Medicine and Health Sciences Commons^™

Multifactorial Exercise Intervention Decreases Falls Risk In High-Risk And Low-Risk Older Adults, Amanda Estep, Steven Morrison, Shane V. Caswell, Jatin P. Ambegaonkar, João R. Vaz, Nelson Cortes

Rehabilitation Sciences Faculty Publications

Background: Each year, 1 in 4 people over the age of 65 years of age will experience a fall. It is important to identify and address modifiable risk factors that are associated with falls in adults at high and low risk for falls.

Hypothesis: Falls risk improves in both high-risk and low-risk participants with the implementation of Stay Active and Independent for Life (SAIL).

Study Design: Cohort study.

Level of Evidence: Level 3.

Methods: Seventy-eight older adults (age, 70.9 ± 5.1 years) were included in this study and categorized into high risk and low risk for falling based on the …

Promoting Inpatient Mobility To Improve Patient Outcomes: A Quality Improvement Project In A Rural Critical Access Hospital, Chantal Laplante

Master's Theses and Capstones

Background: Although beneficial to patient outcomes, inpatient ambulation is not a prioritized care intervention, and a task often deferred to physical therapy. Patient immobility is a complex problem that requires a multifaceted approach.

Local Problem: In a rural, critical access hospital, on an 18-bed medical surgical unit, nursing staff lacked ownership of patient mobility. There was no standardized process to document ambulation and mobility tasks were not scheduled, falling to the end of the nursing work list. Many patients did not have activity orders upon admission and nurses lacked resources for ambulation assessment and daily goal setting. There was no …

A Comparison Of Concurrent Training And Moderate Intensity Continuous Training In Patients With Coronary Artery Disease, Amanda Alfaro-Chaverri, John Quindry, Charles Dumke, Brian Loyd

Graduate Student Theses, Dissertations, & Professional Papers

Moderate intensity continuous training (MICT) is the most studied method in cardiac rehabilitation (CR) for patients with coronary artery disease (CAD). Traditionally, resistance training has been utilized as a secondary role in CR. Recent interest in the topic suggests that MICT and resistance training should be applied collectively, an approach termed concurrent training (CT). The collective understanding of the potential of CT in CR patients is currently lacking.

Purpose: The aim of this professional paper is to analyze scientific evidence regarding the efficacy and safety of CT versus MICT. The analysis will focus on five primary measurements: exercise capacity, cardiovascular …

Response To Intervention: The Effect Of Sensory Processing Tier 1 And Tier 2 Occupational Therapy Intervention, Workshops & Consultation On Kindergarten Students, Kieran Bolger, Cindy Zhang, Julia Dariychuk, Janine Yu, Zuriel Chester

Master's Projects

Sensory modulation is critical for self-regulation in learning environments where children may experience unexpected or atypical sensory stimuli leading to disruptive behaviors often misunderstood or misinterpreted by teachers (Mac Donald & Baist, 2021; Smith & Douglass, 2022). Teachers often lack understanding of sensory processing and evidence-based strategies to address the behavioral challenges related to sensory processing (Cahill et al., 2014; Gee & Nwora, 2011; Mac Donald & Baist, 2021). Occupational therapists practitioners (OTPs) are beneficial team members that are skilled in addressing sensory processing (Cahill, 2010) and can partner with teachers to increase their understanding and utilization of sensory processing …

Isokinetic Testing: Why It Is More Important Today Than Ever, Kevin E. Wilk, Christopher A. Arrigo, George J. Davies

Physical Therapy Faculty Publications

Isokinetics is a proven method to train and objectively assess the capability of muscle groups, particularly at the knee. The current re-injury rates and less than optimal return to sport percentages seen following anterior cruciate ligament surgery highlights the need for greater focus on what tests and methods are used to make these critical decisions. Isokinetics remains the best single method to objectively determine dynamic muscle strength, power, rate of force development and endurance. These factors make it well-suited to play a crucial role in influencing the appropriate patient progression through a rehabilitation program and assisting in determining return to …

Physical, Emotional, And Occupational Dimensions Of Wellness And Their Applicability: A Feasibility Study, Josephine Savitski

Williams Honors College, Honors Research Projects

This feasibility study investigates a health and wellness intervention program based on the 7 Dimensions of Wellness framework, emphasizing evidence-based methods, accessibility, and participant independence. The research combines insights from a comprehensive literature review, which explores resources essential for designing, implementing, and executing health literacy based interventions targeting three dimensions of wellness. The study outlines methods for participant selection, program delivery, and data collection, synthesizing existing research and scholarly works to provide insights into effective strategies, educational tools, and interdisciplinary approaches. Despite the absence of statistical analysis, pre- and post-survey results demonstrate positive trends. Reflections on observed outcomes highlight adaptability, …

Lifestyle Redesign: The Franciscan Sisters Of Little Falls, Mn, Seth Crocker

Occupational Therapy Capstone Presentations

Occupational therapy (OT) practitioners have a wide scope of practice due to the versatility of the profession. Some OT practitioners practice in traditional healthcare settings, such as hospitals, clinics, and schools, while other therapists find locations that are considered less conventional. The utilization of OT in nontraditional practices is an opportunity for practitioners to expand their scope of practice and benefit more people within the community. No matter the setting, OT practitioners provide services to promote patient health, independence, and quality of life. A specific factor that can negatively affect these areas is age progression. One way to combat this …

Low Back Pain And The Lumbar Multifidus Muscle, Richard E. Sroka

Graduate Research Theses & Dissertations

Low back pain (LBP) is common, debilitating, and costly to treat. In the United States alone, LBP treatment costs are estimated at 100-200 billion annually. Physical therapists often provide conventional core strengthening exercise (CCSE) to address the symptoms of LBP. On the other hand, however, a low rate of success is reported for individuals treated for their LBP. Despite numerous studies conducted on LBP treatments, patient outcomes are mixed and 60-86% of people have recurrent LBP episodes. This rating may be attributed to the complexity of the exercise that makes correct performance challenging and can potentially reduce patient compliance. An …

Highlighting The Importance Of Advocacy, Policy, And Legislation In Occupational Therapy, Victoria Maichel

Occupational Therapy Student Capstones

No abstract provided.

Transitional Support Programming For First-Year Occupational Therapy Graduate Students, Samantha Proctor

Occupational Therapy Capstones

Title: Transitional Support Programming for First-Year Occupational Therapy Graduate Students

Background: The focus of the project represents the Scholarship of Application, which is the translation of existing research into practice. A student’s transition from undergraduate to graduate-level programs can be challenging due to the increased academic rigor inherent to graduate programs. This can lead to an imbalance in students' lives and an increase in stress, anxiety, and burnout. As the overall well-being of students decreases, the likelihood of students experiencing academic hardships increases. Students need diverse academic and professional skills to navigate graduate school successfully; however, many students lack those …

Addressing Psychosocial Factors In Upper Extremity Injuries To Improve Outcomes And Quality Of Life, Jace Allard

Occupational Therapy Capstones

Purpose: Following upper extremity injuries, negative psychosocial factors such as anxiety, stress, post-traumatic stress disorder, and depression are found to be prevalent (Hardison et al., 2021; Maddison et al., 2023). Negative psychosocial symptoms such as these can negatively affect recovery outcomes and quality of life for individuals (Kinsley et al., 2020; Sposato et al., 2018). Typical treatment received in hand therapy for individuals with upper extremity injuries consists primarily of physical remediation through a biomedical frame of reference and less on addressing psychosocial factors (Chown et al., 2018; Kurrus et al., 2022; Robinson et al., 2016). Certified hand therapists report …

The Barriers To Adult Play In Graduate Students, Rosalind Nolde, Sabrina Solis, Catherine Salomon, T Monelli

Occupational Therapy | MSOT Capstone Projects

The purpose of this study is to expand the knowledge of barriers to play for graduate students. The research question asked, what are the barriers to play experienced by graduate students? Play is a complex term that is unique to the individual. Although subjective, existing literature gives suggestions as to what play can mean or feel like to the individual participating. Brown (2009), notes that the definition of play should be experienced rather than defined as it is distinctive to each individual. Van Vleet and Feeney (2015) describe play as being the purpose of amusement, fun or to have energetic, …

Mentorship Treasure Chest (Mtc): A Toolbox For Successful Mentoring, Lluvia Angel Gonzalez-Castro, Bridget Elizabeth Mccarron, Sarah Christine Donaldson, Austin Michel Muniz-Bottomley

Occupational Therapy | Graduate Student Research Posters

This poster delves into the pivotal role of mentorship in shaping the professional trajectory of occupational therapists, with a specific focus on the Dominican Occupational Therapy Alumni Mentoring Program (DOTAMP). Aligned with the mentorship definition posited by the American Occupational Therapy Association, this project aims to outline challenges encountered by recent graduates in transitioning to professional practice. This project aimed to enhance the effectiveness of DOTAMP by incorporating research-informed principles and refining its guidance approach.

The project development team proposed a solution that introduces the 'Mentorship Treasure Chest' (MTC) — a comprehensive toolbox shaped by validated sources that underscore the …

Addressing The Occupational Needs Of College Students, Amanda Lam, Ashley Keates, Marissa Heirich, Noreen Pervaiz, Albert Andrew Mendoza

Occupational Therapy | MSOT Capstone Projects

The Dominican Occupational Therapy (OT) Coaching project was led by a team of five master's level OT students in collaboration with the Integrative Coaching (IC) team at Dominican University of California. Aligned with the Occupational Therapy Practice Framework 4th edition (2020), the project supported various aspects of student wellness, such as academics, healthy lifestyles, stress management, sleep hygiene, and time management. In the fall of 2022, the team conducted a comprehensive literature review and needs assessment of Dominican's Student Success Center (SSC), actively engaged in SSC and IC meetings, and delivered an educational presentation on OT to SSC staff. The …

Addressing The Occupational Needs Of College Students, Amanda Lam, Ashley Keates, Marissa Heirich, Noreen Pervaiz

Occupational Therapy | Graduate Student Research Posters

The Dominican Occupational Therapy (OT) Coaching project was led by a team of five master's level OT students in collaboration with the Integrative Coaching (IC) team at Dominican University of California. Aligned with the Occupational Therapy Practice Framework 4th edition (2020), the project supported various aspects of student wellness, such as academics, healthy lifestyles, stress management, sleep hygiene, and time management. In the fall of 2022, the team conducted a comprehensive literature review and needs assessment of Dominican's Student Success Center (SSC), actively engaged in SSC and IC meetings, and delivered an educational presentation on OT to SSC staff. The …

The Effects Of Resistance Training On Older Adults: Increasing Healthspan And Lowering Disability Rates, Michael M. Samuel

Honors Undergraduate Theses

This study analyzed the research on older adults and resistance training exercise and assessed effects on health span and lowering disability rates. A targeted search of the literature was employed using the following key words: sarcopenia, resistance training, hypertrophy, quality of life, disability, activities of daily living, strength training, falls, and functional strength. These were used to find articles that were relevant to the research. Articles were excluded if they focused on young athletes as they did not meet my research age group. Articles that focused on nutrition were also excluded as they pulled the focus away from the impact …

The Effects Of Exercise On The Immune System Of Older Adults, Brianna Tran

Honors Undergraduate Theses

The purpose of this study was to examine the effects of exercise on the immune system of older adults. Physical exercise has been known to affect one’s health positively. However, specific statistics relating to types of exercise intervention and older adults are dispersed. Autoimmune diseases are a lifelong disease that results in an overactive immune system, causing it to attack healthy cells. Which then leads to symptoms such as fatigue, pain, swelling, and digestive issues. This thesis includes systemic literature reviews that directly discuss the benefits of moderate-intensity exercise regarding the immune system of the elderly population. Results from this …

Health-Outcomes Related To Smartphone Use In The College Student Population: A Scoping Review, Gregory Deglomine

Honors Undergraduate Theses

Objective: A scoping review was employed to consolidate what is currently being studied and reported on concerning interactions with smartphone devices and correlated negative health-outcomes, specifically within the college student population. We are specifically concerned with this population due to the unique demands of technology use coupled with free time use of smartphone devices. Information such as study focus, study design, and summarized results are be provided within this compilation of available data. Results: The existing data findings are heavily skewed in favor of a positive correlation between smartphone use and negative health-outcomes. Sampling 17,069 total participants across 41 studies, …

How Hormonal Contraceptives Influence Injury In Female Athletes: A Systematic Review, Ashley V. Malvita

Honors Undergraduate Theses

Research indicates that female athletes have a higher risk of musculoskeletal injuries. Hormone fluctuations throughout the different periods of the menstruation cycle impacts the risk of injuries for women. Contraceptive use, most used in the form of an oral contraceptive pill, directly effects hormones and menstrual cycle related symptoms, with evidence of ameliorating some symptoms. Oral contraceptive use is suggested to influence musculoskeletal injuries in female athletes. However, there is little research and data that explores the direct relationship between oral contraceptive use and the injury rates of female athletes. Within this systematic review, five articles investigating this relationship fulfilled …

Dance Movement Therapy For Pediatric Oncology Patients And Its Effect On Cancer Therapy-Related Symptoms, Victoria M. Trautwein

Honors Undergraduate Theses

Background: Pediatric cancer patients are susceptible to emotional distress, depression, anxiety, and physical symptoms impacting their quality of life. Dance movement therapy is a non-pharmacological method that has been shown to improve feelings of depression, anxiety, emotional, somatic symptoms, and overall quality of life. While much of cancer research is dedicated to finding cures, it is also important to focus on identifying methods for improving the symptoms and quality of life for pediatric cancer patients.

Aim: The purpose of the literature review is to examine studies that show the effects of dance movement therapy on pediatric oncology patients’ cancer-treatment related …

Instrumental Assessment Of Aero-Resistive Expiratory Muscle Strength Rehabilitation Devices, Angela M. Dietsch, Rahul Krishnamurthy, Kelsey Young, Steven M. Barlow

Department of Special Education and Communication Disorders: Faculty Publications

Purpose

Expiratory muscle strength training (EMST) is increasingly being used to treat voice, cough, and swallowing deficits in a wide range of conditions. However, a multitude of aero-resistive EMST models are commercially available, and the absence of side-by-side comparative data interferes with clinicians’ ability to assess which model is best suited to a particular client’s needs. The primary aim of this research was to test and compare the pressure and flow parameters of six currently available EMST models to help inform clinical decision making.

Method

We identified and tested five devices of each of six different EMST models to generate …

Enhancing Learning Experiences Of Neurodiversity And Implementing Sensory Strategies For Children In A Daycare Setting, Taylor Blackwell

Occupational Therapy Doctorate Capstone Posters

The purpose and focus of this capstone project were to identify what tools and strategies were being utilized within Creative Beginnings Child Development Daycare Center that provided support for children with disabilities specifically Sensory Processing Disorder and Autism Spectrum Disorder. After completion of observations and evidence-based research the goal of the project was to create, educate and implement sensory tools and strategies into the daycare classrooms to improve inclusivity and increase support and participation throughout the day for the children and staff. Sensory tools and strategies were implemented within several daycare classrooms that provided support for atypical children by resulting …

When Virtual Reality Meets Occupational Therapy, Danielle Miracle

Occupational Therapy Doctorate Capstone Posters

Virtual reality (VR) has found to be beneficial to occupational therapy clients in the way it creates a safe and enjoyable way to address daily occupations and its ability to increase upper extremity function. The purpose of this ALE was to incorporate VR into interventions for outpatient brain injury patients. Goals for this intervention included successfully implementing VR into intervention plans, creating a handbook for VR use in the use, and adapting equipment to be more accessible. After reaching these goals, implications for practice suggest that VR, along with other technologies can be beneficial for occupational therapists with the proper …

Occupational Therapy's Role In Work And Industry: Manufacturing, Madeline Spears

Occupational Therapy Doctorate Capstone Posters

This capstone project focuses on the role of occupational therapy in a work and industry setting. I completed this capstone in collaboration with the manufacturing engineering program at EKU and leaders from Toyota Powertrain with the overarching goal being to increase accessibility and advocate for expansion of the manufacturing workforce to include workers with disabilities. Toyota provided assembly parts for their cam housing process with the objective to adapt the process to be accessible for wheelchair users. I completed a thorough task analysis followed by collaboration with engineering professionals to design and build a new manufacturing workstation that is wheelchair …

Sensory Training For School Based Professionals, Anna Rose

Occupational Therapy Doctorate Capstone Posters

The purpose of this ALE presentation was to develop a sensory-based training for school system professionals in Floyd County Schools regarding the purpose of sensory-based interventions and sensory-based equipment to improve student outcomes and academic performance. Professionals were educated regarding the appropriate use of sensory equipment within their school’s sensory room and sensory supports to utilize within the classroom. All professionals were trained to ensure optimal outcomes for students utilizing the new and finalized sensory rooms in Floyd County. After the finalization of 8 sensory rooms, and over 10 sensory-based trainings, Floyd County professionals were assessed utilizing equipment with students, …

When Worlds Collide: The Intersection Of Horses & Rehabilitation, Rachel Carden

Occupational Therapy Doctorate Capstone Posters

One niche practice area in Occupational Therapy, Physical Therapy, and Speech Language Pathology practice is hippotherapy. This practice area involves equine movement as part of the therapeutic process. My capstone experience was completed at Transitions Physical Therapy, with Lisa Harris as my mentor. I completed 14 weeks of hands-on, patient directed learning with direct, supervised patient handling, equine handling, and observing how the therapeutic process can involve equine movement to benefit patient goals. In this experience, I created a 46-page resource guide to include five parent handouts, describing the nature of hippotherapy and OT/PT. This resource guide also included twelve …

Occupational Therapy Education: Teaching, Scholarship, And Service, Tyler Bush

Occupational Therapy Doctorate Capstone Posters

The past 14 weeks of this Capstone experience, I have had the pleasure of learning what it is like working in academia in a University setting. During this time, I quickly learned that teaching is just one piece of academia, where service and research are also included in three different components that make up academia. While teaching was the main area of focus I wanted to gain experience in, I was also able to learn more about research and service. At the end of my Capstone experience, I led a service community project by developing an educational learning module to …

A Multicenter Feasibility Randomized Controlled Trial Using A Virtual Reality Application Of Pain Neuroscience Education For Adults With Chronic Low Back Pain, Ryan Mcconnell, Elizabeth Lane, Grace Webb, Dana Lapeze, Hailey Grillo, Julie Fritz

Funded Scholarship

Background

Chronic low back pain (CLBP) is a highly prevalent condition among adults and is correlated to high levels of pain, high disability, and lower quality of life. Pain neuroscience education (PNE) helps to explain the pain experience and can affect psychosocial factors, such as fear of movement, anxiety, socioeconomic status, work life satisfaction, etc. More recently, virtual reality (VR) programs have emerged allowing for immersive PNE experiences.

Objective

The purpose of this randomized clinical trial is to determine the feasibility of using a VR application for the delivery of immersive PNE (VR-PNE) and other activity training for patients with …

Quantifying Uptake And Completion Of Pulmonary Rehabilitation Programs In People With Chronic Obstructive Pulmonary Disease Known To Tertiary Care, Sarah Hug, Vinicius Cavalheri, Daniel F. Gucciardi, Kylie Hill

Research outputs 2022 to 2026

Background: People with symptomatic chronic obstructive pulmonary disease (COPD) benefit from pulmonary rehabilitation programs (PRPs), but program attrition is common. Methods: For people with COPD who presented to tertiary care and appeared appropriate for a PRP, we prospectively mapped their PRP journey, explored factors influencing attendance to pre-program assessment and captured program attrition. Results: Of the 391 participants, 31% (95% CI 27 to 36) were referred to a PRP (n = 123; age 68 ± 10years, 62 males [50%], FEV1 45 ± 19%predicted). Of those referred, 94 (76% [69 to 84]) attended a pre-program assessment. Ex-smokers and those who had …

Motoneuron Persistent Inward Current Contribution To Increased Torque Responses To Wide-Pulse High-Frequency Neuromuscular Electrical Stimulation, Timothée Popesco, Lucas Bet Da Rosa Orssatto, François Hug, Anthony John Blazevich, Gabriel Siqueira Trajano, Nicolas Place

Research outputs 2022 to 2026

Purpose: To assess the effect of a remote handgrip contraction during wide-pulse high-frequency (WPHF) neuromuscular electrical stimulation (NMES) on the magnitude of extra torque, progressive increase in torque during stimulation, and estimates of the persistent inward current (PIC) contribution to motoneuron firing in the plantar flexors. Methods: Ten participants performed triangular shaped contractions to 20% of maximal plantar flexion torque before and after WPHF NMES with and without a handgrip contraction, and control conditions. Extra torque, the relative difference between the initial and final torque during stimulation, and sustained electromyographic (EMG) activity were assessed. High-density EMG was recorded during triangular …