Digital Commons Network^™

Mckenzie Evaluation And Treatment For Lumbar Dysfunction And Anr, Michael Brooks

Physical Therapy Scholarly Projects

Background and Purpose: When it comes to low back pain, McKenzie theory is considered highly effective for evaluating and treating patients with low back symptoms. There are three main classifications within McKenzie theory; postural, dysfunction, and derangement syndromes. The main focus of this case will be on the dysfunction classification and its subcategory adherent nerve roots (ANR). Dysfunction syndrome is characterized by pain due to deformation of structures and tissues that limit ROM causing pain at end range. ANR's are caused by scar tissue build up encompassing nerve roots due to trauma or surgery that produces symptoms when nerve …

The Effectiveness Of The "Stepping On" Program For Reducing The Incidence Of Falls In The Elderly: Measured By Four Stage Balance Test, Julia Nelson

Physical Therapy Scholarly Projects

Introduction: The Stepping On program encompasses both a balance and strengthening exercise regimen that is targeted towards reducing falls in community-dwelling individuals over the age of 65, who have experienced a fall or are fearful of falling.

Purpose: The purpose of this study was to determine if the Four Stage Balance Test (FSBT) is an appropriate measure of fall risk in the Stepping On program and to determine if the Stepping On program is effective at reducing fall risk, measured by improved time performance.

Methods: Eight participants, all female, ages ranging from 80-94 years old (M=87.2) completed …

Electromyographic Analysis Of Hip Muscle Activity Comparing Maximal Voluntary Contraction To Manual Muscle Test Grades, Ty Bommersbach, Anthony Charbonneau,, Holly Koch, Braidy Solie

Physical Therapy Scholarly Projects

Introduction: The purpose of this study was to investigate the relationship between muscle activity during three manual muscle tests (MMT) and muscle activity during a maximal voluntary contraction (MVC) of the same muscle.

Subjects: Eleven female subjects voluntarily participated in this study. All participants were physical therapy students under the age of 30, nonpregnant, and without recent history of musculoskeletal injury.

Methods: Electromyographic (EMG) data was collected by placing surface electrodes over each participant's right tensor fasciae latae (TFL) and gluteus medius (GM) muscle. The EMG data from each muscle was transmitted by Noraxont TeleMy02400 G2 telemetry …

Rain Rhythms: Fall 2016, College Of Nursing & Professional Disciplines

RAIN Rhythms

No abstract provided.

Novelty Detection And Cluster Analysis In Time Series Data Using Variational Autoencoder Feature Maps, Sophine Clachar

Theses and Dissertations

The identification of atypical events and anomalies in complex data systems is

an essential yet challenging task. The dynamic nature of these systems produces huge volumes of data that is often heterogeneous, and the failure to account for this will impede the detection of anomalies. Time series data encompass these issues and its high dimensional nature intensifies these challenges.

This research presents a framework for the identification of anomalies in temporal data. A comparative analysis of Centroid, Density and Neural Network-based clustering techniques was performed and their scalability was assessed. This facilitated the development of a new algorithm called the …

Spirituality And Student Engagement At A Small, Church-Related Private College, Hal Henry Haynes

Theses and Dissertations

The undergraduate collegiate years are filled with growth and development for students. As students experience and progress through their collegiate years, they are often confronted with difficult life questions, such as what is the meaning of life or why am I here? Oftentimes, the question is why do bad things happen? The purpose of this study is to better understand relationship between student engagement and spirituality.

Undergraduate students at a small, church-related private college in the Upper Midwest were surveyed in the Spring 2015 semester using the College Students’ Beliefs and Values Survey (CSBVS).

Alexander Astin’s I-E-O model was utilized …

The Impact Of Trauma On Children’S Functioning And The Utility Of The Cbcl Ptsd Profile, Nicola Ashton Herting

Theses and Dissertations

The high rates of trauma exposure among children and adolescents is a major public health concern due to the many ways trauma can adversely impact cognitive, emotional, and social development and functioning. The high rates of comorbidity between posttraumatic stress symptoms (PTSS) and other mental health disorders translate to complex diagnostic pictures. When conducting psychological, educational, or neuropsychological evaluations it is therefore imperative that clinicians assess for trauma to accurately diagnose, but ultimately to ensure appropriate recommendations for treatment and interventions are made. Several challenges to screening and assessing PTSS among children and adolescents have prompted the identification of efficient …

Exploring Pedagogical Decision Making And Metacognition Of Faculty Teaching Abroad, Yuliya Kartoshkina

Theses and Dissertations

The number of faculty-led short-term study abroad programs is growing rapidly. However, the literature on pedagogical design of such programs is very limited. This qualitative research study was conducted to explore how faculty members make pedagogical decisions about teaching abroad as well as cognitive processes they engage in when making these decisions. Six faculty members from different institutions and academic departments were interviewed. Their colleagues recognized them as experts in the field based on years of teaching abroad and effectiveness of their practice.

Two important findings came out of this study. First, when making pedagogical decisions about teaching abroad, all …

Role Of The Cholesterol Metabolite 27-Hydroxycholesterol In Breast And Prostate Cancer, Shaneabbas S. Raza

Theses and Dissertations

The cholesterol metabolites known as oxysterols play an important role in maintaining cell homeostasis. They play vital roles in inflammation, cell growth, cell signaling, immunity, oxidative stress and aging. Following the discovery that the most abundant oxysterol, 27-hydroxycholesterol (27-OHC) is a Selective Estrogen Receptor Modulator (SERM), it has been implicated in hormonal cancers such as breast and uterine cancer. 27-OHC is a ligand of estrogen receptors (ER), a nuclear hormone receptor involved in cell growth and proliferation. The downstream events followed by 27-OHC-induced ER activation in the context of breast cancer is unknown. Also, the role of 27-OHC in prostate …

The Minnesota Army National Guard And Gender Expectations, Corbin David Routier

Theses and Dissertations

Women have never formally served in U.S. Army combat roles. It was announced in December, 2015 that U.S. Army combat roles would undergo gender integration. The objective of this research was to measure attitudes of current all-male infantry units in the Minnesota Army National Guard (MNARNG). The research was framed using status expectations theory. Surveys were distributed to two MNARNG companies (N = 116). The research examined how infantrymen rated male and female soldiers differently on 14 traits as well as their support for female integration. The results showed that infantrymen rated men higher than women. In addition, men who …

Exposing Second Year Medical Students To The Clinical Reasoning Process Prior To High Fidelity Simulation Learning, Phondie Simelane Simelane

Theses and Dissertations

Clinical reasoning is a highly complex process that is both difficult to impart and acquire (Bowen 2006, Custers 2005, Merriënboer 2010, Schmidt 2015). Second year medical learners appear to lack strategy to effectively step through the presented scenarios (Allen, personal communication, March 2, 2015). Though possessing a degree of background knowledge, immature clinical reasoning skills make data collection (focused history, focused review of systems and focused physical assessments) a challenge to efficiently navigate. As oppose to discriminating their line of questions, learners sweep through a wide range of information. Consequently, problem solving takes on a shot gun approach resulting in …

Purging Pathology And Interpersonal-Psychological Variables As Predictors Of Suicidal Ideation, Alexandra Thiel

Theses and Dissertations

The Interpersonal-Psychological Theory on Suicidal Behavior (IPTS; Joiner,

2005; Joiner, Ribeiro, & Silva, 2012), proposes that active suicidal ideation is formed when an individual experiences high perceived burdensomeness, low perceived belongingness, and hopelessness (Joiner et al., 2012). Eating disorders (ED) are associated with high mortality rates from suicide (Harris & Barraclough, 1997), and recently researchers have begun applying IPTS to ED symptomatology (Smith et al., 2013; Dodd, Smith, & Bodell, 2014). In particular, purging-type EDs are associated with increased risk for suicide (Fedorowicz et al., 2007; Milos, Spindler, Hepp, & Schnyder, 2004; Protzky, van Heeringen, & Vervaet, 2014). Thus, the …

Primary Teachers’ Understanding About Inclusive Education, Saiful Islam, Muhammad Salahuddin, Ahsan Mahmud

Education, Health & Behavior Studies Student Publications

To develop inclusive education system in Bangladesh primary level should be prioritized. The main objective of this study was to identify the knowledge and understanding about inclusive education of primary teachers’ in Bangladesh. Qualitative research approach had been used to conduct this study. The data was collected from primary teachers and various training manuals. The teachers had been selected from three districts by using purposive sampling strategy. Document analysis and open ended interview schedule was used as data collection tools. Through thematic analysis, it was found that most of the teachers did not have clear understanding about inclusive education. Inclusive …

Exploring The Impact Of Self-Determination On The Political Practices Of The Turtle Mountain Band Of Chippewa Indians: A Critical Content Analysis, Terri Jean Martin-Parisien

Theses and Dissertations

This study examined the Indian Self-Determination and Education Assistance Act (ISDEAA) of 1975 specific to the Turtle Mountain Band of Chippewa Indians (TMBCI). The purpose of this study was to provide evidence as to the impact of the ISDEAA on the Tribe as well as if, and how, the Tribe set their own definition of self-determination, above and beyond the definition of the ISDEAA. This study also examined the tensions that exist between the federal government and the TMBCI using federal policies such as the ISDEAA.

Tribal Critical Race Theory (TribalCrit) and Content Analysis were used as the theoretical framework …

The Impact Of Transcatheter Aortic Valve Implantation (Tavi) On Cognition: Evaluating The Relationship Between Changes In Cognitive Function, Cerebral Injury, Physical Ability, And Mood, Jaclyn Reckow

Theses and Dissertations

Aortic stenosis is a cardiovascular disease affecting 2 to 4% of U.S. adults over

age 65 years old (Freeman & Otto, 2006). Aortic stenosis causes angina and syncope

eventually leading to heart failure and death (Otto, 2006). Transcatheter aortic valve

implantation (TAVI) is an alternative to surgical aortic valve replacement in patients with

high surgical mortality risk (Kappetein, 2013). The TAVI is associated with increased

cerebral injury, with silent ischemia reported in up to 90% of TAVI patients (Samim et

al., 2015). The present study examines the relationship between cerebral injury, cognitive

changes, and quality of life in TAVI patients. …

Thinking Like A Nurse: The Impact Of Simulation And Clinical Experiences On Clinical Judgment In Prelicensure Nursing Students, Carol Ann Reid

Theses and Dissertations

Introduction: The ability to make sound clinical judgments is essential to safe nursing practice. Clinical experiences allow nursing students to integrate theory and practice and demonstrate clinical judgment. Simulation is being used by nursing programs to replace clinical experiences. Limited research is published regarding the effectiveness of simulation in the development of clinical judgment. This study explored differences in clinical judgment among nursing students in a maternal-newborn clinical course participating in simulation or hospital-based clinical experiences.

Methods: This study used Lasater’s Clinical Judgment Rubric (LCJR), based on Tanner’s Clinical Judgment Model, to evaluate nursing students’ clinical judgment following completion of …

Gata4 Interacts With Hedgehog Signaling Pathway In Regulating Outflow Tract Development, Jielin Liu

Theses and Dissertations

Congenital heart diseases (CHDs) are among the most common type of developmental anomaly affecting 8 in 1000 live births. Approximately 30% of CHDs involve cardiac outflow tract (OFT) malformation which leads to significant morbidity and mortality in both children and adults. Development of OFT is regulated by a complex genetic network including Sonic-Hedgehog signaling pathway, TGF-β and BMP signaling pathway. Mutation of a transcription factor, Gata4, has been known to cause OFT defects including double outlet right ventricle (DORV) in both human and mice for decades. Several transcription targets of Gata4 have been identified such as Mef2c, Ccnd2 and Cdk4, …

A Comparative Analysis Of The Geology Tools Used During The Apollo Lunar Program And Their Suitability For Future Missions To The Moon, Lindsay Kathleen Anderson

Theses and Dissertations

With the current push to return to planetary exploration it is important to consider what science will be performed on such missions and how it is to be performed. This study considered three hand tools used for geologic sampling during the Apollo missions to determine whether handle redesigns guided by NASA-STD-3001 improved the performance of the tools. The tools of interest were the large adjustable scoop, the rake, and the 32-inch tongs, selected for relevance and usability in the test location. The three tools with their original and modified handle diameters were tested with two subjects wearing the NDX-1 Planetary …

Curriculum Development For Occupational Therapy Education: Integrating Collaboration And The Use Of Simulation Laboratories, Janine Albert, Danielle Nielsen

Occupational Therapy Capstones

The Scholarly Project titled Curriculum Development for Occupational Therapy Education: Integrating Collaboration and the Use of Simulation Laboratories by Janine Albert and Danielle Nielsen and advised by Nicole Harris, MOTR/L and Breann Lamborn, MPA was developed to meet the demands of collaborative education in the field of occupational therapy. A literature review was completed to determine the need of collaborative education between Occupational Therapy education and Occupational Therapy Assistant education and the use of simulation laboratories. From the literature review there was a gap found linking the use of simulation laboratories, the occupational therapy process and occupational therapy education. Following …

The Post-Secondary School-To-Work Transitional Program: An Occupational Therapist's Guide To Service Delivery, Annemarie Assel, Erin Haugen

Occupational Therapy Capstones

Background: Autism Spectrum Disorders (ASDs) are one of the most prevalent childhood diagnoses, occurring in every 1 in 68 children (Centers for Disease Control and Prevention, 2015). Although ASDs are considered childhood disorders, they persist throughout one’s life and are often more pronounced during common life transitions. For adults with ASDs, this is a time marked by fragmented services, as well as disengagement from services (Baldwin, Costley, & Warren, 2014; Friedman, Warfield, & Parish, 2013; Shattuck, Wagner, Narendorg, Sterzing, & Hensley, 2011; Strickland, Coles, & Southern, 2013). Those with ASDs have skills deemed valuable by employers that include being: reliable, …

Use Of Assessments In Occupational Therapy Physical Disability Settings, Caitlin Brown, Jana Carroll

Occupational Therapy Capstones

Background: The aim of this study is to evaluate occupational therapists’ (OTs) perceptions and use of informal observation and formal assessments in order to understand if differences exist between acute care and non-acute care occupational therapy (OT) adult physical disability settings. Non-acute settings may include but are not limited to home health, inpatient rehabilitation, transitional care, outpatient rehabilitation, and long term care.

Methods: Study design involved a nonexperimental survey. Qualtrics software was utilized to disseminate the survey across a five-state region to the population under study. Response rate included 88 OTs who answered consistently to the questions analyzed. Data analyses …

An Occupational Therapist's Guide For Mindful Practice Under High Productivity Standards, Breanna E. Coleman, Whitney J. Wilhelmi

Occupational Therapy Capstones

In recent years, healthcare service delivery has been influenced by one factor that has shown to considerably limit occupational therapy (OT) practitioners’ ability to be mindful in the work setting (Black, 2010). This influential factor involves increased productivity standards resulting in high burnout, empathic fatigue, job dissatisfaction, lack of mindful practice, and distress to the point of clinical effectiveness (Irving, Dobkin, & Park, 2009; Poulsen et al., 2014; Vadnais, 2014). In the midst of high productivity standards, a need surfaced for the production of a tool that assisted OT practitioners to overcome these standards as well as to incorporate a …

Intentional Integration Of Service And Therapy Dogs In An Occupational Therapy Program Curriculum, Stephanie Rehovsky, Brittni Danner

Occupational Therapy Capstones

This scholarly project involves the intentional integration of Buddy, the service/therapy dog of the University of North Dakota’s Occupational Therapy graduate program. This project contains researched evidence regarding the variety of benefits involved with the implementation of animal assisted therapy (AAT) into the curriculum. The final product contains instructor materials for six existing courses in the graduate and undergraduate program. We have also included future implications for this product including adaptation to other similar graduate occupational therapy programs and future use at the University of North Dakota.

Prosthetics Guide For Occupational Therapy Students And New Graduates, Chelsea De Bruto, Kayla Oates

Occupational Therapy Capstones

"The prosthetic technology is effectively an interface between that person and the life they wish to lead" (Gallagher, 2004, p. 828). Occupational therapy can help individuals with prosthetics deal with psychosocial and physical aspects of his or her condition (Gulick, 2011). Current literature covers all aspects of prosthetics, but it is scattered in many different places. The results of a study conducted by Mitchell, Gorelick, Anderson, and Atkins (2014), approximately 3-5 hours or less are spent on prosthetic training, while 85% of respondents felt that it was considered to be “very important”. This scholarly project focuses to bridge this gap …

A Pilot Study To Document Outcomes Of Occupational Therapy Intervention With Individuals Who Experience Upper Extremity Trauma Using The Role Checklist 2 And Quickdash Assessments, Devan Henderson, Jacob Kucera

Occupational Therapy Capstones

The disabilities of the arm, shoulder and hand (DASH) quick form is a selfadministered patient perception questionnaire used to measure upper extremity disability and symptoms. The Quick DASH (QD) gauges the patient’s difficulty with task performance when impacted by an upper extremity injury. The Role Checklist: Version 2 (RC-V2) is a self-administered, patient perception that focuses mainly on the individual’s daily life roles, role competence, performance, and interest in performing those roles (Scott, 2013). The purpose of this study was to determine which of these assessments best measured progress of occupational therapy interventions for patients who sustained a traumatic upper …

Physical Activities In The Nys/Bya Program On The Turtle Mountain Chippewa Reservation: A Resource Guide For Adaptation, Lauren Herbert, Melissa Hoffman

Occupational Therapy Capstones

The percentage of children with disabilities in the United States (U.S.) is increasing at an alarming rate. According to the 2000 census, 3.9% of all families reported having a child with disabilities. As of the 2010 census, there were 53.9 million school-aged children (aged 5 to 17) in the U.S with about 2.8 million (5.2%) reporting a disability. Among the American Indian population, these rates are increasing at an even higher rate. American Indians have the highest rates of disability of any group in the United States (Nichols & Keltner, 2005). According to Waldman, Perlman, and Swerdloff (2008), more than …

Factors Influencing Minority Group Pursuit Of Occupational Therapy Education, Heber Hepworth, Courtney Schafer

Occupational Therapy Capstones

There is limited representation of minority groups in the OT workforce and a dearth of research on factors influencing minority groups to pursue and successfully complete OT education. The CINAHL and PUBMED databases were used to explore factors influencing minority population enrollment, experiences in health care programs, and barriers to educational participation. A survey was constructed based on the literature and sent to students in OT programs at the doctorate, master and assistant levels through the AOTA Program Director list-serv. One hundred and thirteen masters (93%) and doctorate (7%) OT students completed the survey. The majority of participants heard about …

Enhancing Single Custodial Father's Parenting Skills: A Group Protocol, Jordyn Johnson, Alicea Steir

Occupational Therapy Capstones

The rate of single-custodial fathers is increasing (Leininger & Ziol-Guest, 2008). As single-custodial fathers have become more prevalent (Leininger & Ziol-Guest, 2008), programs are needed to provide them with support and information regarding the skills needed to raise children at each developmental stage (Panter-Brick et al., 2014). The purpose of this project is to create a set of group protocols that will provide single-custodial fathers that are living in transitional housing with the skills necessary to raise children at different stages of development.

An extensive literature review was conducted, and information pertinent to parenting programs for single-custodial fathers was collected …

Modernizing Leisure Assessment Through Technology Applications, Brooke Johnson, Hanna Stevenson

Occupational Therapy Capstones

Purpose: The purpose of the product was to create an electronic based leisure interest companion for occupational therapists to utilize when treating clients. An electronic based leisure assessment would illustrate for the occupational therapy a more comprehensive understanding of the clients’ leisure interests.

Methods: A literature review was conducted using the CINAHL, OTSEARCH, Pub Med, and Google Scholar databases. The literature review results supported the value of leisure, and leisure assessment tools were explored. The UK Modified Interest Checklist was chosen as a focal point for the My Leisure Activities (MyLA™) companion tool development. A storyboard was created by the …

Occupational Therapy Interventions For Adhd: A Systematic Review, Kamela L. Kelsch, Kaci L. Miller

Occupational Therapy Capstones

Background: ADHD can have a negative impact on occupational performance of a child, interfering with ADLs, IADLs, education, leisure, and play. However, at this time, a cumulative review of evidence based occupational therapy interventions for children with ADHD do not exist.

Purpose: The purpose of this scholarly project was to complete a systematic review of what occupational therapy interventions are effective for school-aged children with ADHD.

Methods: An extensive systematic review for level T, II, or II research articles was completed using CINAHL and OT Search. Inclusion, exclusion, subject terms, and words or phrases were determined with assistance from the …