Medicine and Health Sciences Commons^™

Addressing The Psychosocial Impacts And Recovery Of A Patient With Carpal-Metacarpal (Cmc) Arthroplasty: A Case Study, Christopher Hernandez

Occupational Therapy Capstones

Background & Purpose: Hands are an integral part of what defines us as human beings, they provide us with independence in work, leisure, self-care, and social interactions (Hannah, 2011). Injury to the upper extremity can harm one’s ability to engage in daily occupations, and often can result in a wide range of consequences affecting the physical, psychological, social, and economic aspects of a person’s everyday life (Cederlund et al., 2010; Chown et al., 2017). Treatment is often placed on the physical aspects of the injury, while the phycological symptoms associated with the injury are often not addressed (Jack & Estes, …

The Relationship Between Clinical Examination Measures And Ultrasound Measures Of Fascia Thickness Surrounding Trunk Muscles Or Lumbar Multifidus Fatty Infiltrations: An Exploratory Study, Christian Larivière, Richard Preuss, Dany H. Gagnon, Hakim Mecheri, Mark Driscoll, Sharon M. Henry

Études primaires

Patients with chronic low back pain (CLBP) exhibit remodelling of the lumbar soft tissues such as muscle fatty infiltrations (MFI) and fibrosis of the lumbar multifidus (LuM) muscles, thickness changes of the thoracolumbar fascia (TLF) and perimuscular connective tissues (PMCT) surrounding the abdominal lateral wall muscles. Rehabilitative ultrasound imaging (RUSI) parameters such as thickness and echogenicity are sensitive to this remodelling. This experimental laboratory study aimed to explore whether these RUSI parameters (LuM echogenicity and fascia thicknesses), hereafter called dependent variables (DV) were linked to independent variables (IV) such as (1) other RUSI parameters (trunk muscle thickness and activation) and …

Barriers To Outdoor Recreation For Marginalized Groups At The University Of Montana, Sabine R. Englert, Beatrix Frissell, Adrienne Liebert, Sophia Rodriquez, Margaret Jensen, Rachana Harris, Abby Doss

Undergraduate Theses, Professional Papers, and Capstone Artifacts

Exclusion from outdoor recreation reflects legacies of oppression of marginalized communities and makes access to the outdoors not equally available. In the United States, approximately 38% of Black Americans and 48% of Hispanic Americans participated in outdoor recreation in 2020. This is compared to 55% participation among Caucasian Americans. Many other intersecting identities are actively excluded, including people with disabilities, fat populations, and members of the LGBTQIA2S+ community; furthermore, class-based hierarchies are shown through the restricted outdoor access of low-income populations.

While numerous studies show a lack of diversity in outdoor recreation, little to no research has been conducted on …

Nonoperative Management Of Shoulder Instability, Margie K. Olds, Timothy L. Uhl

Physical Therapy Faculty Publications

Non-operative management following a shoulder dislocation or subluxation remains a challenging and complex task. Accurate diagnosis of the condition, and shared decision-making regarding operative and non-operative management, as well as timing of return to play is required. This clinical concept paper introduces a shoulder instability framework that addresses these fundamental clinical dilemmas. Valid clinical prognostic tools which can predict recurrent shoulder instability are reviewed. The process of shared decision-making within the realm of shoulder instability is also presented. Finally, a framework for progressive rehabilitation that addresses deficits in motor control, strength, and endurance in scapula and shoulder musculature is presented …

The Immediate Effects Of The Nunee Patellar Support On Individuals With Patellofemoral Pain Syndrome, Nick Linn

Graduate Theses, Dissertations, and Problem Reports (ETD)

Patellofemoral pain syndrome (PFPS) is a common form of anterior knee pain caused by general overuse, muscular weakness or strength imbalances, and poor movement coordination leading to abnormal alignment or mal-tracking of the patella. Recent guidelines do not recommend the use of a knee orthosis due to a lack of evidence supporting their effectiveness. A new patellar support (NuNee, K-Neesio LLC.) which uses distraction force to relieve pressure placed on the patella, has been proposed. The purpose of this study was to examine the immediate effects of the NuNee patellar support on perceived pain, biomechanics, and function in individuals with …

Physical Activity And Exercise With Blood Flow Restriction As Medicine During The Covid-19 Pandemic And Beyond, Isaac J. Wedig

Dissertations, Master's Theses and Master's Reports

During the COVID-19 pandemic, physical activity levels have decreased and sitting time has increased. This is a major concern as physical inactivity increases the risk for severe COVID-19 outcomes. Evidence also indicates that COVID-19 survivors can experience reduced physical function (i.e., ability to complete daily living activities) long after acute illness. Currently, there are no evidence-based guidelines for recovering physical function following COVID-19 infection. Exercise with blood flow restriction (BFR) presents a promising rehabilitation strategy as the benefits of traditional exercise can be achieved using lower intensities. However, several barriers such as cost, access to equipment, and lack of standardized …

A Critical Evaluation Of Oral Baclofen In Pediatric Patients With Cerebral Palsy., Matthew J. Mclaughlin, Mark T. Fisher

Manuscripts, Articles, Book Chapters and Other Papers

No abstract provided.

Psychological Readiness In Injured Student-Athletes When Returning To Sport, Samantha J. Burelle

Theses and Dissertations (Comprehensive)

The physical component of recovery is pertinent to success in sport performance, yet there has been an increase in awareness of psychological symptoms and psychological distress experienced by injured athletes. Thus, the psychological aspect of injuries and return to sport (RTS) process cannot be ignored. Psychological readiness (PR) is described by Podlog et al. (2015), Donald (2019), and Podlog et al. (2022) as a dynamic psychological process including factors of realistic expectation, confidence, motivation, and focus. PR addresses the psychological component necessary for a successful RTS. Measurement tools have been developed to assess PR, yet not all factors of PR …

Disability Awareness To Promote Inclusivity For Children In The Educational Setting, Abby Bauman

Occupational Therapy Capstones

A large barrier to an effective and successful educational experience is the stigma and perceived judgment surrounding a child’s disability (Fontil et al., 2020). Implementing disability awareness materials into young classrooms is a way to prevent the development of stigma towards disability. Children who received disability awareness programming in the past have shown improved attitudes towards disabilities as opposed to those who have not (Chae et al., 2019). The purpose of this scholarly project is to assist teachers with implementing disability awareness materials to increase encouragement for young peers to accept, include, and support young individuals with disabilities.

Sensory-Based Universal Design Strategies For Head Start Students To Optimize Educational Engagement, Lexi Elizabeth Zahn

Occupational Therapy Capstones

This scholarly project aims to educate and enable early childhood education teachers on how children’s sensory systems can be positively or negatively influenced to improve overall classroom experiences for all children. A teacher’s resource guide was developed to inform early education teachers about the sensory system and sensory regulation so that they can better understand the sensory needs of their students. The guide provides them with universally designed, sensory-based strategies to implement in the classroom to increase the performance ranges of students in their educational pursuits.

Advancing Medical Technology For Motor Impairment Rehabilitation: Tools, Protocols, And Devices, Matthew Yough

Graduate Theses, Dissertations, and Problem Reports (ETD)

Excellent motor control skills are necessary to live a high-quality life. Activities such as walking, getting dressed, and feeding yourself may seem mundane, but injuries to the neuromuscular system can render these tasks difficult or even impossible to accomplish without assistance. Statistics indicate that well over 100 million people are affected by diseases or injuries, such as stroke, Parkinson’s Disease, Multiple Sclerosis, Cerebral Palsy, peripheral nerve injury, spinal cord injury, and amputation, that negatively impact their motor abilities. This wide array of injuries presents a challenge to the medical field as optimal treatment paradigms are often difficult to implement due …

Muscle Fascicle Length Changes Of The Long Head Of Biceps Femoris Muscle During Various Physical Activities, Rusty Batykefer, Austin Hardin, Kyla Gomes, Octavio Tan, Bryce Yamashita, Alwin Sacro, Tyler Cuddeford

Student-Faculty Research - College of Physical Therapy

We predict that the muscle fascicles of the biceps femoris long head will behave similarly to the ankle plantar flexors in that they will undergo smaller length changes during dynamic activities (running, walking) and greater changes during static activities (single leg Romanian deadlift, standing hamstring curl).

"My Kid Said What?!" Participation And Promis Self-Report In Children With Long-Term Physical Disabilities, Ashlyn Fast, Emma Powley, Kauionalani Kekuawela, Natalie Teegarden, Samuel Miller, Thomas Ratana, Tyler Hammond, Winnie Lee, Ryan Jacobson

Student-Faculty Research - College of Physical Therapy

Purpose:

Determine how the following are associated in kids with physical disabilities:

• Perceived life participation
• Physical abilities
• Social functioning

Proximal And Distal Effects Associated With Vascular Occlusion During Stationary Cycling, Jason Brumitt, Colton Cypert, Kelli Young, Kira Negrete, Kristin Dunn, Mckenzie Moore, Rainey Stoner

Student-Faculty Research - College of Physical Therapy

Purpose

To compare strength gains in the supraspinatus and shoulder external rotators in subjects who performed 10 minutes of stationary cycling with or without bilateral occlusion.

Effects Of Occupation Based Interventions Related To Play And Leisure For Minimization Of Post-Concussion Or Mild Traumatic Brain Injury Symptoms In Adolescents: A Critically Appraised Topic, Anneka Harris, Melody Mackenzie, Emmy Miller

Critically Appraised Topics

Occupational therapy has a vital impact on healthcare providing a holistic approach to care with the goal of improving quality of life, increasing participation in meaningful occupations, and speeding up the recovery process for a variety of health conditions. In concussion management, occupational therapy professionals play a critical role on the multidisciplinary team, understanding the important interaction between the athlete, occupation, and the environment (Andreas et al., 2021). Even though the target population for this critically appraised topic (CAT) is adolescents, athletes (those who experienced a sports-related concussion) comprise most of the studies due to the prevalence of sports-related concussions. …

The Supine Moving Apprehension Test—Reliability And Validity Among Healthy Individuals And Patients With Anterior Shoulder Instability, Alon Rabin, Ofir Chechik, Margie K. Olds, Timothy L. Uhl, Efi Kazum, Adin Deutsch, Eran Citron, Tal Cohen, Oleg Dolkart, Assaf Bibas, Eran Maman

Physical Therapy Faculty Publications

Background: Performance-based tests for patients with anterior shoulder dislocation are lacking. This study determined the reliability and validity of the supine moving apprehension test designed to assess the ability to control anterior instability loads. Methods: Thirty-six participants were recruited (18 healthy individuals, and 18 patients following anterior shoulder dislocation). Healthy participants performed the supine moving apprehension test on 2 separate occasions to determine test-retest reliability. Patients completed the supine moving apprehension test and the Western Ontario Shoulder Instability index before and 6 months after surgical stabilization of their shoulder. The presence of anterior apprehension was also documented post-operatively. Results: The …

Effectiveness Of Occupational Therapy’S Role In Promotion Of Role Fulfillment With Aviation Students In Higher Education Who Are Experiencing Mental Health Conditions, Payton O. Schilke, Olivia G. Schoffstall, Lexi K. Smith, Gracie J. Stimac

Critically Appraised Topics

This critically appraised topic paper focuses on occupational therapy’s role and the interventions for improving the mental health of aviation students in higher education. Aviation students are higher education student pilots learning to become pilots within various roles. Stress and fatigue among students in higher education are prominent problems (Beiter, 2015; Kalmakis et al., 2021). The focus on aviation students for this critically appraised topic paper reveals the unique stressors relating to flight training that is added on top of the normal academic stress load that university students face (Robertson & Ruiz, 2010). Due to these stress factors, the mental …

The Role Of Occupational Therapists Working With Adolescents With Mental Health Conditions In The Juvenile Justice System, Angelina M. Caron, Madalyn M. England, Mattea J. Johnson

Critically Appraised Topics

This critically appraised topic paper focuses on interventions for improving adolescents' mental health status to promote engagement in occupations in the JJS. With many factors to consider, adolescent demographics and previous contexts were described first, then the impact that mental health programs in the JJS have on adolescents' mental health was reviewed. Finally, occupational therapy’s role in improving occupational engagement through addressing mental health was investigated.

Implementing Trauma-Informed Care Across All Occupational Therapy Settings, Scout Hutchinson, Kristin Domville, Pam Kasyan-Howe

Fall 2023 Virtual OTD Capstone Symposium

A quantitative research design was utilized to analyze the effectiveness of an educational seminar on trauma- informed disseminated to occupational therapy practitioners, determining their previous knowledge on trauma-informed care. The research conducted has provided a more comprehensive understanding of this population and where services are needed. There is still much work to be done with this topic and the cultural shift towards providing trauma sensitive resources to occupational therapy practitioners. The future of trauma-informed care being incorporated into occupational therapy practice settings is up to the motivation and heart of future occupational therapists in hopes to strengthen the resources offered …

Health Profession Students' Interprofessional Socialization And Values Toward A College-Based Virtual Interprofessional Education Activity, Denise Claiborne, Praveen Durgampudi, Anne C. Dumadag, Emily J. Hawkins, Patricia Laverdure, Amy Laurie Meeker, Barbara Kraj, Angela Wilson, Muge Akpinar-Elci

Dental Hygiene Faculty Publications

Purpose: The inclusion of interprofessional education (IPE) is essential for the health professions curricula and establishes the expectation of collaborative patient-centered care. The COVID-19 pandemic has required educators to develop innovative methods for IPE student engagement. The purpose of this study was to evaluate a college-based virtual IPE activity for first-year health profession students and measure their interprofessional socialization and values (ISVS) toward IPE teams. The validated interprofessional socialization and valuing scales (ISVS-9A/9B) were used.

Methods: A one-group pre-post-test design examined health profession students' ISVS from seven health programs before and after a virtual IPE activity. The IPE activity was …

Mechanisms Of Education And Graded Sensorimotor Retraining In People With Chronic Low Back Pain: A Mediation Analysis, Aidan Cashin, Hopin Lee, Benedict Wand, Matthew K. Bagg, Edel O'Hagan, Rodrigo Rn Rizzo, Tasha Stanton, G. Lorimer Moseley, James Mcauley

Physiotherapy Papers and Journal Articles

An improved understanding of the biopsychosocial influences that contribute to and maintain pain has promoted the development of new efficacious treatments for chronic low back pain (CLBP). This study aimed to investigate the mechanisms of a new treatment—education and graded sensorimotor retraining—on pain and disability. We conducted a preplanned causal mediation analysis of a randomized clinical trial which allocated 276 participants with CLBP to 12 weekly clinical sessions of education and graded sensorimotor retraining (n = 138) or a sham and attention control (n = 138). Outcomes were pain intensity and disability, both assessed at 18 weeks. Hypothesized mediators included …

Physical And Psychological Factors Associated With Non-Specific Low Back Pain Among Female Cleaners In Academic Settings, Kristsada Chaichan

Chulalongkorn University Theses and Dissertations (Chula ETD)

The objective of this study was to determine the association between physical and psychological variables and the presence of NSLBP among female cleaners working in an academic setting. One hundred and ninety-nine female cleaners aged between 18 and 60 years old with and without LBP were asked to complete a set of self-reported questionnaires related to individual, work-related variables, quality of life, and the prevalence of NSLBP among cleaners. The binomial logistic regression analyses were used to determine the association between physical and psychological factors and the presence or of absence NSLBP. The results showed that the overall prevalence of …

Content Validation Of The Athletic Training Milestones: A Report From The Association For Athletic Training Education Research Network, Cailee E. Welch Bacon, Barton E. Anderson, Julie M. Cavallario, Bonnie Van Lunen, Lindsey E. Eberman

Rehabilitation Sciences Faculty Publications

The Athletic Training Milestones were developed as a comprehensive framework to assess athletic trainers' knowledge, skill, and behavior acquisition across the continuum of athletic training practice. However, without established content validity, it is unclear whether the Athletic Training Milestones can be used effectively as a clinical evaluation and research tool to evaluate competence and performance across multiple users and sites. We conducted a highly conservative content validity index (CVI) with data from 12 content experts. Our findings revealed an extremely high overall scale CVI of 0.99, and CVI scores of the 28 individual subcompetency items assessed ranged from 0.83 to …

Athletic Training Student Core Competency Professional Behavior Implementation Between Immersive And Non-Immersive Clinical Experiences: A Report From The Association For Athletic Training Education (Aate) Research Network, Bailey Christine Jones, Julie Cavallario, Bonnie L. Van Lunen, Stacy E. Walker, Curt Bay, Cailee E. Welch Bacon

Rehabilitation Sciences Faculty Publications

Context

The Commission on Accreditation of Athletic Training Education requires athletic training programs to emphasize the use of professional behaviors that are associated with 6 core competencies, 5 of which were measured in this study: patient-centered care, interprofessional education and collaborative practice (IPECP), evidence-based practice (EBP), health information technology (HIT), and quality improvement (QI). The purpose of this study was to examine the association between clinical experience type and student implementation of behaviors associated with the core competencies.

Design

Multisite, panel design.

Setting

Twelve professional athletic training programs (7 graduate, 5 undergraduate).

Patients or Other Participants

A total of 338 …

Athletic Trainers' Experiences Developing And Maintaining Contemporary Expertise, Nicole R. Strout Kemper, Julie M. Cavallario, Stacy E. Walker, Cailee E. Welch Bacon

Rehabilitation Sciences Faculty Publications

Context

The Commission on Accreditation of Athletic Training Education (CAATE) implemented new accreditation standards for professional education in 2020, requiring educators and preceptors affiliated with CAATE-accredited professional programs to identify an area of contemporary expertise. Although this requirement is imperative to ensure that educators and preceptors are exposing students to the breadth and depth of content areas in athletic training practice, little is known about how an area of contemporary expertise is developed and maintained.

Objective

To explore educators’ and preceptors’ experiences with developing and maintaining an area of contemporary expertise.

Design

Cross-sectional.

Setting

Web-based survey.

Participants

Of 449 athletic …

Examining The Relationship Of Social Inclusion On Job Satisfaction And Turnover Intentions Of Us Post-9/11 Veterans, Sheree' L. Peters

Walden Dissertations and Doctoral Studies

Many American veterans return to the civilian workforce and report having problems reintegrating into society, as well as finding their role in the new corporate social realms. Over 80% leave their civilian jobs within the first two years of employment, and over 70% report experiencing feelings of loneliness. Recently, the World Health Organization reported that the lack of perceived social inclusion also has a significant economic impact on both individuals and societies. A quantitative, nonexperimental methodology was used to examine the moderating relationship of social inclusion on the relationship between job employee turnover intentions of post-9/11 enlisted veterans. This study …

The Effects Of Secondary Traumatic Stress And Resilience On The Indicators Of Compassion Fatigue Among Occupational Therapists, Gayla Ann Aguilar

Walden Dissertations and Doctoral Studies

AbstractCompassion fatigue (CF) has been described as the “cost of caring” for traumatized individuals, which may lead to missed workdays, diminished work satisfaction, increased turnover, and decreased client care. CF has long been studied in other caring professionals, but occupational therapy practitioners (OTPs) have been largely overlooked. The purpose of this quantitative correlation study was to determine the relationship between secondary traumatic stress (STS) and resilience (RES) on burnout (BO) and compassion satisfaction (CS; i.e., indicators of CF) in OTPs. In this study, the moderation effect that RES has on STS and BO as related to CF in 68 completed …

Transcranial Direct Current Stimulation (Tdcs) To Improve Lower Limb Motor Recovery Following Stroke: A Review And Study Proposal, Jessica Fantz-Sands

Scripps Senior Theses

Strokes are the result of restricted blood flow to particular areas of the brain classified by their cause. The neural damage they cause are of growing concern as the number of young adults experiencing strokes has increased by 11% in the last decade. Following stroke, there is an imbalance of inhibitory and excitatory neuronal activity, and disruption of neural networks. These changes lead to neuronal death and loss of synaptic connections that, depending on which part of the brain is affected, result in behavioral deficits such as weakness, limb hemiparesis, and loss of coordination, as well as speech and cognitive …

Efficacy Of Adapted Mindfulness-Based Stress Reduction Program In Treating Patients With Mild Traumatic Brain Injury, Kate Whipple

Scripps Senior Theses

Mindfulness-based stress reduction (MBSR) has been applied in many contexts, and has been found to be a helpful therapeutic intervention for people dealing with both mental and physical struggles. In recent years, studies exploring the effects of using MBSR in the neurorehabilitation people with traumatic brain injuries (TBIs) have emerged. However, these studies are primarily pilot studies with very few participants. This proposed study will explore whether an adapted version of the MBSR program is effective in reducing apathy and improving motivation to recover in participants with mild TBIs (mTBIs). The proposed study will have 76 participants and will uses …

Impact Of Pilates Mat-Based Exercises On Knee Kinematics During Running, Jaime González, Alexis Ortiz

Physical Therapy Faculty Publications

Introduction: Core strengthening, balance, and flexibility programs such as Pilates have been advocated to positively impact running mechanics and prevent lower extremity injuries. The purpose of this study was to assess the effects of a 12-week mat-based Pilates exercise program on dynamic knee valgus alignment in runners.

Methods: Thirty-four novice runners, including young male and female adults performed a running protocol at baseline. The protocol consisted of the participants running on a treadmill at a constant five miles per hour (mph) for 4 min. Post-examination, participants were randomly assigned to a Pilates or control group (n = 16 and n …