Medicine and Health Sciences Commons^™

Immersive Virtual Reality (Vr) And Telehealth To Promote Engagement In Occupations For Rural Populations: Manual For Occupational Therapists, Brock Wahlert, Emily Utech

Occupational Therapy Capstones

Abstract

Telehealth has been used to alleviate the impact of occupational deprivation in rural communities (American Occupational Therapy Association [AOTA], 2018). There is continuing research on the development of telehealth in the occupational therapy profession. An emerging type of technology utilized in occupational therapy consists of using immersive VR interventions to increase client's performance skills (Karamians, Proffitt, Kline & Gauthier, 2019; Kwan, Park, Yoon & Park, 2012; Halton, 2008; Weiss Rand, Katz & Kizony, 2004). The combination of immersive VR and telehealth allows occupational therapy practitioners to interact, evaluate, and intervene with clients living in rural communities. The immersive VR …

Synthesized Grounded Theory Expansion Of The Quadruple Aim In Acute Care Nursing, O. Ann Ann Fuller

Walden Dissertations and Doctoral Studies

AbstractConflation of moral and compassionate healthcare within the business model that is focused on customer service, disempowers, dehumanizes, and destabilizes nursing as well as the financial stability of healthcare. The purpose of this research was to determine nurses’ perceptions of how their work environment supported or contradicted a potential expansion of the quadruple aim. The quadruple aim was the primary conceptual framework for this research. The overarching research question was about how the environment of care supports professional nurses’ provision of high-quality person- centered care and bolsters meaningful and purposeful careers. The synthesized grounded theory methodology was used to collect …

Interdisciplinary Community-Based Support For Caregivers Of Individuals Living With Dementia, Gina Tucker-Roghi, Jamie Escoubas, Renee Tolliver, Sarah Tucker

Occupational Therapy | Faculty Scholarship

Evidence indicates family caregivers of individuals living with dementia (ILwD) are at risk for diminished physical and mental health; which may decrease their quality of life and directly impact their ability to provide care. An interdisciplinary approach to self-care and skill-building for caregivers is provided in a virtual support group offered by Council on Aging in Sonoma County, CA. As part of the nonprofit’s Adult Day Program, the group is offered to client caregivers and has two goals: First, creating a communitybased, long-term support system for ILwD who are agingin-place; second, fostering a safe and supportive community for family caregivers, …

College Athletes' Experiences With A Lower Body Re-Injury: A Phenomenological Investigation, Samantha Holder

College of Graduate Studies: Theses & Dissertations

Lower extremity injuries are the most common musculoskeletal sport injuries and are an inevitable risk to sport participation (Chalmers, 2002; Dane et al., 2004; Kay et al., 2017). When an athlete sustains an injury, fear of re-injury is a salient emotion many athletes experience (e.g., Disanti et al., 2018; Kvist et al., 2005; Lentz et al., 2015). Previous research has identified fear of re-injury as a risk factor to suffering a subsequent injury (e.g., An et al., 2019; Andersen & Williams, 1988; Paterno et al., 2018; Podlog et al., 2011; Tagesson & Kvist, 2016). Epidemiology studies have highlighted that re-injuries …

More Than A Myth: The Benefits Of Incorporating Holistic Healing Methods From Native American And Mexican Cultures To Approach Opioid Use Disorder (Oud) Treatment, Juliana Favela

CMC Senior Theses

Opioid Use Disorder (OUD) is a substance use disorder that characterizes a dependence on and an addiction to opioids. Opioids attack the prefrontal cortex, the dopaminergic reward system, and the hypothalamic-pituitary-adrenal (HPA) axis which is responsible for the body’s stress response. Opioids constantly shift one’s “set point” to the point where normal actions that cause joy and excitement no longer cause those feelings, resulting in craving and dependence. The opioid epidemic is currently ravaging the United States and has disproportionately affected Native American populations specifically in the rural areas (Tipps, et.al, 2018). The current methods for addressing OUD include medicine …

Assessing Information Literacy Skills And Library Anxiety Of First-Year Occupational Therapy Graduate Students, Christine Moghimi, Mary C. Rickelman

Journal of Occupational Therapy Education

In today’s academic environment, students equipped with self-regulated learning and information literacy (IL) skills have an excellent opportunity for professional success given the current information-based practices in health care. Purposefully providing IL instruction to students early in their coursework will help them develop competent research skills applicable to their remaining studies and scholarly projects. Along with IL challenges, students can experience “library anxiety,” which the literature identifies as a contributing factor to poor academic performance. This study explored components of library anxiety in Master of Occupational Therapy (MOT) students and identified opportunities for IL training that could help students become …

Collaborating With A Transitional Care Unit To Provide Student Hands-On Time: A Win-Win For Hospital And Academic Institution, Emily Grattan, Amanda K. Giles

Journal of Occupational Therapy Education

Occupational therapy students crave hands-on learning experiences that take place in authentic environments. This study describes an innovative experiential learning activity involving collaboration between an academic institution and an inpatient transitional care unit (TCU). Three cohorts of second year occupational therapy students (N=138) participated in the TCU learning activity, which involved reviewing the electronic medical record, planning and delivering a treatment, documenting the therapy session, and intentionally reflecting on the experience. Based on an optional, anonymous survey, one hundred percent of students reported that “this learning experience was valuable” and “provided opportunity to practice clinical reasoning.” Ninety-nine percent of students …

Needs Assessment, Program Development, And Pilot Testing: Training For Occupational Therapy Students Working With Survivors Of Gun Violence, Lea Fang, Aisha Mohammed, Vicki Kaskutas

Journal of Occupational Therapy Education

After the first year of operation, members of a student-staffed occupational therapy (OT) clinic found that 36% of their patients’ injuries were violence-related, mostly due to gun violence. The purposes of this project were to identify unmet needs of survivors of violence seen in a clinic setting, identify treating professionals’ preparedness to meet these needs, and develop and pilot test a program within the scope of OT to address these needs. A literature review and key informant interviews, surveys, and focus groups identified potential solutions to address gaps between patients’ needs and professionals’ preparedness to meet those needs. The need …

Effects Of Textured Mat On Lower Limb Muscle Activities And Body Sway In Individuals With Chronic Ankle Instability, Nanthiphak Konphet

Chulalongkorn University Theses and Dissertations (Chula ETD)

A textured mat with flexible nubs is a novel type of unstable surface offering more texture variety than a conventional unstable surface. A textured mat may be utilized to improve balance and muscular activation in individuals with chronic ankle instability (CAI). The purpose of this study was to compare the effects of a textured mat versus a regular foam surface and a firm surface on lower limb muscle activity and postural control in individuals with CAI. This repeated measurements within subject study recruited 28 participants with CAI. A triaxial accelerometer and electromyograph were used to monitor the 10 muscles of …

Diagnostic Accuracy Of The Timed Up-And-Go Test With Different Types Of Cognitive Tasks For Mild Cognitive Impairment In Older Adults, Kanyakon Chanabangkaew

Chulalongkorn University Theses and Dissertations (Chula ETD)

The Timed Up-and-Go test (TUG) test with cognitive tasks was a motor and cognitive dual-task approach used to evaluate the level of cognitive ability in older adults. Moreover, the different types of cognitive tasks challenge different aspects of cognition and impact performance differently. To our knowledge, the accuracy of the TUG test with different types of cognitive tasks still lacks information regarding which cognitive tasks and test outcomes are optimal to use. This study aimed to evaluate and compare the accuracy of the TUG test with different types of cognitive tasks to detect older adults with mild cognitive impairment (MCI). …

Comparing The Effectiveness Of Lumbar Rotation To Central Posteroanterior Mobilization In The Treatment Of Individuals With Bilateral Non-Specific Low Back Pain, Nalinee Eitssayeam

Chulalongkorn University Theses and Dissertations (Chula ETD)

To compare the effectiveness of lumbar rotation mobilization and central posteroanterior (central PA) mobilization on the intensity of low back pain (LBP), lumbar range of motion (LROM), functional rating index (FRI), and global perceived effect (GPE) in individuals with bilateral non-specific low back pain (NSLBP). Seventy bilateral NSLBP individuals were recruited (19 men and 51 females). The participants were randomly assigned into two groups using concealed opaque envelopes: central PA or rotation. Both groups got a placebo treatment with detuned shortwave diathermy before receiving intervention according to their group assignment. The outcomes were measured at four points: baseline, after placebo …

Cognitive-Motor Interactions In Gait And Postural Control And Cortical Network Neurocorrelates, Nathan Morelli

Theses and Dissertations--Rehabilitation Sciences

The ability to mitigate performance decrements during the concurrent completion of cognitive and motor tasks (i.e., dual task (DT)) deteriorates in patients with mild Traumatic Brain Injury (mTBI). It is theorized that the long-term sequelae of mTBI are due to the return to full activity prior to neurophysiologic healing. To mitigate the negative outcomes associated with mTBIs, translational clinical research of neurophysiologic recovery is of paramount importance for both athletic and non-athletic populations. Despite the well-known health consequences, clinical decisions regarding neurophysiologic recovery and return to activity remain problematic for clinicians. Return to activity decisions are currently based on normalization …

Evaluation Of The Effectiveness Of A Pain Neuroscience Education Curriculum For Patients Who Experience Chronic Musculoskeletal Pain With Concurrent Opioid Dependence, Nicole D. Windsor

Theses and Dissertations--Rehabilitation Sciences

Background: Chronic musculoskeletal pain (CMP) is estimated to affect over 100 million adults annually and is targeted as an instigator of opioid dependence (OpD). Opioid medications are often the first response for patients suffering from CMP, but over 10 million people annually admit to misusing opioids. With the opioid epidemic, the healthcare system now has a population of patients who experience CMP with concurrent OpD. This persistent problem creates a perfect storm of fear of movement, low self-efficacy, and physical dysfunction. A critical component to chronic pain management is understanding how patients view their pain experience. Education may be one …

Beyond The Treatment Protocol: Active Ingredients For Precision Voice Rehabilitation, Maria H. Bane

Theses and Dissertations--Rehabilitation Sciences

Despite the growing body of research demonstrating voice therapy efficacy, only 12 of 100 people referred to a speech-language pathologist (SLP) for a voice evaluation will successfully complete therapy. One possible reason for this discrepancy is that clinical laboratory and clinical outcomes studies have focused on if voice therapy works while failing to explain how voice therapy works. While the if question is important, the yes or no response this question generates is of limited utility when those referred for voice therapy fail to complete. Consequently, the how question, which concentrates on the mechanisms and processes underlying effective voice therapy, …

The Influence Of Physical Health, Emotional Health, And Socioeconomic Factors On The Musculoskeletal Pain Experience In Patients Attending A Pro Bono Physical Therapy Clinic, Garrett Naze

Theses and Dissertations--Rehabilitation Sciences

Non-communicable, chronic diseases are highly prevalent in the United States, reducing the quality of life for those affected and contributing to the majority of the nation’s healthcare expenditure. These conditions include, among others, cardiovascular disease, diabetes, and musculoskeletal disease. Musculoskeletal disease is particularly of interest for the field of physical therapy as the vast majority of patients seeking care in the outpatient setting present with musculoskeletal pain complaints, resulting in limitations in function, participation, and quality of life for the patient.

The factors influencing health outcomes are diverse and include a person’s physical environment, social and economic factors, access to …

Development Of A Field Expedient Screening Tool For The Coach To Identify Musculoskeletal Risk Factors In Baseball Players, Kyle Andrew Matsel

Theses and Dissertations--Rehabilitation Sciences

Identification of musculoskeletal (MSK) injury risk factors in baseball players can be challenging particularly for youth and high school coaches. Many baseball coaches lack a sports medicine and/or strength and conditioning staff to assist with injury prevention initiatives. Given the extensive responsibilities in managing the team and preparing the players for athletic competition, little time remains to focus on injury prevention and arm care programs. Furthermore, assessment, diagnosis, and management of MSK impairments is outside the scope of practice and expertise of baseball coaches. However, educating and empowering the coach to efficiently screen their players for potentially injury producing MSK …

Changing The Perspective In Management Of A Progressive Neurological Disorder: Developing Interventions To Target Multifactorial Components Of Parkinson’S Disease With Emphasis On Improving Clinical Meaningful Outcomes, Jordana Christine Lockwich

Theses and Dissertations--Rehabilitation Sciences

Neurological disorders are currently the leading source of disability in the United States with Parkinson’s disease (PD) having the fastest growing incidence rate (Abate et al., 2017). PD is the second most common degenerative disease in older adults above 60 years old (Tysnes & Storstein, 2017) and epidemiology reports predict that the number of PD cases has doubled to 6 million since 1990 (Dorsey, Sherer, et al., 2018) It is estimated that PD prevalence will continue to rise with a projected 60,000 new cases in the United States by 2030 (Dorsey, Elbaz, et al., 2018) and has the potential to …

Knee Extension Rate Of Torque Development Deficit Is Not Captured By Standard Functional Performance Measures Post- Anterior Cruciate Ligament Reconstruction, Michael Jeanfavre, Matthew Klein, Darragh Lynch, Luke Esquerra, Jonathan Dickey, Jessica Mena

Faculty Publications - College of Physical Therapy

Background

Criteria for full recovery following anterior cruciate ligament reconstruction (ACL-R) include the ability to achieve >90% limb symmetry in maximal quadriceps strength (QI) and functional hop tests. Additionally, knee extension rate of torque development (RTD) is an important performance metric post-ACL-R. This study investigated the rate of recovery of these performance metrics in a recreationally athletic population.

Purpose

To investigate RTD at 30% (RTD30), 50% (RTD50), and 90% (RTD90) of maximal voluntary isometric contraction (MVIC) recovery rate compared to knee extension peak torque and hop test performance post ACL-R.

Study Design

Descriptive, prospective, cross-sectional single-cohort study.

Methods

Subjects between …

What Is Toe Spring In Running Shoes?, Matthew Klein

Faculty Publications - College of Physical Therapy

The last several years have seen a dramatic change in the looks and design of modern running shoes. As maximal shoe design continues to influence the industry, a majority of shoes are seeing large increases in sole height and bending stiffness and increasing usage of plates. In addition to thicker, stiffer, and plated shoes, you may have noticed an increase in the frequency of another rarely discussed but important component of many running shoes, a large upward curve right under the toes. This feature is called toe spring. With it becoming increasingly prevalent, it’s worth knowing why it exists, …

It’S Okay To Be A Heel Striker, Matthew Klein

Faculty Publications - College of Physical Therapy

One of the most frequent questions I’m asked by runners is, “How should my foot land on the ground?” In the wake of the previous decade’s barefoot/minimal shoe movement, people continue to emphasize certain foot strikes over others. (Heel striking is the primary “other” in these discussions.)

Claims are often made about injury prevention, improved speed, improved running efficiency, and certain ways being more “natural.” As with most universal claims in running, there’s a great deal of misinformation here. Let’s look at the facts about foot strikes.

Effects Of Home-Based Exercise Using Balance Disc With Smartphone Inclinometer Application Feedback On Sitting Balance And Activity Of Daily Living In Individual With Stroke, Pantawit Aphiphaksakul

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Sitting ability is critical for daily activities in individuals who have experienced a stroke. A combination of seated balance training on an unstable surface and real-time visual feedback via a simple mobile inclinometer application may improve trunk control in stroke survivors. Objective: This randomized controlled trial aimed to determine the effects of home-based exercise utilizing a balance disc with input from a smartphone inclinometer application on sitting balance and activities of daily living in stroke survivors. Methods: This trial enrolled 32 stroke survivors aged 30 to 75 years. Participants were randomly assigned to one of two groups: intervention or …

Interweaving Teaching Strategies In Interprofessional Education: A Pilot Study With Graduate Occupational Therapy And Physician Assistant Students, Eric C. Nemec, Lola Halperin, Jaimee Betts Hegge

Physician Associate Studies Faculty Publications

The importance of interprofessional education (IPE) has been emphasized by the World Health Organization and is currently required by both the occupational therapy (OT) and physician assistant (PA) education accreditation agencies in the United States. Moreover, a growing body of evidence suggests that IPE fosters learners’ understanding of the roles different disciplines play in healthcare delivery and prepares future health professionals for patient-centered care. Authors designed and implemented an IPE event aimed to foster the following core Interprofessional Education Collaborative (IPEC) competencies among graduate OT and PA students: Values/Ethics for Interprofessional Practice, Roles and Responsibilities, Interprofessional Communication, and Teams and …

Finding Parity Through Preclusion: Novel Mental Health Parity Solutions At The State Level, Ryan D. Kingshill

Dickinson Law Review (2017-Present)

Recently, the federal government has taken numerous steps to promote the equal treatment (also known as parity) of mental and physical health issues. The two most impactful actions are the Mental Health Parity and Addiction Act of 2008 and the Affordable Care Act. These acts focus on the traditional avenue for parity change—insurance regulation. While these acts have improved parity, major gaps in coverage and treatment between mental health/substance use disorder treatment and medical/surgical treatment persist. ERISA Preemption, evasive insurer behavior, lack of enforcement, and lack of consumer education continue to plague patients and healthcare professionals. On its own, federal …

Broadening The Role Of Occupational Therapists Within The Icu Setting: An Occupation-Based Toolkit, Roxana Chirinos, Carly Derouin

Occupational Therapy Capstones

Purpose: The purpose of this project was to create a quick intervention toolkit for occupational therapists treating clients in the intensive care unit (ICU) in order to increase occupation-based services, quality of care, and improve client outcomes. Additionally, this project hopes to enlighten occupational therapists who may experience burnout while providing services within such an intensive setting.

Recovering From The Loss Of A Loved One: A Group Protocol For Remaining Active In Valued Occupations While Coping With The Loss Of A Loved One, Hailey Axtell, Ty Berg

Occupational Therapy Capstones

Purpose: The purpose of this scholarly project is to develop a manualized intervention program utilizing the CMOP-E to better understand grief and coping while promoting occupational engagement for older adults who have recently lost a partner. A group protocol was created to address spirituality, the survivor, participation in desired occupations, and the environment to help with the process of grieving and promote occupational performance.

Occupational Therapy For Pregnant Women: An Ergonomics Program For First-Time Mothers, Kaitlyn Berglund, Brianna Peterman

Occupational Therapy Capstones

This scholarly project, Occupational Therapy for Pregnant Women: An Ergonomics Program for First-Time Mothers, provides occupational therapy practitioners with a 3-session group protocol to address ergonomic concerns of pregnancy and new motherhood with pregnant women who are becoming mothers for the first time. These ergonomic concerns are addressed as they specifically relate to the occupations of the clients. Through an extensive literature review, it was found that there is limited research and programming specific to occupational therapy’s role in providing services to pregnant women and new mothers. Ergonomic programming for pregnant women that was previously available did not address occupations …

A Group-Protocol: Returning To Life Post Breast Cancer Treatment, Janice Finley, Ashley Timm

Occupational Therapy Capstones

The purpose of this project was to design a group protocol to assist breast cancer survivors living in the community to address unmet physical, cognitive, and psychosocial needs. There are more than 3.5 million breast cancer survivors within the United States today (American Cancer Society, n.d.). A cancer survivor's performance in meaningful occupations and roles need to be addressed as they learn to live with the long-term physical and psychosocial effects of treatments such as self-confidence and pain management (Burg et al., 2015; Kim, Kim, & Han, 2020). There is a lack of occupational therapy services for individuals diagnosed with …

Prevention Of Work-Related Musculoskeletal Disorders Among Individuals Utilizing A Home Computer Workstation, Dalton Fetsch, Jonah Kratochvil

Occupational Therapy Capstones

Purpose: The purpose of this project was to develop a comprehensive educational guide for office workers and students who utilize a home computer workstation for a majority of their day utilizing current evidence. This guide is intended to help prevent the onset of MSDs that often occur due to improper ergonomic positioning and limited resources when utilizing home computer workstations

Addressing Sexual Intimacy Post-Spinal Cord Injury With Clients And Their Significant Other, Michelle Arnhalt, Taylor Beatty

Occupational Therapy Capstones

Discussing sexual participation with a client who has experienced a spinal cord injury (SCI) can be a critical component to addressing their overall occupational needs during the rehabilitation process. Literature has shown that education on sexual intimacy following their injury is often neglected during therapy due to the sensitive nature of the topic (Federici, Artegianai, Pigliautile, Antonelli, Diotallevi, Ritacco, & Maschke, 2019; Hess & Hough, 2012; Walker, Otte, LeMond, Hess, Kaizer, Faulkner, & Christy, 2020). Overlooking the topic of sexual intimacy during the client’s rehabilitation process can impact the client psychologically by decreasing their self-esteem and confidence, their desire to …

Creating Sense Of It: An In-Service To Address Military Students Experiencing Sensory Deficits, Danielle Cox, Katelyn Jennings

Occupational Therapy Capstones

Purpose: Life for military children is challenging as they are exposed to various experiences that may have adverse effects. There is an unprecedented need for additional resources regarding sensory deficits in military children to provide more insight into the challenges faced by this population as well as to increase awareness and support for the demands placed upon children in military families. The purpose of this project is to provide information to educators regarding added sensory challenges faced by military students as well as to increase awareness and support for the demands placed upon these children.