further Understanding The Efficacy Of Music-Based Cognitive Remediation Therapy For Patients With Traumatic Brain Injury, Sruthi Nanduri

Rowan-Virtua Research Day

Objective

To further assess the efficacy of music-based interventions in patients with traumatic brain injury and its therapeutic application to cognitive, motor and sensory deficits due to neurological sequalae

Introduction

- Traumatic brain injury is a direct result of an external force disabling neurological and neurophysiological functioning

- Sensory, motor, emotional, language and cognitive functioning impaired

- Treatment is usually cognitive remediation therapy (CR)

- In correspondence, music enhances cognitive performance via neural plasticity

- Current literature shows preliminary evidence of the positive results of music in parallel with CR

Service-Learning And Case-Based Learning’S Impact On Student’S Clinical Reasoning : A Repeated Measures Design Study, Gordon B. Tsubira

Occupational Therapy Capstone Presentations

Clinical reasoning is crucial for the occupational therapy profession to thrive in an ever-changing healthcare environment but is seldom isolated for explicit instruction and outcome measurement in course curricula. A single-factor repeated measures design study was conducted to compare the impact of didactic case-based learning and experiential service-learning on the development of the clinical reasoning of students at a midwestern public university’s entry-level master of occupational therapy program. The participants were sixteen graduate occupational therapy students who had completed their foundation-level courses.

Participants explored modes of clinical reasoning in occupational therapy for eight weeks (the first half of the semester), …

Doctoral Capstone Experience In Program Development - Valley Rescue, Kyra P. Brown

Department of Occupational Therapy Entry-Level Capstone Projects

Homelessness is an increasing problem with various implications on individual’s physical, mental, and occupational wellness (Tsang et al., 2013). Occupational therapy is positioned to provide holistic, client-centered, and trauma-informed care to those experiencing homelessness (Salsi et al., 2017). While residents at Valley Rescue Women and Children’s Center (Valley Rescue) have access to a variety of services, occupation-based education and interventions are extremely limited. This paper describes the completion of a capstone experience at Valley Rescue, with a focus in program development and advocacy. Residents of the shelter expressed interest in education on mental health and wellness and occupational engagement. Throughout …

The Therapeutic Benefits Of Attunement Through Lindy Hop, Sarah Trowbridge

Expressive Therapies Capstone Theses

Dance/movement therapy (DMT) was developed as a tool to aide in therapeutic healing. A foundational aspect of DMT is attunement, the emotional/kinesthetic connection between two people that allows for meaningful and healing bonds to emerge. Lindy Hop is a partnered dance that fosters an environment of attunement, as it is accessed both subconsciously and consciously. This research explores Lindy Hop as a possible method of therapeutic treatment. The literature indicates the physiological need for attunement and how safety plays a key role in strengthening senses of self-identity, nervous system development, and worldview. Four experienced Lindy Hoppers were recruited to engage …

Influences Of Sleep Disturbances And Mild Traumatic Brain Injury On Gait Performance Among College Student-Athletes, Narjes Asgari

Health and Kinesiology Theses

Sleep disturbances from stress are common among college students. In addition, student-athletes in contact sports (e.g., football and soccer) are at a higher risk of receiving a mild traumatic brain injury(mTBI). Stress-related sleep disturbances and mTBI may provoke cognitive and brain changes associated with gait abnormalities. Therefore, the purpose of this study was to examine the association between stress, sleep disturbances, mTBI, and gait performance among college student-athletes. Twelve college student-athletes from men’s and women’s soccer teams who indicated a history of mTBI (experimental group) and twenty-eight college students without a history of mTBI (control group) were recruited and asked …

Collapsible Prosthetic Shower Leg, Amanuel Matias, Mahsa Ebrahim

Honors Thesis

The purpose of this capstone project is to build a collapsible prosthetic shower leg that can provide a transtibial amputee with reliable support while showering. Phil Tamoush, an 83-year old transtibial amputee, was the inspiration for this work. Phil’s constant travel for his arbitration work leaves him without the option to bring along his usual shower leg due to the additional space it takes up in his travel bag. There are currently no commercially available prosthetic shower legs that can collapse into a condensed unit, so this capstone project explores an unexplored field for which there is a significant need. …

Menstrual Dysfunction As The Leading Clinical Marker For The Future Development Of The Female Athlete Triad: A Meta-Analysis, Sydney Hotz

Health and Kinesiology Theses

The Female Athlete Triad is a diagnosable medical condition that is under researched and very prevalent in female sports today. The development of the Female Athlete Triad, or any of its components, can negatively impact many aspects of a female athlete’s life. If clinical markers could be identified that indicate future development of the Triad, it could potentially help prevent occurrence of the condition and greatly reduce the number of female’s that have to suffer from it. Menstrual dysfunction could be the leading clinical marker for the future development of the Triad. This meta-analysis seeks to explore the possible association …

Health And Wellness Competencies For An Entry-Level Doctorate Occupational Therapy Course, Teresa Liccardo

UNLV Theses, Dissertations, Professional Papers, and Capstones

The Accreditation Council for Occupational Therapy Education (2018) standards state that the entry-level occupational therapy curriculum must prepare students to practice in a broad range of practice settings, including new and emerging areas of occupational therapy. Health and wellness remain an emerging and not widely populated area of occupational therapy despite the growing research on its importance. Stancanelli (2020) stated that “with the expected growth of health care in the community and the expected increase in the older adult population, occupational therapy students need to be prepared to practice in the community and address health promotion and wellness needs of …

Program Development At A Nonprofit Organization For Individuals With Intellectual Disabilities, Victoria E. You

Department of Occupational Therapy Entry-Level Capstone Projects

There are over six million individuals in the United States alone with developmental, or intellectual disabilities (ID). ID is defined by the American Association of Intellectual and Developmental Disabilities (2021) as significantlimitations in both intellectual functioningand in adaptive behavior, which covers many everyday social and practical skills. This type of disability originates before the age of 22. Historically, members of this population have fewer opportunities for engagement than their typically developing peers. This can be for a variety of reasons, including limited funding, the public’s lack of education on ID, and even ableism. Ableism is defined as “discrimination or social …

The Relationship Of Rehabilitation Therapy Clients And Grit: A Pilot Study, Kamilla Kisch

Honors Theses

Client experience is an important consideration in physical and occupational therapy (known as rehabilitation therapy.) The personality trait of grit has been studied in many different settings and populations and could have an impact on rehabilitation therapy clients’ perceptions and experiences. The purpose of this study is to identify the relationship between scores on Dr. Angela Duckworth’s Grit Scale (that identifies the presence and strength of grit) and perceptions of experiences by rehabilitation therapy clients. Seven males and twelve females (age: 56.78 ± 15.83) participated in this study. The Grit Scale was used to assess participants’ grit. Multiple-choice questions were …

Functional Rehabilitation And Strength Training-Focused Interventions For An Achilles Tendon Rupture And Repair: A Case Report, Anna Murphy

Physical Therapy Scholarly Projects

Background and Purpose. Current literature identifies a lack of consensus regarding specific rehabilitation protocols following acute Achilles tendon ruptures. This case report highlights the rehabilitation of a patient following an Achilles rupture and surgical repair, who underwent a physical therapy treatment program, focusing on interventions to increase function, strength, and return to activity.

Description. The patient is a 64-year-old male, evaluated in the clinic four weeks following a status-post left Achilles tendon repair surgery, and presented with left ankle pain, decreased left ankle range of motion and decreased left ankle strength. The treatments and interventions used for this …

Developing An Adaptive Rock Climbing Curriculum For Suny Cortland Outdoor Pursuits 2021, Rebekah Mills

Master's Theses

SUNY Cortland Outdoor Pursuits opened in August of 2015 with the completion of the newly constructed Student Life Center. Outdoor Pursuits is a smaller department within the Recreational Sports Department. Outdoor Pursuits offers rock climbing services at its facility located in the Student Life Center. Currently, Outdoor Pursuits offers Bouldering and Top Roping services only when the Student Life Center is open, these hours are typically 3-10 pm. Monday-Friday and Saturday-Sunday 2-8 pm. These services are only provided to eligible SUNY Cortland faculty, staff, students, alumni, and other affiliated members. As the facility has grown in popularity during its operation, …

Outpatient Physical Therapy Management Of Lumbar Intervertebral Disc Disorder With Radiculopathy, Kaitlyn Mcclaflin

Physical Therapy Scholarly Projects

Background and Purpose. This article summarizes the 6-week outpatient physical therapy management of a patient that experienced a lumbar disc derangement with radiculopathy in the right lower extremity. She experienced a decrease in function, range of motion, and strength following onset of symptoms. The purpose of this article is to outline the interventions utilized in this patient's plan of care in an attempt to return her to caring for children, full-time work, and daily exercise at her prior level of function.

Description. Patient was a 3 1 -year-old female with 3 children. She worked as a nurse full-time and …

Bankart Labral Repair Rehabilitation Using Fascial Counterstrain, Proprioceptive Neuromuscular Facilitation, And Range Of Motion: A Case Report, Lauren Mcintosh

Physical Therapy Scholarly Projects

Background and Purpose: This case study will address the use of fascial counterstrain, proprioceptive neuromuscular facilitation (PNF), and range of motion (ROM) to rehabilitate an arthroscopic anterior Bankart labrum repair in a pediatric patient. Bankart labral tears are defined as an anteroinferior tear of the labrum, frequently caused by multiple anterior shoulder dislocations. Fascial counterstrain can be used in post-surgical patients to reduce swelling, decrease healing time, and reduce pain. PNF and ROM allow the patient to return to a functional lifestyle and are included in most protocols provided by the surgeon. The purpose of this study is to demonstrate …

Early Bird Caregiver Education: A Program To Support Caregivers Of Individuals Living With Early Stage Dementia Or Memory Loss Or Other Cognitive Impairments, Mia Lopez, Tyler Trees, Brock Albee

Occupational Therapy | MSOT Capstone Projects

The number of individuals living with dementia continues to rise every year, with the need for caregiver education increasing as a result. Occupational therapists (OTs) have the skills and training needed to educate caregivers on how to care for not only themselves, but their loved one as well. The Early-Bird Caregiver Education Program was created to support caregivers of individuals living with early-stage dementia, memory loss, or other cognitive impairments in providing the highest quality of care possible, while also maintaining their own well-being. The program is intended to be led by an occupational therapy practitioner and aims to provide …

Occupation-Based Volunteer Training Program To Increase Social Engagement For Residents With Dementia In Skilled Nursing Facilities, Kiyomi Kuroda, Nhat Hoang, Victoria Ramia, Kelsy Wallace

Occupational Therapy | MSOT Capstone Projects

The population of individuals with dementia (IwD) is increasing, and IwD are often admitted into skilled nursing facilities (SNFs) due to greater need for care (Alzheimer’s Association, 2020b). Admittance leads to social isolation as a result of decreased engagement in co-occupations. Co-occupations are occupations, or meaningful activities necessary for wellbeing and survival, that are performed with others (American Occupational Therapy Association [AOTA], 2014). IwD exhibit behaviors and symptoms that create challenges for family caregivers to engage in co-occupations (Ono et al., 2014). Without guidance or support, family members or volunteers may be less likely to visit or facilitate quality visits, …

An Exploration Of Experiences That Influence Occupational Therapy Students' Motivations To Pursue Occupational Therapy As A Career, Kayla-Marie Bartolome Gigante, Alyssa Cantrell, Michelle Nguyen, Garrett Teagarden

Occupational Therapy | MSOT Capstone Projects

Occupational therapy (OT) is a client-centered healthcare profession that uses therapeutic activities to increase an individual’s, group’s, or population's participation in meaningful activities, otherwise known as occupations. The general underlying factors that motivate one’s decision to choose this career path is well established within the existing literature. However, research into the experiences of students working alongside an occupational therapist (OT) prior currently faces a significant gap. The aim of this study is to identify and understand what first-hand experiences of OT brought OT students to pursue a career in occupational therapy. Through the lens of narrative inquiry, participants were given …