Medicine and Health Sciences Commons^™

Identification And Intervention For Action Planning Deficits In Children With Hemiplegic Cerebral Palsy, Swati M. Surkar

Theses & Dissertations

The primary purpose of this investigation was to describe and quantify action-planning deficits during goal-directed movements in children with hemiplegic cerebral palsy (HCP). Three specific topics were addressed: brain activation, kinematics, and the use of visual input. First, we assessed prefrontal cortex (PFC) activation during complex goal-directed actions in children with HCP. The outcome suggested that children with HCP have higher PFC activation than age matched typically developing (TD) children during action planning, potentially due to the difficulty in allocating attentional resources for simultaneously processing the cognitive (i.e., attention, memory, information processing) and motor demands of the goal-directed task. Reduced …

Eportfolio: The Scholarly Capstone For The Practice Doctoral Degree In Occupational Therapy, Jim Hinojosa, Tsu-Hsin Howe

The Open Journal of Occupational Therapy

A critical decision doctoral faculty must make is deciding what is the most appropriate capstone or terminal requirement for the practice doctorate degree that is consistent with the program’s curriculum. EPortfolios are a viable option for documenting doctoral students’ advanced knowledge and competence. After creating a professional development plan, the students record individual experiences and reflections framed by a self-selected metaphor, provide objective documentation of achievements, and verify advanced competence in a specific area in their ePortfolios. As the students construct their ePortfolios, they must engage in self-directed learning that is grounded in evidence-based and reflective practice, with a focus …

Development Of A Clinical Performance Assessment Tool For An Occupational Therapy Teaching Clinic, Whitney Henderson

The Open Journal of Occupational Therapy

Health professional education is experiencing increased accountability from higher education and professional accrediting bodies to produce professionals who are prepared to meet the demands of the complex, fast-paced, ever changing health-care environment. Using competency-based assessment methods to evaluate a student’s performance can assist to decrease the gap between education and practice and ease the critical transition from the classroom to the clinic. A variety of assessment methods that use a Competency-Based Medical Education (CBME) framework to assess student performance and competency can be found throughout the health professions literature. Because of the lack of literature about the assessment of student …

Professional Portfolios Used By Canadian Occupational Therapists: How Can They Be Improved?, Brigitte Vachon, Annie Rochette, Aliki Thomas, Welove Foucar Desormeaux, Ai-Thuy Huynh

The Open Journal of Occupational Therapy

Professional portfolios are widely used in continuing professional development (CPD), despite limited evidence of their effectiveness for improving practice and professional competence. Occupational therapy regulatory organizations in Canada have implemented professional portfolios as tools that support engagement in CPD. To advance research and practice on the use of portfolios, we conducted a critical analysis of their format, content, and embedded learning process. This paper aims to describe and compare the portfolios’ characteristics when they are used as a tool to facilitate engagement in CPD. A document review approach was used to analyze documents describing continuing competence programs and portfolios and …

Stand Tall, Don’T Fall: A Systematic Review On The Effectiveness Of Tai Chi For Improving Balance In Healthy Older Adults, Miya Cho, Ots, Moira Frain, Ots, Courtney Monk, Ots, Caitlin O'Neill, Ots, Kathryn Ricciardi, Ots

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

Objectives:

•Identify and describe the need for effective balance related interventions among the healthy older adult population

• Recognize occupational therapy’s role in improving balance to decrease risk of falls

• Discuss the effectiveness of Tai Chi as an intervention for improving balance within this population

PICO

• Is Tai Chi an effective intervention for improving balance in the healthy older adult population?

Presentation: 40:55

Handout at bottom of page.

Reframe The Pain: A Systematic Review Of Occupational Therapy Interventions To Promote Quality Of Life For Adults With Fibromyalgia, Alyssa Armstrong, Ots, Jonathan Forkin, Ots, Emma Jablonski, Ots, Shelby Moyer, Ots, Suzanne Sager, Ots

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

Objectives:

1. Define clinical presentation and three common characteristics of fibromyalgia (FMS) as it impacts quality of life (QOL).

2. Recognize the importance of an occupational therapy (OT) approach as an alternative to current practice methods.

3. Identify at least three effective EBP interventions within the scope of OT to address quality of life for individuals with FMS.

PICO:

What is the evidence to support the effectiveness of interventions within the scope of OT on improving quality of life for adults diagnosed with fibromyalgia?

Presentation: 43:56

Handout with references at bottom of page.

Episodic Versus Continuous Care In Outpatient Pediatric Clinics, Rebecca Newman, Kimberly Mcgarvey, Laura Hoppe

School of Occupational Therapy Master's Capstone Projects (2016-2021)

UW Medicine Valley Medical Center, Children’s Therapy (VMC-CT) has experienced difficulties with consistent service delivery schedules for their clients. Long waitlists, absences, and scheduling and insurance constraints have impeded client ability to receive standard, continuous therapy. Thus, this critically appraised topic (CAT) paper addresses a research question developed in conjunction with Kari Tanta, PhD, OTR/L, FAOTA, the Rehabilitation Manager at VMC-CT, to understand the most effective methods of service delivery: episodic therapy (i.e. high frequency over a short duration) or continuous therapy (i.e., low frequency over a longer duration). The following research question was developed: Is episodic pediatric care as …

Seeing Relief: Mirror Box Therapy As A Treatment For Chronic Regional Pain Syndrome, Danielle Watson, Mel Velsher

School of Occupational Therapy Master's Capstone Projects (2016-2021)

In collaboration with an occupational therapist who works in a physical therapy private practice as a hand therapist, the following clinical questions were identified: Is mirror box therapy (MT) effective in reducing pain for patients with complex regional pain syndrome (CRPS); secondary to orthopedic injury or peripheral nerve damage in the upper extremity (UE)? What protocols and dosages are the most effective? A structured review of the literature identified 18 studies that focus on the use of MT for CRPS of the UE: one meta-analysis of systematic reviews, five systematic reviews (SR) and 12 individual studies of which four are …

Four Effective And Feasible Interventions For Hemi-Inattention Post Cva: Systematic Review And Collaboration For Knowledge Translation In An Inpatient Rehab Setting., Elizabeth Armbrust, Domonique Herrin, Christi Lewallen, Karin Van Duzer

School of Occupational Therapy Master's Capstone Projects (2016-2021)

Purpose: To locate, evaluate, and summarize the evidence for effective and feasible interventions to treat hemi-inattention in inpatient rehabilitation settings and ensure knowledge translation with a collaborating clinician Timothy Rich, OTR/L and his team at Harborview Medical Center. Design: Systematic literature review, participatory active research with a collaborating clinician, and knowledge translation. Methods: Included studies that tested effectiveness of mirror therapy (MT), transcutaneous electric nerve stimulation (TENS), limb activation therapy (LAT), and visual scanning therapy (VST). 11 databases were searched to yield 31 articles included in a critically appraised topic (CAT) table. A concise protocol for each …

Self-Reported Load Carriage Injuries In Australian Regular Army Soldiers, Rob Orr, Rodney Pope, Julia Coyle, Venerina Johnston

Rob Marc Orr

Access abstract in the Conference Abstract E-book, page 115

Use Of Occupational Performance Coaching For Stroke Survivors (Opc-Stroke) In Late Rehabilitation: A Descriptive Case Study, Danika Belliveau, Isabelle Belliveau, Aniane Camire-Raymond, Dorothy Kessler, Mary Egan

The Open Journal of Occupational Therapy

Background: Stroke is a leading cause of disability in adults. Following stroke, 60% of people report needing help with everyday activities, and 80% report having very few meaningful activities. These restrictions often continue for years. This study explored the efficacy of Occupational Performance Coaching for stroke survivors (OPC-Stroke) on the participation level of adults in the later stage of stroke rehabilitation.

Method: A descriptive case study design was used. One participant in the later stages of rehabilitation was recruited. Outcome measures for participation, goal performance and satisfaction, and emotional well-being were administered pre and postintervention to observe for direction of …

Occupational Therapy Considerations For International Practice, Allison Doughton

Occupational Therapy: Student Scholarship & Creative Works

The purpose of this study was to provide an educational resource for occupational therapy (OT) practitioners who are interested in delivering professional services internationally through volunteer work. An in-depth exploration of four faith-based organizations, emphasizing the unique perspectives of the organizations in terms of their completed missions and outcomes, and how these align with social justice was completed. This study also aimed to provide information about the various spiritual and/or lifestyle beliefs each organization uses as a philosophical basis for which they conduct their missions. These select perspectives may help practitioners make informed decisions about international volunteer work and enable …

Factors Influencing The Use Of Evidence-Based Practice Among Physiotherapists And Occupational Therapists In Their Clinical Work, Sofi Fristedt, Kristina Areskoug Josefsson, Ann-Sofi Kammerlind

Internet Journal of Allied Health Sciences and Practice

Background: Evidence-based practice (EBP) is a process through which research is applied in daily clinical practice. Occupational therapists (OTs) and physiotherapists (PTs) are expected to work in line with EBP in order to optimise health care resources. This expectation is too seldom fulfilled. Consequently, research findings may not be implemented in clinical practice in a timely manner, or at all. To remedy this situation, additional knowledge is needed regarding what factors influence the process of EBP among practitioners. The purpose of the present study was to identify factors that influence the use of EBP and the experienced effects of the …

Caregivers Of Stroke Survivors: Exploring The Role Of Spousal Caregivers Through An Occupational Therapy Lens, Lisa J. Knecht-Sabres, Karley Kammer, Matthew K. Kilian, Kim Veverka

Internet Journal of Allied Health Sciences and Practice

The purpose of this qualitative study was to explore the occupational needs of caregivers of stroke survivors and to identify potential implications for occupational therapy’s role with this population. Methods: Focus groups and a semi-structured interview were used to gather an in-depth perspective on caregivers’ needs and level of participation in valued activities. Interactions were recorded and transcribed verbatim. Data analysis included open coding, formulation of categorical patterns, and thematic analysis. Rigor was enhanced through peer review, multiple coders, member checking, and triangulation. Results: Four primary themes emerged: (1) the essential need for additional services and support; (2) the amount …

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 …

Virtual Reality: An Evidence-Based Guide For Occupational Therapy, Grant Mitchell, Kyle Nelson

Occupational Therapy Capstones

Problem: Virtual reality (VR) is an emerging technology that serves to position the user in control of a virtual environment to maximize interest and function. VR is a context for intervention included in the Occupational Therapy Practice Framework: Domain and Process 3rd edition (OTPF-3; AOTA, 2014). It is crucial that occupational therapy (OT) practitioners enhance their knowledge about VR technology used by their clients to provide effective client-centered practice (AOTA, 2010). There is a lack of organization of the literature and research evidence regarding the use of VR as an intervention modality. While there has been a significant increase in …

Communication: How Do Females With Rett Syndrome Perform This Activity And What Factors Influence Performance?, Anna Urbanowicz

Theses: Doctorates and Masters

Background Rett syndrome is a neurodevelopmental disorder primarily caused by mutations in the X-linked methyl-Cp2G-binding protein 2 (MECP2) gene. The disorder affects approximately 1 in 9000 females and is usually associated with language, physical and intellectual impairments, each of which contributes to difficulties with communication. In Rett syndrome, eye gaze is considered a common form of communication and conventional methods, such as talking and gestures, less common. Females appear to use these forms of communication to serve a number of functions including choice making, requesting, social convention, bringing attention to themselves, and to reject, comment and answer. However, the literature …