Medicine and Health Sciences Commons^™

Puzzleart Therapy: Connecting The Pieces In Search Of Answers, Jennifer Fortuna

Open Journal of Occupational Therapy: Occupation and the Artist

Alli Berman has been an artist, educator, author, and lecturer for more than 25 years. Her art can be found in private, corporate, and nonprofit collections around the world. Berman is the creator of PuzzleArt, a series of small abstract paintings that combine to form a modular puzzle. When a stroke impacted Berman’s quality of life, she turned to art for answers. Engagement in a meaningful activity, such as painting, provided her motivation and strength for continued physical and psychological healing. The PuzzleArt concept evolved from a simple exercise that helped Berman to fit all of the missing pieces back …

Puzzleart Therapy: Connecting The Pieces In Search Of Answers, Jennifer Fortuna

The Open Journal of Occupational Therapy

Alli Berman, a New York based artist, provided the cover art for the Fall 2016 issue of The Open Journal of Occupational Therapy (OJOT). “Sunlight Underwater” is a 12 piece PuzzleArt painting made from acrylic on American maple that measures 22x30. The PuzzleArt concept began as a simple exercise that evolved into a therapeutic modality. When a sudden stroke impacted Berman’s well-being and quality of life, it was art that helped her to make connections during recovery.

Reclaiming And Proclaiming The Use Of Crafts In Occupational Therapy, Emily Leenerts, Cynthia Evetts, Emily Miller

The Open Journal of Occupational Therapy

No abstract provided.

What's In The Fridge? Unique Competencies Of Community-Based Occupational Therapists, Sunny R. Winstead

The Open Journal of Occupational Therapy

No abstract provided.

Perceptions Of Academic Fieldwork Coordinators Regarding The Value Of Fieldwork In Emerging Areas Of Practice, Victoria G. Wilburn, Kate E. Decleene Huber, Julie Gahimer, Candace Beitman, Elizabeth S. Moore

The Open Journal of Occupational Therapy

This study investigated the perceptions of academic fieldwork coordinators (AFWCs) regarding emerging areas of practice as fieldwork experiences for entry-level occupational therapy (OT) students. Further, this study explored several aspects of fieldwork experiences in emerging areas of practice on student personal and professional development, academic curriculum, partnering community agencies, and the profession at large. A survey designed through Qualtrics®, an electronic survey system, was sent to 163 AFWCs of fully accredited master’s and doctoral entry-level OT programs. Forty-four participants (27%) completed the 16-question survey. Significance at p < .05 was found in higher levels of Bloom’s taxonomy student performance when compared to traditional areas of practice. Common perceptions found among the AFWCs related to emerging areas of practice fieldwork experiences included: improved student professional and personal skills, increased connections and collaborations across and in health care disciplines, an enhanced ability to define and understand OT. Continued opportunities for fieldwork in emerging areas of practice are essential as the profession contemplates new markets and avenues in a changing health care environment.

Ot Practitioners’ And Ot Students’ Perceptions Of Entry-Level Competency For Occupational Therapy Practice, Minetta Wallingford, Lisa J. Knecht-Sabres, Michelle M. Lee, Lavonne Ellen St.Amand

The Open Journal of Occupational Therapy

This study examined occupational therapy (OT) practitioners’ and OT students’ perceptions of the importance of 12 specific OT-related entry-level competency skills and the number of weeks required to consistently demonstrate skills for entry-level competency. The results indicated that, on average, practitioners (n = 39) and students (n = 38) agreed that all of the items were important. However, the students had significantly higher ratings regarding the importance of communication, occupation and client-centered goals, time management, interventions, and use of theory and evidence. They also rated a higher number of minimum weeks required to consistently demonstrate entry-level competency. The …

High-Fidelity Simulation In Occupational Therapy Curriculum: Impact On Level Ii Fieldwork Performance, Rebecca Ozelie, Catherine Both, Emma Fricke, Carolyn Maddock

The Open Journal of Occupational Therapy

Simulation experiences provide experiential learning opportunities during artificially produced real-life medical situations in a safe environment. Evidence supports using simulation in health care education yet limited quantitative evidence exists in occupational therapy. This study aimed to evaluate the differences in scores on the AOTA Fieldwork Performance Evaluation for the Occupational Therapy Student of Level II occupational therapy students who received high-fidelity simulation training and students who did not. A retrospective analysis of 180 students from a private university was used. Independent samples nonparametric t tests examined mean differences between Fieldwork Performance Evaluation scores of those who did and did not …

Knowledge Translation And Occupational Therapy: A Survey Of Canadian University Programs, Heidi Cramm, Blair Short, Catherine A. Donnelly

The Open Journal of Occupational Therapy

While Canadian occupational therapy recognizes knowledge translation (KT) as essential to clinical interactions, there has been little attention paid to KT activity in education and research. The objective of this study was to identify the nature of KT activities in which Canadian occupational therapy faculty engage. An electronic survey was sent to faculty at 14 Canadian occupational therapy programs to explore the nature of KT activities, including research, education, strategies, evaluation, and barriers and facilitators. Descriptive statistics were used to analyze the data. Results show that faculty engage in a range of KT activities, with conferences and peer-reviewed publications being …

Up Bloom’S Pyramid With Slices Of Fink’S Pie: Mapping An Occupational Therapy Curriculum, Susan C. Burwash, Roberta Snover, Robert Krueger

The Open Journal of Occupational Therapy

Curriculum design is a complex task. One tool used in the design process is curriculum mapping. A mandated transition from a quarter to a semester academic calendar, alongside preparation of accreditation self-study materials, provided an opportunity for faculty teaching in an entry-level occupational therapy program to review the underlying basis of the curriculum. Two taxonomies of learning (Bloom’s cognitive domain and Fink’s taxonomy of significant learning experiences) were used to examine existing courses and to consider how learning outcomes and experiences varied over the sequence of courses in the curriculum. This led to the creation of a series of course …

Bangladesh Norms For A Gender-Specific Functional Fine Dexterity Test (Ffdt), Debra K. Lindstrom-Hazel, Umme Aeyman, Md. Julker Nayan, Syed Shakawat Hossain

The Open Journal of Occupational Therapy

Background: Good psychometrics and cultural relevance are needed for evidence-based practice. Occupational therapy (OT) assessment tools in Bangladesh have been developed outside of Bangladesh and have not been validated or normed for Bangladeshis. This normative and psychometric study was to provide culturally relevant norms for in Bangladesh for bilateral fine motor.

Method: The Functional Fine Dexterity Test (FFDT) consists of two functional/self-care gender-specific task instruments: a shirt with five buttons for males and a pinning board for females. Raters were trained in timing these tasks.

Results: Intra-Class Correlation (ICC) scores were > .85 for all rater teams. Participants …

Goals And Expectations Of Continuation High School Students Transitioning To Postsecondary Education, Chi-Kwan Shea, Gordon Muir Giles

The Open Journal of Occupational Therapy

Background: Students at a continuation high school (CHS) attended an occupational therapy program to acquire life skills in preparation for their transition from secondary education. Most of the students who participated in the OT program planned to pursue a postsecondary education (PSE), but the CHS students encountered many barriers in negotiating the requirements of PSE. Discernment of these barriers encountered by the CHS students may enable the occupational therapy practitioners to better prepare the students for PSE.

Method: This was a qualitative phenomenological study based on analyses of interview data. Semi-structured one-on-one interviews were conducted with eight CHS senior students …

Fitness-To-Drive Screening Measure©: Patterns And Trends For Canadian Users, Sherrilene Classen, Shabnam Medhizadah, Liliana Alvarez

The Open Journal of Occupational Therapy

Background: The Fitness-to-Drive Screening Measure^© (FTDS) is an online screening tool that enables proxy raters (caregivers, family members, and friends) to identify at-risk older adult drivers via 54 driving-related items. This study aimed to identify areas in need of improvement for the FTDS by identifying the patterns and trends of Canadian users and providing recommendations to increase the usage, reach, and potential impact of the FTDS as a health promotion tool.

Methods: We used monthly Google Analytics reports to calculate descriptive statistics for web page and session specific variables. Variables were separated into Year 1 and Year 2 …

Perceived Benefits Of Kinesio Tape® Compared To Non-Kinesiology Tape And No Tape In Healthy Collegiate Athletes, Gregory Chown, Jennifer Innamorato, Marlee Mcnerney, Jennifer Petrilla, Hillary Prozzillo

The Open Journal of Occupational Therapy

Background: Sports participation is considered a meaningful occupation for people of all ages. Multiple disciplines use Kinesio Tape® during treatment (Kinesio Taping® Association International, 2013e) for sports-related injuries. While the use of Kinesio Tape® is becoming increasingly popular in sports, there is a lack of evidence supporting its effectiveness. The purpose of this study was to address the following question: Is there a perceived sports performance benefit of using Kinesio Tape® compared to non-kinesiology tape or no tape in healthy collegiate athletes?

Method: This quantitative pilot study used a convenience sampling method. The participants included eighteen healthy men’s …

Perspectives Of Individuals Who Experienced Bullying During Childhood, Olivia Byjos, Jackie Dusing, Callyn Zartman, Susan M. Cahill

The Open Journal of Occupational Therapy

Background: The objective of the qualitative study was to describe the perspectives of adults who experienced bullying at school during childhood or adolescence.

Method: Data was collected through semi-structured interviews (n = 8) and analyzed using the constant comparative method.

Results: Three major themes emerged: (a) the school should have done something, (b) it still affects me, and (c) there needs to be prevention.

Conclusion: Based on their unique expertise, occupational therapy practitioners may be able to collaborate with interprofessional teams to address the needs of individuals who bully and those who are being bullied at school.

Why The Veracity Of Data Matters In Health Care Research, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.

Same-Day Physical Therapy Consults In An Outpatient Neuromuscular Disease Physician Clinic, Evan M. Pucillo, Nancy Christensen-Mayer, Shelly D. Poole, Denise M. Whitten, Danielle Freeman, Blake R. Bohe, Brandon R. Swensen, A Gordon Smith, Nicholas E. Johnson

Physical Therapy Collection

Background: Team-based care has been shown to offer more comprehensive benefits to patients when compared to standard physician-based care alone in clinics for chronic conditions. However, apart from grant-funded multidisciplinary clinics, there are no reports on the usage of same-day physical therapy (PT) consults within a daily outpatient neuromuscular disease (NMD) physician clinic.

Objective: To determine the impact of same-day PT consults at the University of Utah’s outpatient Clinical Neurosciences Center.

Design: A qualitative assessment and survey of patient satisfaction.

Methods: An eight question Health Insurance Portability and Accountability Act-compliant patient satisfaction survey using a 5-point Likert scale was …

Ua10/1 Cec Newsletter, Mary Lloyd Moore, Executive Director, Wku Suzanne Vitale Clinical Education Complex

CEC Publications

No abstract provided.

Self-Perceptions Of Disability And Impairment In An Indian Prosthetic Population Using Jaipur Foot Technology, Litany Esguerra

Independent Study Project (ISP) Collection

Twenty-nine first time and repeat prosthetic users were interviewed over a period of three weeks to determine how they perceived their own disability at Bhagwan Mahaveer Viklang Sahayata Samiti, or Jaipur Foot, located in Jaipur, India. The questions delineated different aspects of people’s disabilities and impairment, and asked a multitude of questions regarding social, economic, political, and other contexts, influenced by the conceptual framework of the International Classification of Functioning (ICF). The study analyzed all of the factors as specified by the questionnaire and found that many varying trends over all types of prosthetic users. The study also used the …

Evaluation Of The Healing Progress Of Pressure Ulcers Treated With Cathodal High-Voltage Monophasic Pulsed Current: Results Of A Prospective, Double-Blind, Randomized Clinical Trial, Anna Polak, Luther C. Kloth, Edward Blaszczak, Jakub Taradaj, Agnieszka Nawrat-Szoltysik, Lidia Bialek, Malgorzata Paczula, Andrzej Franek, Cezary Kucio

Physical Therapy Faculty Research and Publications

OBJECTIVE: To investigate the effectiveness of high-voltage monophasic pulsed current (HVMPC) as an adjunct to a standard wound care for the treatment of Stage II and III pressure ulcers (PrUs).

DESIGN: Prospective, randomized, double-blind, controlled clinical study.

SETTING: Two nursing and care centers.

PATIENTS: Patients with PrUs that did not respond to previous treatment for at least 4 weeks were randomly assigned to the electrical stimulation (ES) group (25 patients; mean age of 79.92 ± 8.50 years; mean wound surface area [WSA] of 10.58 ± 10.57 cm²) or to the control group (24 patients; mean age of 76.33 …

Role Of Vascular Reactive Oxygen Species In Regulating Cytochrome P450-4a Enzyme Expression In Dahl Salt-Sensitive Rats, Kathleen M. Lukaszewicz, Mahesh P. Paudyal, John R. Falck, Julian H. Lombard

Physical Therapy Faculty Research and Publications

Objective

The potential contribution of CYP4A enzymes to endothelial dysfunction in Dahl salt-sensitive rats was determined by comparison to SS-5^BN consomic rats having chromosome 5 carrying CYP4A alleles from the BN rat introgressed into the SS genetic background.

Methods

The following experiments were performed in cerebral arteries from HS-fed SS and SS-5^BN rats ± the SOD inhibitor DETC and/or the superoxide scavenger Tempol: (i) endothelial function was determined via video microscopy ± acute addition of the CYP4A inhibitor DDMS or Tempol; (ii) vascular oxidative stress was assessed with DHE fluorescence ± acute addition of DDMS, l-NAME, or PEG-SOD; …

Neuromuscular Alterations After Ankle Sprains: An Animal Model To Establish Causal Links After Injury, Lindsey K. Lepley, Patrick O. Mckeon, Shane G. Fitzpatrick, Catherine L. Beckemeyer, Timothy L. Uhl, Timothy A. Butterfield

Physical Therapy Faculty Publications

Context: The mechanisms that contribute to the development of chronic ankle instability are not understood. Investigators have developed a hypothetical model in which neuromuscular alterations that stem from damaged ankle ligaments are thought to affect periarticular and proximal muscle activity. However, the retrospective nature of these studies does not allow a causal link to be established.

Objective: To assess temporal alterations in the activity of 2 periarticular muscles of the rat ankle and 2 proximal muscles of the rat hind limb after an ankle sprain.

Design: Controlled laboratory study.

Setting: Laboratory.

Patients or Other Participants: …

Click Here! E-Learning Modules For Innovative Instruction And Learning, Nicole M. Sleddens, Betsy J. Becker, Sara E. Bills

Posters and Presentations: Physical Therapy

Purpose: Re-designing all or portions of a course with a fresh perspective can re-energize faculty and make the content more engaging for the learner. Teaching the millennial generation is also prompting faculty to revisit educational strategies. The use of electronic learning platforms, such as eLearning modules, is an innovative learning strategy with several reported benefits including flexibility and convenience for usage, ability for learners to study at their own pace and adaptability to different learning styles. Using technology that is free or already available to faculty, even the novice designer can begin development of these useful study tools. The key …

Walking Performance Is Positively Correlated To Calf Muscle Fiber Size In Peripheral Artery Disease Subjects, But Fibers Show Aberrant Mitophagy: An Observational Study, Sarah H. White, Mary M. Mcdermott, Robert L. Sufit, Kate Kosmac, Alex W. Bugg, Marta Gonzalez-Freire, Luigi Ferrucci, Lu Tian, Lihui Zhao, Ying Gao, Melina R. Kibbe, Michael H. Criqui, Christiaan Leeuwenburgh, Charlotte A. Peterson

Physical Therapy Faculty Publications

Background: Patients with lower extremity peripheral artery disease (PAD) have decreased mobility, which is not fully explained by impaired blood supply to the lower limb. Additionally, reports are conflicted regarding fiber type distribution patterns in PAD, but agree that skeletal muscle mitochondrial respiration is impaired.

Methods: To test the hypothesis that reduced muscle fiber oxidative activity and type I distribution are negatively associated with walking performance in PAD, calf muscle biopsies from non-PAD (n = 7) and PAD participants (n = 26) were analyzed immunohistochemically for fiber type and size, oxidative activity, markers of autophagy, and capillary density. Data were …

Developing The Improving Post-Event Analysis And Communication Together (Impact) Tool To Involve Patients And Families In Post-Event Analysis, Madelene J. Ottosen Phd, Rn, Emily W. Sedlock Mph, Aitebureme O. Aigbe Drph, Jason M. Etchegaray Phd, Sigall K. Bell Md, Thomas H. Gallagher Md, Eric J. Thomas Md, Mph

Journal of Nursing & Interprofessional Leadership in Quality & Safety

The analysis of harmful errors is typically led by a team within the hospital and includes clinicians and staff who were involved at the time of the event. However, the patient and family are often left out of this process and are not asked to participate in the investigation. Because little guidance is available for facilitating patient input, an interprofessional team convened to develop a semi-structured tool to be used in eliciting patient feedback. Some 72 persons who had experienced adverse events were interviewed. Using a thematic analysis approach, the team learned that 51% of the interviewees preferred to participate …

The Future Of Healthcare Delivery: Ipe/Ipp Audiology And Nursing Student/Faculty Collaboration To Deliver Hearing Aids To Vulnerable Adults Via Telehealth, Robert E. Novak Ph.D, Asha Fellow, Adelita Gonzales Cantu Phd., Rn, Amanda Zappler Aud, Laura Coco Aud, Craig A. Champlin Phd, Asha Fellow, Julie C. Novak Dnsc, Rn, Faanp, Faan

Journal of Nursing & Interprofessional Leadership in Quality & Safety

A multi-departmental, two-city initiative to provide hearing aid service via a telepractice approach was developed whereby nursing and auditory students with supervisory faculty used AV conferencing for training and interaction with referred patients. Located in two cities, 21 nursing and 15 doctoral level audiology students met virtually, and students received teleaudiology education and practicum with interprofessional education and practice components. Nursing students in one city and a supervising faculty in another city could interact with providers and patients in both cities to provide hearing care. The teleaudiology project delivered hearing health care services, including fitting of digital mini hearing aids, …

In The Information Age, Do Dementia Caregivers Get The Information They Need? Semi-Structured Interviews To Determine Informal Caregivers’ Education Needs, Barriers, And Preferences, Kendra Peterson, Howard Hahn, Amber J. Lee, Catherine A. Madison, Alireza Atri

Dartmouth Scholarship

Most patients with dementia or cognitive impairment receive care from family members, often untrained for this challenging role. Caregivers may not access publicly available caregiving information, and caregiver education programs are not widely implemented clinically. Prior large surveys yielded broad quantitative understanding of caregiver information needs, but do not illuminate the in-depth, rich, and nuanced caregiver perspectives that can be gleaned using qualitative methodology. We aimed to understand perspectives about information sources, barriers and preferences, through semi-structured interviews with 27 caregivers. Content analysis identified important themes

Cellular And Morphological Alterations In The Vastus Lateralis Muscle As The Result Of Acl Injury And Reconstruction, Brian W. Noehren, Anders H. Andersen, Peter A. Hardy, Darren L. Johnson, Mary Lloyd Ireland, Katherine L. Thompson, Bruce Damon

Physical Therapy Faculty Publications

Background: Individuals who have had an anterior cruciate ligament (ACL) tear and reconstruction continue to experience substantial knee extensor strength loss despite months of physical therapy. Identification of the alterations in muscle morphology and cellular composition are needed to understand potential mechanisms of muscle strength loss, initially as the result of the injury and subsequently from surgery and rehabilitation.

Methods: We performed diffusion tensor imaging-magnetic resonance imaging and analyzed muscle biopsies from the vastus lateralis of both the affected and unaffected limbs before surgery and again from the reconstructed limb following the completion of rehabilitation. Immunohistochemistry was done to determine …

Selectivity Of Conventional Electrodes For Recording Motor Evoked Potentials: An Investigation With High‐Density Surface Electromyography, Alessio Gallina, Sue Peters, Jason L. Neva, Lara A. Boyd, Jayne Garland

Physical Therapy Publications

Introduction

The objective of this study was to determine whether motor evoked potentials (MEPs) elicited with transcranial magnetic stimulation and measured with conventional bipolar electromyography (EMG) are influenced by crosstalk from non-target muscles.

Methods

MEPs were recorded in healthy participants using conventional EMG electrodes placed over the extensor carpi radialis muscle (ECR) and high-density surface EMG (HDsEMG). Fifty MEPs at 120% resting and active motor threshold were recorded. To determine the contribution of ECR to the MEPs, the amplitude distribution across HDsEMG channels was correlated with EMG activity recorded during a wrist extension task.

Results

Whereas the conventional EMG identified …

Cycle Training Modulates Satellite Cell And Transcriptional Responses To A Bout Of Resistance Exercise, Kevin A. Murach, R. Grace Walton, Christopher S. Fry, Sami L. Michaelis, Jason S. Groshong, Brian S. Finlin, Philip A. Kern, Charlotte A. Peterson

Physical Therapy Faculty Publications

This investigation evaluated whether moderate‐intensity cycle ergometer training affects satellite cell and molecular responses to acute maximal concentric/eccentric resistance exercise in middle‐aged women. Baseline and 72 h postresistance exercise vastus lateralis biopsies were obtained from seven healthy middle‐aged women (56 ± 5 years, BMI 26 ± 1, VO_2max 27 ± 4) before and after 12 weeks of cycle training. Myosin heavy chain (MyHC) I‐ and II‐associated satellite cell density and cross‐sectional area was determined via immunohistochemistry. Expression of 93 genes representative of the muscle‐remodeling environment was also measured via NanoString. Overall fiber size increased ~20% with cycle training ( …

From Interview To Transcript To Story: Elucidating The Construction Of Journalistic Narrative As Qualitative Research, Jørgen Jeppesen

The Qualitative Report

There is a call to narrative investigators to be more explicit about their ways of working methodologically, in particular concerning dialogic/performative analysis. The purpose of this study was to examine how journalistic storytelling used as qualitative health research transformed, assembled and sequenced interview into transcripts, scenes, digressions, and other language products. A published story from a socio-narratological study of living with the terminal disease Amyotrophic Lateral Sclerosis was selected. Distribution and sequence of modes of transcription, versions of dialogue, transformation of observation and memory to scenes, and conversion of the researcher’s reflection to digression, were identified and calculated. Spots in …