Medicine and Health Sciences Commons^™

Tissue Quality In Early Stages Of Breast Cancer-Related Lymphedema: A Pilot Study, Tyler Almquist, Gabrielle Schroeder, Ian Villegas, David A. Doubblestein

Oncology Rehabilitation in Practice

Introduction: Breast cancer-related lymphedema (BCRL) is a chronic condition associated with breast cancer treatments. Tissue quality assessment, commonly performed using the pitting edema test, can also be quantified with digital tissue tonometry. However, the role of tonometry in early-stage BCRL — classified as Stages 0 and I by the International Society of Lymphology (ISL) — remains unclear.

Purpose: This pilot study aimed to assess the utility of tonometry in early-stage BCRL by evaluating tissue resistance (N), volume (ml), and circumference (cm) in healthy individuals and those with ISL Stage 0 and I lymphedema.

Methods: A convenience sample of females …

Finding A Certified Lymphedema Therapist: Access To Lymphedema Treatment In Minnesota, Emma M. Tsai, Linda Koehler

Oncology Rehabilitation in Practice

Introduction

Lymphedema is a progressive disease that leads to chronic swelling. Lymphedema treatment includes complete decongestive therapy (CDT) provided by a certified lymphedema therapist (CLT). Locating CLTs can be difficult for patients and providers. Our aims were to 1) describe a method for assessing accessibility of lymphedema treatment in a specific region, and 2) apply this method to a specific region (Minnesota) to describe the lymphedema care in that region.

Methods

This cross-sectional study searched therapist directories on websites related to lymphedema and lymphatic diseases (e.g. lymphedema training programs, professional associations) to assess the current distribution of CLTs in Minnesota. …

Artificial Intelligence And The Future Of Oncology Rehabilitation, Christopher M. Wilson

Oncology Rehabilitation in Practice

While the promise of AI in oncology rehabilitation is remarkable, successful adoption requires balance between enthusiasm and realism. These technologies must be thoughtfully integrated into existing workflows with safeguards for data privacy, accuracy, and clinician oversight. The goal is not to replace clinical judgment or the human connection at the heart of rehabilitation, but to amplify and augment them—restoring time, focus, and compassion to the clinical encounter. With deliberate implementation and continuous evaluation, AI can become a trusted partner in advancing the quality, accessibility, and humanity of oncology rehabilitation practice.

Editorial Board Message, Bryan A. Spinelli

Oncology Rehabilitation in Practice

With the release of this issue, we would like to announce that Oncology Rehabilitation in Practice have adopted a new publication schedule. Oncology Rehabilitation in Practice will continue to publish 2 issues each calendar year with issues now being released in May and November. The rationale for this change was that our previous publication schedule coincided with the release of the October and April issues of Rehabilitation Oncology, an official publication of APTA Oncology that is a peer-reviewed, indexed resource for advancing oncologic physical therapy practice and cancer rehabilitation. We hope this change will limit the challenges that clinicians …

Cover And Front Matter, Volume 2, Issue 2

Oncology Rehabilitation in Practice

No abstract provided.

Neuro Rehab In Rural America: Interprofessional Strategies For Implementing Evidence Based Practice, Stacie Mae Larreau Christensen, Rebecca L. Kinnison, Amy J. Goldman, Colleen Spellman

Posters and Presentations: Physical Therapy

No abstract provided.

Preparedness And Engagement Of Rehabilitation Professionals In Disaster Management: A Cross-Sectional Survey Of Ots, Pts, And Slps In Florida, Rebecca I. Estes, Shari Rone-Adams

Internet Journal of Allied Health Sciences and Practice

Purpose: Allied health professionals, specifically, physical therapists (PTs), occupational therapists (OTs), and speech-language pathologists (SLPs), are under-recognized and underutilized in disaster management. The purpose of this study was to investigate awareness, prevalence of engagement, interest level, roles, perceptions, and training of rehabilitation professionals in the disaster management cycle. Method: The Healthcare Practitioner Disaster Management Questionnaire, an anonymous quantitative survey, was deployed to OTs, PTs, and SLPs, licensed in Florida, a convenience sample. Descriptive analysis and Spearman Rho correlation were used to understand the data. Results: Respondents believe that licensed clinicians have a role in disaster management. Respondents had little familiarity, …

Implementation Evaluation Of Blood Flow Restriction In The Rehabilitative Setting, Corbit Franks, Madison Wellborn, Matthew A. Chatlaong, Daphney M. Carter, William M. Miller, Matthew B. Jessee, Robert E. Davis

Internet Journal of Allied Health Sciences and Practice

Purpose: Blood flow restriction refers to a training/rehabilitation method consisting of an external pressure system applied to a limb to partially inhibit blood flow to the tissues. Though much research has been conducted concerning the use of blood flow restriction, there is limited research concerning why clinicians may or may not utilize it. Objective: The current qualitative study utilized the Consolidated Framework for Implementation Research to investigate why clinicians may or may not implement blood flow restriction in the clinical setting. Methods: A semi-structured interview addressing twelve implementation constructs within four domains (Intervention Characteristics, Outer Setting, Inner Setting, and Characteristics …

The Practice Of Perfect Mistakes, Kelly Allen

The Open Journal of Occupational Therapy

Cheryl VanderMolen Neway, a fashion designer and textile artist residing in Fairfax, Virginia, provided the cover art for the Fall 2025 issue of The Open Journal of Occupational Therapy (OJOT). The photograph features a flowing, floor-length duster jacket entitled, The Free Spirit, 2024, made from an upcycled denim jacket with lace and hand-dyed linen, using shibori and indigo-dyeing techniques, modeled by Shamola Crosbie. Cheryl’s designs serve to express emotion, meet her need for creative exploration, and empower her community through fashion. Using resist-dyeing techniques paired with upcycled textiles and salvaged materials, she creates vibrantly unique clothing and mixed-media artwork …

An Authentic Leader Never Dies: Lessons Learned From The Seminal Work Of Elizabeth Yerxa, Daniel Cezar Da Cruz

The Open Journal of Occupational Therapy

This Opinion in the Profession is based on the enduring legacy of Elizabeth June Yerxa, a pioneering leader in occupational therapy and occupational science, following her passing in December 2024. Rather than a traditional "in memoriam," the author uses the present tense to emphasize Yerxa's ongoing influence. The paper highlights four key themes from Yerxa’s work: the commitment of occupational therapy to social change, the importance of an occupation-centered education, the term “engaging in occupation”, and the establishment of occupational science as a foundational discipline. Yerxa’s advocacy for critical thinking, holistic perspectives, and the integration of diverse fields …

Promoting Sense Of Belonging Among First-Generation Students In Occupational Therapy, Pola Ham

The Open Journal of Occupational Therapy

First-generation students in occupational therapy programs face unique challenges that can impact their sense of belonging and academic success, potentially hindering efforts to diversify the profession. There is limited data on occupational therapy students who identify as first-generation students. However, the literature has noted improved efforts toward a sense of belonging in higher education among students leads to feeling a sense of connectedness with their peers and faculty, aiding in overall well-being, academic performance and retention. In contrast, a lack of these efforts can lead students to experience a diminished sense of belonging to the institution. This article examines the …

Mentoring Matters: Enhancing Occupational Therapy Capstone Experiences Through Effective Mentorship, Sara J. Stephenson, Gretchen L. Bachman, Michelle L. Bollom, Alexandria N. Calca

The Open Journal of Occupational Therapy

Mentoring plays a crucial role in occupational therapy education, particularly in doctoral capstone experiences. Yet, specific assessment tools tailored to the profession are lacking. This study aimed to gather insights from occupational therapy stakeholders on mentor qualities and skills essential for capstone success. The authors employed a descriptive, cross-sectional study design using an interactive poster featuring the Mentor Competency Assessment (MCA) domains and the ACOTE-defined capstone focus areas. Data were collected at two occupational therapy events using ordinal ranking methodology.Fifty-three participants identified their occupational therapy roles and ranked mentor skills and capstone focus areas. Effective communication was consistently identified as …

Diversity Gaps In Ot Education: Addressing The Challenges And Support Needs Of Underrepresented Faculty, Divya Desai, Natalie A. Perkins

The Open Journal of Occupational Therapy

Understanding the status of diversity in OT academia is crucial for promoting equitable representation and addressing the needs of underrepresented faculty. This exploratory mixed-methods study sought to assess the diversity landscape in OT academic programs and explore the support needed by diverse faculty to enter and remain in academic positions. The researchers used an online survey distributed to faculty members of accredited OT programs across the United States. In-depth interviews were conducted with select respondents to gain deeper insights into their experiences. The interview participants were selected based on survey responses through purposive sampling. The study focused on capturing perspectives …

Occupational Balance Of Occupational Therapy Students Before And After Occupational Disruption Caused By Covid-19, Juan Pablo Saa, Georgia King, Kylee Lockwood, Tamara Tse

The Open Journal of Occupational Therapy

Background: The COVID-19 pandemic and ensuing restrictions have caused occupational disruption, yet little is known about their relationship with occupational balance, student satisfaction, and stress. This study aimed to investigate the impact of COVID-19 restrictions on the occupational balance of occupational therapy students in the state of Victoria, Australia, and its association with measures of life satisfaction and distress.

Method: Participants completed the Occupational Balance Questionnaire (OBQ-11) twice (once rating their occupational balance before COVID-19 social distancing restrictions and again during the time these restrictions were in place); the Global Life Satisfaction Questionnaire; and the Depression, Anxiety and …

The Perception Of Occupational Therapists And Their Use Of Therapeutic Use Of Self When Interacting With Clients And Fieldwork Students, Maria T. Zock, Barbara Nadeau

The Open Journal of Occupational Therapy

The therapeutic use of self is an essential instrument in every occupational therapists' toolbox. Fieldwork is vital to a student’s transition to clinician and the student and fieldwork educator relationship is a critical component of the fieldwork experience. The researchers employed a phenomenological design to explore perceptions of 12 fieldwork educators regarding the similarities and differences in the way they use the therapeutic use of self with clients and students. How one develops their therapeutic use of self begins and evolves throughout fieldwork, impacting a clinician’s practice long-term. Results indicated that while the therapeutic use of self is readily used …

The Need For ‘Soft Skills’ In Occupational Therapy Curricula: A Descriptive Analysis Of French Students’ Internship Comments, Cynthia Engels, Nadia Oubaya, Aliki Thomas

The Open Journal of Occupational Therapy

A competent occupational therapist needs soft skills. Although the French national occupational therapy (OT) curriculum lists 10 competences to be acquired, they do not include soft skills. The objectives of this study were to (a) Identify the proportion of soft skills in OT students’ internship comments written by internship tutors and (b) characterize the mentioned soft skills to help determine whether and which soft skills should be included in the new OT curriculum nationwide in France. This was a qualitative descriptive analysis of tutors’ comments on internship evaluations based on the framework method. Of the 1060 internship reports, 1035 (98%) …

Occupational Therapy Guidelines For Rehabilitating People With Spinal Metastasis: Pathophysiology And Biomechanics, Julie H. Hunley, Ying Guo

The Open Journal of Occupational Therapy

Occupational therapists are increasingly treating people living with metastatic spinal cancer because of advancements in cancer treatment. Specific occupational therapy guidance for serving this growing and vulnerable population is limited. This paper provides evidence for occupational therapists to expand their understanding of the pathophysiological and biomechanical reasons for spinal precautions and the importance of individualizing interventions for people with metastatic spinal cancer. Metastatic lesions can compromise bone integrity, increasing the risk of pain, fractures, and spinal cord compression, leading to irreversible neurological damage. Daily life activities create large forces in the spine, putting people with spinal metastasis at high risk …

Improving Relationship-Based Feeding Of Infants And Young Children With Disabilities: Developing A Guideline For Practice, Patricia Henton, Tsu-Hsin Howe

The Open Journal of Occupational Therapy

Feeding is a significant co-occupation of young children and their caregivers, unfolding in a social context. While addressing feeding challenges comprehensively because multiple contributing factors, the social-emotional dimension is often overlooked. This paper proposes a relationship-based feeding guideline to help occupational therapists incorporate this critical component. Centered on the child-caregiver dyad, the guideline prioritizes supporting the developmental, social-emotional, and environmental needs of the child. The guideline employs a biopsycho-ecological framework and family-centered approach, emphasizing caregiver training for promoting positive interaction. Actively involving caregivers and employing caregiver-child coaching facilitates the learning of developmentally appropriate feeding strategies that are then applied at …

Integrative Neural Networks Frame Of Reference: Application In Practice, Glenda E. Hux, Sarah Schoen

The Open Journal of Occupational Therapy

The INN Frame of Reference supports occupational engagement in caregivers of children and youth with complex health care needs. It guides the occupational therapist from evaluation to intervention providing a structure to identify challenges in occupational engagement. It describes the process of selecting evidence-based interventions to mitigate the impact of prolonged stress on the “whole” parent across contexts. The theoretical base outlines the mechanisms of action that support physiological, affective/cognitive, and social/spiritual health, and the concepts related to intervention. The completion of an occupational profile and the INN Evaluation Checklist sets the stage for data-driven decision making. The occupational therapist …

Integrative Neural Networks: A Novel Frame Of Reference To Support Occupational Engagement In Caregivers, Glenda E. Hux, Sarah A. Schoen

The Open Journal of Occupational Therapy

The Integrative Neural Networks (INN) frame of reference is an integrated approach to support occupational engagement in parents and primary caregivers of children and youth with complex health care needs (CYSHCN) guided by principles of family-centered care. Given the potential influence of prolonged, cumulative, and or repeated stress on physiological, affective/cognitive, and social/spiritual health, it is imperative that occupational therapists partner with parents and primary caregivers to positively impact occupational engagement across contexts. Further, this frame of reference provides an avenue to identify potential health and occupational disparities historically under-recognized as independent from the needs of the child. Based on …

Effects Of Yoga On The Mental Health Of Women With Gynecological Cancers: A Systematic Literature Review, Sabina Khan, Christianah Edema

The Open Journal of Occupational Therapy

Background: The diagnosis and treatment of gynecological cancers have substantial psychological impacts. Occupational therapists use relaxation and mindfulness techniques to manage pain, distress, and other mental health symptoms associated with cancer. This review aimed to evaluate the impact of yoga on the mental health and quality of life of women diagnosed with gynecological cancers.

Methods: A systematic search of five databases was conducted from their inception to the present. Grey literature was searched via Google Scholar and relevant conference proceedings. Eligible studies reported on the effect of yoga on mental health symptoms in women with gynecological cancers. A …

Uncovering Occupational Therapy’S Role In Addressing Postpartum Anxiety: A Scoping Review, Felicia Markfield, Carlin D. Reaume

The Open Journal of Occupational Therapy

Background: Occupational therapists are qualified to provide needed support for individuals experiencing postpartum anxiety. Postpartum depression is a more well known and researched disorder; however, postpartum anxiety is theorized to be more prevalent and less discussed (Nakić et al., 2018; Zappas et al., 2021). The objective of this scoping review is to find the themes in the literature highlighting the unique settings, assessments, and interventions used to support individuals with postpartum anxiety.

Methods: A literature search was conducted from Scopus, Sage Journals, OTSeeker, Science Direct, and EBSCO databases. Twenty articles were found and selected for review.

Results: …

Evaluation Of Receptiveness And Barriers To Including Occupational Therapists On Primary Care Teams, Jacquelyn P. Nash, Sue Dahl-Popolizio, Dayna Maureen Maniccia, Debra Collette

The Open Journal of Occupational Therapy

Background: Although primary care providers (PCP) and occupational therapists recognize occupational therapists can be on the primary care (PC) team to address lifestyle management related to chronic conditions, health literacy, and behavioral health, few occupational therapists work in this setting; PC remains an emerging practice area.

Method: We sought to determine if receptiveness to adding occupational therapists to PC teams has changed. We modified surveys from a 2017 study and added interviews to answer the following questions regarding occupational therapists in PC: (1) What are PCPs' and occupational therapists’ perceptions? (2) What are PCPs' comfort levels in delegating patient appointments …

An Interdisciplinary Functional Exercise Program For Individuals With Parkinson’S Disease: A Case Series, Lauren Turbeville, Caroline Adams, Amy Wedge, Kailey Smitherman, Kathrin Rothermich

The Open Journal of Occupational Therapy

Background: Traditional exercise programs are beneficial in managing Parkinson’s disease (PD). Little research exists on interdisciplinary, functional exercise programs designed and implemented by licensed therapists.

Method: Our case series presents the development, implementation, and results of an interdisciplinary functional exercise program for individuals with PD and the effects this program had on daily functioning and quality of life. Participants were recruited via flyers, email, and phone communication, and consented to data collection for our objectives. Participants attended two sessions per week for 8 weeks. Sessions addressed fine and gross motor skills, dexterity, cognition, functional strength, gait, balance, and …

Guidelines For Analyzing Health Care Policies, Kieran Fogarty, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.

Occupational Therapist’S Role In Medicolegal, Danyl (Jj) W. Litumbe Jr.

Department of Occupational Therapy Entry-Level Capstone Projects

No abstract provided.

From Awareness To Integration: Leading The Change For Occupational Therapy, Shirley A. Wells

Occupational Therapy Faculty Publications

In her lecture for the inaugural Dr. Lela A. Llorens Award of Excellence for Diversity, Equity, and Inclusion, Dr. Shirley A. Wells acknowledges the growing importance of creating more inclusive and equitable environments across all aspects of health care, with occupational therapy being no exception. Inclusion and integration are fundamental values that should be woven into every part of the practice of occupational therapy. It is not enough to be aware of these concepts; occupational therapists must actively engage in Acts of Inclusion and Integration in their delivery of care, collaboration with clients and colleagues, and shaping of the future …

Benefits Of Intergenerational Programming In Occupational Therapy, Rachel Mitchell

Honors Theses

Occupational therapy helps clients work toward their meaningful occupational goals. Within this career, a person’s roles and habits are also addressed and taken into account when creating intervention plans. Many individuals live in a multi-generational home, living with others of different generations, or even interacting with them in their daily lives. Intergenerational programming is designed to bring people of different generations together. Whether the client lives with someone from a different generation, or sees them in their life, it is vital to have an understanding of each other. Areas that can be addressed include mental health, cultural identity, social isolation …

Bridging Autism Care: Dental And Occupational Therapy School Collaboration, Trina Hoang, Divya Desai

Oral Health

This study examines the interdisciplinary collaboration between dental and occupational therapy schools to support dental education on autism spectrum disorder (ASD). An occupational therapy student created a recorded training module to educate international dental students on ASD. The participants completed a self-reported pre- and post-survey questionnaire examining their confidence levels in interacting with the ASD population and their awareness of other healthcare professions. The survey results showed improvements in confidence levels for identifying characteristics of ASD, communicating with clients with ASD, identifying sensory-based strategies, navigating uncooperative behaviors, and providing education for at-home care. There was an increase in the awareness …

Empowering Parenting & Bonding For Women With Young Children In A Transition Home, Payge Side, Mary Jan Greer Phd, Otr

Fall 2025 OTD Capstone Symposium

This capstone project was completed at Star of Hope, a transitional housing facility for women and children. A needs assessment revealed that mothers struggled with routine consistency, emotional regulation, and parent–child bonding due to environmental demands. In response, a customized parenting guidebook was developed using occupational therapy principles to provide structure, bonding activities, and self-reflection strategies. Mothers who engaged with the guidebook reported improvements in organization, confidence, and interactions with their children. Sustainability was supported by leaving the guidebook with the facility and training staff for continued use. The project highlights the impact of simple, structured OT interventions in …