Rehabilitation and Therapy Commons^™

Doing It Right: Ot Meeting Population Needs With Covid-19, Amanda Balser, Shirley O'Brien, Peggy Wittman

Occupational Science and Occupational Therapy Faculty and Staff Research

In 2010, the U.S. Department of Health and Human Services (HHS) identified strategic goals for health promotion and disease prevention in Healthy People 2020. Some of the overarching goals were to “achieve health equity, eliminate disparities, and improve the health of all groups” in order to address inequities tied to race and ethnicity, gender, socioeconomic status, geography, and disability (p. 3). The plan also targeted health disparities by recognizing social determinants of health and creating “social and physical environments that promote good health,” including the development of policy and programs (HHS, 2010, p. 3). Health disparities are population specific and …

Minimal Clinical Important Difference Of The Quick Disabilities Of The Arm, Shoulder, And Hand (Quickdash) For Post-Surgical Finger Phalanx Fractures, E. Smith-Forbes, Dana Howell, J. Willoughby, G. Pitts, T. Uhl

EKU Faculty and Staff Scholarship

Purpose: STUDY DESIGN: Retrospective, multiple-group observational design.

Objective: To determine the minimal clinically important difference (MCID) for the Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) outcome measure, for post-surgical phalanx fracture diagnosis, using a triangulation of distribution-and-anchor-based approaches.

Background: The MCID for the QuickDASH has been established using a pool of multiple conditions, and specifically for the shoulder, and other diagnoses in the elbow and wrist, but not for post-surgical finger fracture. Understanding specific threshold change values for post-surgical finger fracture can enhance the clinical decision-making process.

Perceived Stress Levels May Impact Upper Extremity Function Among Women Treated For Breast Cancer, Mary Insana Fisher, Anne Fleischer, Kimbery Parent, Renee Roberts, Megan Mcclure, Lynn Hendricks

EKU Faculty and Staff Scholarship

Women treated for breast cancer report ongoing disability in their involved upper extremity, however, often objective measures do not appear to explain the level of perceived dysfunction. The purpose of this study was to investigate the relationship between perceived stress level, fear of physical activity and self-reported upper extremity function among women treated for breast cancer.

Optimizing Critical Illness Outcomes Through The Family Experience-A Theoretical Review, Kirby P. Mayer, Samantha A. Mancuso, Dana M. Howell

EKU Faculty and Staff Scholarship

An estimated six to eight million patients are admitted to the intensive care unit (ICU) in the United States every year [1, 2]. It is possible that new and innovative medical therapies have provided patients with treatment options that enhance survival of a critical illness and allow them go home with more medical support than previously available in earlier years. This may explain why there are now millions of ICU survivors are a result of declining mortality rates (8-19%) even though there are increased ICU admissions [3, 4]. This also indicates a change in direction of the attitudes and beliefs …

Safety And Improvement Of Movement Function After Stroke With Atomoxetine: A Pilot Randomized Trial, Andrea Ward, Cheryl Carrico, Elizabeth Powell, Philip M. Westgate, Laurie Nichols, Anne Fleischer, Lumy Sawaki

EKU Faculty and Staff Scholarship

BACKGROUND:

Intensive, task-oriented motor training has been associated with neuroplastic reorganization and improved upper extremity movement function after stroke. However, to optimize such training for people with moderate-to-severe movement impairment, pharmacological modulation of neuroplasticity may be needed as an adjuvant intervention.

OBJECTIVE:

Evaluate safety, as well as improvement in movement function, associated with motor training paired with a drug to upregulate neuroplasticity after stroke.

METHODS:

In this double-blind, randomized, placebo-controlled study, 12 subjects with chronic stroke received either atomoxetine or placebo paired with motor training. Safety was assessed using vital signs. Upper extremity movement function was assessed using Fugl-Meyer Assessment, …

Perfectionism In Occupational Science Students: Occupational Therapy Implications, Mary Elizabeth Wagner, Renee Causey-Upton

EKU Faculty and Staff Scholarship

Purpose

The purpose of this study is to categorize perfectionism and determine how perfectionism impacts the occupations and perceived health of students in a Bachelor of Science in Occupational Science program.

Design/methodology/approach

A descriptive study with a survey component was conducted. Participants were categorized as perfectionists or non-perfectionists using the Almost Perfect Scale-Revised (APS-R). Time logs were collected to compare categories of time-use between groups over a one-week period. An online survey was conducted with a sub-sample of the perfectionists.

Findings

More students were categorized as perfectionists (N = 41) than non-perfectionists (N = 3). Both groups spent …

Patient Experiences Of Recovery After Autologous Chondrocyte Implantation: A Qualitative Study, Jenny L. Toonstra, Dana Howell, Robert A. English, Carl G. Mattacola

EKU Faculty and Staff Scholarship

Context: The recovery process after autologous chondrocyte implantation (ACI) can be challenging for patients and clinicians alike due to significant functional limitations and a lengthy healing time. Understanding patients' experiences during the recovery process may assist clinicians in providing more individualized care.

Objective: To explore and describe patients' experiences during the recovery process after ACI.

Design: Qualitative study.

Setting: Orthopaedic clinic.

Patients or Other Participants: Participants from a single orthopaedic practice who had undergone ACI within the previous 12 months were purposefully selected.

Data Collection and Analysis: Volunteers participated in 1-on-1 semistructured interviews to describe their recovery experiences after ACI. …

Experiences Of Veterans Transitioning To Postsecondary Education, Brian T. Gregg, Dana Howell, Anne Shordike

EKU Faculty and Staff Scholarship

An increasing number of U.S. military veterans are entering postsecondary education with problems attributed to deployed military service. The primary objective of this research was to describe the lived experiences of student veterans transitioning from active military service to postsecondary education. Phenomenological interviews were performed with 13 student veterans who had transitioned from military deployment to postsecondary education. An overall essential meaning of “emerging in college culture” was manifested from three themes, supported by rich textural and structural descriptions of student veterans’ experiences: (1) repurposing military experiences for life as a student veteran, (2) reconstructing civilian identity, and (3) navigating …

Student Perceptions Of Scholarly Writing, Shirley P. O'Brien, Dory Marken, Kelsey B. Petrey

EKU Faculty and Staff Scholarship

Learning the process of scholarly writing, including the significance of peer review, is an essential element in the preparation of students for professional practice. This descriptive research study, using Scholarship of Teaching and Learning methodology, explores one approach to teaching scholarly writing in an occupational science/occupational therapy curriculum. The writing assignment was designed to offer multiple points for feedback and revision and instructional features to reinforce learning. A survey of students [n = 169] participating in this scholarly writing project was conducted yearly to gather their perceptions of learning. The results revealed four key elements: instructional strategies are needed …

Self-Perceptions Of Proximal Stability As Measured By The Functional Movement Screen, Thomas Palmer, Dana Howell, Car L G Mattacola, Kert Viele

Occupational Science and Occupational Therapy Faculty and Staff Research

This mixed method study was designed to investigate self-perceptions before and after experiencing an activity that dynamically and statically challenges proximal stability of the pelvis, spine, and trunk. Twenty-eight, healthy Division II female soccer and volleyball collegiate players (17 soccer, 11 volley-ball) completed a self-reported Tegner activity scale, pretest questionnaire and posttest interview. A self-perceived numeric rating of the athletes’ proximal stability and performance on a functional movement screen (FMS) were recorded. A guided interview was used to examine the self perceptions of proximal stability after the FMS testing session. Differences and correlations between the pretest and posttest ratings of …

Occupational Science: A Data-Based American Perspective, Doris Pierce, Karen Atler, Julie Baltisberger, Elaine Fehringer, Elizabeth Hunter, Somaya Malkawi, Twilla Parr

Occupational Science and Occupational Therapy Faculty and Staff Research

The purpose of this research was to provide a data-based picture of the discipline of occupational science by identifying patterns of research in the first 5 years of presentations at the Society for the Study of Occupation: USA (SSO:USA). A grounded theory approach was used to examine 184 peer-reviewed presentation abstracts, from 2002 to 2006. Among the 108 data-based presentations, adults were the most studied group, with 46% of the data-based abstracts focused on participants with a disability or clear disadvantage. Presenters’ research foci related to 4 themes: the personal experience of occupation, the context surrounding or impacting occupation, changes …

Technology Learning Impact On Pre-Service Teacher Education Candidates After Implementation Of A Web-Based E-Portfolio, Steve Hyndman, Paul Wirtz, Marcia M. Pierce, Paul Erickson

Occupational Science and Occupational Therapy Faculty and Staff Research

This study examined the role of student competence, attitude, and training on the production of student e-portfolios. Neither student background nor experience had a significant impact on their attitude toward developing an e-portfolio