Rehabilitation and Therapy Commons^™

Barriers To The Implementation Of The Amsterdam 2022 Statement In The Secondary School Setting, L Torres, J L. Baldari, F A. Gardin, A M. Price

Clinical Practice in Athletic Training

Introduction: The Amsterdam 2022 International Consensus Statement on Concussion in Sport provides a summary of contemporary best practice recommendations for healthcare providers who are involved in the care of athletes at risk of sport-related concussion (SRC). Given that athletic trainers (ATs) have a professional responsibility to continually educate themselves on topics of great importance to the population that they care for, such as SRC management, it is reasonable to expect them to evolve their concussion management protocols to better align themselves with the recommendations found this statement. The purpose of this study was to identify the barriers associated with the …

Exploring The Vitality Of Athletic Training: Insights Into Professional Identity, Commitment, And Retention, L E. Eberman, M J. Rivera, K E. Games, M J. Drescher, J P. Young, J Clifton-Gaw, K Condrey, H Mccarn, N Mondelli, X Yuan

Clinical Practice in Athletic Training

Introduction: The confluence of fluctuating retention, fewer students entering professional programs, and the profession’s identity crisis (conflict between being a sports profession or a health profession) has created a serious question about the vitality of the athletic profession. However, research on the vitality of the profession has often focused on singular variables influencing professional identity, burnout, and commitment. The purpose of this project was to explore multiple factors influencing the vitality of the profession across professional identity and commitment in athletic training. Methods: We used a convergent parallel mixed-methods design, including surveys and interviews with athletic training students and athletic …

Escape From Diabetes, J E. Jochum, J Carmack, J Toon

Clinical Practice in Athletic Training

Introduction: In the past decade, interprofessional education (IPE) to promote interprofessional collaborative practice has become an integral component of pre-licensure education in the health professions. Research shows that IPE activities involving problem-solving in patient care that requires cooperation and communication among the professions is most effective. An effective activity to meet interprofessional competencies is the use of escape rooms. Escape rooms are team-based games where groups of individuals solve puzzles to accomplish a specific goal, typically in a limited amount of time. There are many benefits to using escape rooms in education, including promoting problem-solving, teamwork, and creativity, improving focus …

Athletic Trainer Compensation Characteristics, J P. Young, K Ef Mair, L E. Eberman

Clinical Practice in Athletic Training

Introduction: Athletic trainers (ATs) are integral to healthcare yet face ongoing challenges that affect job satisfaction and retention. Factors such as long work hours, low pay, and work-family conflict contribute to dissatisfaction and a desire to leave the profession. Salary disparities and lack of administrative support are key factors impacting professional fulfillment and career longevity. Identifying how compensation influences job satisfaction is essential for improving retention and advancing the profession. Our study aimed to examine the compensation characteristics of ATs and determine the key factors that predict gross income. Methods: A cross-sectional, web-based survey was conducted. The survey was validated …

Preceptor Development: Identifying The Best Modality For Building Clinical Educators, G W. Cohen, R M. Lopez, A J. Tritsch

Clinical Practice in Athletic Training

Introduction: Preceptor training and development are not standardized within the athletic training profession. The Commission on Accreditation of Athletic Training Education (CAATE) requires that Athletic Training Programs provide an ongoing education plan for preceptors to promote a constructive learning environment for students. However, with the rapid expansion of clinical education opportunities outside of institutions' immediate area, programs must identify how to reach all their preceptors and uphold their programmatic expectations for clinical educators. Methods: The investigators conducted a cohort pre-test-post-test design study. A preceptor development program (PDP) was created and grounded in the theory of gamified learning and adult learning …

The Financial Stresses That Affect Athletic Training Students: A Qualitative Investigation, C Kuehner-Boyer, E León Zaragoza

Clinical Practice in Athletic Training

Introduction: A recent survey examining barriers that affect athletic training students found that financial-related barriers created significant stress for students in professional athletic training programs. The need to work while attending a professional athletic training program was the highest reported barrier with 54.82% of respondents indicating that this was a barrier for them during their program. Beyond the overall reporting rate, the need to work while completing a professional athletic training program was indicated by athletic training students to be the barrier that they encountered the most frequently with respondents reporting that this was a stress for them between monthly …

Musculoskeletal Tumors Disguised As Orthopedic Injuries: A Case Report, A Summers

Clinical Practice in Athletic Training

Background: Musculoskeletal tumors are relatively rare, accounting for only 0.2 to 0.5% of all malignancies across all age groups. More specifically, Pigmented Villonodular Synovitis, a type of musculoskeletal tumor, has an incidence rate of 1.8 cases per one million people in a population. This benign, proliferative disease is a type of tenosynovial giant cell tumor that can affect the soft tissue lining of joints, bursae, and tendon sheaths. These joint-related tumors often present with an insidious onset and non-specific physical exam findings. Therefore, they are often mistaken for other, more common orthopedic injuries, making them difficult to diagnose. Patient Information: …

Enhancing Clinic Efficiency: A Quality Improvement Initiative For Postoperative Patient Care In An Outpatient Orthopedic Physician Practice Setting, D Stepan, T Jp Greffly, R M. Williams

Clinical Practice in Athletic Training

Introduction: Following orthopedic surgery, patient post-operative (post-op) visits are deemed global surgical observations where day 00 to day 90 are appointments that cannot be billed. Patients are typically seen 3 times during this global period. Thus, the outpatient clinic needs to have non-billable time slots each day for these patients. The current scheduling model double books patients every 15 minutes, with the physician being the primary provider seeing patients for post-op visits. Therefore, the clinic has demonstrated inefficiencies with scheduling these patients while having sufficient appointments available for billable patients. This quality improvement initiative aimed to decrease post-op patient visits …

Adolescent Femoral Neck Fractures: A Case Study On Initial Surgical Intervention, Avascular Necrosis Development, And Subsequent Total Hip Arthroplasty, K A. Fisher

Clinical Practice in Athletic Training

Background: The patient sustained a femoral neck fracture at the age of 13 after slipping and falling in his home. He was seen in the Emergency Department the same day and underwent a closed reduction and percutaneous pinning procedure the following morning. Ten weeks after returning to full weightbearing, and 13.5 weeks after his initial fracture, he developed stress fractures of the medial distal femoral and proximal tibial metaphyses. He experienced gradual worsening of hip pain and difficulty with ambulation between 11 to 13 months post-closed reduction and percutaneous pinning (CRPP). Avascular necrosis and collapse of the femoral head was …

Modification Of Ergonomics For A World-Class Brass Instrumentalist With A Congenital Limb Difference: Level 3 Case, O G. Newhouse

Clinical Practice in Athletic Training

Background: A drum and bugle corps is a musical marching organization that consists of approximately 160 brass, percussion, and color guard performers. There are currently twenty-one drum corps organizations at the world-class level that compete. Organizations learn their 8–10-minute show in the late spring and begin traveling the country performing and competing in the early summer until August. Rehearsal days can be up to 10 hours of practice including visual and music. It has been reported that the incidence of upper limb pain is higher in those who have longer practice times, in which is a symptom of overuse. These …

Title: Professional Socialization And Development Of Athletic Training Professional Program Directors, N A. Wilkins, K D. Pagnotta, L Kunkel, S David, A B. Thrasher

Clinical Practice in Athletic Training

Introduction: The role of Program Directors (PD) has vastly expanded over the last decade to meet the evolving demands of athletic training education and higher education. While specific responsibilities such as programmatic planning and accreditation maintenance are directly outlined in accreditation standards, PDs often assume additional institutional and programmatic responsibilities that now include recruitment and retention efforts, mentorship of faculty and students, curriculum design and mapping, and other administrative tasks. Previous research demonstrates athletic training faculty have little formalized training in administrative roles, and Coordinators of Clinical Education (CCEs) desired more support and development for that role. Little research exists …

Strength Assessment Protocol In Pre-Professional Ballet Dancers, Simona Di Nardo, Ivan Mascio

Clinical Practice in Athletic Training

Purpose: This research project aimed to investigate the effects, particularly regarding the ability to generate force, that could emerge following a ballet class. The purpose of the study was to support the thesis that low levels of fitness and performance in professional and amateur dancers, should be considered a significant gap that needs to be addressed. Larger will be the gap and bigger will be the demand of a dancer to be prepared athletically. While the shorter the gap and more efficient the artistic side of the dance performance will be. As a result, a stronger and healthier body will …

Characteristics Of Athletic Trainers That Are Satisfied And Dissatisfied With Their Compensation, K Ef Mair, J P. Young, L E. Eberman

Clinical Practice in Athletic Training

Introduction: Job satisfaction among athletic trainers (ATs), particularly in relation to compensation, is a critical factor influencing retention and career fulfillment. Examining the factors linked to earnings satisfaction may offer insight into how workplace conditions can be improved to better support ATs. The purpose of our study was to investigate the attributes that distinguish ATs content with their compensation from those who are dissatisfied. Methods: We used a cross-sectional, web-based survey to gather AT compensation data, of which 1,887 participants responded to a question regarding their satisfaction with compensation. Respondents were divided into two groups based on their satisfaction with …

The Effects Of A Joint Reduction Trainer On Confidence Levels In Professional Athletic Training Students, T Franklin, S Hacherl

Clinical Practice in Athletic Training

Introduction: Dislocations are common injuries managed by athletic trainers, yet athletic training students are unlikely to practice reduction techniques during clinical experiences. Current standards set by the Commission on Accreditation of Athletic Training Education require accredited programs to prepare students to manage patients with dislocations, including joint reductions. Research indicates the use of simulation techniques, such as joint reduction simulators, in education can fill clinical experience gaps and improve student confidence and skills. Shoulder dislocations make up nearly 50% of dislocations with several reduction techniques identified in the current literature. The use of a joint reduction simulator may provide athletic …

Occupational Therapy Assistant Preparatory Course To Improve Mock Certification Exam Scores: An Evidenced-Based Intervention, Anderston St. Germain

Journal of Innovation in Health Sciences Education

Abstract

Introduction: The overall goal of educators of occupational therapy is to produce graduates capable of meeting entry-level employment status, which becomes evident when they pass the national certification exam. This evidence-based pilot project investigated an occupational therapy assistant certification exam preparatory course designed to improve mock certification test scores of graduates from an occupational therapy assistant program.

Methods: The project was implemented as a pilot study in the fall of 2017 with six participants. The course was delivered using a face-to-face teaching model and designed based on the most recent evidence from the literature. The course content included …

Fostering Future Professional Contemporary Collaboration, Rene'e M. Huth, Jordan M. Tucker

Internet Journal of Allied Health Sciences and Practice

Collaborative teamwork needs to be fostered early and often to meet contemporary practice ideals. This qualitative phenomenological designed study’s purpose was to investigate student physical therapists (SPTs) and student physical therapist assistants' (SPTAs) perceptions of an intraprofessional online activity reflective of contemporary home health and telehealth settings. A convenience sample of 25 SPTs from one program and 24 SPTAs from another program met synchronously online to view a video case of an ambulatory patient with dementia, develop a plan of care, and discuss appropriate interventions reflective of practice in Virginia. Following interactions, students wrote reflections on their experiences that were …

From Theory To Practice: Integrating Safe Patient Handling And Mobility Into Occupational Therapy Curriculum (Part 2/2), Kimberly Santorufo, Asha Roy

The Open Journal of Occupational Therapy

Occupational therapy academic institutions continue to teach manual patient handling as the standard of practice despite recent evidence, legislation, and guidelines from the American Occupational Therapy Association on hazards of manual approaches. A paradigm shift is necessary in occupational therapy academic curriculums to include didactic education and hands-on training of safe patient handling and mobility informed approaches. There is currently no standard of practice available in occupational therapy education on how to incorporate safe patient handling and mobility into preexisting curriculum, which emphasizes manual patient handling as the standard of care. The guidelines presented offer academic institutions recommendations on how …

From Theory To Practice: Integrating Safe Patient Handling And Mobility Into Occupational Therapy Curriculum (Part 1/2), Kimberly Santorufo, Asha Roy

The Open Journal of Occupational Therapy

Occupational therapists are at high-risk of musculoskeletal injury because of the manual and physical demands of job-related tasks. Many occupational therapists are sustaining injuries or changing careers because of an injury. Safe patient handling and mobility approaches should be used in occupational therapy practice to ensure the safety of both patient and therapist while assisting patients in meeting occupation-based and patient-centered goals. However, despite legislation, guidelines from the American Occupational Therapy Association, and recent evidence, most occupational therapy academic programs and educators continue to teach manual patient handling as the standard of practice. To ensure safety, longevity, and career-retention, academic …

An Academic Self-Regulation Program For First-Generation Students In Occupational Therapy: A Preexperimental Study, Pola Ham

The Open Journal of Occupational Therapy

First-generation students at U.S. universities have lower academic performance than their continuing-generation counterparts. They also have a lower level of academic self-regulation and academic self-efficacy. Bandura’s social cognition theory and Zimmerman’s self-regulation theory were used as theoretical frameworks to guide an intervention program relating to self-efficacy and self-regulation. A pretest and posttest survey measured changes in the participants’ use of the academic self-regulatory strategies and level of confidence in using those strategies. An open-ended questionnaire provided a detailed account of the participants’ lived experiences of the program. The researcher-facilitator designed an academic self-regulation program using Zimmerman’s (1998) self-regulated learning framework …

Promoting Caregiver-Child Attunement: Social Emotional Wellness Through Yoga, Gianna R. Delfino

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

This doctoral capstone program, Social-Emotional Wellness Through Yoga: Promoting Caregiver-Child Attunement, aimed to develop, implement, and evaluate a family-centered occupational therapy (OT) program designed to enhance emotional connection, co-regulation, and wellness in caregiver-child dyads at a pediatric outpatient clinic. This project was guided by a systematic review of literature on the effects of yoga on the mental health of children 3-10 years old, which suggests that yoga has positive outcomes on the mental health and wellbeing of children (Khunti et al., 2022). Grounded in neurodiversity-affirming, trauma-informed, and strengths-based care, the 10-week group was designed for children ages 3–11 and their …

Explore Your Future, Faith M. Merritt

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

Explore Your Future, a doctoral capstone project, was developed to aid the development and learning of low socioeconomic status (SES) children attending the McGlynn Center. This project focused on career readiness, addressing community concerns by providing resources on career possibilities, educational pathways, and skills training. A scoping review revealed gaps in research on interventions improving career readiness in low SES children, with limited studies identified across seven databases. Early intervention is proven to enhance career exploration, social-emotional outcomes, social awareness, academic performance, and vocational identity (Howard & Ferrari, 2022). Improvements in self concept, interpersonal and critical thinking skills, and confidence …

Perceptions Of School-Based Occupational Therapists Regarding The Access To Educator Credential Pathways In Kentucky, Jill Edlin

Occupational Therapy Doctorate Capstone Projects

Background: In Kentucky public schools, occupational therapists are employed as classified staff without access to educator credential pathways. This study explores occupational therapist’s perceptions of how those state-level structures impact recognition, collaboration, leadership, and day-to-day practice within the educational system context. Purpose: This qualitative descriptive study examines school-based occupational therapists’ perceptions of how the absence of educator credential pathways influences their professional practice, collaboration, and leadership in Kentucky public schools. Research objectives focus on describing Kentucky school-based occupational therapists’ perceptions of leadership opportunities as shaped by state educator credentialing. Objectives also focus on exploring how credentialing influences interprofessional collaboration with …

Pediatric Occupational Therapists' Perception Of How Nature-Based Play Affects Fine Motor Development, Abbi M. Rosenow, Donia P. Timby, Jacquelyn D. Wiersma-Mosley, Amanda Terrell

Discovery, The Student Journal of Dale Bumpers College of Agricultural, Food and Life Sciences

This study explored the benefits of nature-based pediatric occupational therapy (OT) and the influence of nature and nature-based play on fine motor development. It was hypothesized that nature and nature-based play would positively impact a child’s fine motor skills (FMS) and that nature-based OT would offer unique benefits to a child’s therapeutic experience. To examine these relationships, a survey was distributed to pediatric occupational therapists (OTs) across the United States. The survey was designed to gather insights into how OT supports fine motor development, how nature-based play/therapy enhances these skills, and the perceived benefits of incorporating nature into therapeutic practices. …

Exploring Perceptions Of Accommodations In Ot Fieldwork: A Mixed Methods Study, Courtney A. Gohean, Courtney Gohean

West Chester University Doctoral Projects

This study employed a convergent parallel mixed-methods design to explore the perceptions and experiences of occupational therapy (OT) fieldwork educators, academic fieldwork coordinators (AFWCs), and Level II OT students with disabilities regarding accommodations during fieldwork. Quantitative data were collected through an online Qualtrics questionnaire completed by 45 fieldwork educators. Qualitative data were gathered through semi-structured interviews with seven AFWCs and seven OT students/new graduates who had used Section 504 accommodations during Level II fieldwork. Thematic analysis revealed key themes among students and AFWCs, including barriers to disclosure, variability in support and communication, the need for proactive planning, and concerns regarding …

Students Obtaining Tools To Achieve Regulation (Soar), Lacey D. Sanguinito

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

Students Obtaining Tools to Achieve Regulation (SOAR) is a doctoral capstone project that addressed the need for integrated social emotional learning (SEL) in elementary education. SEL is an evidence-based approach shown to improve academic outcomes, behavior, and long-term life success, yet implementation barriers remain in school settings. This project aimed to enhance student regulation, classroom engagement, and teacher confidence in SEL techniques through a multi-tiered approach. A scoping review of SEL literature identified the implementation methods and barriers to SEL curricula in elementary education, which informed the development of SOAR. SOAR consisted of (a) a 20-session, movement-based SEL curriculum targeting …

W.O.R.K. Towards Inclusivity In Employment, Chloe N. Tinklepaugh

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

W.O.R.K. Towards Inclusivity in Employment was a doctoral capstone project focused on promoting sustainable employment for neurodiverse individuals. Despite their capabilities, neurodivergent individuals often face barriers to employment due to employers’ misconceptions about their abilities (Bonaccio et al., 2020). This project addressed these challenges through three main components: researching employers’ perspectives, curriculum revision, and educating employers. For research, Luzerne and Lackawanna county employers were surveyed to assess their training, resources, and perspectives on neurodiversity in the workplace. Findings indicated that employers were open to receiving more education and training on how to support their employees, but they currently lack the …

Promoting Optimal Pediatric Development, Rachel N. Mills

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

This quality improvement capstone project embodied a multifaceted approach to supporting the infant and early childhood populations at a local pediatric outpatient clinic. The capstone project endeavors were guided by the theoretical underpinnings of the literature and results of in-depth needs assessments. The themes that emerged from the systematic review of the literature, which involved the efficacy of parent education programs in increasing parental knowledge and competence in supporting their child's physical and emotional development, were seamlessly integrated into the program. Evidence-based practice, principles of early intervention, and preventative care were used at the clinic to support infant and early …

Adjusting Your L.E.N.S: Learn And Educate With Neurodiverse Students, Jenna Potter

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

This doctoral capstone project, Adjusting Your L.E.N.S: Learn & Educate with Neurodiverse Students, focused on how occupational therapy (OT) can play a unique role in contributing to an inclusive postsecondary higher education (IPSE) program at a local university. This capstone project focused on supporting faculty, staff, and peer academic coaches, developing a transition camp for high school students, and enhancing the university’s current IPSE program to ensure that students with intellectual disability and autism can access higher education and learn within an inclusive and supportive setting. A faculty, staff, and academic coach training program was implemented to equip participants with …

Implementing Visual Supports Through Vocational Training Modules For Students Preparing To Exit School-Based Services, Kaitlynn Karthan

Occupational Therapy Doctorate Capstone Projects

Unemployment and underemployment remain persistent barriers for autistic and developmentally disabled individuals, with up to 75% of autistic adults in the United States experiencing difficulty obtaining or maintaining meaningful work. To address this disparity within school-based transition services, this capstone project evaluated the effectiveness of video modeling as an instructional method for vocational skill acquisition among seven young adults with autism spectrum disorder (ASD) and other developmental disabilities (DD). Grounded in the Occupational Justice framework, this study utilized a quantitative pretest–posttest–follow-up quasi-experimental design to measure accuracy and task completion time on two vocational tasks: rolling silverware and filling condiment cups. …

Addressing Fine Motor Skills In Kindergarten Through Embedding Occupational Fine Motor Skills In Classrooms, Mary L. Hesterwerth

Occupational Therapy Doctorate Capstone Projects

Background: Fine motor and visual–motor delays are becoming more common among young children, driven by the shift from traditional physical play to screen time and worsened by the COVID-19 pandemic. These issues are particularly concerning for kindergarten students, whose academic demands for handwriting and classroom participation are increasing despite their limited prior school experience.

Purpose: This Capstone project aimed to evaluate the effects of an occupational therapist-led training workshop for kindergarten teachers, focusing on how it helps integrate fine motor activities into daily bellwork routines. The main research question was whether this Tier 1, classroom-based strategy could enhance students’ fine …