Medicine and Health Sciences Commons^™

The Clinical Experience Of Occupational Therapy And A Young Adult With Cerebral Palsy: A Case Report, Paige Flickinger, Allyssa Grant, Renee Olsen, Madielyn Knaggs, Jonathan Newby

Masters Theses

The purpose of this case report is to explore the clinical experience of an occupational therapist working with a young adult with Cerebral Palsy with non-cognitive disabilities in order to determine appropriate interventions for improved occupational performance and participation. Goals for this study, and for future research, include establishing resources for occupational therapists and occupational therapy interventions that improve the occupational performance, social participation and the occupational experience of young adults with Cerebral Palsy, without intellectual disabilities.

Preliminary Validation Of The Conditioned Assessment Of Speech Production In Spanish, Alliete R. Alfano, Tan Li

Journal of Early Hearing Detection and Intervention

Purpose: This study focused on the preliminary concurrent validity between the CASP and CASP-S to answer the following questions: (1) Do obtained scores on the CASP-S correlate to the CASP? (2) Do the two assessments categorize children with and without hearing loss similarly in terms of vocal development?

Method: Eighteen Spanish-English bilingual children (12-43 months) participated in this study; 12 had typical hearing; 6 had severe-to-profound hearing loss. During the study, the clinician modeled specified vocalizations over Zoom for the parent to repeat, then the parent imitated the vocalization for the child to repeat. Approximately a week later, the CASP-S …

Covid‑19‑Related Risk, Resilience, And Mental Health Among Mexican American Mothers Across The First Year Of The Pandemic, Amy L. Non, Elizabeth S. Clausing, Sandraluz Lara‑Cinisomo, Kimberly L. D’Anna Hernandez

Center for Brain, Biology, and Behavior: Faculty Publications

Background Latina mothers have been especially affected by the pandemic and historically exhibit high rates of depression and anxiety. However, few longitudinal studies have assessed the effect of the pandemic on this vulnerable population. We hypothesized that COVID-19-related stressors would associate with psychological distress among Latina mothers across the first year of the pandemic.

Methods We investigated COVID-19-related impact, stigma, and fears across two critical time points and changes in these measures in relation to changes in maternal anxiety and depression among mothers of Mexican descent living in Southern California (n=152). Surveys were administered within 5–16 weeks of …

Botulinum Toxin Type A Injections For Refractory Abdominal Dystonia: A Case Report, William J. Naber Ii, Jodi M. Wilhelm, Kurt A. Kuhlman, Gabriel Howard

Graduate Medical Education Research Journal

Background: A 58-year-old male with chronic bilateral treatment resistant abdominal spasms secondary complications of ascites/ alcoholic cirrhosis. Spasms would occur 4-5 times/day, lasting minutes to hours despite a 2-year course of therapeutic and pharmacological interventions. Due to treatment refraction, 6 uniformly spaced botulinum toxin type A (BTX-A) injections were placed per side, using electromyography for audible intramuscular syringe placement confirmation, while visual confirmation was made via ultrasound. During the initial trial, 6 evenly spaced injections were performed bilaterally, uniformly distributing 80U/side. Injections began bilaterally just medial to the junction of the inferior rib cage border/ anterior axillary line and progressed …

Relationship Of Race With Functional And Clinical Outcomes With The Rehab-Hf Multidomain Physical Rehabilitation Intervention For Older Patients With Acute Heart Failure, Olivia N. Gilbert, Robert J. Mentz, Alain G. Bertoni, Dalane W. Kitzman, David J. Whellan, Gordon R. Reeves, Pamela W. Duncan, Michael Benjamin Nelson, Vanessa Blumer, Haiying Chen, Shelby D. Reed, Bharathi Upadhya, Christopher M. O'Connor, Amy M. Pastva

Department of Medicine Faculty Papers

Background

The REHAB‐HF (Rehabilitation Therapy in Older Acute Heart Failure Patients) randomized trial demonstrated that a 3‐month transitional, tailored, progressive, multidomain physical rehabilitation intervention improves physical function, frailty, depression, and health‐related quality of life among older adults with acute decompensated heart failure. Whether there is differential intervention efficacy by race is unknown.

Methods and Results

In this prespecified analysis, differential intervention effects by race were explored at 3 months for physical function (Short Physical Performance Battery [primary outcome], 6‐Minute Walk Distance), cognition, depression, frailty, health‐related quality of life (Kansas City Cardiomyopathy Questionnaire, EuroQoL 5‐Dimension‐5‐Level Questionnaire) and at 6 months for …

Reduced Grey Matter Volume In Adolescents With Conduct Disorder: A Region‑Of‑Interest Analysis Using Multivariate Generalized Linear Modeling, Ru Zhang, Robert James R. Blair, Karina S. Blair, Matthew Dobbertin, Jaimie Elowsky, Johannah Bashford‑Largo, Ahria J. Dominguez, Melissa Hatch, Sahil Bajaj

Center for Brain, Biology, and Behavior: Faculty Publications

Background

Conduct disorder (CD) involves a group of behavioral and emotional problems that usually begins during childhood or adolescence. Structural brain alterations have been observed in CD, including the amygdala, insula, ventrolateral and medial prefrontal cortex, anterior cingulate cortex, and fusiform gyrus. The current study developed a multivariate generalized linear model (GLM) to differentiate adolescents with CD from typically developing (TD) adolescents in terms of grey matter volume (GMV).

Methods

The whole‐brain structural MRI data were collected from 96 adolescents with CD (mean age = 16.188 ± 1.259 years; mean IQ = 104.292 ± 8.107 ; 63 males) and 90 …

Relation Between Fine And Gross Motor Skills And Observation Of Sociocultural Factors Across The First Year Of Infancy, Erika Garcia Mora

LSU Doctoral Dissertations

The development of independent arms-free sitting, which frees an infant’s arms to explore objects in their environment (Soska & Adolph, 2014) is observed to propagate an increase in the frequency of manual and manipulatory actions (Marcinowski, et al., 2019; Mlincek, et. al., 2022). Active object exploration provides the infant with more sensory information of the fundamental characteristics of objects in their environment. Thus, this dissertation examined the quality and quantity of object exploration across seated postures.

Additionally, the literature claiming that infants raised in low-income households having fewer resources for effective development is being countered by considering a more holistic …

The Effectiveness Of An Educational Video Intervention For People With Amyotrophic Lateral Sclerosis Prior To Power Wheelchair Evaluations, Mark Blanchard, Kelly Connelley, Emily Copeland, Quinn Malbrough, Sara Pendleton, Ingrid Franc

Journal of Interprofessional Practice and Collaboration

PURPOSE: Amyotrophic Lateral Sclerosis (ALS) is a neurodegenerative disease that ultimately requires a power wheelchair (PWC) as the main source of mobility. The purpose of this project was to determine the effectiveness of an educational video to prepare a client for a PWC assessment by addressing four themes: PWC features, home environment, transportation, and client self-efficacy.

METHODS: An educational video was created and used in an ALS Multidisciplinary Clinic to better prepare clients for the PWC evaluation process. The effectiveness of this video was measured using a seven-question Likert scale survey focusing on the themes of the video. Individuals living …

Occupational Therapy Feeding Interventions In The Neonatal Intensive Care Unit: A Systematic Review, Karly Boehm, Lindsey Brechbill, Johana Cedillo, Sara Mengler, Allyson Thomas

Student Systematized Reviews: Occupational Therapy

No abstract provided.

Bowel Cleanout Prior To Intrathecal Baclofen Pump Implantation: Effects On Acute Post- Operative Gastrointestinal Complications, Amanda Lindenberg, Brittni Walton, Sathya Vadivelu, Matthew J. Mclaughlin

Posters

Background: Intrathecal baclofen (ITB) pumps have been used for management of spasticity and dystonia There is limited data on immediate post-operative complications such as GI adverse events after surgery for ITB pump related procedures. This study aimed to compare patients who underwent a pre-operative bowel cleanout to those who did not and the relationship with post-operative nausea, vomiting and constipation requiring an escalation of their bowel regimen. Design: Retrospective cohort study. Setting: Pediatric acute care hospital. Participants: All patients who underwent new ITB pump and/or catheter placement from January 2015-December 2022. Interventions: Preoperative bowel clean out. Main Outcome Measure: Quantity …

A Case Report Of A 48-Year-Old Female With Cauda Equina Syndrome In The Setting Of Disseminated Mrsa Infection, Aimee Lambeth, Sarah Eickmeyer, Stephanie Fortune

Posters

To present an interesting case of cauda equina syndrome due to disseminated MRSA, where inpatient EMG was useful in diagnosis and treatment planning.

Essential Content For Teaching Implementation Practice In Healthcare: A Mixed-Methods Study Of Teams Offering Capacity-Building Initiatives, Jessica Reszel, Olivia Daub, Jenny Leese, Hanna Augustsson, Danielle Moeske Bellows, Christine E. Cassidy, Beth E. Crowner, Sandra I. Dunn, Lisa B. Goodwin, Alison M. Hoens, Sarah C. Hunter, Elizabeth A. Lynch, Jennifer Moore, Miriam R. Rafferty, Wendy Romney, Dawn Campbell, Dawn Stacey, Implementation Practice Cbi Study Team, Ian D. Graham

Physical Therapy Faculty Publications

Background

Applying the knowledge gained through implementation science can support the uptake of research evidence into practice; however, those doing and supporting implementation (implementation practitioners) may face barriers to applying implementation science in their work. One strategy to enhance individuals’ and teams’ ability to apply implementation science in practice is through training and professional development opportunities (capacity-building initiatives). Although there is an increasing demand for and offerings of implementation practice capacity-building initiatives, there is no universal agreement on what content should be included. In this study we aimed to explore what capacity-building developers and deliverers identify as essential training content …

Disability, Stigma, And The Pursuit Of Social Justice: Future Research Directions, Mohammed Mozadded Hossen, Bruce J. Reed

School of Rehabilitation Services & Counseling Faculty Publications

Disability, stigma, and the pursuit of social justice are interrelated problems that have an impact on how people with disabilities live their lives. Disability is a condition that affects a person’s capacity to do activities or tasks due to their physical, cognitive, or mental limitations. The individual with a disability is frequently the target of stigma, which is a negative social judgment or form of discrimination. The efforts made to guarantee that people with disability have the same rights and opportunities as people without disabilities are referred to as the pursuit of social justice. Barriers to social inclusion and equality …

Importance Of Health Policy And Systems Research For Strengthening Rehabilitation In Health Systems: A Call To Action To Accelerate Progress, Walter R Frontera, Wouter Degroote, Abdul Ghaffar, Health Policy & Systems Research For Rehabilitation Group

Faculty, Staff and Student Publications

No abstract provided.

Effectiveness Of Occupational Therapy Interventions To Enhance Occupational Performance For Survivors Of Domestic Abuse: A Systematic Review, Mackenzie R. Post, Aubrianna Hohensee, Taylor Fisher, Amanda Malashock

Student Systematized Reviews: Occupational Therapy

TITLE: Effectiveness of Occupational Therapy Interventions to Enhance Occupational Performance for Survivors of Domestic Abuse: A Systematic Review

PURPOSE: An average of 20 people per minute experience domestic abuse in the United States (Black et al., 2011). People who experience abuse have poor physical and mental health outcomes which can include depressive symptoms, substance use, developing chronic disease, chronic mental illness, and injury (Coker et al., 2002). Occupational practitioners are equipped to address this issue because they have specific training on life skills, lifestyle management, adaptive coping strategies, time management, and personal values, which can help minimize the negative health …

Occupational Therapy Interventions To Improve Functional Cognition In Older Adults After Stroke: A Systematic Review, Brady A. Harrison, Alexa A. Preissler, Emilea R. Rogers, Allison D. Singh

Student Systematized Reviews: Occupational Therapy

PURPOSE Cerebral vascular accidents (CVA) are a leading cause of cognitive impairment in the United States, and 80% of CVA survivors experience new or worsening impairment (Knight-Greenfield et al., 2019; Zhang et al., 2021). Functional cognition is vital to an individual’s participation in occupations that are necessary and meaningful to them. Occupational therapy practitioners play a unique role in addressing functional cognition through intervention planning and implementation. The purpose of this study is to understand the most effective occupational therapy interventions addressing functional cognition in older adults post CVA.

DESIGN We conducted a systematized review of articles pertaining to occupational …

Occupational Therapy Interventions That Influence Quality Of Life Of Care Partners Of Children With Developmental Disabilities: A Systematic Review, Alaina Akey, Maggie Alsup, Madison Cockerill, Sydney Wondra

Student Systematized Reviews: Occupational Therapy

TITLE: Occupational Therapy Interventions that Influence Quality of Life of Care Partners of Children with Developmental Disabilities: A Systematic Review

PURPOSE: In the United States, 1 in 6 children have one or more developmental disabilities (Center for Disease Control and Prevention, 2022). Children with developmental disabilities require a higher level of care and support in comparison to their typically developing peers (Akyurek et al., 2023). Due to this increased need for assistance, care partners may experience greater psychological, physical, social, and financial hardships that can impact their overall quality of life (Murphy et al., 2006). Although the scope of occupational …

Identification Of Factors In Moderate-Severe Tbi Related To A Functional Decline In Cognition Decades After Injury, Christian Lobue, Jeff Schaffert, Kristen Dams-O'Connor, Zinat Taiwo, Angelle Sander, Umesh M Venkatesan, Therese M O'Neil-Pirozzi, Flora M Hammond, Kristin Wilmoth, Kan Ding, Kathleen Bell, C Munro Cullum

Faculty, Staff and Students Publications

OBJECTIVE: To investigate whether a functional decline in cognitive activities decades after moderate-to-severe traumatic brain injury (m-sTBI) might relate to injury features and/or lifetime health factors, some of which may emerge as consequences of the injury.

DESIGN: Secondary analysis of the TBI Model Systems National Database, a prospective, multi-center, longitudinal study of patients with m-sTBI.

SETTING: TBI Model Systems Centers.

PARTICIPANTS: Included were 732 participants rated on the cognitive subscale of the Functional Independence Measure (FIM Cognitive), a metric for everyday cognitive skills, across 3 time points out to 20 years (visits at 2-, 10-, and 20-year follow-ups; N=732).

INTERVENTIONS: …

Integrating Glenohumeral Range Of Motion With Dynamic Postural Control For Early Detection Of Elbow Injury Risk In Collegiate Baseball Pitchers: A Preliminary Prospective Case Series, Brent A. Harper, Luke J. Bailey, Mikayla N. Jones, Joseph Bradley

Physical Therapy Faculty Articles and Research

Introduction: Medial elbow ulnar collateral ligament (UCL) injuries are common in baseball with increased surgical incidence in pitchers. There is no consensus on which modifiable injury risk metrics or performance screening tools to use to identify at risk collegiate baseball pitchers. Current literature on UCL injury risk has focused on local passive glenohumeral rotational motion with limited forays into more global movement patterns. The aim of this study was to assess possible relationships involving UCL injuries and modifiable local and global motor control performance risk factors. Material and Methods: An observational single cohort case series involving 15 collegiate …

Depaul Digest

DePaul Magazine

College of Education Professor Jason Goulah fosters hope, happiness and global citizenship through DePaul’s Institute for Daisaku Ikeda Studies in Education. Associate Journalism Professor Jill Hopke shares how to talk about climate change. News briefs from DePaul’s 10 colleges and schools: Occupational Therapy Standardized Patient Program, Financial Planning Certificate program, Business Education in Technology and Analytics Hub, Racial Justice Initiative, Teacher Quality Partnership grant, Intimate Partner Violence and Brain Injury collaboration, School of Music Career Closet, Sports Photojournalism course, DePaul Migration Collaborative’s Solutions Lab, Inclusive Screenwriting courses. New appointments: School of Music Dean John Milbauer, College of Education Dean Jennifer …

“It Captures The Rawness And Reality”: Exploring Student Emotion During An Illness Narrative Assignment In Doctor Of Physical Therapy Curricula, Gina Gang, Jeffrey Gang

Health Professions Education

Purpose. The purpose of this qualitative study was to explore first year doctor of physical therapy student emotions when completing a first-person illness narrative assignment within a required Whole Person Care course early in curricula. Method: First-year physical therapy students from one physical therapy program completed an illness narrative assignment of a known individual with an illness experience using a first-person perspective. Qualitative data from students’ reflections from the open-ended prompt “How did you feel when writing the illness narrative?” were analyzed and coded retrospectively. Results: Diverse emotions organically emerged from the qualitative data. Coded emotions correlated with 13 of …

Identifying Design Opportunities For Adaptive Mhealth Interventions That Target General Well-Being: Interview Study With Informal Care Partners, Xinghui Yan, Mark W Newman, Sun Young Park, Angelle Sander, Sung Won Choi, Jennifer Miner, Zhenke Wu, Noelle Carlozzi

Faculty, Staff and Students Publications

BACKGROUND: Mobile health (mHealth) interventions can deliver personalized behavioral support to users in daily contexts. These interventions have been increasingly adopted to support individuals who require low-cost and low-burden support. Prior research has demonstrated the feasibility and acceptability of an mHealth intervention app (CareQOL) designed for use with informal care partners. To further optimize the intervention delivery, we need to investigate how care partners, many of whom lack the time for self-care, react and act in response to different behavioral messages.

OBJECTIVE: The goal of this study was to understand the factors that impact care partners' decision-making and actions in …

Suppressing A Blocked Balance Recovery Step: A Novel Method To Assess An Inhibitory Postural Response, David A. E. Bolton, Charlie C. Baggett Iv, Chase A. Mitton, Sara A. Harper, James K. Richardson

Kinesiology and Health Science Faculty Publications

Stepping to recover balance is an important way we avoid falling. However, when faced with obstacles in the step path, we must adapt such reactions. Physical obstructions are typically detected through vision, which then cues step modification. The present study describes a novel method to assess visually prompted step inhibition in a reactive balance context. In our task, participants recovered balance by quickly stepping after being released from a supported forward lean. On rare trials, however, an obstacle blocked the stepping path. The timing of vision relative to postural perturbation was controlled using occlusion goggles to regulate task difficulty. Furthermore, …

Embracing The Struggle - Strategies To Improve Physical Activity For Exhausted Nurses, Andrew Richards

Achieve

According to the World Health Organization, 1 in 4 adults do not meet the globally recommended physical activity levels (WHO, 2022). There is a 20-30% increased risk of death among persons who are not physically active (WHO, 2022). Multiple organizations have goals to increase physical activity to improve health: Healthy People 2030 (Office of Disease Prevention and Health Promotion, n.d.), American College of Lifestyle Medicine (Lianov et al., 2022), World Health Organization (2022), Center for Disease Control & Prevention – Healthy People, Healthy Nation initiative (CDC, 2022). Healthcare workers, including nurses, experience challenges engaging in adequate physical activity (Jun et …

Cardiac Rehabilitation In Abu Dhabi: A Retrospective Investigation Of Program Delivery, Participants, And Factors Associated With Program Completion Utilizing A Hospital Registry, Aaron Heisey Thrush

Journal of the Saudi Heart Association

Objectives: Investigations into the provision of cardiac rehabilitation from the Arabian Gulf countries are rare, despite suffering from an unusually high prevalence of cardiovascular disease. This study reports patient and program characteristics from an exercise-based cardiac rehabilitation program in Abu Dhabi, and factors associated with program completion. Methods: Data was drawn from the institution’s cardiac rehabilitation registry, populated from the electronic medical record of patients enrolled in the hospital-based cardiac rehabilitation program, from 2015 to 2022. The program was administered by physical therapist and nurse specialists and guided by individualized exercise parameters. Completion of the program was defined as attendance …

Flexibility For Intensity Dosing In Lingual Resistance Exercises: A Large Randomized Clinical Trial In Typically Aging Adults As Proof Of Principle, Sarah Szynkiewicz, Teresa Drulia, Lindsay Griffin, Rachel Mulheren, Kelsey Murray, Theresa Lee, Erin Kamarunas

Department of Communication Sciences and Disorders - Faculty Scholarship

Objective: The objective of this study was to determine the effect of intensity dosing during tongue exercise on tongue pressure generation, adherence, and perceived effort.

Design: This was a five-site, prospective, randomized clinical trial. Outcome measures were obtained across multiple baselines, biweekly during exercise, and 4-weeks post-intervention.

Setting: The general community at each study site. Participants: Typically aging adults between 55–82 years of age with no history of neurological or swallowing disorders. Eighty-four volunteers completed the study.

Interventions: Participants were randomly assigned to one of four exercise groups: (a) maximum intensity/no biofeedback, (b) progressive intensity/no bio- feedback, (c) maximum intensity/biofeedback, …

Destigmatizing Complex Regional Pain Syndrome Through Art And Research, Jennifer K. Fortuna

The Open Journal of Occupational Therapy

Bill Dambrova, an artist based in Phoenix, AZ, provided the cover art for the Fall 2023 issue of the Open Journal of Occupational Therapy (OJOT). Bill’s paintings explore the intrinsic and extrinsic relationships between living things. Through the Artists + Researchers (ARx) program, Bill was teamed with Dr. Gretchen Bachman, OTD, OTR/L, MBA, CEAS, CHT, and Dr. Cindy Ivy, OTD, OTR/L, MEd, CHT, occupational therapy professors and researchers from Northern Arizona University. Their goal was to create a work of art that could disseminate research on complex regional pain syndrome (CRPS). The partnership led to the creation of “Invisible War,” …

Gender As Occupation: The "Doing" Of Authentic Expression And Reciprocally Affirming Care For Transgender Individuals, Annie Derolf, Johnna Belkiewitz, Sally Wasmuth

The Open Journal of Occupational Therapy

The current predominant view of gender as binary, alongside limited training of affirmative care practices, is severely and negatively impacting transgender and gender diverse (TGD) people. This paper urges the re-conceptualization of gender as an occupation, suggesting that gender is a doing that allows for positive identity development, roles, habits, and routines. Doing gender facilitates meaning-making and the ability to engage in other occupations. However, occupational injustices rooted in discrimination, stigma, and/or implicit biases impede TGD people’s ability to engage in the doing of gender and other occupations. Articulation of conceptual guidelines and interventions to support TGD people’s ability to …

Crawling Out From Under: A Physical Therapist’S Celebration Of The Power Of Occupational Therapy, Natalie N. Michaels

The Open Journal of Occupational Therapy

Isaacs’ syndrome, also known as Acquired Neuromyotonia, is a rare condition caused by continuous firing of the motor units, leading to twitching muscles and cramping that will persist even during sleep. The medical treatment of Isaacs’ syndrome is nondescript and arbitrary. Because of the rare incidence of the disorder, very few studies have been conducted to help determine the appropriate intervention for individuals with this affliction. This paper is a narrative case-study that offers a first-person account of a physical therapist with Isaacs’ syndrome and her journey through rehabilitation with her occupational therapist. The progress of this individual over time …

Aging In Place: Key Occupational Therapy Collaborators, Shivani B. Vij

The Open Journal of Occupational Therapy

No abstract provided.