Medicine and Health Sciences Commons^™

Authors' Response To Commentary By Drs Sueki And Achhnani On The Article, "Does Exercise Decrease Pain Via Conditioned Pain Modulation In Adolescents?", Stacy Stolzman, Marie K. Hoeger Bement

Physical Therapy Faculty Research and Publications

No abstract provided.

Exercise Increases Pressure Pain Tolerance But Not Pressure And Heat Pain Thresholds In Healthy Young Men, H. B. Vaegter, Marie K. Hoeger Bement, A. B. Madsen, J. Fridriksson, M. Dasa, T. Graven-Nielsen

Physical Therapy Faculty Research and Publications

Background: Exercise causes an acute decrease in the pain sensitivity known as exercise-induced hypoalgesia (EIH), but the specificity to certain pain modalities remains unknown. This study aimed to compare the effect of isometric exercise on the heat and pressure pain sensitivity.

Methods: On three different days, 20 healthy young men performed two submaximal isometric knee extensions (30% maximal voluntary contraction in 3 min) and a control condition (quiet rest). Before and immediately after exercise and rest, the sensitivity to heat pain and pressure pain was assessed in randomized and counterbalanced order. Cuff pressure pain threshold (cPPT) and pain tolerance (cPTT) …

Wise And Well: A Pilot Study On The Effects Of Providing A Wellness Group Protocol To Enhance Occupational Fit Among Rural Community Dwelling Elderly Women, Brianna Berendt, Carly Hills

Occupational Therapy Capstones

Problem: There is a need for rural services for community-dwelling women due to a lack of resources, transportation, and social opportunities (Bacsu et a!., 2016; Averill, 201 2). Likewise, Shimada et a!. (2014) emphasized the impact and causes of social isolation on elderly individuals and how important it is for elderly individuals to establish a support system when facing challenges throughout later life. A third problem was described by Choi et a!. (2013) in that elderly individuals may experience a loss of independence and functional decline can result from being physically inactive. This indicates that there are increased health risks …

The Effectiveness Of Occupational Therapy Interventions For Students With Mental Illness Transitioning To Higher Education: A Systematic Review, Brittany Davis, Leah Sherman

Occupational Therapy Capstones

Objective: To examine the available evidence for interventions within the scope of occupational therapy for students with mental illness during the transition process to postsecondary education. Method: This systematic review yielded seven articles including two systematic reviews, three one group pretest/posttest design, one naturalistic pre/posttest design, and one scoping review related to the transition process to post secondary education.

Results: Occupation-based interventions emphasized the occupation of education instead of focusing on co-occurring occupations a student may frequently participate in when enrolled in postsecondary education. Programs emphasized environmental approaches including using the students' past experiences, building self-advocacy skills, accessing supportive education …

Intensive Outpatient Program For Substance Abuse: Occupational Therapy Guideline To Recovery, Jessica Dietz, Elynn Schriber

Occupational Therapy Capstones

The purpose of this scholarly project was to develop an evidence-based 12-session group protocol for occupational therapists (OTs) to use in an intensive outpatient program (IOP) for substance abuse. The target population for this scholarly project was young adults aged 18-25 who have illicit drug use issues. Guided by concepts of the Model of Human Occupation (MOHO), the protocol targeted common occupational performance and deficit issues encountered by individuals with substance use. The authors first observed one, 3-hour IOP session at Central Wyoming Counseling Center (CWCC) and participated in one, two-hour meeting with the director of substance abuse programing at …

Identified Stressors And Coping Mechanisms Of Occupational Therapy Students, Amy Fitzsimmons, Ashley Zimmer

Occupational Therapy Capstones

Introduction: The purpose of this research study was to gather data on stressors experienced by occupational therapy students during their program and how they cope with their identified stressors. The rationale for this study was the lack of and inconsistent research regarding occupational therapy students, how they experience perceived psychological stress during their program, and how they cope with their identified stressors.

Methodology: The researchers utilized a quantitative exploratory survey design to discover perceived psychological stress and coping methods in Master’s of Occupational Therapy (MOT) students. Prior to recruitment, Institutional Review Board (IRB) approval was received. Respondents were recruited through …

Expanding The Role Of Occupational Therapy In Oncology: An Introduction To The Oncology Occupational Therapy Screening Tool And Occupational Therapy & Cancer Education Guide, Courtney Funk, Jessika Lackie

Occupational Therapy Capstones

Purpose: Cancer survivorship is growing as time progresses. The National Cancer Institute (2016) found the rate of survivorship after a cancer diagnosis was almost 14.5 million in 2014 and projected it to increase further by 2024 to nearly 19 million. This rise in cancer survivors indicates increased needs for rehabilitation services to cope with the multi-dimensional side effects of cancer and cancer treatment. Occupational therapy will be a key member of the oncology care team to improve physical, psychosocial, cognitive, and quality of life outcomes of this population. There are few resources currently available for practitioners to assist with referrals …

Leisure Occupations For Adults With Physical Disabilities: A Guide For Occupational Therapy Practice, Kelsey Glatt, Tracy Perish

Occupational Therapy Capstones

Problem: Limited research is available addressing active leisure participation and how leisure participation affects quality of life (QOL) of individuals following physical disability. Research shows a correlation between adaptive leisure participation and higher rated life satisfaction, community integration, perceived competence, and reduced negative mood states (Chun et. al., 2008; Lundberg et al., 2011a). There are currently no occupational therapy assessments for clients with physical disabilities having a goal of participation in active leisure occupations.

Purpose: To provide information and resources to occupational therapists and clients with paraplegia or lower tetraplegia spinal cord injury (SCI) in order to enhance participation in …

The Experience Of Occupational Therapy Practitioners And Students With Disabilities: A Mixed-Methods Pilot Study, Samantha Guenther, Anna Huss

Occupational Therapy Capstones

Purpose

This mixed-methods pilot study was conducted to provide insight into the experiences of occupational therapy practitioners and students with disabilities. The focus of this study was to analyze the effect of the Americans with Disabilities Act (ADA) and ADA Amendments Act (ADAAA) on access to reasonable accommodations. The researchers predicted that, although occupational therapy is a profession focused on advocacy for people with disabilities, reasonable accommodations are applied inconsistently for practitioners with disabilities within the OT field.

Methodology

A Qualtrics survey was sent out to occupational therapists with disabilities in order to collect demographic data and select participants for …

Lived Experience Of Individuals Who Had A Disruption In Ability To Drive, Shelby Hoskinson, Graydon Larsen

Occupational Therapy Capstones

Purpose: Driving is both a highly valued occupation within the United States and an occupation that is frequently addressed by occupational therapists. According to the CDC (2017) there are more than 40 million older drivers ages 65 years or older within the United States. There is extensive research pertaining to the value of the occupation of driving as well as evaluation and treatment approaches for the occupation of driving following an injury or illness. While driving is sometimes the best option after an injury or illness, there are situations when returning to driving is not realistic or safe for the …

Successful Transition To Home Following A Spinal Cord Injury: A Resource Guide For Home Modifications, Alison Ikeogu, Kelsey Kanwischer

Occupational Therapy Capstones

Purpose

Home modification is a unique area of practice that aims to increase independence of desired tasks by decreasing the physical limitations in and around the home (Aplin, Jonge, & Gustafsson, 2014). The process of modifying the home can be difficult, decreasing emotional well-being and satisfaction (Aplin, Jonge, & Gustafsson, 2014). Studies have identified the need for home modification services for individuals post Spinal Cord Injury. Silver, Ljungberg, Libin, & Groah (2012) found that injured persons were reintegrated into the community with limited knowledge regarding housing and accessibility options. The purpose of the product was to provide a tool for …

Sexuality And Spinal Cord Injury: A Manual For Occupational Therapists In The Inpatient Rehabilitation Setting, Courtney Jacobson, Esada Mujcic

Occupational Therapy Capstones

The topic of sexuality has not been addressed in its entirety within the profession of occupational therapy and has been identified by patients as a need in order to receive comprehensive and holistic care (New, Seddon, Redpath, Currie, and Warren, 2016). More specifically, with 12,500 new cases of spinal cord injury (SCI) that occur each year, in addition to the significant impact on body functions that result from SCI, the topic of sexuality needs particular attention with this population (National Spinal Cord Injury Statistical Center, 2015). The purpose of this scholarly project was to create a manual supported by literature …

Perceptions Of Wellness Among Community Dwelling Older Adults, Sara Johnson, April Schmiesing

Occupational Therapy Capstones

Most older adults prefer to age in place where they are more likely to experience greater health benefits and cost savings as opposed to living in skilled care facilities. Literature supports the role of occupational therapy in community-based wellness programming that helps older adults age in place; however, there is a need to conduct needs assessments to inform wellness program topics and activities. This study explores health and wellness needs of older adults living in a low-income, senior housing complex in order to inform current health and wellness programming provided at this site.

Researchers used a non-experimental, cross-sectional survey study …

Road To Recovery: An Online Guide To Prepare Parents Of Children Who Have Sustained A Major Burn Injury For Successful Home And Community Transition, Michelle Jones, Chad Oppegaard

Occupational Therapy Capstones

Children are the most vulnerable population and represent the highest rate of nonfatal burns resulting in prolonged hospitalization, disfigurement, and disability. These injuries can be a severely stressful experience for children and their families. As a result, it is important for the patient and family members to not focus only on immediate treatment, but recognize the importance of long-term care following discharge in order to effectively reintegrate the child back into the home and community.

A literature review was conducted to investigate the key components of burn care throughout the duration of recovery. Research identified that many parents feel helpless, …

Assisting Clients With Psychosocial Adjustment After Sustainment Of A Traumatic Hand Injury: A Therapist's Guide, Rachel Kos, Jessica Nordmeyer

Occupational Therapy Capstones

Purpose: Adaptation to psychosocial aspects of hand injury is often undervalued, yet a critical issue to address in traumatic hand injuries (Schier & Chan, 2007). The purpose of this scholarly project was to develop a guide to address such factors in a hand therapy setting.

Methodology: A review of the literature was conducted to demonstrate the importance of hands, psychosocial implications related to hand trauma, and current strategies used by practitioners to address these problem. Findings of the literature review concluded that the most prevalent psychological factors related to hand injuries include mood and trauma disorder symptomatology, problems related to …

Occupational Therapy Resource Guide For The Utilization Of Three-Dimensional Printing, Andrew Ostrander, Jacy Whaley

Occupational Therapy Capstones

Many practitioners in the field of occupational therapy are unaware of the benefits and importance of implementing a three-dimensional (3D) printer in practice indicating that there is a need for occupational therapy involving the fitting, environmental modifications, and training on how to properly use a 3D printed prosthetic within the upper extremity. 3D printing is when a digital design is converted into a designed material that has a functional purpose and different materials can be used including metal, plastics, and composite materials (Thomas & Claypole, 2016). 3D printing has many unique and effective uses like creating adaptive devices, feeding devices, …

Addressing Sleep Deficiencies In Older Adult Residents Of Long-Term Care Facilities: Presenting A Flowchart For An Interdisciplinary Approach, Peter Owens, Tavin Deru

Occupational Therapy Capstones

There is a growing population of older adults, or those people over 65 years old in long term care (LTC) facilities who report sleep deficiencies at a heightened rate, leading to decrease function, cognition, and social participation while increasing mortality, morbidity and the risk of falling (Booth & McMilliam, 2009; Cipolli, Mazzetti, & Plazzi, 2013; Crowley, 2011; Dzierewski et al., 2014; Helbig et al., 2013; Kuck, Pantke, & Flick, 2015). Occupational therapists (OTs) offer non-pharmacological sleep interventions in the long-term care facilities but are not present at many relevant sleeping times. This scholarly project is a flow chart aid to …

Female Veterans And Homelessness: A Resource Guide For Occupational Therapists, Jamie Schacht, Alison Tonsager

Occupational Therapy Capstones

Female veterans are the fastest growing subpopulation among the homeless population in the United States (U.S.) (Boothe, 2017). Female veterans report lack of access to gender-specific programs and therapy groups within the United States Department of Veterans Affairs (VA) to meet specific needs post-deployment (U.S. Department of Veterans Affairs, 2015b). Difficulty with reintegration post-deployment has been linked with homelessness among female veterans. There is evidence to support female veterans' over-representation in the homeless population is due to a higher prevalence of risk factors for homelessness as compared to male veterans and females within the general population (Byrne, Montgomery, & Dichter, …

Postsecondary Transition Services For Students With Autism Spectrum Disorder: An Occupational Therapy Approach, Luke Van Havermaet, Lynn Bielski

Occupational Therapy Capstones

Problem: Individuals with Autism Spectrum Disorder comprise a rapidly growing population with approximately 1168 children being diagnosed annually (CDC, 2016). Individuals with ASD often have difficulties with social interaction, sensory processing, emotional regulation and adapting to environmental changes (Rogers, 2010). Individuals who are diagnosed early in life are provided a wide variety of services to minimize these symptoms to maximize independence later in life, and in an academic setting. As individuals with Autism Spectrum Disorder come to the end of their K-12 education journey, the transition planning completed throughout the student's final year of high school are not carried out …

Using Evidence To Address Psychosocial Impairments Post-Stroke: A Guide For Occupational Therapy, Michael Thurn, Emilee Rath

Occupational Therapy Capstones

Introduction: Following a stroke, individuals experience a wide variety of physical and psychosocial impairments. While physical impairments are commonly given attention by medical practitioners, psychosocial impairments are often overlooked or undiagnosed. (Hildebrand, 2015). Unfortunately, the same is true in occupational therapy, where physical and psychosocial issues have not been receiving the same amount of attention, physical issues being addressed far more than psychosocial issues (Gillen, 2014). The purpose of this scholarly project is to provide occupational therapists a guide to use of current evidence-based assessments and interventions to address psychosocial impairments following stroke. The guide focuses on evidence-based assessments, and …

A Health Care Provider Training Guide To Enhance Cultural Competency In Long-Term Care, Julia Mcbrien, Ashley Prososki

Occupational Therapy Capstones

The population of adults over the age of 65 in the United States is steadily increasing and becoming more diverse. Older adults are the greatest consumer of health care services, and they have unique health care needs. One notable health care need pertains to cultural beliefs and wants. When health care providers address the diverse needs of older adults, health outcomes improve for the client and communication across the interprofessional team improves. Therefore, the students of this scholarly project created a series of three, 50-minute long training sessions focused on training health care providers how to be culturally competent in …

The Effect Of An 8-Week Stabilization Exercise Program On The Lumbopelvic Rhythm And Flexion-Relaxation Phenomenon, Ali Shahvarpour, Sharon M. Henry, Richard Preuss, Hakim Mecheri, Christian Larivière

Études primaires

Background

Lumbar stabilization exercise programs should normalize the aberrant movements patterns often observed in patients with low back pain. This study aimed to determine the effect of an 8-week lumbar stabilization program on EMG/kinematics measures of the aberrant movement patterns in such patients. A secondary goal was to assess the 8-week test-retest reliability of these measures.

Methods

The patients followed an 8-week lumbar stabilization program while no intervention was carried out on the controls. Before and after this period, kinematics of the spine along with the EMG of paraspinal muscles were recorded during trunk maximal flexion-extension. ANOVAs tested the effect …

Physical Therapist Students’ Development Of Diagnostic Reasoning: A Longitudinal Study, Sarah Gilliland

Physical Therapy Faculty Articles and Research

Background and Purpose. Clinical reasoning is a complex problem-solving process that is necessary for effective clinical practice in physical therapy. Within the process of clinical reasoning, a physical therapist’s diagnostic reasoning should address the patient’s functional movement abilities and the impact of the patient’s condition on his or her ability to participate in life activities. This longitudinal study examined the development of entry-level physical therapist students’ diagnostic reasoning processes across time in their doctor of physical therapy education.

Methods. Qualitative methods were used to analyze participants’ diagnostic reasoning during a simulated patient case scenario. Six physical therapist students …

Occupational Therapy And Physiotherapy Education And Workforce In Anglophone Sub-Saharan Africa Countries, Augustine O. Agho, Emmanuel John

Physical Therapy Faculty Articles and Research

Background: Sub-Saharan Africa (SSA) countries are faced with the challenge of educating a critical mass of occupational therapists (OTs) and physiotherapists (PTs) to meet the growing demand for health and rehabilitation services. The World Federation of Occupational Therapy (WFOT) and World Confederation of Physical Therapy (WCPT) have argued for the need of graduate-level training for OTs and PTs for decades. However, very few studies have been conducted to determine the availability of OT and PT training programs and practitioners in SSA countries.

Methods: Initial data were collected and compiled from an extensive literature search conducted using MEDLINE and …

Serve Volume: How Important Is It?, Natalie L. Myers, W. Ben Kibler, Timothy L. Uhl

Physical Therapy Faculty Publications

No abstract provided.

Developing Clinical Faculty Understanding Of Interprofessional Education: An Inter-Institutional, Interprofessional Approach, Debra A. Bierwas, Oaklee Rogers, Brenda Taubman, Lorie Kroneberger, Holly Carroll, Patrick Enking

Internet Journal of Allied Health Sciences and Practice

Introduction: The call for increasing interprofessional education requires institutional support for educators in the clinical environment. Innovative ideas, such as partnering with multiple universities and programs to facilitate an interprofessional workshop, have the opportunity to reach a broader group of clinical educators. The purpose of this study was to examine the attitude of healthcare professionals towards interprofessional learning, familiarity with concepts of interprofessional teaching, and interprofessional practice, and to examine the influence of an interprofessional faculty development workshop on participant familiarity with concepts of interprofessional teaching and learning. Methods: The occupational therapy, physical therapy, and physician assistant programs from two …

Key Points From The Updated Guidelines On Exercise And Diabetes, Sheri R. Colberg

Human Movement Studies & Special Education Faculty Publications

From the Introduction:

No doubt remains that the adoption and maintenance of physical activity is important for overall health and blood glucose management in individuals with diabetes and prediabetes. Recently, the American Diabetes Association (ADA) published updated recommendations and precautions about physical activity and exercise in people with type 1 diabetes, type 2 diabetes, and gestational diabetes (1). Given the importance of these topics, it is worth discussing the key changes and updates included in this ADA position statement (PS).

Effects Of Gait Speed Of Femoroacetabular Joint Forces, Joshua T. Weinhandl, Bobbie S. Irmisher, Zachary A. Sievert

Human Movement Studies & Special Education Faculty Publications

Alterations in hip joint loading have been associated with diseases such as arthritis and osteoporosis. Understanding the relationship between gait speed and hip joint loading in healthy hips may illuminate changes in gait mechanics as walking speed deviates from preferred. The purpose of this study was to quantify hip joint loading during the gait cycle and identify differences with varying speed using musculo skeletal modeling. Ten, healthy, physically active individuals performed walking trials at their preferred speed, 10% faster, and 10% slower. Kinematic, kinetic, and electromyographic data were collected and used to estimate hip joint force via a musculoskeletal model. …

From Froot Loops To Fitness: My Journey As An Educator And Person With Diabetes, Sheri R. Colberg

Human Movement Studies & Special Education Faculty Publications

This article is adapted from the address of Dr. Colberg delivered as the recipient of the American Diabetes Association's Outstanding Educator in Diabetes Award for 2016. She delivered the address in June 2016 at the association's 76th Annual Meeting and Scientific Sessions in New Orleans, LA.

The Effects Of Orthotics And Increased Plantar Sole Mechanoreceptor Activation On Turning Performance In Individuals With Parkinson’S Disease, Kelly A. Robb

Theses and Dissertations (Comprehensive)

Locomotion and turning are complex movement patterns essential to activities of daily living. Individuals with Parkinson’s disease (PD) report difficulties turning, often coupled with impaired balance and increased fear of falling. The purpose of this within-subject study was to determine if orthotics, with and without a textured top cover, can improve gait stability and turning performance within Parkinson’s participants. Seven participants with a diagnosis of idiopathic Parkinson’s disease, aged 55-80 years old, participated in the study. Participants completed three testing sessions; baseline, 4 weeks post-baseline, and 5 weeks post-baseline. The ‘footwear only’ and ‘footwear + non-textured orthotic’ conditions were tested …