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- Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day) (13)
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Articles 31 - 60 of 72
Full-Text Articles in Rehabilitation and Therapy
Effects Of Occupational Therapy Intervention In Low Vision, Zach Harrington, Juliana Crossett, Carlie Carter, Baleigh Gooch, Liberty Harris
Effects Of Occupational Therapy Intervention In Low Vision, Zach Harrington, Juliana Crossett, Carlie Carter, Baleigh Gooch, Liberty Harris
Master of Occupational Therapy Student Critically Appraised Topics
The purpose of this CAT is to investigate therapeutic intervention and its effects for improving independence in occupational performance, overall health, quality of life, and mental health in adults over 40 with acquired low vision. This CAT contains nine peer-reviewed research articles from national journals. Study designs include one randomized controlled trial, seven systematic reviews, and one non-randomized controlled trial. All studies relate directly to the components of our evidence-based practice question and will be used to support further research on the optometry and occupational therapy collaboration. All of the articles specifically describe various interventions used in the low vision …
Group Therapy Versus Individual Therapy For Older Adults With A Cerebrovascular Accident, Montana R. Bawcum, Jessica Sorrell, Kaleigh Stevens, Caitlyn Strietelmeier, Madeline Young
Group Therapy Versus Individual Therapy For Older Adults With A Cerebrovascular Accident, Montana R. Bawcum, Jessica Sorrell, Kaleigh Stevens, Caitlyn Strietelmeier, Madeline Young
Master of Occupational Therapy Student Critically Appraised Topics
The purpose of our critically appraised topic is to synthesize the best current evidence regarding the feasibility of group occupational therapy and outcomes related to ADL performance. The final portfolio contains a total of five research articles. Study designs include two pre-post single group designs, two case studies, and one non randomized pilot trial with a control group. All studies related directly to the PICO question and were used to determine best evidence for the feasibility of group therapy of the older adult population in a rehabilitation setting.
Effectiveness Of Aerobic Exercise For Adults With Leukemia, Jalin Davis, Summer Hood, Alex Miller, Sam Stein, Kaylee Stem
Effectiveness Of Aerobic Exercise For Adults With Leukemia, Jalin Davis, Summer Hood, Alex Miller, Sam Stein, Kaylee Stem
Master of Occupational Therapy Student Critically Appraised Topics
We wanted to look at the most effective interventions for increasing strength and endurance in clients with Leukemia experiencing functional decline.
Treating Trauma: The Occupational Therapy Perspective, Matthew Althaver
Treating Trauma: The Occupational Therapy Perspective, Matthew Althaver
Honors Projects
Holistic health trends are increasing in the field of healthcare. The current research examines holistic trends in trauma treatment. Furthermore, it specifically looks at what occupational therapists can do to treat trauma. Survey results provide insight into occupational therapists' views on holistic health and trauma treatment. Overall, therapists bought into the concept of holistic health. Specific characteristics, like the length of time practicing OT, had an effect on their holistic health views.
Mental Health Assessments In Icu And Acute Care, Carolynn M. Keane, Megan Altom, Taylor Harrell, Erica Smith, Danielle Woodward
Mental Health Assessments In Icu And Acute Care, Carolynn M. Keane, Megan Altom, Taylor Harrell, Erica Smith, Danielle Woodward
Master of Occupational Therapy Student Critically Appraised Topics
The purpose of our critically appraised topic is to provide a brief summary of assessments that may be relevant to the burn unit or ICU setting, including their validity, reliability, specificity, sensitivity, and limitations. We had a total of eight articles with the following study designs: Systematic Review (2 articles), Longitudinal Study (1 article), Comparative Analysis (1 article), Correlational Analysis (2 articles) and Methodological (2 articles). These articles looked at the reliability, validity, specificity, and sensitivity of the following assessments: Abbreviated Burn Specific Anxiety Scale (A-BSPAS), Beck Depression Inventory-II, Brief Coping Orientation to Problems Experience (B-COPE), Concise Mental Health Checklist …
A Systematic Review Of Occupational Therapy Interventions In The Transition From Homelessness, Roxanne Isard Ms., Carrie Anne Marshall, Leonie Boland, Lee Ann Westover, Sharon A. Gutman
A Systematic Review Of Occupational Therapy Interventions In The Transition From Homelessness, Roxanne Isard Ms., Carrie Anne Marshall, Leonie Boland, Lee Ann Westover, Sharon A. Gutman
Occupational Therapy Publications
Background: Although systematic and scoping reviews have identified a range of interventions for persons experiencing homelessness, no known reviews have captured the range and quality of intervention studies aimed at supporting a transition from homelessness. Objectives: To capture the range and quality of occupational therapy intervention studies aimed at supporting a transition to housing following homelessness. Method: Using Joanna Briggs Institute (JBI) guidelines, we conducted a systematic review including a critical appraisal and narrative synthesis of experimental studies. Results: Eleven studies were included. Critical appraisal scores ranged from 33.3 to 88.9 of a possible score of 100 (Mdn = 62.5; …
Promoting Independence Through Effective Interventions For Adults With Als, Renee Gluchowski, Ots, Hannah Harris, Ots, Jaclyn Heineman, Ots, Kimberly Kendro, Ots, Heather Malosky, Ots
Promoting Independence Through Effective Interventions For Adults With Als, Renee Gluchowski, Ots, Hannah Harris, Ots, Jaclyn Heineman, Ots, Kimberly Kendro, Ots, Heather Malosky, Ots
Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)
PICO Question
What are effective occupational therapy interventions for adults with ALS to improve participation in ADLs/IADLs?
Objectives
- Define amyotrophic lateral sclerosis (ALS) and recognize the prevalence
- Identify and describe evidence-based interventions to promote independence for individuals with ALS in activities of daily living (ADLs) and instrumental activities of daily living (IADLs)
- Discuss how the current literature on the effective interventions impacts occupational performance and treatment of adults with ALS
The Applicability Of Occupational Therapy To Correctional Programming, Jordan Lanning
The Applicability Of Occupational Therapy To Correctional Programming, Jordan Lanning
Honors Projects
Correctional facilities are a controversial topic in the United States. Whether it is prison reform policy or overcrowding issues that are being debated in a political setting or at the dinner table, it is a hot topic of conversation. The discussion goes around and around to no avail, and seemingly no one is satisfied. A detailed look at current issues facing corrections, what has been done, and then, potentially what could be done may provide some clarity for a situation that is seemingly spinning out of control. Furthermore, occupational therapy and its application to correctional programming is explored as a …
Trauma-Informed Care In A School Setting: Occupational Therapy Interventions To Promote Emotional Regulation, Sarah Blaise, Ots, Sara Cohen, Ots, Maria Marcum, Ots
Trauma-Informed Care In A School Setting: Occupational Therapy Interventions To Promote Emotional Regulation, Sarah Blaise, Ots, Sara Cohen, Ots, Maria Marcum, Ots
Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)
PICO Question
- What trauma-informed occupational therapy interventions improve emotional regulation and participation in school-based tasks for students?
Objectives
- Define trauma and note its prevalence among school-aged children
- Describe principles of Trauma-Informed Care and its importance in a school setting.
- Describe current research to determine best practice using a Trauma-Informed Care (TIC) approach in schools for OT practitioners
The Effects Of Virtual Rehabilitation Therapy On Multiple Sclerosis, Mary Price
The Effects Of Virtual Rehabilitation Therapy On Multiple Sclerosis, Mary Price
Honors Projects
In this review article, the effect of virtual rehabilitation therapy on multiple sclerosis, a neurodegenerative disorder, is explored. Multiple sclerosis is characterized by damaged nerves that result in incomplete signal processing between the brain and the spinal cord. The symptoms of this condition can include vision loss, decreased coordination, pain, fatigue, and deteriorating motor output. The severity of the symptoms and the rate of progression of multiple sclerosis can vary from person to person; some individuals live the majority of their lives with mild symptoms while others become bedridden and immobile. There is no cure for this disease, however implementation …
Occupational Therapy: Breaking The Barriers With Survivors Of Human Trafficking, Leanne Bahn, Ots, Sierra Wells, Ots, Stacey Wisniewski, Ots
Occupational Therapy: Breaking The Barriers With Survivors Of Human Trafficking, Leanne Bahn, Ots, Sierra Wells, Ots, Stacey Wisniewski, Ots
Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)
PICO Question
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What occupational therapy interventions enhance the occupational engagement for survivors of human trafficking?
Objectives
- Recognize the occupational injustices experienced by survivors of human trafficking and the effect on occupational participation
- Describe the role of the occupational therapy practitioner in enhancing occupational participation of survivors of human trafficking
- Discuss evidence-based interventions within the scope of occupational therapy practice for survivors of human trafficking
The Splashing Effects Of Aquatic Therapy For Children With Developmental Disabilities, Eric Bradway, Ots, Mikaela Mcgraw, Ots, Katie Boshoven, Ots
The Splashing Effects Of Aquatic Therapy For Children With Developmental Disabilities, Eric Bradway, Ots, Mikaela Mcgraw, Ots, Katie Boshoven, Ots
Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)
PICO Question
- What are the effects of aquatic therapy on participation in childhood occupations for children with developmental disabilities?
Objectives
- Define aquatic therapy within the scope of occupational therapy practice for children with developmental disabilities
- Discuss the current evidence on effective aquatic based interventions to facilitate participation in childhood occupations in children with developmental disabilities
- Discuss ways to apply this information to practitioners’ own clinical setting
Use Of Virtual Communication During Level Ii Fieldwork: A Personal Experience, Laronda Lockhart-Keene, Otd, Otr/L, Cla, Emily Spinelli, Cota/L
Use Of Virtual Communication During Level Ii Fieldwork: A Personal Experience, Laronda Lockhart-Keene, Otd, Otr/L, Cla, Emily Spinelli, Cota/L
Department of Occupational Therapy Posters and Presentations
In fieldwork sites where no full time OTP is employed, a fieldwork student requires 8 hours a week of onsite supervision from an OTP. An onsite supervisor of another profession must be available while the OTP is offsite. The other professional is unable to answer questions related directly to occupational therapy (OT) practice. This poster describes virtual communication methods used during a level II fieldwork at a community based wellness program for older adults and how these methods translate to OT/OTA supervision in practice.
Comparison Of Pre- And Post-Operative Shoulder Muscle Emg Profiles In Reverse Total Shoulder Arthroplasty Patients, Emily Lau, Sreten Franovic, Noah Kuhlmann, Eric C. Makhni Md, Stephanie Muh Md
Comparison Of Pre- And Post-Operative Shoulder Muscle Emg Profiles In Reverse Total Shoulder Arthroplasty Patients, Emily Lau, Sreten Franovic, Noah Kuhlmann, Eric C. Makhni Md, Stephanie Muh Md
Medical Student Research Symposium
Background: Deltoid muscle function is central in reverse total shoulder arthroplasty (RTSA) function; however, there is limited information available regarding changes in deltoid activity before and after surgery. Few tests exist to evaluate specific muscle metrics pre and post operatively. Surface Electromyographic (EMG) is non-invasive and allows for observation of motions with multifaceted analysis of movement with minimal patient demand. Understanding the changes in shoulder muscle activation, namely in the deltoid, in patients pre and post-RTSA can further advance understanding of the procedure and rehabilitation efforts.
Methods: Nine individuals were recruited for this study: all patients underwent RTSA by a …
A 3-Month Interdisciplinary Process Drama Program To Build Social Skills In Pre-Schoolers With Asd: A Feasibility Study, Lorie G. Richards, Heidi Woolley, Xan S. Johnson, Pamela Mathy, Stacy Manwaring, M. Raby, Penelope Caywood, W. Wilde, L. Thornton
A 3-Month Interdisciplinary Process Drama Program To Build Social Skills In Pre-Schoolers With Asd: A Feasibility Study, Lorie G. Richards, Heidi Woolley, Xan S. Johnson, Pamela Mathy, Stacy Manwaring, M. Raby, Penelope Caywood, W. Wilde, L. Thornton
Occupational Therapy Collection
Objectives:
- To test the feasibility and effect of an interdisciplinary process drama program targeting social skill development in 3-5 year-old children with Autism Spectrum Disorder (ASD) characteristics
- To develop a paradigm for testing brain-behavior relationships related to social skills in these children using EEG and testing its ability to detect intervention-related changes.
Background: Social skill deficits are a hallmark cause of disability in ASD. Such disability is of critical concern given the rising prevalence (1 in 54 Utah children) of ASD. [1] As children learn through social experiences, difficulty in social interactions can limit development and ability to succeed …
Nighttime Postural Care Sleep-Based Outcome Measures And Education: Preparing Care Providers Of Children With Cerebral Palsy, Jennifer Hutson
Nighttime Postural Care Sleep-Based Outcome Measures And Education: Preparing Care Providers Of Children With Cerebral Palsy, Jennifer Hutson
Occupational Therapy Faculty Scholarship
BACKGROUND Nighttime postural care (NTPC), an intervention using sleep-systems to position the body symmetrically during sleep, is particularly suited for children with severe Cerebral Palsy (CP); however, its impact yields mixed conclusions (Wynn & Wickham, 2009; Gericke, 2006).This variation may be due to the types of assessments used and lack of effective caregiver training.AIM of DISSERTATION 1) examine sleep-based measures used in previous NTPC research and 2) investigate the "sleep care positioning training program’s" (Lesson A), an online NTPC training program, feasibility to educate caregivers.METHOD Completed studies include: 1) systematic literature review of NTPC sleep-based measures and 2) randomized control …
Learning Strategies And Academic Difficulty In Physical And Occupational Therapy Online Education, Evan M. Pucillo, Erica J. Kiernan
Learning Strategies And Academic Difficulty In Physical And Occupational Therapy Online Education, Evan M. Pucillo, Erica J. Kiernan
Physical Therapy Collection
The purpose of this study was to explore the Learning and Study Strategies Inventory (LASSI) in relation to hybrid-online clinical neuroscience course outcomes in occupational therapy (OT) and physical therapy (PT) students. OT and PT students self-administered the LASSI during the Spring of 2019. N=34 students (14 OT; 20 PT) completed the LASSI. The scales of Information Processing (r = -0.43; p
A Randomized Feasibility Trial Of A Novel, Integrative, And Intensive Virtual Rehabilitation Program For Service Members Post-Acquired Brain Injury., Kiara H Buccellato, Michelle Nordstrom, Justin M Murphy, Grigore C Burdea, Kevin Polistico, Gregory House, Nam Kim, Namrata Grampurohit, Jeff Sorensen, Brad M Isaacson, Paul F Pasquina
A Randomized Feasibility Trial Of A Novel, Integrative, And Intensive Virtual Rehabilitation Program For Service Members Post-Acquired Brain Injury., Kiara H Buccellato, Michelle Nordstrom, Justin M Murphy, Grigore C Burdea, Kevin Polistico, Gregory House, Nam Kim, Namrata Grampurohit, Jeff Sorensen, Brad M Isaacson, Paul F Pasquina
Department of Occupational Therapy Faculty Papers
INTRODUCTION: Acquired Brain Injury, whether resulting from Traumatic brain injury (TBI) or Cerebral Vascular Accident (CVA), represent major health concerns for the Department of Defense and the nation. TBI has been referred to as the "signature" injury of recent U.S. military conflicts in Iraq and Afghanistan - affecting approximately 380,000 service members from 2000 to 2017; whereas CVA has been estimated to effect 795,000 individuals each year in the United States. TBI and CVA often present with similar motor, cognitive, and emotional deficits; therefore the treatment interventions for both often overlap. The Defense Health Agency and Veterans Health Administration would …
Appendix 10: Neurotechnology Descriptions, Namrata Grampurohit, Phd, Otr/L
Appendix 10: Neurotechnology Descriptions, Namrata Grampurohit, Phd, Otr/L
Department of Occupational Therapy Faculty Papers
Neurotechnologies Covered:
- Electrical stimulation over the surface of the arm or hand
- Electrical stimulation over the surface of the spine
- Electrical stimulation over the surface of the head
- Magnetic stimulation over the surface of the head
- Braces that are powered to amplify movements
- Brain computer interface with a cap
- Baclofen pump
Experiencing Ipe: A Framework Integrating Ipec Standards In Multi-Disciplinary Education, Norman C. Belleza, Maureen Johnson
Experiencing Ipe: A Framework Integrating Ipec Standards In Multi-Disciplinary Education, Norman C. Belleza, Maureen Johnson
Physical Therapy Collection
Course Overview
This workshop creates an immersive experience demonstrating the effectiveness using the IPEC framework with IPE-based activities and shares outcome measures for integration into respective educational curricula. A gap exists in health-science programs regarding the effects of IPE. Novel activities include a multi-disciplinary experience of an escape room, chart review, and simulation vignettes. After the workshop, attendees will have tools to build an IPE framework in their respective programs.
Description of Content
Interprofessional education (IPE) elicits better quality behaviors amongst team players promoting improved patient safety and patient outcomes. However, there is a gap in multi-disciplinary health-science academic and …
Educational Model Integrating Ipec Collaborative Practice Competencies Across Multiple Disciplines, Norman C. Belleza, Maureen Johnson
Educational Model Integrating Ipec Collaborative Practice Competencies Across Multiple Disciplines, Norman C. Belleza, Maureen Johnson
Physical Therapy Collection
Purpose
The purpose of this project was to design an educational model that integrates the Interprofessional Education Collaborative (IPEC) Collaborative Practice Competency Domains into the curriculum across multiple disciplines. A faculty team from physical therapy (PT), occupational therapy (OT), medicine, and physician’s assistant (PA) programs, collaborated to create an introductory interprofessional education (IPE) framework and course module series. Currently, there are limited studies in rehabilitation education programs demonstrating the effectiveness of IPE-based activities on student outcomes. The proposed framework employs a series of novel educational activities including a multi-disciplinary escape room and scavenger hunt experience, chart review, and interprofessional (IP) …
Perceptions Of Higher Education Health Science Faculty On Debriefing After Simulation Based Activities, Maureen Ellen Johnson
Perceptions Of Higher Education Health Science Faculty On Debriefing After Simulation Based Activities, Maureen Ellen Johnson
Occupational Therapy Collection
Health science faculty striving to be academically competitive can adopt debriefing after simulation-based activities to help transition occupational therapy and physical therapy students from classroom skills to clinical competence. The purpose of this qualitative study was to discover the perceptions and experiences of health science faculty during and after their adoption of debriefing after simulation-based activities. The theory of diffusion and experiential learning theory were used as a conceptual framework. The research questions related to the perceptions and experiences of faculty from their training sessions and implementing debriefing sessions after simulation-based activities in their courses and how these experiences related …
Effects Of Adaptive Dance On Children: Dance Teachers’ Perspectives, Isobelle Hughes
Effects Of Adaptive Dance On Children: Dance Teachers’ Perspectives, Isobelle Hughes
Occupational Therapy: Student Scholarship & Creative Works
Dance is an art, sport, and passion able to be enjoyed and benefited by all ages. The benefits include increased motor, cognitive, emotional, and social skills, and more (Demers, Thomas, Wittich, McKinley, 2015). This study gathered initial research regarding the effects of dance on children with disabilities as well as children of typical development and the aging population. The researcher conducted interviewed teachers of adaptive dance programs regarding their perspectives on the benefits, challenges, goals, and the impact of an occupational therapy career on teaching, as applicable. Teachers were interviewed via video or phone call and audio transcriptions were used …
The Use Of Yoga In Occupational Therapy For Neurologically Involved Clients, Madison Tyrrell
The Use Of Yoga In Occupational Therapy For Neurologically Involved Clients, Madison Tyrrell
Occupational Therapy: Student Scholarship & Creative Works
Living with the long-lasting effects of a cerebrovascular accident (CVA), also known as stroke, has become a reality for millions of Americans in the United States. Reduced upper and lower extremity function, decreased balance and problematic mobility, and reduced daily independence are only a few residual symptoms which can affect function and quality of life for those affected by stroke. Over seven million Americans, ages 20 or older, self-reported having had a stroke in 2018 (The American Heart Association, 2018). Projections indicate that by 2030, an additional 3.4 million Americans over the age of 18 will have had a stroke …
A Structured Soccer Program Designed To Aid In The Development Of Children With Autism, Lydia Lawson
A Structured Soccer Program Designed To Aid In The Development Of Children With Autism, Lydia Lawson
Occupational Therapy: Student Scholarship & Creative Works
Autism spectrum disorder (ASD) is a disorder characterized by deficits or impairments in social, cognitive, and motor abilities. These developmental deficits often separate children with ASD from their typically developing peers. Children with autism often refrain from or struggle to take part in play. This is because of the deficits they experience and because there are limited opportunities that foster situations for them to be successful in play. Incorporating play into intervention has been shown to be effective with this population. Participation in play allows for motor skill development, social interactions, and often cognitive stimulation. It is necessary to have …
Elementary School Teacher's Perception Of Occupational Therapy, Sarah Guttman
Elementary School Teacher's Perception Of Occupational Therapy, Sarah Guttman
Occupational Therapy: Student Scholarship & Creative Works
Low literacy levels in childhood cause detrimental, lifelong effects. Intervention services provided to struggling readers are currently limited. A preliminary study was conducted following a mixed methods approach to explore teacher perception of the benefits of occupational therapy intervention in the Response to Intervention model for reading delays.
Research questions were as follows: 1. To the teacher’s knowledge, are occupational therapy services currently available to students in the Response to Intervention model? 2. Do teachers perceive occupational therapy intervention within the Response to Intervention model beneficial for reading delays?
Data was collected via an electronic survey. Sixty-seven participant responses were …
Factors Influencing Occupational Therapists’ Choice In Work Settings, Olivia Geiger
Factors Influencing Occupational Therapists’ Choice In Work Settings, Olivia Geiger
Occupational Therapy: Student Scholarship & Creative Works
There are a multitude of settings for newly graduated occupational therapists (OTs) to work. According to The American Occupational Therapy Association (AOTA), the majority of OTs work in direct client intervention instead of indirect or administration, consultation, or research roles (American Occupational Therapy Association, 2019). The top work settings for direct client interventions in occupational therapy (OT) are currently long-term care and skilled nursing facilities, freestanding outpatient centers, hospitals with acute and inpatient care, and school settings, with 74%, 70.4%, 70%, and 60.8% of the OTs working in those settings working, respectively (American Occupational Therapy Association, 2019).
In addition, work …
Investigating The Impact Of College Stress And Utilization Of Campus Wellness Services Through An Occupational Health Lens, Hannah Paymer
Investigating The Impact Of College Stress And Utilization Of Campus Wellness Services Through An Occupational Health Lens, Hannah Paymer
Occupational Therapy: Student Scholarship & Creative Works
Stress is a universal experience. For many people attending college during the period of emerging adulthood, stress can be a pressing daily occurrence. Shearer et al. (2016)[1] put it succinctly: “college is stressful” (p. 233). As a college student majoring in occupational therapy, I have both studied and experienced the pressure and effects of stress on myself and my peers. With the prevalence of stress throughout college campuses and methods to combat this stress, there is limited research regarding the reason that students participate in wellness options. I am doing research on the wellness options that students select and their …
Exploring The Role Of Occupational Therapy In Supporting Caregivers Of Children With Cerebral Palsy, Kaitlyn Knecht
Exploring The Role Of Occupational Therapy In Supporting Caregivers Of Children With Cerebral Palsy, Kaitlyn Knecht
Occupational Therapy: Student Scholarship & Creative Works
Caregiving for one’s child is a complex occupation with a wide-reaching impact on an individual’s life (Dieleman, Vlaenderen, Prinzie, & Pauw, 2019). Guardians have unique emotional needs consequent to their caregiving role but receive inconsistent treatment from healthcare professionals (Porfíro Santos Pinto, Duarte Coutinho, & Collet, 2016). This study aimed to understand the perceived psychosocial needs of caregivers of children with cerebral palsy (CP), identify support services for these caregivers and evaluate their effectiveness, and determine how occupational therapists (OTs) can most effectively address these needs. Caregivers of children with CP engaged in semi-structured interviews to explore their perceived needs …
Exploring The Experiences After Traumatic Brain Injury, Katherine Kruis
Exploring The Experiences After Traumatic Brain Injury, Katherine Kruis
Occupational Therapy: Student Scholarship & Creative Works
Grief and the experiences associated with adapting to life after a life changing injury are researched and reported in detail in regard to individuals sustaining spinal cord injuries and amputations, but there is significantly less evidence presented on the experiences that people go through after a traumatic brain injury (TBI). There is some empirical information on the experience of the family of the person who experienced the TBI and about the symptoms of TBI. While this is important, it is also imperative to understand the experiences and emotions that people with a TBI have as they go through the rehabilitation …