Medicine and Health Sciences Commons^™

Occupational Therapy Interventions For Adls In Adults Post-Tbi With Visual Symptoms: A Systematic Review, Connor Jarman Bs, Olivia Vander Haar Bms, Lauren Wobken Bs, Stacy Smallfield Drot, Msot, Otr/L, Bcg, Faota, Molly Whitlow Phd, Mph

Student Systematized Reviews: Occupational Therapy

PURPOSE: Traumatic brain injury (TBI) is a leading cause of death and injury in the United States. In fact, it is estimated that 1.5 million Americans experience them every year (CDC, 2022). Visual impairments may be a symptom following TBI (Richman, 2014). This affects an individual’s ability to perform activities of daily living (ADLs) such as dressing, hygiene, and functional mobility, including the reading required for these activities. The purpose of this systematic review was to synthesize the evidence and intervention options within the scope of occupational therapy for adults post-TBI experiencing visual symptoms.

DESIGN: We conducted a systematic review …

Effectiveness Of Functional Cognition Intervention For Adults With Traumatic Brain Injuries: A 
Systematic Review, Lauren Mccormick, Madison Otte, Delaney Hill, Emily Leahy, Stacy Smallfield, Molly Whitlow

Student Systematized Reviews: Occupational Therapy

Purpose: An estimated 5.3 million Americans are living with a permanent disability due to having a traumatic brain injury (TBI) (CDC, 1999). A common deficit seen in this population includes impaired functional cognition, which is the ability to use and integrate thinking and processing skills to complete complex instrumental activities of daily living (IADLs) (Giles et al., 2017). Occupational therapy practitioners support individuals post-TBI by creating and implementing occupation-based interventions during rehabilitation to optimize functional cognition and improve individuals' ability to complete IADLs. This study aims to identify the effectiveness of interventions within the scope of occupational therapy practice …

Occupational Therapy Interventions To Optimize Functional Use Of The Upper Extremity After Peripheral Nerve Injury: A Systematic Review, Shayleigh Clarkson, Allison Fisher, Sean Mcfadden, Payton Swanson, Molly Whitlow, Stacy Smallfield

Student Systematized Reviews: Occupational Therapy

PURPOSE: Peripheral nerve injuries are a distinct group of injuries that are commonly caused by motor vehicle accidents, falls, industrial accidents, household accidents, and penetrating trauma (Kamble et al., 2019). A peripheral nerve injury can affect an individual’s daily occupations and routines due to unrelenting pain, loss of sensation, and/or burning sensations. Peripheral nerve injuries can result in motor loss and subsequent muscle imbalance which can create functional loss (Chae et al., 2020). The purpose of this systematic review was to provide occupational therapists with evidence supporting the use of interventions to increase the functional use of the upper extremity …

Doctoral Physical Therapy Students' Increased Confidence Following Exploration Of Active Video Gaming Systems In A Problem-Based Learning Curriculum In The United States: A Pre-And Post-Intervention Study, Michelle E. Wormley, Wendy Romney, Diana Veneri, Andrea Oberlander

Physical Therapy Faculty Publications

Purpose: Active video gaming (AVG) is used in physical therapy (PT) to treat individuals with a variety of diagnoses across the lifespan. The literature supports improvements in balance, cardiovascular endurance, and motor control; however, evidence is lacking regarding the implementation of AVG in PT education. This study investigated doctoral physical therapy (DPT) students' confidence following active exploration of AVG systems as a PT intervention in the United States.

Methods: This pretest-posttest study included 60 DPT students in 2017 (Cohort 1) and 55 students in 2018 (Cohort 2) enrolled in a problem-based learning curriculum. AVG systems were embedded into patient cases …

Physical Activity Interventions In Children With Juvenile Idiopathic Arthritis: A Systematic Review Of Randomized Controlled Trials, Maura D. Iversen, Marie Andre, Johan Von Heideken

Physical Therapy Faculty Publications

Introduction: Children with juvenile arthritis (JA) experience pain, stiffness, fatigue, and decreased motion leading to difficulties with daily activities and low physical activity (PA). PA is critical to improve health and function and mitigate JA-associated symptoms. This study evaluated the evidence for PA interventions in children with JA.

Materials and methods: A systematic review of randomized controlled trials (RCTs) of PA interventions in children with JA was conducted. Ovid (Medline), Cochrane Library, EMBASE, and CINAHL databases were searched for papers published in English between 1/1/1946 and 9/1/2021. Studies which concurrently assessed medical interventions were excluded. Participant and intervention characteristics and …

Initial Steps For Integrating Academic Electronic Health Records Into Clinical Curricula Of Physical And Occupational Therapy In The United States: A Survey-Based Observational Study, Stephen C. Burrows, Lola Halperin, Eric C. Nemec, Wendy Romney

Healthcare Informatics Faculty Publications

Training programs must be designed to prepare physical and occupational therapy students for using Electronic Health Records (EHR) and interprofessional collaboration. This report aims to describe physical and occupational therapy students' perceptions of integrating Academic EHR in their Problem-Based Learning (PBL) curricula in the College of Health Professions, Sacred Heart University, Fairfield, Connecticut, the United States. A paper-based case approach to PBL was adapted by creating patient cases in an Academic EHR (AEHR). Students were asked to complete chart reviews and review provider notes to enhance their learning. An online survey was conducted to determine their perceptions of using AEHR …

Knee Braces And Foot Orthoses Multimodal Treatment Of Medial Knee Osteoarthritis, Xavier Robert-Lachaine, Yoann Dessery, Étienne L. Belzile, Philippe Corbeil

Études primaires

Background

Knee braces and lateral wedge foot orthoses are two treatment options recommended for medial knee osteoarthritis, but the combination of both of them could further improve their effectiveness.

Research question

The aim was to evaluate whether the combination of lateral wedge foot orthoses with two types of knee brace enhances the biomechanical effects and pain relief during the stance phase of gait while maintaining comfort.

Methods

Ten patients with medial knee osteoarthritis were fitted with a standard valgus brace, an unloader brace with valgus and external rotation functions, and 7° lateral wedge foot orthoses. The pain relief, comfort, kinematics …

Risk-Targeted Behavioral Activation For The Management Of Work Disability Associated With Comorbid Pain And Depression: A Feasibility Study, Michael J.L. Sullivan, Timothy Wideman, Nathalie Gauthier, Pascal Thibault, Tamra Ellis, Heather Adams

Études primaires

Purpose

The purpose of the present study was to conduct a preliminary evaluation of the feasibility and impact of a risk-targeted behavioral activation intervention for work-disabled individuals with comorbid pain and depression.

Methods

The design of the study was a single-arm non-randomized trial. The sample consisted of 66 work-disabled individuals with comorbid pain and depression. The treatment program consisted of a 10-week standardized behavioral activation intervention supplemented by techniques to target two psychosocial risk factors for delayed recovery, namely, catastrophic thinking and perceptions of injustice. Measures of pain severity, depression, catastrophic thinking, perceived injustice, and self-reported disability were completed pre-, …

Stay At Work After A Period Of Disability Due To An Occupational Injury: A Complex Process Marked By Social Exchanges, Alexandra Lecours, Marie-José Durand, Marie-France Coutu, Charles Groleau, Roxanne Bédard-Mercier

Études primaires

Purpose Rooted in a social exchange lens, this study aimed to explore the interactions between the factors influencing stay at work after a period of disability due to an occupational injury. Methods Based on a descriptive interpretative research design, interviews with 15 participants (i.e., representatives of workers, workplaces, insurers, and the health care system) were conducted to gather their perspectives about stay at work. Qualitative data was analyzed through thematic analysis. Results Ten different factors interacting together and influencing stay at work were identified. These factors prevail either during stay at work or previously. They are either related to the …

The Price Of “Normal”: Masking In The Autistic Community, Phyllis Elizabeth Holloway

Online Theses and Dissertations

The Autistic community has a rich history that often includes poor mental health outcomes due to the increased stress and anxiety surrounding the push to have “normal” social skills. On Twitter, many autistic people utilize a hashtag to connect with others in the online Autistic community. This qualitative study analyzes the Twitter hashtag, #ActuallyAutistic, to understand masking and camouflaging from the autistic point of view. A qualitative descriptive approach was used to perform this analysis. The themes found emphasize the need for professionals to increase their understanding of the Autistic community’s value and contributions. By improving the ability of non-autistic …

The Development Of A Well-Being Program For Occupational Therapy Graduate Students, Stacy Smallfield, Emma Burry, Kelsey M. Lawrence, Kathy M. Yang, Katherine M. Chin, Hannahmarie Klute

Journal Articles: Occupational Therapy

High levels of stress among occupational therapy graduate students have led to the adoption of unhealthy coping habits such as poor nutrition, little exercise, and disrupted sleep. In response, many institutions have explored programming and even curricular changes to support student well-being. However, very few are built upon a strong theoretical foundation to address holistic well-being. Therefore, this paper describes how logic modeling was used to develop a student well-being program based on Facilitating Learning and Occupational Well-Being Using Research-Based Initiatives for Student Health (FLOURISH), a theoretical approach rooted in the Person-Environment-Occupation Performance Model. A well-being program delivered via a …

Cardiopulmonary And Cancer Rehabilitation, Erica E. Braig, Aubree L. Osier

Undergraduate Theses, Professional Papers, and Capstone Artifacts

For this capstone project we are helping with the first phase of a 4-phase curricular/outreach program designed to train students (undergraduate and graduate in a peer-mentoring fashion) about professional work in Exercise Rehabilitation for Cardiopulmonary and Cancer Patients. Step 1 includes helping to develop the programmatic approach to testing students as a stand-in for clinical patients. This hands-on approach includes participating in the actual clinical equipment, procedures, and logistics used in modern clinical facilities. Because this program is being developmed in an existing laboratory space that is being repurposed as the Cardiopulmonary and Cancer Rehabilitation Laboratory, our work includes curating …

The Association Between Maternal Attachment Quality And Symptoms Of Anxiety In Mexican American Adolescents, Kathryn Joy Steininger

Graduate Research Theses & Dissertations

Hispanic youth have been recognized as a large population struggling with mental illness. There has been little investigation surrounding the relationship between Hispanic adolescents and anxious tendencies, despite being the second highest population experiencing symptoms. The current study aims to explain the prevalence of symptoms of anxiety in Mexican American adolescents by examining maternal attachment quality. Data from a sample of 432 Mexican American adolescents from the ages of 13 to 21 was analyzed to determine the relationship between maternal attachment quality and symptoms of anxiety. Adolescents demonstrated greater symptoms of anxiety when they had lower maternal attachment quality. After …

Adverse Childhood Experiences And Ecological Systems: An Examination Of Child Perception On School Climate And Connectedness, Siddhant Modi

Graduate Research Theses & Dissertations

Adverse childhood experiences permeate the environment of a child, impacting development in various ways. Research has shown that over 30% of the adult U.S population report some type of adverse childhood experience impacting development into adulthood. Research has shown that investigating areas of a child’s environment, other than the home, could assist in understanding the impact ACEs have on a child’s perception. Although previous research suggests a link between adverse childhood experiences and physical and emotional health problems, there is limited research addressing the impact ACEs have on a child’s perception of the reliability and safety in environments other than …

Sand & Swim Leg, Victoria Mclaughlin, Allison Testa, Chloe Davidson, Reagan Lindsay, Jessica Galford

Williams Honors College, Honors Research Projects

Sand and Swim Leg, is addressing the clinical need of limited options for lower-limb amputees to participate in water activities. We will follow the FDA Medical Device Design Process throughout our two semester course. Initially, we created our team agreement and delegated team roles and responsibilities. Then, we conducted background research on the clinical need, competitive products, and existing patents. After compiling and discussing research amongst our team, we contacted stakeholders that would be affected by our product. Our stakeholders include our below-the-knee amputee client, an above-the-knee amputee, pediatric prosthetists, and our client’s prosthetists. We conducted interviews with our stakeholders …

A Case Study On Special Education And The Covid-19 Pandemic, Megan Cercone

Williams Honors College, Honors Research Projects

The purpose of this qualitative project is to explore the implications of online public schooling for a student with special needs, how this type of teaching impacted his individualized education plan (IEP), and investigate solutions to the consequences of the pandemic for special education. I am specifically interested in how the student's online education may have affected his progress in the physical, occupational, and speech therapy services he typically receives in school as required by his IEP. This project entails interviews of the parents and school-based occupational therapists of a child with special needs to examine the impact online schooling …

Play Occupation For Adults: A Scoping Review, Karen Mccarthy, Jeanne Jackson, Sarah Kantartzis

Occupational Therapy | Faculty Conference Presentations

No abstract provided.

Impact Of Covid-19 On Students And Faculty In Higher Education, Joshua Manio, Kirsten Bas, Megan Griffith, Sophia Mendoza, Christian Jiao

Occupational Therapy | MSOT Capstone Projects

On March 11th, 2020, the World Health Organization (WHO) officially announced that COVID-19 was a “pandemic” (Kapasia et al., 2020). The impact of COVID-19 on higher education has been substantial. Teaching has changed from traditional in-person, classroom formats to distance learning platforms. As students experienced unprecedented disruptions, faculty faced challenges to provide high-quality teaching and build learning communities with their students. Preliminary global research on the COVID-19 impact on higher education has revealed mental health implications including anxiety and depression (Cao et al., 2020). Additionally, the transition to distance learning has hindered college students’ motivation, academic performance, and educational plans. …

Multi-Center, Single-Blind Randomized Controlled Trial Comparing Functional Electrical Stimulation Therapy To Conventional Therapy In Incomplete Tetraplegia, Kim D Anderson, Radha Korupolu, Kristin E Musselman, Jacqueline Pierce, James R Wilson, Nuray Yozbatiran, Naaz Desai, Milos R Popovic, Lehana Thabane

Faculty, Staff and Student Publications

BACKGROUND: Loss of upper extremity function after tetraplegia results in significant disability. Emerging evidence from pilot studies suggests that functional electrical stimulation (FES) therapy may enhance recovery of upper extremity function after tetraplegia. The aim of this trial was to determine the effectiveness of FES therapy delivered by the Myndmove stimulator in people with tetraplegia.

METHODS: A multi-center

RESULTS: Between June 2019 to August 2021, 51 participants were randomized to FES (

CONCLUSION: Forty sessions of FES therapy delivered by the MyndMove stimulator are as effective as conventional therapy in producing meaningful functional improvements that persist after therapy is completed. …

Safety Of Incobotulinumtoxina In Multipattern Treatment Of Upper And Lower Limb Spasticity In Children/Adolescents With Cerebral Palsy: Pooled Analysis Of 3 Large Phase 3 Studies, Marta Banach, Petr Kanovsky, A Sebastian Schroeder, Henry G. Chambers, Edward Dabrowski, Thorin L. Geister, Hanna Dersch, Michael Althaus, Deborah Gaebler-Spriag, Florian Heinen

Conference Presentation Abstracts

Introduction: This analysis assessed the safety and tolerability of repeated incobotulinumtoxinA treatment for lower-limb (LL), upper-limb (UL), or combined LL/UL spasticity in ambulant and non-ambulant children/adolescents with cerebral palsy (CP) using pooled data from 3 large Phase 3 studies.

Methods: Pediatric patients with spasticity (2–17 years of age; uni- or bilateral CP; Gross Motor Function Classification System [GMFCS] level I-V; Ashworth Scale [AS] score ≥2 in clinical patterns for treatment; clinical need for treatment) were enrolled. Patients received total body incobotulinumtoxinA doses of 16 U/kg body weight (BW, ≤400 U) for LL spasticity in 2 injection cycles (ICs) in TIM …

Improvement Of Spasticity-Related Pain With Incobotulinumtoxina Treatment In Children/Adolescents With Cerebral Palsy: Pooled Analysis Of 3 Phase 3 Studies, Florian Heinen, Petr Kanovsky, A Sebastian Schroeder, Henry G. Chambers, Edward Dabrowski, Thorin L. Geister, Hanna Dersch, Irena Pulte, Michael Althaus, Marta Banach, Deborah Gaebler-Spirag

Conference Presentation Abstracts

Introduction: Spasticity-related pain (SRP) in children and adolescents with cerebral palsy (CP) is common, often neglected, and impacts daily quality of life. We assessed the effect of incobotulinumtoxinA on SRP using pooled data from 3 large Phase 3 pediatric studies.

Methods: Ambulant and non-ambulant patients (2–17 years of age; uni- or bilateral CP; Ashworth Scale score ≥2 in clinical patterns for treatment) were enrolled. Patients received total body incobotulinumtoxinA doses of ≤16 U/kg (≤400 U) for lower-limb (LL) treatment in 2 injection cycles (ICs) in TIM (NCT01893411). In TIMO (NCT01905683), TIM completers and new recruits received 4 ICs with 16–20 …

Cross-Cultural Adaptation And Psychometric Properties Of The Thai Version Of The Pain Anxiety Symptoms Scale-20 (Pass-20) And The Patient-Reported Outcomes Measurement Information System Short Form-Anxiety 8a (Promis-Anx-8) In Individuals With Chronic Low Back Pain, Panithi Charoenthaweekaew

Chulalongkorn University Theses and Dissertations (Chula ETD)

Context: Anxiety plays an important role in the management of chronic pain. The Patient-Reported Outcomes Measurement Information System Short Form v1.0 – Anxiety 8a (PROMIS SF v1.0 - Anxiety 8a) and the Pain Anxiety Symptoms Scale-20 (PASS-20) have been developed for assessing general anxiety and pain-specific anxiety, respectively.Objective: To cross-culturally adapt the PROMIS SF v1.0 - Anxiety 8a and PASS-20 into Thai versions (T-PROMIS-Anx8a and T-PASS-20, respectively) and evaluate their psychometric properties in individuals with chronic low back pain (CLBP).Methods: The adaptations were performed using the Functional Assessment of Chronic Illness Therapy (FACIT) translation guidelines. Thai individuals with CLBP completed …

Sit-To-Stand Ability With Dual Task Among Older Adults With Mild Cognitive Impairment, Perayut Chimsuwan

Chulalongkorn University Theses and Dissertations (Chula ETD)

Sit to stand (STS) is the basic mobility related to the quality of life. Older adults with mild cognitive impairment (MCI) have a movement pattern change in motor function. Moreover, the dual task can interfere with cognitive ability, leading to reduced motor performance. However, there was a lack of evidence of movement time, kinematics, and kinetics while performing STS tasks. This study aims to evaluate the STS ability in older adults with and without MCI while performing in single and dual conditions. This study was cross-sectional. Seventy older adults (35 older adults with MCI and 35 controls) participated in this …

A Study On Post-Burn Healing: Optimising Scar Outcome Through The Use Of A Silicone-Based Film-Forming Wound Dressing, Fiona Poelchow

Theses

Introduction

The development of scarring is a normal physiological response during burn wound healing for any except the most trivial of injuries. Burn scarring can cause considerable functional and psychological anguish in burn survivors. Prolonged wound healing has been shown to affect scarring outcomes. Superficial cutaneous wound injuries carry a risk of scarring and altered pigmentation after the wound has healed. The primary aim of this study was to explore the effects of topical silicone on the rate of wound healing in superficial wounds. Secondary aims included investigation of scar and pain outcomes.

Methods

This thesis presents two studies which …

Decreasing Indwelling Catheter Utilization Days In An Inpatient Rehab, Lisa Morgan Msn, Rn, Cnrn, Agcns-Bc

Nursing Publications, Posters, & Presentations

Purpose of Poster: The aim of this initiative was to decrease the indwelling catheter utilization in inpatient rehab.

Presented at the SUNA national conference 2022.

Effective Mental Health Accommodations For Occupational Therapy Students And Practitioners, Allison Jo Naber

Dissertations and Theses

The process of transitioning from high school to higher education and from academic programs outside of the health sciences to the workplace is documented; however, the transitional experiences of those in the health professions and occupational therapy specifically are less understood. This dissertation research aimed to identify the formal accommodations and informal adaptations occupational therapy students and entry-level practitioners have employed to address their mental health needs as they transition from the classroom to fieldwork or capstone and entry-level practice. The link between empirical literature, theories surrounding transitions, and the Occupational Adaptation Model provided the foundation for this research. This …

Rapid Student Assessment And Review Program (R-Star) Training Manual ©, Nicole M. Sleddens

Manuals: Physical Therapy

No abstract provided.

Development Of The Sexual Spring Planning Manual, Hannah Belle Aldridge

Occupational Therapy Doctoral Capstones

Sexual activity plays an essential role in many individuals' lives, but some people are unable to participate in the activity as they would like to due to many underlying causes. Issues with sexuality are commonly underdiagnosed and overlooked, given the social stigmas that make individuals feel ashamed and embarrassed to discuss it with their medical providers. As of 2019, "sexual dysfunction is estimated to be around 30-50% in the general population” (Verbeek & Hayward, 2019). This number continues to rise; therefore, education must be provided to these individuals to receive appropriate care and treatment. Sexual health is typically only addressed …

Promoting Inclusivity For Students With Disabilities To Improve Their Occupational Performance At The Collegiate Level, Erica Basca

Occupational Therapy Doctoral Capstones

Students with disabilities enrolled in post-secondary institutions are increasing in numbers so that students develop the skills needed to achieve a career and live independently. Barriers at the collegiate level include difficulties communicating their concerns with the faculty, lack of mentorship from their advisors, and having no prior knowledge about student organizations/services. Students also experienced daily stressors due to the physical demands of their classroom environment, the pressures of socialization, and the want of acceptance (Hong, 2015). Research by Love (2016) observed the barriers that prevent students with disabilities from engaging in leisure and social activities. The barriers included physical …

Sidewalks: Environmental Facilitators To Promote Older Adult Community Participation, Hailey Godfrey Thomas

Occupational Therapy Doctoral Capstones

According to the Administration of Community Living (2021), between 2009 and 2019 there was a 34 percent increase of adults aged 60 and older, totaling 74.6 million older adults in the United States. With the increase in the aging population an emphasis on accessible environments to promote inclusion is necessary. The American Association of Retired Persons found 80 percent of Americans desire a community that has sidewalks and places to walk (2014). Sidewalks are an integral aspect to improving community participation and the quality of life of older adults. Sidewalks can assist in enhancing social interactions, physical activity, and community …