Medicine and Health Sciences Commons^™

Art Therapy As A Comprehensive Complementary Treatment For Parkinson’S Disease, Tom Ettinger, Marygrace Berberian, Ikuko Acosta, Alberto Cucca, Andrew Feigin, Danilo Genovese, Travis Pollen, Julianne Reiders, Rohita Kilachand, Clara Gomez, Milton Biagioni, Alessandro Di Rocco, Felice M. Ghilardi, John-Ross Rizzo

Department of Exercise Science Faculty Papers

Introduction: Parkinson’s disease (PD) is the second most prevalent neurodegenerative disease. Complementary and alternative therapies are increasingly utilized to address its complex multisystem symptomatology. Art therapy involves motoric action and visuospatial processing while promoting broad biopsychosocial wellness. The process involves hedonic absorption, which provides an escape from otherwise persistent and cumulative PD symptoms, refreshing internal resources. It involves the expression in nonverbal form of multilayered psychological and somatic phenomena; once these are externalized in a symbolic arts medium, they can be explored, understood, integrated, and reorganized through verbal dialogue, effecting relief and positive change.

Methods: 42 participants with mild to …

Efficient Cancer Modeling Through Crispr-Cas9/Hdr-Based Somatic Precision Gene Editing In Mice, Wen Bu, Chad J Creighton, Kelsey S Heavener, Carolina Gutierrez, Yongchao Dou, Amy T Ku, Yiqun Zhang, Weiyu Jiang, Jazmin Urrutia, Wen Jiang, Fei Yue, Luyu Jia, Ahmed Atef Ibrahim, Bing Zhang, Shixia Huang, Yi Li

Faculty, Staff and Student Publications

CRISPR-Cas9 has been used successfully to introduce indels in somatic cells of rodents; however, precise editing of single nucleotides has been hampered by limitations of flexibility and efficiency. Here, we report technological modifications to the CRISPR-Cas9 vector system that now allows homology-directed repair-mediated precise editing of any proto-oncogene in murine somatic tissues to generate tumor models with high flexibility and efficiency. Somatic editing of either

The Effect Of A Lumbopelvic Compression Belt On Load Transfer During The Active Straight Leg Test: A Proof Of Concept Study Using Ultrasound Imaging, Shania D. Evans, Kelsey B. Hales, Elizabeth P. Lomax, Erin N. Roberts, Jalesa C. Wright, Elizabeth Chaffin, Ruth Maher

Research Day

INTRODUCTION: The active straight leg raise (ASLR) test assesses load transfer through the pelvis. During the ASLR, intraabdominal pressure (IAP) rises, increasing the load on the lumbopelvic region. Several studies have shown a correlation between the magnitude of bladder base displacement (BBD) during the ASLR and lumbopelvic instability. Additionally, greater depression of the bladder and pelvic floor muscles is associated with motor control impairments associated with form and force closure. Pelvic stability belts are a common therapeutic intervention for individuals who report pelvic girdle pain. Their mechanism of action is to improve form closure and assist force closure and motor …

Does The Use Of Vestibular Infrared Video Goggles Impact Physical Therapy Student’S Ability To Diagnose The Direction Of Nystagmus?, Erin Farmer, Tanna Mcpherson, Sabrina Samuels, Katherine Wellborn, Jeanne Welch

Research Day

INTRODUCTION:

Vestibular goggles are infrared video goggles that can improve patient care by providing accurate assessment and treatment of vertigo, dizziness, and feelings of imbalance. These goggles track the eye movement allowing clinicians to evaluate the function of the vestibular system, which controls balance and spatial coordination. During an evaluation, the patient wears the infrared goggle while performing a series of movements designed to stimulate the vestibular system. The embedded infrared cameras capture eye motion, providing real time information to the clinician. Physical therapists (PT) need to be able to detect nystagmus and its direction in order to provide appropriate …

The Impact Of Focal Mechanical Vibration On Muscle Morphology: A Proof Of Concept Study Using Ultrasound Imaging With Shear Wave Elastography, Breana Fair, Amiah Williams, Hannah Yancy, Cameron Ogden, Ruth Maher

Research Day

INTRODUCTION: Focal mechanical vibration (FMV) uses mechanical vibration to stimulate specific muscles or areas of the body. The reported benefits include increased muscle strength, decreased pain, improved range of motion (ROM), and enhanced muscle coordination. When FMV is applied, it stimulates muscle fibers and sensory receptors in the muscle and tendon, which facilitates cyclical rapid muscle contraction and relaxation. When the muscle spindle is stimulated, a vibratory-induced inhibition can occur, which is frequency and amplitude-dependent, causing a reduction in muscle activity which may lead to improvements in joint mobility. Consequently, applying FMV to specific muscles increases the elasticity via contraction …

Improving Performance And Participation Of Elementary School Students Through A Coteaching Model, Carson Roberts, Angela Labrie Blackwell, Anna Fung

Spring 2023 Virtual OTD Capstone Symposium

This project explored the use of a coteaching program with a general education teacher and OTD student at an elementary school. The poster provides an overview of the methods used, an overview of the coteaching program that was implemented, and the significance and implications of this project. The purpose of this coteaching program was to develop a coteaching program in which occupational therapists and general education teachers work together in classrooms to improve performance and participation of students with and without disabilities.

A Mindfulness Intervention For Veterans With Post-Traumatic Stress Disorder, Ashley N. Ries, Steven M. Gerardi Phd, Otd, Mss, Otr, Mary Horne Lcsw

Spring 2023 Virtual OTD Capstone Symposium

Every day, many United States veterans are suffering from the effects of post-traumatic stress disorder (PTSD). Responses to trauma may vary from person to person; however, a diagnosis of PTSD includes the individual experiencing clinically significant distress in their social and occupational areas of functioning. The impact of PTSD on a veteran’s life could impact their ability to carry out activities of daily living, decrease the amount of social participation they have, and limit their ability to perform instrumental daily activities, such as grocery shopping. Mindfulness is the practice of paying full attention to the present moment, without judgment, and …

Identifying The Neural Correlates Of Anticipatory Postural Control: A Novel Fmri Paradigm, Jo Armour Smith, Rongwen Tain, Kelli G. Sharp, Laura M. Glynn, Linda R. Van Dillen, Korinne Henslee, Jesse V. Jacobs, Steven C. Cramer

Physical Therapy Faculty Articles and Research

Altered postural control in the trunk/hip musculature is a characteristic of multiple neurological and musculoskeletal conditions. Previously it was not possible to determine if altered cortical and subcortical sensorimotor brain activation underlies impairments in postural control. This study used a novel fMRI-compatible paradigm to identify the brain activation associated with postural control in the trunk and hip musculature. BOLD fMRI imaging was conducted as participants performed two versions of a lower limb task involving lifting the left leg to touch the foot to a target. For the supported leg raise (SLR) the leg is raised from the knee while the …

The Impact Of A Lower Body Positive Pressure Treadmill On Exercise Regulation, Camille Couey

Honors Theses

Objective: The benefits of lower body positive pressure treadmills have recently been investigated as a tool for rehabilitation, but research is lacking on whether participants can regulate exercise utilizing rate of perceived exertion (RPE) at reduced body weight loads on lower body positive pressure (LBPP) treadmills. The purpose of the study is to examine the potential for RPE production estimation at various body weight loads. Methods: Fifteen apparently healthy young adults between the ages of 18-35 participated and completed this study. Each participant completed a graded VO_2max test after being familiarized with an OMNI pictorial RPE scale ranging from …

Occupational Therapy's Role In Mealtime Participation In Schools, Jaidee Mae Reyes, Karen Park

Spring 2023 Virtual OTD Capstone Symposium

A mixed-methods research design was utilized to explore the role of occupational therapy in mealtime participation in school-based settings. Interviews and surveys were completed to understand occupational therapy practicers' perceptions, attitudes, and experiences with providing services related to mealtime. The themes that emerged from the study including (a) occupational therapy practitioners experience inhibiting and supporting contextual factors that affect their involvement in mealtime, (b) admin and occupational therapy culture and the interpretation of educational relevance can differ between each school, and (c) occupational therapy practitioners go through a decision-making process when deciding to address mealtime.

Converting Paper Faxes To Electronic Faxes To Improve Patient Care, Decrease Paper Burden, And Improve Staff And Provider Satisfaction: A Quality Improvement Project, Stephanie Green, Amanda Lindenberg

Research Days

Problem Statement/Question: Reliance on provider and administrative staff to be physically present at Adele Hall creates delays in delivery of completed documentation. Delays of up to 7-14 days are possible. Delays in completion result in outside offices resending (wasted duplication of work) requests and delay downstream delivery of equipment/services, ultimately negatively impacting patient care. Over a 2-week period in November 2022, it took at average of 6.08 days for time to completion of requests. Over a 4-week period in August 2022, divisional outgoing faxes in response to requests averaged 79.5 per week. In addition, reliance on hardcopies of requests increases …

The Participation And Exploration Of Play For Children In Foster Care, Isabella J. Relph, Jazminne Orozco Arteaga

Spring 2023 Virtual OTD Capstone Symposium

This capstone project, The Participation and Exploration of Play for Children in Foster Care, was completed by a Doctor of Occupational Therapy candidate at the University of St. Augustine for Health Sciences. Project objectives develop an understanding of the occupational therapy involvement in foster care and how to improve current advocacy and educational efforts related to play. A literature review of play participation, engagement, and exploration was conducted in conjunction with analysis of environmental barriers, generalized background information on children in foster care, and the role of occupational therapy for children in foster care. Play is essential for the pediatric …

Cultural Humility When Caring For Lgbtqia+ Older Adults: A Resource Guide For Occupational Therapy Practitioners And Students, Michele Ramos, Deb Meyers, Mary Ann Smith

Spring 2023 Virtual OTD Capstone Symposium

The LGBTQIA+ older adult population has unique needs due to their experience as diverse individuals in a cisgender, heteronormative society. Experiences and effects of discrimination need to be considered when providing care. Occupational therapists have a role in addressing disparities of all marginalized groups, including LGBTQIA+ older adults. Practitioners may utilize cultural humility and trauma-informed practices when treating the LGBTQIA+ population. Existing resources to guide culturally humble occupational therapy care for LGBTQIA+ older adults are insufficient. The purpose of this project was to build on existing cultural humble resources and create a website on the focus of occupational therapy cultural …

International Strategies For Addressing The Needs Of Children With Disabilities: Comparing Pediatric Therapy Services In Italy And The United States, Cassidy Hearn, Lillian Hsiao, Lavinia Fanelli, Regina Harbourne

Physical Therapy Projects

This paper introduces and compares the professions of Neuro and Psychomotor Therapist of Developmental Age and pediatric physical therapy. Although pediatric physical therapy practice is prevalent in the United States, Italy utilizes another profession which encompasses many features of physical therapy, but also incorporates neuropsychological factors, specifically for children.

Improving Residents' Access To Occupational Therapy Services In Long-Term Care Facilities: A Screen For Declining Performance In Activities Of Daily Living, Amy N. Scheidecker

Occupational Therapy Capstone Presentations

The purpose of this study was to develop a tool for long-term care (LTC) nursing staff and occupational therapy (OT) practitioners to use as a method for tracking LTC residents’ decline in activities of daily living (ADL) performance and overall function. LTC residents with intact cognition were recommended by OT practitioners and verbally recruited to participate in the background interview process. LTC nursing staff interviews were distributed at nursing stations on the LTC units for voluntary participation from nursing staff. OT/OTA interviews were manually distributed to OT practitioners. The interviews used for each population varied slightly to accommodate their role …

Welcoming Wellness: A Health Promotion And Chronic Condition Prevention Program Rooted In The Foundations Of Occupational Therapy, Karlee G. Duncan

Occupational Therapy Capstone Presentations

Background: Despite the national $3.8 billion spent annually on chronic condition management, they are still the leading cause of death and disability in the United States. Chronic conditions have a variety of global implications. The development of chronic conditions can be managed through education and lifestyle behavior modifications, which lies within the scope of occupational therapy. Method: Simultaneous experiences at Logan Health and Logan Health Medical Fitness Center informed the development and implementation of a health promotion and prevention program, Welcoming Wellness. Results: Treating clients in acute care improved my understanding of chronic condition presentation and population needs, and connecting …

An Occupational Therapy Program For Improving Caregiving Performance And Satisfaction With Performance Among Caregivers For Individuals With Neurological Conditions, Andrea Marie Molus

Occupational Therapy Capstone Presentations

This capstone project was to develop a program that would decrease the symptoms of caregiver burnout to increase the performance and satisfaction with performance among caregivers of individuals with neurological conditions. Caregivers can develop burnout when the burden of caregiving increases to the extent that the experience is not a healthy option for the caregiver or care recipient (Kasuya et al., 2000). Three occupational therapy theories were used to support this project: Model of Human Occupation, Tolgia’s Dynamic Interactional Approach, and Andragogy Learning Theory for Adult Learners. An online resource website was developed to help disseminate the information used in …

Occupational Therapy's Role In Helping Individuals In The Us Justice System Transition From Incarceration To The Community, Kathryn E. Foster

Occupational Therapy Capstone Presentations

Individuals with cognitive disabilities face unique challenges in their transition and integration from prison settings. Occupational therapy offers tailored, client-centered reentry services to address their needs and the evidence on impact is limited. The purpose of this project was to examine the efficacy of strengths-based, occupational therapy-led reentry services on the reentry of individuals on probation and parole with a cognitive challenge into society following incarceration. I used a retrospective, mixed methods design to complete this project. Community-based reentry services were provided post-release in the local St. Louis community. Participants included both occupational therapy practitioners tracking process and impact measures, …

Interpretive Phenomenological Analysis [Ipa]: Examining The Impact Of Sleep Disturbances On Lived Experiences Of Persons With Parkinson’S Disease (Pwpd), Adriana Ornelas, Angela Blackwell, Karen Aranha

Spring 2023 Virtual OTD Capstone Symposium

Introduction: This investigation aimed to examine the lived experiences of PwPD who suffer from insomnia. Sleep disturbance affects up to 96% of individuals with PD. The non-motor symptom (NMS) significantly reduces HR-QOL, positively correlates with disease severity and duration, and increases the disease burden of care. Due to the nature of the disease, typical sleep hygiene protocols may not be the most effective intervention for this population. Understanding their challenges is vital to developing a sleep hygiene protocol tailored to their needs.

Methodology: A pilot qualitative study using an interpretive phenomenological analysis (IPA) with PwPD (N=12). The study received IRB …

Mobile Munchies: An Occupation-Based Transitional Skills Program For Adolescents, Reilly S. Dujmovic

Occupational Therapy Capstone Presentations

This capstone project is focused on program development in the area of life/work skills for adolescents in a special education setting. The specific interest was in transition skills for adolescents, or skills that promote independence in ADLs, IADLs, and leisure, and work activities following formal education. The goal of this project was to develop work programming as an intervention to teach transition skills to adolescents in a special education classroom setting. The programming developed was based on programming the special education classroom has used in the past. Programming was modified to take an occupational therapy lens to reach the goal …

Promoting Social-Emotional Development In Preschool Children Using A Trauma Informed, Sensory Integrative Approach, Sarah M. Mcgoldrick

Occupational Therapy Capstone Presentations

The incidence of sensory processing difficulties and related behaviors is increasing in young children, which supports the need for early intervention and support. The purpose of this study was to determine the effectiveness of TBRI® Nurture Group© in improving social emotional and sensory processing skills in preschool aged children while reducing the number of negative behaviors observed. The project was conducted in a four- and five-year-old preschool classroom at the Early Learning Center in Edina, Minnesota. Nurture Group© sessions occurred over the span of ten weeks in small groups of about three to four students. Students worked on identifying calming …

Letter From The Editor: Oata Special Issue 2023, Sara Stiltner

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Letter from the Editor

Thank you for viewing the OATA Annual Meeting Special Issue of the

Journal of Sports Medicine and Allied Health Sciences:

The Official Journal of the OATA.

This is our 9^th year working in conjunction with the

OATA Annual Meeting to open a new volume of the JSMAHS.

This special issue would not be possible without the Managing Editor, Cole Dearing and the OATA Research and Grant Subcommittee Members who spend time and pour in effort to provide highly critiqued blinded peer review of the OATA Free Communication Abstracts. Those members include: Stacey Busser, Akron University, …

Perceptions Among Athletic Trainers’ Education In Treating Athletes With Attention Deficit Hyperactivity And Autism Disorders, Juliette Mueller, Audrey Wagstaff, Jennifer Walker

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

OBJECTIVE

The purpose of this study was to investigate the education and preparedness of athletic trainers when caring for athletes with Attention.Deficit.Hyperactivity.Disorder (ADHD) and or Autism Spectrum Disorder (ASD).

Athletic Trainers Knowledge And Practices For Sudden Cardiac Death, Brent Mcclure, Chyrsten Gessel, Brittany Peppel

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

OBJECTIVE

Sudden cardiac death (SCD) is one of the leading causes of death in athletics, despite athletic trainers working as first responders for athletic events. The purpose of this study was to assess athletic trainers’ knowledge of SCD, and to analyze perceptions regarding evidence-based practice. This study aimed to answer how the NATA position statement has impacted athletic trainers practice, and to identify potential limitations in implementing best practice.

Unreported Concussions Within Law Enforcement Officers, Bailee Faulkner, Jennifer Walker, Audrey Wagstaff

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

OBJECTIVE

Understand the degree to which concussions go unreported among members of the Law Enforcement community.

Perceived Knowledge And Confidence Of Social Determinants Of Health In College And Secondary School Athletic Trainers, Lauren Redfern, Chyrsten Gessel, Elena Robinson

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

OBJECTIVE

For most athletes, their athletic trainer is the healthcare provider with whom they interact the most while for others, ATs are the only health care professionals they interact with. It is crucial that ATs can assess and implement strategies that account for SDH in athletes. The purpose of this study was to explore the relationship between the number of years certified as an athletic trainer in the college and secondary school settings and perceived knowledge of factors and confidence in the implementation of interventions to address social determinants of health (SDH) when treating patients.

Usage And Influence Of Dietary Supplementation Amongst Adolescent Athletes, Allison Harlow, Jennifer Walker, Aubrey Wagstaff

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

OBJECTIVE The purpose of this study was to investigate the use of dietary supplements or ergogenic aids amongst high school athletes.

The Effect Of Instrument Assisted Soft Tissue Mobilization On Improving Joint Range Of Motion In Active Individuals: A Critically Appraised Topic, Cole E. Dearing, Andrea Cripps, Jenny Toonstra

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

CLINICAL SCENARIO

In all activities that require physical movement, whether in athletics or in other daily tasks, it is important for joints to have adequate range of motion and flexibility. Soft tissue restrictions are very common pathologies in healthcare. Although a decrease in myofascial range of motion can arise from a variety of reasons such as biomechanical deformities, autoimmune diseases, or age, it is often caused by overtraining or musculoskeletal injuries in active populations. Instrument assisted soft tissue mobilization techniques are gaining popularity to assist in treating various soft tissue injuries and musculoskeletal pathologies. The belief is that by applying …

Rates Of Burnout Among Collegiate Athletic Trainers During The Covid-19 Pandemic, Lauren Linn, Jennifer Walker, Audrey Wagstaff

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

OBJECTIVE

The purpose of this study was to investigate the effects of COVID-19 related tasks on the rates of burnout in athletic trainers practicing in the collegiate setting.

Efficacy Of Corrective Exercise On Improving Functional Movement Within The Tactical Population: A Critically Appraised Topic, Sara Stiltner, Adam J. Thompson, Andrea Cripps

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

CLINICAL SCENARIO

Police, fire, emergency medical services, and military personnel encompass a tactical population that is considered an emerging setting in athletic training.Due to the occupational demands within this demographic, these patients are experiencing musculoskeletal injuries and injuries that withhold them from career duties at an alarming rate. One of the main contributors to the incidence of musculoskeletal injury is a lack of functional movement.^1-3 Incorporating corrective functional movement programs should be a primary goal in treating tactical populations.