Medicine and Health Sciences Commons^™

Ot Department News- Issue #1

Department of Occupational Therapy Newsletter

No abstract provided.

Patient Experiences Of Recovery After Autologous Chondrocyte Implantation: A Qualitative Study, Jenny L. Toonstra, Dana Howell, Robert A. English, Carl G. Mattacola

EKU Faculty and Staff Scholarship

Context: The recovery process after autologous chondrocyte implantation (ACI) can be challenging for patients and clinicians alike due to significant functional limitations and a lengthy healing time. Understanding patients' experiences during the recovery process may assist clinicians in providing more individualized care.

Objective: To explore and describe patients' experiences during the recovery process after ACI.

Design: Qualitative study.

Setting: Orthopaedic clinic.

Patients or Other Participants: Participants from a single orthopaedic practice who had undergone ACI within the previous 12 months were purposefully selected.

Data Collection and Analysis: Volunteers participated in 1-on-1 semistructured interviews to describe their recovery experiences after ACI. …

Differential Item Functioning In The Patient Reported Outcomes Measurement Information System Pediatric Short Forms In A Sample Of Children And Adolescents With Cerebral Palsy., Wendy J. Coster, Pengsheng Ni, Mary D. Slavin, Pamela A. Kisala, Ratna Nandakumar, Mary Jane Mulcahey, David S. Tulsky, Alan M. Jette

Department of Occupational Therapy Faculty Papers

AIM: The present study examined the Patient Reported Outcomes Measurement Information System (PROMIS) Mobility, Fatigue, and Pain Interference Short Forms (SFs) in children and adolescents with cerebral palsy (CP) for the presence of differential item functioning (DIF) relative to the original calibration sample.

METHOD: Using the Graded Response Model we compared item parameter estimates generated from a sample of 303 children and adolescents with CP (175 males, 128 females; mean age 15y 5mo) to parameter estimates from the PROMIS calibration sample, which served as the reference group. DIF was assessed in a two-step process using the item response theory-likelihood ratio-differential …

Experiences Of Veterans Transitioning To Postsecondary Education, Brian T. Gregg, Dana Howell, Anne Shordike

EKU Faculty and Staff Scholarship

An increasing number of U.S. military veterans are entering postsecondary education with problems attributed to deployed military service. The primary objective of this research was to describe the lived experiences of student veterans transitioning from active military service to postsecondary education. Phenomenological interviews were performed with 13 student veterans who had transitioned from military deployment to postsecondary education. An overall essential meaning of “emerging in college culture” was manifested from three themes, supported by rich textural and structural descriptions of student veterans’ experiences: (1) repurposing military experiences for life as a student veteran, (2) reconstructing civilian identity, and (3) navigating …

Therapeutic Interventions For The Treatment Of Infants Exposed To Drugs And Alcohol In Utero, Faigie Bier, Ots, Elizabeth Fenn, Ots, Angela Kochobay, Ots, Katie Moran, Ots, Kavita Naik, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Primary Focus (Complete): Children and Youth

Learning Objectives (Provide 3 learning objectives):

At the conclusion of the session, the learner will be able to:

1. Identify areas of occupational performance that are affected when an infant is born with Neonatal Abstinence Syndrome or Fetal Alcohol Spectrum Disorder.
2. Recognize the importance of therapeutic interventions in promoting healthy development and participation of infants within the scope of practice for occupational therapy.
3. Apply evidence-based occupational therapy interventions for infants with Neonatal Abstinence Syndrome (NAS) or Fetal Alcohol Spectrum Disorders (FASD).

Abstract:

In the United States, approximately 0.2-1.5 per 1,000 infants are …

You’Ve Got Time: Occupational Therapy’S Role In The Juvenile Justice System, Monica Dasgupta, Ots, Jenna Hannan, Ots, Helena Riekena, Ots, Samantha Susson, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Primary Focus: Children and Youth

Learning Objectives:

1. State one economic and two population health implications of juvenile incarceration in the United States.
2. Identify two occupation-based interventions implemented in the juvenile justice system.
3. Recognize two areas of opportunity for occupational therapy intervention in the juvenile justice system to promote occupational justice and reduce recidivism.

Abstract:

This is an introductory level presentation for occupational therapists (OTs), occupational therapy assistants, and students intended to provide insight to areas of opportunity for OT intervention to reduce recidivism in the juvenile justice system. A systematic review of the literature was conducted to answer the …

Can I Have Your Attention? (And Keep It): Interventions To Improve Executive Function Skills In Children Post-Traumatic Brain Injury, Brianna Clee, Ots, Brianna Fecondo, Ots, Sara Johnson, Ots, Catherine Misczak, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Primary Focus: Children and Youth

Secondary Focus: Rehab, Disability, & Participation

Learning Objectives:

*Objective 1: Identify and recognize the clinical need of the pediatric traumatic brain injury population in regards to OT practice.

*Objective 2: Interpret presented findings to identify 2-3 of the most effective interventions for desired outcomes for this population.

*Objective 3: Differentiate opportunities and barriers to implementing effective executive functioning interventions in current occupational therapy practice.

Abstract:

Traumatic brain injuries are a frequent source of disability within the pediatric population with estimates of 500:100,00 children in America experiencing an injury each year (Anderson et al., 2012). …

Aging In Place: Technology And Independence For Community-Dwelling Older Adults, Mikael Avery, Ots, Devon Barber, Ots, Maggie Derstine, Ots, Clarice Licon, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Primary Focus: Productive Aging

Learning Objectives:

By the end of this presentation, participants will be able to:

1. Explain the rationale for the use of technology-based interventions for community-dwelling older adults.
2. Describe three current technologies that can be used to positively impact occupational performance for community-dwelling older adults.
3. Describe the barriers to successful implementation of technology-based interventions for community-dwelling older adults.

Abstract:

The population of older adults in the U.S. continues to rise, as does the desire to remain in one’s own home, a concept known as “aging in place” (Piau, Campo, Rumeau, Vellas, & Nourhashémi, 2014; Centers …

Occupational Therapy Interventions For Activities Of Daily Living In Adults With Osteoarthritis, Amanda Gilroy, Ots, Anna Guthrie, Ots, Tierney Guido, Ots, Maura Iacobucci, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Primary Focus: Productive Aging

Learning Objectives:

At the end of this presentation, participants will be able to:

1. Describe the clinical presentation of osteoarthritis and three ways it impacts Activities of Daily Living (ADL) performance
2. Recognize the value of an Occupational Therapy intervention in addition to surgical and pharmacological interventions for osteoarthritis
3. Identify at least three current evidence based practice interventions for improving ADL performance for people with osteoarthritis

Abstract:

Currently, 30.8 million Americans have diagnoses of osteoarthritis (OA) and the number of individuals with arthritis is projected to increase to 78 million by 2040 (CDC, 2016). Health care costs for …

Fall Prevention Interventions For Community-Dwelling Older Adults, Monica Heacock, Ots, Erin Kelly, Ots, June Park, Ots, Alex Muscella, Ots, Tony Thierolf, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Primary Focus: Productive Aging

Learning Objectives:

At the conclusion of the session, the learner will be able to: 1. Recognize the impact of falls on community-dwelling older adults

2. Describe ways to include fall prevention interventions into current clinical practice

3. Discuss benefits of preventative interventions in regards to current healthcare trends

Abstract: According to the Centers for Disease Control and Prevention (CDC), older adults (65+ years) are the largest growing population in the United States which comprises 14.5% of the total population (CDC, 2015). This population is estimated to almost double by 2030 to approximately 71 million Americans over …

Retrain Your Brain: A Systematic Review Of Functional Electrical Stimulation’S Effect On Adl Participation Post-Stroke, Alyssa Brief, Ots, Jimmy Cassel, Ots, Rachael Kaufman, Ots, Caitlin Knudsen, Ots, Sharon Krause, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Primary Focus: Rehab, Disability & Participation Learning Objectives:

Learning Objectives:

● Describe the impact of stroke on ADL performance

● Identify the role of OT in stroke rehabilitation

● Explain how Functional Electrical Stimulation (FES) falls within the scope of OT practice

● Interpret the current evidence on how FES influences ADL participation for individuals poststroke

Abstract:

Stroke is one of the leading causes of long term disability in the United States (Centers for Disease Control and Prevention, 2015). According to HartmanMaeir, Soroker, Ring, Avni, and Katz (2007), 57% of stroke survivors will eventually discontinue their meaningful activities, including activities …

Losing A Limb, Regaining Independence: A Systematic Review Of Occupational Therapy Interventions For Lower Extremity Amputations, Davis Berzins, Ots, Jennifer Cohen, Ots, Jamie A. Frank, Ots, Gabrielle Kirk, Ots, Jennifer Mitchell, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Primary Focus:

Rehab, Disability & Participation

Learning Objectives:

1. Describe lower extremity residual limb care interventions within the scope of occupational therapy
2. Explain the prevalence of individuals who sustain a lower extremity amputation and understand the impact on the U.S. health-care system
3. Identify lower extremity residual limb care interventions to maximize occupational performance

Abstract:

The purpose of this presentation is to report findings of a systematic review regarding residual limb care interventions supporting increased occupational performance in adults post lower extremity amputation. A systematic review was completed utilizing PubMed, CINHAL, and OTseeker. Inclusion criteria included articles with a sample of adults …

Occupational Therapy In Preventative Care: Promoting Cardiovascular Health In Underserved Women, David Goldstein, Ots, Rachel Marlow, Ots, Katherine Nelson, Ots, Megan Smith, Ots, Phoi Truong, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Primary Focus:

☝ Health & Wellness

Level of session: intermediate, mixed audience

Learning Objectives:

By the conclusion of this presentation, participants will:

Describe how health disparities affect underserved women

Identify evidence supporting the inclusion of occupational therapy in preventative care practice

Discuss occupational therapy’s role in preventative care as it relates to cardiovascular health and wellness

Abstract:

Heart disease causes one in three deaths each year in women (AHA, 2012). Increasing healthcare costs disproportionately affect women with low incomes and those from diverse backgrounds (CHUW, 2012). For underserved women, lack of insurance, education and variations in culture may compromise …

Not Just A “Touch Of The Sugars”: The Use Of Occupational Therapy Interventions To Promote Independence In Diabetes Self-Management, Eric Bull, Ots, Juliana Sullivan, Ots, Jenna Devaney, Ots, Jillian Fader, Ots, Kathleen Sheppard, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Primary Focus: Health & Wellness

Secondary Focus: General & Professional Issues

Learning Objectives:

At the end of this presentation, participants will:

Objective 1: Define the scope of self-management in relation to diabetes care.

Objective 2: Describe how the prevalence of diabetes and complications from mismanagement impact the United States healthcare system.

Objective 3: Identify 2-3 ways in which occupational therapists can facilitate diabetes self-management in clinical practice to promote health and wellness.

Abstract:

In the United States (U.S.), 29.1 million people have diabetes mellitus (DM) (Centers for Disease Control and Prevention [CDC], 2014) and the cost of diabetes care …

Framing The Value Of Clinical And Field Education, Lisa Richardson Mss, Licsw, Rebecca Mcgill Edd, Rn, Christina Anderson Pt, Dpt, Linda Buxell Ma, Otr/L, Leah Harris Otr/L, Lisa Rovick Mhsc, Co, Comt

Interprofessional Papers and Writing

Community/university partnerships play a critical role in higher education. Community-based research, service learning, guest lectures, internships, and a host of other activities illustrate the shared opportunities for students, educators, practitioners, employers, and consumers, as communities and institutions collaborate to educate the future workforce and develop an informed and engaged citizenry.

Across the spectrum of health and professional disciplines, real world learning through community-based clinical/field education1 is essential to prepare practice-ready graduates. At St. Catherine University, for example, students complete over 7,000 clinical/field placements annually across multiple degrees and disciplines (see Appendix B). Without community/ university partnerships, our universities would not …

What And How Do Students Learn In An Interprofessional Student-Run Clinic? An Educational Framework For Team-Based Care, Désirée A. Lie, Christopher Forest, Anne Walsh, Yvonne Banzali, Kevin Lohenry

Physician Assistant Studies Faculty Articles and Research

Background: The student-run clinic (SRC) has the potential to address interprofessional learning among health professions students.

Purpose: To derive a framework for understanding student learning during team-based care provided in an interprofessional SRC serving underserved patients.

Methods: The authors recruited students for a focus group study by purposive sampling and snowballing. They constructed two sets of semi-structured questions for uniprofessional and multiprofessional groups. Sessions were audiotaped, and transcripts were independently coded and adjudicated. Major themes about learning content and processes were extracted. Grounded theory was followed after data synthesis and interpretation to establish a framework for interprofessional …

Functional Electrical Stimulation Compared To Stretching/Strengthening Interventions For The Multiple Sclerosis Individual, Kara Johnsen, Jessica Tariske

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

In an outpatient clinic for adults, the OT frequently works with clients diagnosed with Multiple Sclerosis. Personalized interventions that include stretching and strengthening to maintain UE function are typically used for this clientele within this setting. The OT has seen results with UE stretching and strengthening but is curious to know if there are any other interventions that can be used with his MS patients in order to maintain function. The therapist has looked into a new intervention of functional electrical stimulation. FMES is an emerging intervention that is being used to strengthen muscles through electrical impulses. Repetitive muscle contractions …

An Effective Cognition Assessment In Ventilated Patients, Gabrielle Lober, Rachel Walker

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

No abstract provided.

Three-Year Trajectories Of Global Perceived Quality Of Life For Youth With Chronic Health Conditions, Janette Mcdougall, David J. Dewit, Megan Nichols, Linda Miller, F. Virginia Wright

Occupational Therapy Publications

Purpose Objectives of this longitudinal study were to examine 3-year trajectories of global perceived quality of life (QOL) for youth with chronic health conditions, as obtained from youth and parent reports, and to identify personal and environmental factors associated with the trajectory groups for each perspective.

Methods Youth with various chronic conditions aged 11–17 years and one of their parents were recruited from eight children’s treatment centers. Latent class growth analysis was used to investigate perceived QOL trajectories (separately for youth and parent perspectives) over a 3-year period (four data collection time points spaced 12 months apart). Multinomial logistic regression …

Pediatric Constraint Induced Movement Therapy Vs. Bimanual Training For Hemiplegia, Heather Duyck

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

Sarah is a five year old girl diagnosed with congenital hemiplegia from cerebral palsy. Her right side is affected, and she has no intellectual disabilities. While her parents want her to start first grade in the fall, they are worried about her ability to do well in the classroom because she is right handed. As her occupational therapist, you are interested in whether pediatricconstraint induced movement therapy (pCIMT) or bimanual training (BIT) would be a more effective treatment plan for Sarah.

Development Of The Motivation Assessment For Team Readiness, Integration, And Collaboration (Matricx) Self-Scored Report Form: A Qualitative Study On Translating Measurement Findings For Team Development, John Liu Jr.

Doctor of Occupational Therapy Capstone Projects

The Motivation Assessment for Team Readiness, Integration, and Collaboration (MATRICx) has been shown to provide information on intrapersonal readiness to collaborate within a team. This study aims to understand and develop an innovative approach to presenting a self-scoring format for the MATRICx and to determine how results of the assessment tool could be interpreted to understand individual motivation in collaborative healthcare and biomedical teams. The MATRICx Report Form is a self-scoring version of the MATRICx that can help users interpret their own motivational profile. A qualitative study was conducted to examine user’s experience with the report form, ways of interpreting …

The Effectiveness Of Compression Gloves For Reducing Hand Edema, Colleen Pastunink, Ryan Steele

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

Sally is a 72-year-old Caucasian female. She is 8 weeks post left Cerebral Vascular Accident (CVA) which resulted in left hemiparesis and expressive aphasia. She has now been discharged to home and is to attend outpatient therapy twice per week for 12 weeks. Prior to her stroke, Sally was independent in all self-care activities and was very socially active in her community. During an initial occupational therapy evaluation, therapists report that Sally is independent in all transfers and ambulates with the use of a quad cane. Circumferential measurements were taken during evaluation of the right upper extremity secondary to the …

Long Term Benefits Of Lsvt-Big Program For Individuals With Parkinson’S Disease, Emily Sandberg, Katelyn Weiandt

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

A 60 year old, male has been diagnosed with Parkinson’s Disease for 5 years. Referral received from MD stating deficits in the following areas: balance, perception, gait, postural instability, coordination, swallowing, tremors, rigidity, bradykinesia, hypokinesia, and loss of higher cognitive functions. Currently there is not a cure, but there are treatment options for Parkinson’s Disease. LSVT-BIG is one type of treatment that Occupational or Physical Therapist can implement. This program uses high amplitude movements to overcome bradykinesiaand hypokinesia. The client attended 16 sessions in total (1 hour sessions, 4 days a week, for 4 weeks). The client has been discharged …

Sling Use With The Flaccid Upper Extremity: Central Nervous System Brain Injury, Cameron Guster, Brittany Domin

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

In the acute care setting, an occupational therapist often evaluates and treats patients after a central nervous system (CNS) brain injury. There are many intervention strategies used to help treat these conditions. Slings are most commonly used short-term with patients who present with a flaccid upper extremity. The main concern is the efficacy for the sling use with patients who fall under this diagnosis.

Age, Frequency, And Precautions In Relation To Stimulation In The Nicu, Kathleen Nickens, Ceara Fauble

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

In a Neonatal Intensive Care Unit (NICU), occupational therapists work with infants and their families to provide the appropriate stimulation and environmental adaptations necessary for growth and development. Occupational therapists are utilized in the NICU setting to contribute to a multidisciplinary approach, as well as focus holistically on an infant’s neurobehavioral development, sensorimotor regulation, and developmentally-appropriate occupations. One key component of an occupational therapist’s role in the NICU is determining appropriate stimulation in regards to their gestational age and providing protocols to prevent overstimulation.

Efficacy Of Eye Patching In Post-Stroke Patients, Ann Marta, Elizabeth Kos

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

The question is in regards to occupational therapy in an acute care setting. The treatment team is considering eye patching as a treatment for post stroke victims suffering from visual field deficits. They are interested in how eye patching can improve the effectiveness and use of the affected visual field. The team is also interested in having better long term outcomes for their patients.

Addressing Ataxia Among Children With Cerebellar Disorders, Maureen Mcconville, Shane O’Shea

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

Valerie is a 7-year-old girl who presents with cerebellar ataxia, causing lack of coordination in her movements. Among dysmetria, she displays many other symptoms of ataxia that cause dysfunction in her daily life such as clumsy gait and dysdiadochokinesia. She is unable to control her arms and hands. Valerie has difficulty with bilateral tasks of her upper and lower extremities. Valerie’s Occupational Therapist is determined to help improve her symptoms but is limited in specific interventions designed to help ataxia. The occupational therapist is interested in determining the most effective treatment for improving upper extremity function in children with ataxia.

Examining Sensory Processing Tools For A School System, Rachel Chaney, Lisa Wilkey

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

A child with sensory processing issues leads a life that differs significantly from typically developing children. There are numerous types of sensations that children encounter every day in different environments, especially in school. If a child does not process the incoming stimuli correctly then their motor response is affected. As a result of this, the child is unable to perform to their fullest potential in school. The Sensory Profile (SP) and the Sensory Processing Measure (SPM) are two tools that help assess sensory processing.

The Effectiveness Of Extracorporeal Shock Wave Therapy On Burns And Scars, Brandon Lubish, Patrick Yee

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

In an outpatient clinic, an occupational therapist is treating a client who has recently suffered a thermal burn on his left forearm 2 weeks prior to the session. The therapist wants to know if Extracorporeal Shock Wave Therapy (ESWT) would be an appropriate treatment for their client to improve healing, appearance and mobility of the scar.

Inter-Rater Reliability: Wrist Goniometer Placement, Jamie Hain, Kelli Turner

Occupational Therapy Graduate Student Evidenced-Based Research Reviews

A 26-year-old female client sustained a right distal radius fracture due to a fall on an outstretched hand (FOOSH) while riding her bike with her dog two weeks ago. She had an open reduction internal fixation (ORIF) and now has limited range of motion (ROM) in both her right wrist and hand. ROM measurements were completed in order to accurately determine her progress in therapy. Correct goniometer placement is of great importance when making clinical decisions and when looking at overall therapy outcomes.