Medicine and Health Sciences Commons^™

Sanctuary: Counter-Oppressive Relationships With Farmed Animals As An Ecopsychological Imperative, Kelsey Bomboy

The International Journal of Ecopsychology (IJE)

Consumers are intentionally shielded from and often misled about the process of breeding, raising, and slaughtering animals for consumption. By confining most farmed animals to warehouses in rural areas while the majority of humans are sequestered in urban areas, we have effectively created a world where humans do not have to contend with the sense of interconnectedness that arises when witnessing and being witnessed by a farmed animal. Within industrial slaughterhouses, the physical act of killing is minimized to just a fraction of the workers, so that even those who are responsible for rendering a once living being will never …

Transcutaneous Auricular Vagus Nerve Stimulation Paired With Task-Specific Training For Improving Walking And Balance In Chronic Stroke: A Double-Blind, Randomised Controlled Feasibility Trial, Ashraf N.H. Gerges, Jeric Uy, Lewis Ingram, Susan Hillier, Joanne Bouckley, Ellana Welsby, Ines Serrada, Taya Hamilton, Saran Chamberlain, Brenton Hordacre

Research outputs 2022 to 2026

Background: Transcutaneous auricular vagus nerve stimulation (taVNS) paired with task-specific training has shown promise for improving upper-limb motor recovery after stroke but its effects on gait and balance remain unclear. This study evaluated the feasibility and safety of taVNS paired with task-specific training and explored preliminary effects on walking and balance outcomes in adults with chronic stroke.

Methods: A double-blinded, sham-controlled trial was conducted to evaluate active versus sham taVNS paired with task-specific training (15 one-hour sessions over six weeks). Feasibility metrics included recruitment, participant experience, adverse events (AEs), and blinding effectiveness. Clinical outcomes (walking speed, endurance, gait parameters, and …

Abcb5⁺ Mesenchymal Stem Cells Enable High-Ratio Cellular Augmentation Of Bone Grafts Without Loss Of Osteogenic Function, Jakob Hofmann, Tim Niklas Bewersdorf, Ulrike Sommer, Kai Borcherding, Karsten Thiel, Christoph Ganss, Matthias Gerstner, Markus H. Frank, Gerhard Schmidmaier, Mark Andreas Kluth, Tobias Grossner

Research outputs 2022 to 2026

Autologous bone grafting remains the standard for reconstruction of bone defects but is constrained by limited graft volume and loss of osteogenic capacity when expanded with acellular materials. We hypothesized that allogeneic ABCB5⁺ mesenchymal stem cells (MSCs) can serve as a biologic cell source to augment bone marrow-derived MSC (BM-MSC) populations without impairing osteogenesis. Primary human BM-MSCs from five donors were combined with GMP-manufactured ABCB5⁺ MSCs at graded replacement ratios (0–95%) and cultured under osteogenic conditions for 21 days. Osteogenic potential was evaluated using complementary assays of mineralization, biochemical activity, and matrix composition. Robust osteogenesis was maintained across all groups, …

Assessing Content Validity Of The Osteo-Taq(Aus) Using Cognitive Interviews: Cross-Jurisdictional Evidence From Uk Osteopathic Practice​​, Oliver P. Thomson, Elena Golder, Gopi Anne Mcleod, Jerry Draper-Rodi, Steven Vogel, Brett Vaughan

Research outputs 2022 to 2026

Background: The Osteopaths’ Therapeutic Approaches Questionnaire (Osteo-TAQ) has demonstrated content, construct, and face validity across multiple jurisdictions but required cognitive validation for use in the United Kingdom (UK). Objectives: To assess the cognitive content and face validity of the Australian-adapted Osteo-TAQ (Osteo-TAQ(Aus)) with practising UK osteopaths, and to determine whether any revisions were necessary. Methods: Cognitive interviews were conducted with six (n = 6) UK osteopaths using a combination of think-aloud and verbal probing techniques, informed by the Cognitive Interview Reporting Framework (CIRF). Interviews were recorded, transcribed, and analysed using team-based content analysis to identify issues of item interpretation, clarity …

Enhancing Independence And Social Connection: The Impact Of A Tailored Exercise Program On New Residents Transitioning Into Australian Residential Care Facilities, Stacey Scott, Annette Raynor, Julie Dare, Jennifer Grieve, Leesa Costello

Research outputs 2022 to 2026

Background: Transitioning from independent living to a residential care facility often results in a significant loss of independence, autonomy, and connectedness, leaving new residents with profound feelings of loss and grief. In light of these challenges, this study explored the potential benefits of a tailored in-house exercise program for new residents. Methods: The study took place in an Australian residential care facility and included four new residents (aged 72 to 88, 75% female), who participated in a 12-week tailored exercise program led by an exercise physiologist. A focused ethnographic approach was used to obtain a comprehensive data set, drawing on …

The Use Of Tens To Help Manage Post-Mastectomy Pain, Alyssa B. Carey, Amanda Giarratano, Verena Gorgi, Lauren Vera

Oncology Rehabilitation in Practice

Transcutaneous electrical nerve stimulation (TENS) has been demonstrated to be an effective non-pharmacological adjunct for postoperative pain management in thoracic surgeries. However, few studies have examined its benefits in managing post-mastectomy pain. This study found that TENS provided positive effects on postoperative pain control, which were associated with improved physical and psychological outcomes. Overall, TENS appears to be a safe and effective modality for managing acute postmastectomy pain.

Whole-Body Vibration As An Adjunctive Modality For Radiation-Induced Fibrosis In Breast Cancer Rehabilitation: A Physical Therapist’S Perspective, Carla Steinberg

Oncology Rehabilitation in Practice

No abstract provided.

Occupational Therapy Interventions For Pediatric Patients With Cancer And Avascular Necrosis: A Case Report, Lucy Weathers, Sandra Murphy, Michael Neel, Raul Riberio

Oncology Rehabilitation in Practice

Background: Avascular necrosis (AVN) is a rare disease that can be caused by cancer treatment. AVN can affect multiple joints, which can disrupt one’s ability to perform daily activities. Rehabilitation services, including occupational therapy (OT) and physical therapy, are used to improve a patient’s quality of life through skilled conservative interventions that improve daily task engagement. Occupational therapists are trained to address functional deficits experienced by pediatric patients with cancer and may play a key role in treating patients who have AVN. This case report describes the role of OT in addressing self-care for a patient experiencing early multifocal AVN. …

Individualized Aerobic Exercise Prescription As Part Of A Comprehensive Physical Therapy Treatment During Systemic Chemotherapy: A Case Report, Veronica Griesemer

Oncology Rehabilitation in Practice

Background: Cardiovascular disease (CVD) is commonly seen in cancer survivors. Multiple treatment modalities for breast cancer can cause cardiotoxicity during or even decades after treatment. Aerobic exercise has been well documented to treat non-cancer-related CVD; however, research regarding optimal dosing within the cancer population is needed. This case report discusses the examination, evaluation, and treatment of a patient with breast cancer receiving potentially cardiotoxic chemotherapy.

Case Description: This patient presented with decreased cardiorespiratory fitness, elevated heart rate, and shortness of breath when climbing the stairs after completing systemic chemotherapies doxorubicin and cyclophosphamide. She was preparing to start paclitaxel treatments and …

The Relationship Between Fatigue And Quality Of Life For Patients Participating In A Cancer Survivor Program, Madge Suzanne Tinsley, Marie Vazquez Morgan, Elizabeth Disbrow, Carol Crooms

Oncology Rehabilitation in Practice

Introduction: The purpose of this chart review was to examine differences in fatigue and quality of life following cancer treatment based on gender, race, age, cancer type, and referral for rehabilitation services.

Methods: Ninety-one patient charts were reviewed for demographic variables, cancer type, rehabilitation referral, and baseline scores on the Brief Fatigue Inventory (BFI) and Reintegration to Normal Life Index (RNLI). Group differences were analyzed using the Mann–Whitney U test, and correlations between fatigue and quality of life were assessed using Pearson’s correlation (p < 0.05).

Results: Participants included 65 females (71%) and 26 males (29%), with 73% identifying as Black, 26% …

Impact Of Lymphedema Treatment Act Implementation On Lymphedema Therapists’ Compression Garment Practices, Sarah Stolker, Karla T. Washington, Kimberly Karr, Andrew Amari, Kyle A. Pitzer

Oncology Rehabilitation in Practice

Purpose: Lymphedema management requires routine use of compression garments to stabilize limb volume and diminish infection risk. The 2024 Lymphedema Treatment Act (LTA) established Medicare coverage for these essential medical supplies. However, this legislation introduced structural challenges to clinical workflows for lymphedema therapists, who traditionally perform measuring, ordering, and fitting. This study evaluated contemporary practices in compression garment fitting, procurement, compensation patterns, and policy-driven impacts on therapist workload and stress.

Methods: A cross-sectional exploratory survey of US lymphedema therapists evaluated the impact of the LTA on clinical workflows. The survey assessed weekly time spent on garment-related tasks, workflow changes since …

Demonstrating Competence In Oncology Rehabilitation: Credentials, Clinical Preparation, And Professional Trust, Christopher M. Wilson

Oncology Rehabilitation in Practice

Every rehabilitation professional will inevitably provide care for people living with and beyond cancer across acute care, outpatient settings, inpatient settings, and home care and within the community. Yet, many clinicians report feeling underprepared or unqualified to address the complex effects of cancer and its treatments. Continuing education, mentorship, and clinical experience remain important routes to professional development, but advanced credentials can offer a structured pathway for developing knowledge and skills and an external recognition of this preparation. This perspective discusses the potential value of specialization or board certification for rehabilitation professionals and other pathways for skill and knowledge attainment …

Editor's Message: About This Issue, Bryan A. Spinelli

Oncology Rehabilitation in Practice

In this issue, we are pleased to publish the President’s Message, two research reports, two case studies, a research round-up, and a clinical perspective. In the President’s Message, Dr. Wilson discusses the role that advanced credentials and mentorship can play in enhancing professional development and fostering interprofessional trust.

Cover And Front Matter, Volume 3, Issue 3

Oncology Rehabilitation in Practice

No abstract provided.

Reliability And Validity Of Upper Extremity Neurocognitive Reactive Tests In Collegiate Athletes, Matthew L. Gauthier, Marisa Pontillo, George J. Davies

Physical Therapy Faculty Publications

Objectives: Neurocognitive function is vital in sports, but evidence supporting neurocognitive reaction testing in upper extremity return-to-sport testing is limited. This study's purpose was to quantify measurement properties of upper extremity reactive testing in collegiate athletes, hypothesizing acceptable measurement properties for clinical use.

Design: Cross-Sectional Study.

Setting: Collegiate athletics.

Participants: Sixty-three healthy athletes (25 females, age = 20.8 ± 1.6 years, BMI = 25.6 ± 2.6 kg/m2; 38 males, age = 20.8 ± 1.6, BMI = 25.7 ± 2.6 kg/m2).

Main outcome measure(s): Successful touches and average reaction time on the Upper Extremity Reactive Closed Kinetic Chain Test (UERCKCT) and …

Sedation Minimization And Early Mobility To Prevent Intensive Care Unit Delirium, Alana M. Kugelard

Lynchburg Journal of Medical Science

The purpose of this paper is to synthesize current evidence on sedation minimization, early mobility, and multicomponent care bundles for the prevention of intensive care unit (ICU) delirium in critically ill adults. ICU delirium is a common and serious complication associated with increased mortality, prolonged mechanical ventilation, extended ICU and hospital length of stay, and long-term cognitive impairment, making it a significant safety and quality-of-care concern. A literature review was conducted using PubMed and the Cochrane Library, with search terms including “ICU delirium,” “sedation minimization,” “light sedation,” “early mobilization,” and “ABCDEF bundle.” Filters included adult populations, peer-reviewed studies, randomized controlled …

Improving Fall Risk Assessment In Inpatient Rehabilitation, Sarah B. Flick, Aaliyah Garcia, Trista Hamblin

Scholars Week

This evidence-based practice project examines how fall-risk assessment can be improved for patients in inpatient rehabilitation by incorporating rehabilitation-specific functional factors into the existing assessment process. A review of four research studies identified toileting, transfers, ambulation, cognition, previous falls, and functional limitations as important considerations for fall-risk identification. The project proposes a structured functional review to supplement current assessment tools, with a phased implementation plan using staff education, a pilot program, and ongoing evaluation to support patient safety and individualized fall-prevention interventions.

Flow In Sport Performance: A Systematic Review Of Psychological Mechanisms And Conceptual Gaps, Nanda Farah Muftia, Heny Setyawati, Donny Wira Yudha Kusuma, Churia Dina Rahmatin, Dewi Ayu Kusumaningtyas, Siti Baitul Mukarromah, Adi S

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: Athletic performance is a psychologically complex process, with “flow” recognized as central to optimal performance. However, its emergence is often treated as automatic and lacks sufficient explanation through broader psychological mechanisms. Objective: This study synthesizes recent literature on flow in sport performance, emphasizing psychological mechanisms, situational determinants, and conceptual gaps. Methods: A systematic review was conducted following PRISMA 2020 guidelines. Eight peer-reviewed, English-language articles (published 2022-2026) retrieved exclusively from the Scopus database met the inclusion criteria and were analyzed using thematic synthesis. Result: Flow is a dynamic psychological process, not a static state. Supporting optimal athletic performance through enhanced …

The Application Of Electronic Games In Occupational Therapy Rehabilitation In Saudi Arabia, Alaa Mohammad Arafah, Bdoor Khalid Bajamal, Jumana Fawaz Alharbi, Shahad Hussein Majhoom, Wesam Qurban

Journal of Medical Rehabilitation Science

Objectives: This study explores the application of electronic games in occupational therapy rehabilitation in Saudi Arabia, focusing on therapists' knowledge, usage patterns, and perceived benefits and barriers.
Methodology: A cross-sectional survey was conducted among 103 occupational therapy professionals working in Saudi Arabia. The survey included 25 questions on the use of electronic games in their rehabilitation settings.
Results: The results revealed that only 39.8% of respondents currently use electronic games in clinical practice. Nevertheless, 87.2% of therapists acknowledged increased patient engagement as a major benefit, while 66.7% noted improvements in motor skills and motivation. Additionally, 67% of participants reported receiving …

From Zoom To The Room: A Practical Model For Holographic Instructor Presence In Multi-Campus Dpt Education, Stacie Mae Larreau Christensen, Brad Dexter

Posters and Presentations: Physical Therapy

No abstract provided.

Cultivating The Growing Self, Kelly Allen

The Open Journal of Occupational Therapy

Khanna Blithe O. Cortes-Amores, MAOT, OTRP, clinician, assistant professor at Cebu Doctors’ University, and co-founder of The Growing Self, a mental health occupational therapy clinic in Cebu, Philippines, provided the cover art for the fall issue of The Open Journal of Occupational Therapy (OJOT). The watercolor painting, titled Peace (2017), features a dreamlike image of a serene female figure with hair that merges into the limbs and branches of a tree. A leafy green vine winds upward around her torso, becomes transparent as it partly overlays her face, and defines the crown of her head. Colorful abstract petal and earthen …

The Importance Of The New Caregiver Codes In Occupational Therapy, Jayna Niblock, Elizabeth G. Hunter, Carli Dimeo, Jackson Miller, Manali George, Allison M. Martin, Samantha M. Barefoot

The Open Journal of Occupational Therapy

Occupational therapists play a critical role in supporting caregivers, a role that continues to grow with the rising number of unpaid family caregivers. Evidence shows that occupational therapists-led caregiver interventions, ranging from skills training to problem-solving and environmental modifications, significantly improve both caregiver and client outcomes. In 2024 and 2025, new Caregiver Training Services (CTS) and Current Procedural Terminology (CPT) codes were introduced, enabling occupational therapists to bill and allowing for reimbursement of caregiver education directly tied to client goals. While these codes offer a transformative opportunity to formalize and fund caregiver support, their adoption has been limited because of …

An Occupational Revolution: Reclaiming What Matters, Carol Lambdin-Pattavina, Wendy B. Stav, Nicole Quint, Sandee M. Dunbar

The Open Journal of Occupational Therapy

Intentional use of the word occupation to describe why, what, and how we do as occupational therapists and occupational therapy assistants is central to maintaining our professional identity and to centering occupation in everyday practice. Throughout occupational therapy's history, using occupation, as opposed to words such as task or activity, has fallen both in and out of favor in practice and education in the United States. Some argue that task and activity, while not reflective of the nuances of the word occupation, including meaning and purpose, are more accessible to external audiences than occupation, which is often confused with …

Policy Solutions For Traumatic Brain Injury: Advancing New York State's First Tbi Special Needs Assisted Living Program, Dianne Schwarz, Natalie F. Douglas

The Open Journal of Occupational Therapy

Traumatic Brain Injury (TBI) presents long-term challenges that are poorly addressed by traditional assisted living and nursing home models. In New York State, individuals with moderate to severe TBI are often placed in settings unequipped to provide cognitive, behavioral, and neurorehabilitative care. This policy and advocacy paper proposes the establishment of a Special Needs Assisted Living Program (SNALP) specifically for individuals with TBI. Drawing from clinical expertise, stakeholder engagement, and a discontinued but promising pilot program, this manuscript outlines the systemic barriers to TBI-specific care, including regulatory gaps, lack of Medicaid reimbursement, and limited public awareness. The proposed model integrates …

Occupational Therapy Student Perceptions Of Sexuality And Intimacy Education: A Cross-Sectional Study, Jennifer H. Barnett, Amanda K. Giles

The Open Journal of Occupational Therapy

Sexuality and intimacy are meaningful activities within the scope of occupational therapy (OT), encompassing valued roles and occupations that contribute significantly to a person’s health, well-being, and identity. Despite acknowledgement of their importance, many occupational therapists overlook these areas during routine assessment and intervention because of feelings of insufficient knowledge, comfort, and confidence. This study used a cross-sectional design to electronically survey 149 occupational therapy doctoral (OTD) students across their first, second, or third year of education to determine their perceptions of sexuality and intimacy education. Quantitative data were analyzed using descriptive statistics, and qualitative data were analyzed via codebook …

Integrating Behavioral Health Practice Approaches And Occupational Therapy: Curricular Considerations, Kaylynn M. Garrison, Susan C. Burwash

The Open Journal of Occupational Therapy

Occupational Therapy programs preparing occupational therapists to work in the field need to enhance students' education surrounding mental/behavioral health (MH/BH) needs. Thus, a curricular approach is needed that not only includes OT conceptual practice models but also those practice approaches used in MH/BH care. Creating educational experiences that include knowledge from inside and outside OT establishes theoretical foundations that better equip students entering practice to address mental health needs of their clients. Further, educators can assist students to appraise the fit between specific practice approaches and OT practice. A review of current MH/BH literature found three common practice approaches used …

Exploring Career Pathways Of The Occupational Therapy Afwc Role: A Review Of Push, Pull, And Stay Factors, Kimberley Persons, Patricia Laverdure, Elizabeth Lequieu, Elizabeth D. Deiuliis

The Open Journal of Occupational Therapy

Academic Fieldwork Coordinators (AFWCs) are essential to occupational therapy (OT) education, yet little is known about the career pathways, retention, and attrition associated with this role. With increasing faculty turnover, understanding the factors that influence AFWC career decisions is critical. This mixed-methods study surveyed 187 OT educators across the US, including current, former, and never-serving AFWCs. A researcher-designed Qualtrics survey gathered demographic, quantitative, and open-ended qualitative data. Quantitative data were analyzed using chi-square tests; qualitative responses underwent thematic analysis. Respondents reported psychological (e.g., burnout, satisfaction), job (e.g., mentoring, administrative burden), organizational (e.g., support, workload), and leadership/team (e.g., recognition, collaboration) factors …

Optimizing Academic Success For Otd Students: A Lassi-Based Pre/Posttest Study On Intervention Effectiveness, Mica Rutschke, Dailen Castillo, Lauren Peyton

The Open Journal of Occupational Therapy

Graduate students frequently experience heightened anxiety that can interfere with academic performance, well-being, and persistence in graduate programs. This pilot study explored the effectiveness of a targeted academic intervention for Occupational Therapy Doctorate (OTD) students using the Learning and Study Strategies Inventory (LASSI) as a pre/post assessment tool. Ten first-year OTD students completed the LASSI at program entry and again after participating in a faculty-led intervention focused on growth mindset and anxiety management strategies. The intervention included a lunch-hour educational session on evidence-based techniques, such as mindfulness, test-taking skills, cognitive reframing, and stress regulation. Faculty advisors also used individualized LASSI …

Deliberate Practice In Occupational Therapy Education: A Conceptual Model For Professional Growth, Suzanne Marasco, Matthew A. Witenstein

The Open Journal of Occupational Therapy

In response to national calls for a more representative health care workforce, this conceptual paper proposes the Model of Deliberate Occupational Therapy Practice (MDOTP), which aims to enhance pedagogical strategies related to supporting, engaging, and leveraging students’ unique cultural and experiential assets. Grounded in the scholarship of integration, authors draw from three theoretical frameworks, Funds of Knowledge, Therapeutic Use of Self, and Street-Level Bureaucracy, to provide a robust foundation for refining psychosociocultural approaches in occupational therapy education. After describing the MDOTP, a subsequent set of Guiding Principles (encourage reflective practice, development of the professional self, incorporate community-based learning, and promote …

School-Based Executive Function Guideline (Sb-Efg): A Practice Guideline For Executive Function Assessment And Intervention In School-Based Practice, Ida Koraitem, Amanda Sarafian, Lenin Grajo

The Open Journal of Occupational Therapy

Executive functioning (EF) is comprised of various cognitive skills, such as working memory, inhibitory control, and cognitive flexibility, which monitor and guide goal-directed behavior and set a foundation on which healthy development may occur. Although the impact of EF skills on school participation has increasingly been recognized over the years, there are limited occupational therapy models that help occupational therapists integrate EF intervention into school-based practice. Children with limitations in EF have unique needs and challenges that impact school participation; therefore, it is imperative that occupational therapists address EF in school-based practice. This author- developed practice guideline discusses essential elements …