Rehabilitation and Therapy Commons^™

Examining The Latent Structure And Correlates Of Sensory Reactivity In Autism: A Multi-Site Integrative Data Analysis By The Autism Sensory Research Consortium, Zachary J. Williams, Roseann Schaaf, Karla K. Ausderau, Grace T. Baranek, D. Jonah Barrett, Carissa J. Cascio, Rachel L. Dumont, Ekomobong E. Eyoh, Michelle D. Failla, Jacob I. Feldman, Jennifer H. Foss-Feig, Heather L. Green, Shulamite A. Green, Jason L. He, Elizabeth A. Kaplan-Kahn, Bahar Keçeli-Kaysılı, Keren Maclennan, Zoe Mailloux, Elysa J. Marco, Lisa E. Mash, Elizabeth P. Mckernan, Sophie Molholm, Stewart H. Mostofsky, Nicolaas A.J. Puts, Caroline E. Robertson, Natalie Russo, Nicole Shea, John Sideris, James S. Sutcliffe, Teresa Tavassoli, Mark T. Wallace, Ericka L. Wodka, Tiffany G. Woynaroski

Department of Occupational Therapy Faculty Papers

BACKGROUND: Differences in responding to sensory stimuli, including sensory hyperreactivity (HYPER), hyporeactivity (HYPO), and sensory seeking (SEEK) have been observed in autistic individuals across sensory modalities, but few studies have examined the structure of these "supra-modal" traits in the autistic population.

METHODS: Leveraging a combined sample of 3868 autistic youth drawn from 12 distinct data sources (ages 3-18 years and representing the full range of cognitive ability), the current study used modern psychometric and meta-analytic techniques to interrogate the latent structure and correlates of caregiver-reported HYPER, HYPO, and SEEK within and across sensory modalities. Bifactor statistical indices were used to …

Exploration Of Ayres Sensory Integration® In School-Based Practice: A Clinician’S Perspective, Maria Cerase, Otd, Otr/L

Post-Professional Occupational Therapy Doctorate Culminating Presentations

Introduction: While Ayres Sensory Integration^® is an evidenced-based intervention for autism with potential application in school settings (Whiting et al., 2023; Steinbrenner et al., 2020; May-Benson et al., 2014), school-based occupational therapists perceive challenges in its implementation.

Objectives: To explore the current factors, including facilitators and barriers, identified by school-based occupational therapists impacting the use of ASI intervention in school-based practice.

Methods: Cross-sectional descriptive study using survey methodology from a national sample of school-based occupational therapists.

Results: Descriptive statistics calculated for frequency and percentages of reported responses. Top perceived barriers to ASI implementation in the …

A Home Safety Program For Low-Income Community-Dwelling Older Adults: Using Meals On Wheels Volunteers, Erin Jeffords, Ms, Otr/L

Post-Professional Occupational Therapy Doctorate Culminating Presentations

Low-income older adults who reside in the community have fewer opportunities to access services and limited resources to obtain equipment that would enhance safety in their living environment. Through their “army” of volunteers, Meals on Wheels agencies have long been the eyes of the community to identify older adults who are socially isolated and disabled (Thomas et al., 2018). The purpose of this project was to evaluate the (1) delivery of the Midlands Modifiers Home Safety Program and (2) training program for the Meals on Wheels volunteers who will administer the home safety screen. The Midlands Modifiers Home Safety Program …

Examining Rehabilitation Referral Patterns For Breast Cancer Patients With Mastectomy: A Retrospective Descriptive Chart Review, Jessie Perchaluk, Ms, Otr/L, Cht

Post-Professional Occupational Therapy Doctorate Culminating Presentations

Introduction: Advances in health care for those with breast cancer (BC), have led to people living longer lives, however many continue to have difficulty completing daily activities (Hwang et al., 2015; Keesing et al., 2018; Lovelace et al., 2019; Stout et al., 2015; Stubblefield, ). Research explains that physical rehabilitation is beneficial for people with BC, however is not always being recommended (Cheville et al., 2008; Hwang et al., 2015; Pergoletti, 2014; Rafn et al., 2020; Stout et al., 2016; Stout et al., 2015).

Objectives: This study looked at rehabilitation referral patterns and trends for women diagnosed with BC who …

School Participation Of Students With Autism Spectrum Disorder And Food Selectivity, Courtney Desol, Ms, Otr/L

Post-Professional Occupational Therapy Doctorate Culminating Presentations

Introduction: Children with autism spectrum disorders (ASD) are five times more likely to have feeding challenges than neurotypical peers (Sharp et al., 2013). Of these feeding challenges, food selectivity is among the most prevalent (Leader et al., 2020) and is defined as food refusal or limited food repertoire (Bandini et al., 2017). Food selectivity has been correlated with nutrition inadequacies (Bandini et al., 2010; Sharp et al., 2013) and poor diet quality (Johnson et al., 2014) in children with ASD. Additionally, correlations exist with sensory processing difficulties (Leader et al., 2020; Suarez et al., 2014), internalizing and externalizing behaviors (Johnson …

Impact Of Strokes: The Burden Of Care, Post-Cva Fatigue & Caregiver Role Strain, Tanya G. Schlemmer

Nursing Faculty Publications and Presentations

Strokes and cerebral vascular accidents (CVAs) and related disease events are an unfortunate circumstance that inflicts individuals around the world and impacts people every day as individuals and their caregivers. The consequences of these strokes or CVA events are life-changing for all those involved. As a result of long-term disability related to strokes, the caregiver may undergo many emotional, psychological, and physical factors that impact their daily lives. There is a relatively short period of time to react to the necessary change and as a result there may be differences in coping associated with these unexpected health circumstances. Many stoke …

Evaluating Non-Pharmacological Approaches To Nursing Home Dementia Care: A Protocol, Natalie E Leland, Victoria Shier, Catherine V. Piersol, Cara Lekovitch, Jenny Martínez, Yuna H Bae-Shaaw, Neeraj Sood, Claire Day, Paul Cass, Dominique Como, Carin Wong, Felicia Chew

Department of Occupational Therapy Faculty Papers

BACKGROUND: The COVID-19 pandemic has underscored the daily challenges nursing home (NH) staff face caring for the residents living with Alzheimer's Disease and Related Dementias (

METHODS: This clustered randomized trial will compare

CONCLUSION: This trial will be the first-ever evaluation of team- and problem-based approaches to ADRD care across multiple NHs and geographic regions. Results can provide health system leaders and policymakers with evidence on how to optimize ADRD training for staff in an effort to enhance ADRD care delivery.

Early Manual Lymphatic Drainage With Secondary Edema, Tiana Bridges Mot/S, Carly Fallin Mot/S, Emma Hilliard Mot/S, Olivia Holmes Mot/S, Kathryn Mullins Mot/S, Jonathan Richardson Mot/S, Cassie Warlick Mot/S

Master of Occupational Therapy Student Critically Appraised Topics

Implementation of an early manual lymphatic drainage program on post-op head/neck patients to decrease secondary edema.

Modified Vs. Standard Sternal Precautions, Alex Rome Mot/S, Katie Morris Mot/S, Payton Johnston Mot/S, Cheyenne Franklin Mot/S, Rachel Jeneff Mot/S, Hannah Tackett Mot/S

Master of Occupational Therapy Student Critically Appraised Topics

The poster examines standard and modified sternal precautions in pediatrics following a median sternotomy and the impact on developmental outcomes. The question our poster aims to answer includes, do modified sternal precautions improve developmental outcomes in children who underwent (median) sternotomy in a hospital setting compared to those with traditional sternal precautions? Through searching databases, the authors were able to gather articles providing evidence and information regarding modified vs. standard sternal precautions. Through the research, the authors concluded that there is further research needed on this topic in pediatric populations with the recommendation to proceed using caution due to no …

The Efficacy Of Constraint-Induced Movement Therapy Or Modified Constraint-Induced Movement Therapy In Improving Upper Extremity Motor Function In Adults With Hemiplegia After A Traumatic Brain Injury, Ryan Bizette, Adaire Deblanc, Rachel Ridenour, Lindsey Satterlee, Allyson Smith, Katya Vanausdall

Master of Occupational Therapy Student Critically Appraised Topics

The final portfolio contains 11 research articles from both national and international journals. Study designs include two randomized control trials, one systematic review, four quasi-experimental studies, one case study, two case series, and one pilot case study. All studies relate directly to components of the evidence-based practice question and will be used to draft new practice guidelines for using constraint-induced movement therapy (CIMT) or modified constraint-induced movement therapy (mCIMT) in occupational therapy practice.

Seven articles specifically describe the effectiveness of CIMT or mCIMT for adults with hemiplegia following a traumatic brain injury. The other four articles describe the effectiveness of …

Positioning And Feeding Techniques Effective In Improving Sensorimotor Functions In Infants With Cleft Palate, Skylar Russell Mot/S, Kaitlin Steel Mot/S, Robin Edwards Mot/S, Bri Morgan Mot/S, Danielle Boscaccy Mot/S, Haleigh Black Mot/S, Sydney Young Mot/S

Master of Occupational Therapy Student Critically Appraised Topics

Orofacial clefts are the second most common type of birth defect in the United States and are continuing to grow each year (Nasreddine et al., 2021). Based on the National Birth Defects Prevention Network annual report in 2014, 1 in 1,700 babies were born in the United States with a cleft palate (Mai CT et al., 2019). While there are different types of orofacial clefts, for this research the term cleft palate will be used to determine appropriate interventions within the scope of occupational therapy, such as positioning, bottle modifications, and sensorimotor techniques. The impact of this birth defect can …

Occupational Therapy Strategies For Postural Orthostatic Tachycardia Syndrome, Rachel Geissler, Marjorie Jamerson, Hunter Tockey, Mackenzie Dew, Emily Bennett, Summer Weldon, Laura Mendez

Master of Occupational Therapy Student Critically Appraised Topics

Effectiveness of occupational therapy strategies with adults with postural orthostatic tachycardia syndrome.

Mini-Mental State Examination (Mmse) As Predictor Of On-Road Driving Ability, Erica Bailey Floyd, Katelyn Elizabeth Stewart, Elizabeth Claire Morris, Hayes Elizabeth Franklin, Kristin Elizabeth Mather, Caymen Lynn Starwalt

Master of Occupational Therapy Student Critically Appraised Topics

Students met with a community OT practitioner who specializes in driving rehabilitation. The community practitioner identified a potential gap in referrals for individuals with cognitive impairment and on-road driving assessments. Due to the scarcity of driving rehabilitation practitioners, it is important to provide effective evaluation and interview. By identifying clients who are past the potential for safe on-road driving performance due to their score on a status examination, practitioners can reach more clients in a more efficacious manner. There exists a need for a more accurate screening measure to predict on road driving performance in individuals with cognitive impairment. The …

Alzheimer's Dementia And Occupational Therapy, Sofia Demusaj, Averee Ortiz, Laura Swanson

Client Educational Handouts

This handout is an introduction to Alzheimer's dementia and the role that occupational therapy can have in the treatment of the disease. It contains facts, figures, signs, and symptoms of Alzheimer's dementia. It also contains examples of occupational therapy interventions and assessments for clients with Alzheimer's disease.

Hemiplegic Shoulder Pain Prevention: A Collaborative Approach With Nursing And Occupational Therapy In Acute Care, Ebonee V. Cole, Ms, Otr/L, Cbis

Post-Professional Occupational Therapy Doctorate Culminating Presentations

Introduction: Hemiplegic shoulder pain (HSP) is one of the most common and disabling complications of arm hemiplegia after stroke (Anwer & Alghadir, 2020), with a prevalence as high as 75% of strokes (Xie et al., 2021). HSP can develop as early as the second week (Praveen Raj et al., 2021), may continue several months after stroke in 65% of patients (Kumar, 2019), and is associated with reduced functional arm use (Kumar, 2019). Prevention is the ideal management strategy of HSP (K. Walsh, 2001). Implementing hemiplegic arm management techniques, such as positioning and handling, is key to preventing HSP. In the …

Mental Health Education For Acute Cardiac Patients, Allison Blackburn

Post-Professional Occupational Therapy Doctorate - Innovations in OT Symposium: Transforming Possibilities into Practice

No abstract provided.

The Effectiveness Of Using A Community-Based Yoga Program To Increase Feelings Of Inclusion In Adults With Intellectual Disabilities, Cynthia Schmidt

Post-Professional Occupational Therapy Doctorate - Innovations in OT Symposium: Transforming Possibilities into Practice

No abstract provided.

Using The Kawa Model To Improve Teachers’ Social-Emotional Health, Amy Crosby

Post-Professional Occupational Therapy Doctorate - Innovations in OT Symposium: Transforming Possibilities into Practice

No abstract provided.

Community Support Post-Hospitalization: A Practitioner Resource, Della Dupre

Post-Professional Occupational Therapy Doctorate - Innovations in OT Symposium: Transforming Possibilities into Practice

No abstract provided.

Professional Development Lgbtq+ Program For Faculty, Staff And Clinicians: Reported Month Post-Program Impact, Audrey L. Zapletal, Otd, Ms, Otr/L, Cla, Karla A. Bell, Pt, Dpt, Phd(C)

Department of Occupational Therapy Posters and Presentations

Background

LGBTQ+ community experiences health care and health disparities; some reasons include:

• barriers in care,
• negative attitudes,
• lack of awareness by healthcare providers.

Studies have found healthcare professionals are not adequately trained in LGBTQ+ care

Mindfulness At Work Virtual Mindfulness Program For Occupational Therapy Practitioners Experiencing Burnout: A Pilot Study, Sue Persia, Amy Carroll, Otd, Otr/L

Department of Occupational Therapy Posters and Presentations

Background

Job burnout is high among occupational therapy practitioners (OTPs)^1,2. Burnout impacts practitioner well-being and patient outcomes³. Mindfulness is an evidencebased approach to decreasing burnout, but the time burden for traditional mindfulness programs is high for professionals experiencing burnout⁴. Mindfulness at Work is a brief, virtual program during which OTPs embed learned mindfulness strategies during their workday.

Heart Attack To Hypoxic Ischemic Brain Injury, Tiffany M. Tafoya, Evelyn Pinto, Jessica Cordova

Client Educational Handouts

Occupational therapist play a huge role in the rehabilitation and well-being of individuals who suffer brain injuries. Decline of cognition, endurance, balance, and short-term memory loss are areas an occupational therapist can address in therapy. Therapy will help the individual become more independent and regain function.

Autism Spectrum Disorder (Asd), Morgan E. Fambro, Kendahl Schlosser, Carmen H. Ausserer

Client Educational Handouts

Autism Spectrum Disorder is a developmental disorder often caused by genetic predisposition combined with environmental factors. ASD can be present in many different forms and severity levels. On the mild end of the spectrum people are often able to enter into mainstream education and integrate into the workplace with the use of therapeutic learned skills to improve their social skills. On the more severe end of the spectrum, autistic people may never learn functional social skills or ways to communicate. These barriers can be challenging for the autistic person and their family. It is a disorder that is lifelong. Treatments …

Post Covid-19 Condition: Understanding Implications For Ot Practice, Malachy Clancy, Phd, Otr/L, Bcpr

Department of Occupational Therapy Posters and Presentations

Learning Objectives

• Define and describe Post COVID-19 Condition (PCC)
• Apply recommended treatment interventions for individuals with PCC
• Understand models of care for individuals with PCC

Does Race, Ethnicity, And Insurance Status Predict Functional Outcomes In Hospitalized Covid-19 Patients?, Malachy Clancy, Phd, Otr/L, Bcpr

Department of Occupational Therapy Posters and Presentations

Objectives

1. Understand factors associated with functional improvements in patients hospitalized with COVID-19
2. Describe the prevalence of functional disability in a cohort of hospitalized patients diagnosed with COVID-19

A Working Taxonomy For Describing The Sensory Differences Of Autism, Jason L He, Zachary J Williams, Ashley Harris, Helen Powell, Roseann C. Schaaf, Teresa Tavassoli, Nicolaas A J Puts

Department of Occupational Therapy Faculty Papers

Background: Individuals on the autism spectrum have been long described to process sensory information differently than neurotypical individuals. While much effort has been leveraged towards characterizing and investigating the neurobiology underlying the sensory differences of autism, there has been a notable lack of consistency in the terms being used to describe the nature of those differences.

Main body: We argue that inconsistent and interchangeable terminology-use when describing the sensory differences of autism has become problematic beyond mere pedantry and inconvenience. We begin by highlighting popular terms that are currently being used to describe the sensory differences of autism (e.g. "sensitivity", …

Promoting Pelvic Health: Strategies In Your Toolbox, Carlin D. Reaume, Lindsey Vestal

All Faculty Scholarship

No abstract provided.

Barriers To Early Patient Mobilization Among Acute Care Nurses, Occupational Therapists, And Physical Therapists, Elena Crooks, Carly Ruggles, Emily Carlson, Tyler Powell, Teresa Bigand, Tiffanie Rampley, Crystal Billings, Danell Stengem, Jennifer Hoople, Rylee Price

Articles, Abstracts, and Reports

No abstract provided.

Homeschool Educators’ Perspectives About Student Needs Within Occupational Therapy Scope Of Practice: A Pilot Study, Susan L. Iliff, Mary T. Hill, Rose White, Aubrey Alexander

Pediatrics Research and Scholarship

Homeschool educators (n = 31) were recruited to complete an electronic survey describing their perspectives. Findings indicated that many students had medical/academic needs, and accessed additional services such as occupational therapy (OT). Data analysis of open-ended questions revealed common categories: (a) curricula met or did not meet student needs (b) participants had experience-based, general or no knowledge of OT and (c) most felt homeschooling was a positive experience and expressed that limited resources were available. Further research is warranted to investigate available resources, specific needs, and how to best support students who homeschool.

Coaching In Context Model (Version 4), Marie-Christine Potvin, Maryjane Mulcahey, Nicole Gerhardt

Department of Occupational Therapy Faculty Papers

Coaching in Context (CinC) is a conversation-based approach intended to foster clients’ goal attainment through coach-facilitated self-discovery of insights and solutions. Anchored in positive psychology, CinC situates clients as resourceful experts, and builds upon clients’ strengths to promote awareness and insights about factors that potentially impact their goals, and to strengthen problem-solving skills. CinC conversations are contextualized within lived environments including tasks demands and life roles. CinC intends to operationalize and organize professional coaching competencies into a model that health, rehabilitation, education, and human service professionals can embed into their practice.

The CinC model was developed and published in four …