Medicine and Health Sciences Commons^™

Promoting Workplace Safety Within An Industrial Setting, Jordan Profit

Occupational Therapy Doctoral Capstones

The Doctoral Capstone Project aimed to develop the Workplace Safety program at Post Consumer Brands to improve overall safety and promote health and wellness among industrial workers. The program promotes health and wellness, injury prevention, and mental health.

Improving Postpartum Care Through Occupational Therapy, Madison Savage

Occupational Therapy Doctoral Capstones

The present study aimed to determine the potential role of occupational therapy in caring for women during their postpartum period. The study also aimed to discover the current goals of the practitioners and the needs of postpartum women.

Back To The Basics: Integrating Biomechanical Frame Of Reference Into The Arkansas State University Otd Curriculum, Krysta Nash

Occupational Therapy Doctoral Capstones

The purpose of the doctoral capstone project was to increase OTD student learning in the Biomechanical Frame of Reference evaluation and intervention process.

Aging In Place Safely: The Impact Of Home Modifications, Noel Walters

Occupational Therapy Doctoral Capstones

The purpose of the capstone project is to advocate for and educate community dwelling older adults in the Columbus, Ohio area to safely age in place and remain independent to avoid institutionalization.

Promoting An Inclusive Learning Environment For Children With Intellectual And Developmental Disabilities At Childcare Centers, Mehak "Mickey" Rajani

Occupational Therapy Doctoral Capstones

The purpose of the doctoral capstone project is to see how well early intervention centers promote a successful and inclusive learning environment for children with IDD through the nurturing competence of childcare providers. Thereby, a successful program can be created for childcare centers to enhance the quality of life for everyone at the center to flourish and succeed beyond the status quo.

North Dakota Physical Therapy Workforce And Telehealth Utilization Between 2018-2022, Nicole A. Thomas, Elise J. Bartel, Logan Thomas, Senior, Brendan E. Kalous, Hunter T. Sylte

Physical Therapy Scholarly Projects

Physical Therapists (PT’s) are important healthcare providers for individuals of all ages, ailments, and provide both prevention and care of disease and injury. Traditionally, physical therapists work in a wide variety of settings including hospitals, nursing homes, schools, sports/outpatient clinics, and privately-owned clinics, to name a few. There are approximately 7.2 physical therapists for every 10,000 people nationwide. However, the geographical distribution and practice settings of PT’s can greatly vary throughout each state, county, and region. This varying distribution of PT’s creates one of the biggest limitations surrounding the field of PT which is decreased access to physical therapy services …

Reverse Total Shoulder Arthroplasty And The Effects Of Physical Therapy In The Outpatient Setting: A Case Report, Troy L. Huff

Physical Therapy Scholarly Projects

Introduction: Reverse total shoulder arthroplasty (RTSA)is gaining popularity globally for treatment of traumatic and degenerative glenohumeral diseases, as well as for irreparable rotator cuff total shoulder arthroplasty surgeries. The number of these surgeries in 2011 were 22,820 and have jumped to a staggering increase of more than 60,000 a year in 2023. The goal of this case study is to determine the role and effectiveness of physical therapy in a status post RTSA.

Case Description: The patient was a 70-year-old year male who had a right RTSA. The patient had comorbidities of Osteoarthritis of the right shoulder, a failed …

Special Anatomy Series. Imaging Inner Ear Structures With High-Frequency Ultrasound: Application To Physical Rehabilitation Space Medicine., Jeffrey Strakowski, Han Zhang, Millard Reschke, Faye Y Chiou-Tan

Neuroscience Articles

OBJECTIVE: The objective of this paper is to document the feasibility of image acquisition, image optimization, and sonographic appearance of the exposed anatomic windows of cadaveric inner ear dissection for purposes of potential future clinical evaluation as part of the developing area of physical and rehabilitation space medicine.

METHODS: Cadaveric dissection of the inner ear was conducted with the goal of exposing areas relevant to vestibular balance. Middle and inner ear structures of 3 human cadavers were imaged with multiple broadband transducers, including emphasis with higher frequency transducers.

RESULTS: The images were best optimized with 17 MHz and 22 MHz …

Parkinson's Disease And Voice Perception: A Little Bit Louder Now!, Samantha Manes, Taylor Desimone

Graduate Student Research: Capstone Competition

This proposed study aims to address gaps in research literature on Parkinson’s disease by investigating the neural mechanisms involved in PD patients' perception of volume using electroencephalography (EEG). By examining brain activity during voice perception tasks, the research seeks to uncover specific areas within the brain that may contribute to the lack of awareness of speaking softly. Insights gained from this study could inform the development of targeted interventions to improve communication and overall quality of life for PD patients. Ultimately, the research aims to provide a louder voice to those affected by Parkinson's disease, enhancing their ability to engage …

Say Neigh To Poor Health: Exploring The Impact Of Equine Assisted Services On Children's Health, Courtney S. Barrus

Occupational Therapy Capstone Presentations

Background: Currently, in the United States, one in six children has a developmental disability (CDC, 2022). According to the US Department of Health and Human Services (2021), developmental disabilities negatively influence an individual's ability to solve problems, social skills, life skills, ability to form relationships, and ability to learn. Equine-assisted services are a group of services, including hippotherapy and adaptive riding, which have been shown to have a positive impact on physical, emotional, and social deficits (Haig & Skinner, 2022; Helmer et al., 2021; Madigand et al., 2023; Zoccante et al., 2021). Methods: The capstone was completed in two steps. …

Determining The Concurrent And Predictive Validity Of The Repetitive Step Test In Individuals With Parkinson's Disease, Rachel Wells, Evan Callahan, Jacob Greco, Harold L. Merriman, Kurt Jackson

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Purpose/Hypothesis: The Repetitive Step Test (RST) assesses rapid stepping capability in anterior lateral (AL) and posterior lateral (PL) diagonal directions. This study’s goal was to determine the predictive validity of the RST to identify fallers with Parkinson’s Disease (PD). A secondary objective was to determine concurrent validity of the RST to other established tests. It was hypothesized that those who completed fewer steps with the RST would be more likely to fall and that the RST would predict falls at least as well as the other balance tests.

Materials and Methods: 13 subjects (8 F, 5 M; mean age 70.2 …

Ehealth Cancer-Related Fatigue Intervention Single Arm Study, Anne Fleischer, Samantha Gelhaus, Emily Flohre, Caroline Frazee, Mary I. Fisher, Carrie Pickering

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Purpose/Hypothesis: Cancer related fatigue (CRF), a sense of physical, emotional and cognitive tiredness not relieved by rest, negatively affects function. Prevalence is reported to be 59-100% throughout the care continuum. Exercise and psychosocial interventions are supported as effective treatment options, yet barriers to personalized care include time and distance to travel for care. The purpose of this pilot study was to evaluate the effectiveness of personalized exercise prescribed by physical therapy (PT), and occupational goal setting and tasks prescribed by occupational therapy (OT) on physical function.

Number of Subjects: 16 adults with cancer and fatigue ≥4/10.

Materials and Methods: Over …

Altering The Lower Limb Kinetic Chain: Reliability And Minimum Detectable Change Of Total Support Moment, J Barrios, R Cloud, M Gorski, A Grieshop, A Kinney

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Purpose: 3D joint kinetics are routinely studied in various lower limb musculoskeletal conditions. Often, a condition affecting a joint is associated with altered kinetics at that same joint, such as knee osteoarthritis being associated with reduced knee flexion moments. However, these same-joint alterations may also contribute to altered comprehensive movement patterns of the entire limb in a synergistic manner. A lower limb biomechanical metric that represents this multi-joint kinetic chain synergy is the total support moment (TSM). Indeed, TSM has been found to be altered in knee osteoarthritis, anterior cruciate ligament reconstruction, and partial meniscectomy. Despite this, psychometric studies are …

The Relationship Between Economic Status And Patient Retention In The Physical Therapy Setting In Selected Physical Therapy Clinics And Hospitals Of Negros Oriental: Perspective Of Filipino Physical Therapists, Rey Joshua P. Osorio, Zoscheele Monica G. Pal, Clarice M. Planteras, Raymon D. Ragay, Ginea Marydawn N. Roda, Rapunzel G. Santillan, Niña Mae B. Sequita, Ulrich Tristan Weber

Student Dissertations

Patient retention has always been part of the goals in the medical field, especially in the Physical Therapy setting; there were some studies that depicted a contingent effect on its likelihood with the patients’ economic status. However, the lack of evidence-based studies in PT surrounding these variables have made it difficult to pinpoint the relationship between the two. This study investigated how economic status influences patient retention in physical therapy settings in Negros Oriental, Philippines. It combined quantitative data from surveys on participant demographics, economic status, and patient retention with qualitative insights gathered through semi-structured interviews. The data collected suggested …

Exploring Occupational Therapy’S Role In Childcare Settings, Makayla Hamling

Occupational Therapy Capstone Presentations

This study focused on exploring the occupational therapist's role in childcare settings. The program development, observations, and hands-on activity allowed for first-hand experience of the role occupational therapists could play in a daycare setting. Incorporating meaningful participation, education, and environmental modifications were a part of this study. The study was conducted in Northeast Nebraska, with a total of 31 participants.

Early detection is key to addressing developmental delays in many areas (play, social, leisure, dressing, eating, etc). Developmental screenings can assist caregivers and specialists in knowing and understanding how a child is developing compared to his or her same-aged peers. …

Wrist Flexor And Extensor Tendon Stiffness During Functional Grip: A Pilot Study, Kristin Stein, Matthew Stephens, Camryn Yacks, Harold Merriman, Joseph Day

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Purpose/Hypothesis: Ultrasound shear wave elastography (SWE) quantifies muscle stiffness, a mechanical muscle property that is known to influence muscle function. Gripping is an important functional task and relies on the synergistic actions of the wrist flexors and extensors. To date, there are no studies to quantify tendon stiffness as measured by SWE during a functional task like gripping. The purpose of this study was to quantify differences between resting and submaximal gripping stiffness of the common wrist flexor (CFT) and common wrist extensor tendons (CET). Secondly, we aimed to compare tendon stiffness values between the flexor tendon and extensor tendons …

Effectiveness Of A Talocrural Joint Mobilization On Restricted Dorsiflexion: A Time Series Intervention Analysis, Carly Archambeau, Ceili Kacmarcik, Camryn Yacks

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Purpose/Hypothesis: Restricted ankle dorsiflexion (DF) mobility is a common musculoskeletal impairment. For intervention, ankle joint mobilizations are often utilized to address restricted DF. Interestingly, no studies have investigated the short-term effect duration of a joint mobilization intervention on restricted DF. Therefore, the purpose of this study was to observe the initial effectiveness and effect duration of a DF mobilization treatment. DF measures included both a static inclinometer-based weight-bearing lunge test (WBLT) as well as dynamic 3D motion capture-based peak ankle DF during a forward step down (FSD) task. We hypothesized that both measures would increase post-mobilization and fade to baseline …

The Use And Accuracy Of Millimeter Wave Radar And Machine Learning For Gait Classification And Monitoring, Mubarak Alanazi, Abdullah Alhazmi, Vamsy Chodavarapu, Kurt Jackson, Meghan Brown, Kara Gnau, Shannon Thiel

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Purpose/hypothesis: The ability to monitor human activity remotely may be useful in providing telerehabilitation and measuring real-world rehabilitation outcomes. Current methods of activity monitoring have significant limitations (cost, privacy, ease of use) that can limit their benefit and widespread use. Recent advances in machine learning (ML) and millimeter wave radar (MWR) have allowed for the development of a cost effective and simple way to monitor human movement continuously and remotely while maintaining reasonable privacy. The purpose of this study was to test the ability of ML and MWR to accurately classify and monitor different types of human activity including different …

An Artificial Intelligent Millimeter Wave Radar System For Human Activity Recognition And Monitoring, Abdullah Alhazmi, Vamsy Chodavarapu, Kurt Jackson, Cameron Djukic, Jennifer Jaszek, Anna Brown

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Purpose/hypothesis: The ability to monitor human activity remotely may be useful in providing telerehabilitation and measuring real-world rehabilitation outcomes. Current methods of activity monitoring have significant limitations (cost, privacy, ease of use) that can limit their benefit and widespread use. Recent advances in machine learning (ML) and millimeter wave radar (MWR) have allowed for the development of a cost effective and simple way to monitor human movement continuously and remotely while maintaining reasonable privacy. The purpose of this study was to test the ability of ML and MWR to accurately classify and monitor different types of human activity including falls. …

The Effect Of An Occupational Balance Educational Module On Life Satisfaction And Occupational Balance For University Students, Unique Bowden

UNLV Theses, Dissertations, Professional Papers, and Capstones

Engaging in a variety of occupations daily can support university students in feeling a sense of balance and satisfaction in their lives. This study aimed to evaluate the effectiveness of an occupational balance education module on improving the life satisfaction and occupational balance of university students ages 18-22 in a public university in the southwest region of the United States. Five participants were recruited using convenience sampling from a student support services program. A four-part education module was provided using a one-group pretest posttest quasi-experimental design, which included education on occupational balance, barriers and supports to occupational balance, strategies to …

Occupational Therapy-Led Tai Chi: Elevating Perceived Competence In Daily Activities Among Semi/Fully Retired Adults, Lester Buenviaje

UNLV Theses, Dissertations, Professional Papers, and Capstones

This doctoral capstone project explored the impact of a Tai Chi intervention led by the occupational therapy student researcher, on self-perceived competence and engagement in Activities of Daily Living (ADLs) among semi/fully retired adults at the Osher Lifelong Learning Institute (OLLI) at University of Nevada, Las Vegas (UNLV). Using the Occupational Self-Assessment (OSA) questionnaire, the project measured changes in participants' confidence and abilities before and after the participation of the Tai Chi program.

The Tai Chi intervention was a six-week Tai Chi program designed to accommodate the physical and cognitive capabilities of semi-retired and retired adults. This program not only …

Improving Patients’ Readiness For Discharge: The Development Of An Occupation-Based Group Therapy Protocol In Inpatient Rehabilitation, Valerie Cheng

UNLV Theses, Dissertations, Professional Papers, and Capstones

The literature showed a lack of studies involving occupation-based group therapy in an inpatient rehabilitation setting, with notable barriers including lack of time, space, and equipment. The barriers lead occupational therapists (OT) to pursue an impairment-based approach, steering away from occupation-based approaches, which is what makes up the core of OT. Current literature is also limited to patients' perceptions of discharge readiness, with most research primarily concentrated on clinicians' perspectives. This 14-week capstone experience will include developing an occupation-based group therapy protocol for inpatient rehabilitation that will be implemented at Dignity Health Rehabilitation Hospital. Through conducting occupation-based group therapy in …

Sens"Ability" Coaching: Inspire And Empower Parents With Occupational Performance Coaching Using Dunn’S Model Of Sensory Processing – A Manualized Education Program For Clinicians, Kelby Christian

UNLV Theses, Dissertations, Professional Papers, and Capstones

Introduction: The current literature found a need for improved collaboration styles and programs that can adapt to the needs of the various mental health diagnoses. This capstone project focused on creating a manualized education program called SensABILTY Coaching, which aims to improve clinicians’ confidence in educating caregivers of children with autism spectrum disorder (ASD) on Dunn’s Model of Sensory Processing using principles of Occupational Performance Coaching (OPC). Improving clinicians' confidence increases positive reactions and enhances caregiver and clinician collaboration. This capstone project outlines the benefits of using the principles of OPC intervention styles and sensory-based strategies for their effectiveness when …

Perceptions Of A Community-Based Playgroup To Promote Caregiver Knowledge Of Resources And Prevention Of Developmental Delays In A Rural Setting, Chesnee Clingman

UNLV Theses, Dissertations, Professional Papers, and Capstones

For children living in rural communities, the likelihood of having a developmental delay substantially increases compared to children living in urban areas (Weglarz-Ward et al., 2019). This can be due to a lack of access to resources, limited education, and geographical isolation. Despite the rising trend of developmental delays among rural children, there is a noteworthy lack of early intervention resources for both the child and their family. This trend of minimal resources is demonstrated in Lincoln County, Nevada. Using an occupational therapy lens, a community-based playgroup program was developed for residents in Lincoln County. Community-based playgroups involve a structured …

Educational Series On Sensory Processing Differences And Sensory-Related Responses: An Occupational Therapy Perspective To Promote Caregiver Understanding, Jessemae Delarmente

UNLV Theses, Dissertations, Professional Papers, and Capstones

The objective of this doctoral capstone was to create and conduct a five-part online educational series for caregivers of children ages 0-5 about the impact sensory processing differences (SPD) has on occupational participation and performance, as well as how to navigate sensory-related responses (SRRs) on a daily basis. SPD and SRRs are complex topics commonly talked about on a graduate level as it requires knowledge of the nervous system and child development. Caregiver resources on SPD and SRRs are difficult to obtain and may not present the information appropriately for varying health literacy levels. This leads many caregivers to have …

Pain Management Series For Stroke: Identifying Teaching Methods To Increase Clinical Self-Efficacy For Occupational Therapy Doctoral Students, Apasara Jittprasert

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose

Post-stroke pain has been identified as a significant challenge for individuals experiencing a stroke. Occupational therapists play a crucial role in the complex treatment of post-stroke pain but often face challenges due to a lack of self-efficacy in implementing treatments for stroke-related pain. This project’s purpose was to,1) to identify which teaching methods are effective for increasing clinical self-efficacy in doctoral occupational therapy students for implementing pain management treatment for individuals’ post-stroke and 2) to increase reported clinical self-efficacy levels among these students following the completion of a pain management educational program for stroke pain.

Methodology

This project recruited …

The Feasibility Of High-Intensity Training To Improve Self-Control And Occupational Participation In At-Risk Adolescents, Tashia Kaplan

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose

Adolescence is a challenging time navigating self-control and decision-making, creating vulnerability to developing poor habits and unhealthy behaviors. This feasibility study aimed to determine if a high-intensity training program (HIT) would improve self-control, health-related behaviors, and healthy occupational participation in at-risk adolescents in the Real Talk Youth Impact Program (Real Talk), measured by the Occupational Experience Profile (OEP).

Methodology

Three at-risk adolescent were recruited via convenience sampling from Real Talk to participate in a twelve-session HIT intervention, one participant completed all sessions. Researchers used a quasi-experimental exploratory sequential mixed-methods design to examine self-control, health-related behaviors, and occupational participation measured …

Interdisciplinary Education On Using The Combilizer For Grooming Tasks In The Intensive Care Unit, Bonnie Lei

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose: The purpose of this study was to provide a teaching and learning program to the interdisciplinary team on how to use the Sara Combilizer with critically ill patients to increase efficacy for early progressive mobility (EPM) by facilitating grooming tasks. Methods: A teaching and learning program on using the Sara Combilizer to facilitate grooming tasks was provided to the acute care therapy team at a hospital. The program included an evidence-based lecture, a practice case study, and a digital instructional manual. The program was evaluated through a pre- and post-survey, and a quality improvement survey. The Wilcoxon signed-rank test …

Occupational Therapy-Led Development Of Life Skills Coaching Course On Resources For Educational Attainment To Foster Independent Living Among Youth Aging Out Of Foster Care, Joana Naguit

UNLV Theses, Dissertations, Professional Papers, and Capstones

This capstone project focused on addressing the competence of foster youth in their independent living skills, particularly, educational attainment skills. Delivered in a blended learning format, a life skills coaching course focused on educational attainment resources was proposed to address the long-term challenge of poor educational attainment among foster youth at Bamboo Sunrise, a specialized foster care agency in Henderson, NV. Participants completed brief didactic work in the form of video and PowerPoint lectures followed by the evaluation of their comprehension and skills through questionnaires and competencies. Competency evaluations simulated hands-on workshops structured weekly to promote skill mastery and application …

Providing Parent Education On School-Based, Social-Emotional Learning Programs To Increase Parents’ Self-Efficacy For Managing Aversive Behaviors, Cerena Obra

UNLV Theses, Dissertations, Professional Papers, and Capstones

There is limited evidence on the imperative role that caregivers play in social-emotional learning development for effective social-emotional learning program implementation despite their crucial influence on childhood development. This doctoral project explored the effects of parent education for two school-based, social-emotional learning program techniques on caregivers’ self-efficacy in managing aversive behaviors. This doctoral project discusses aversive behaviors, social-emotional learning, the Zones of Regulation and Friendzy social-emotional learning programs, caregiver education, and caregiver self-efficacy. This project highlights the importance of including caregivers in effective school-based social-emotional learning programs by exploring caregivers' self-efficacy when provided education on school-based social-emotional learning techniques.