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Articles 5581 - 5610 of 6839
Full-Text Articles in Rehabilitation and Therapy
The Experience Of Peer Mentors Within A Peer Mentor Postsecondary Transition Program, Carissa Birchem, Mikayla Greely, Suzanna Morrison
The Experience Of Peer Mentors Within A Peer Mentor Postsecondary Transition Program, Carissa Birchem, Mikayla Greely, Suzanna Morrison
Occupational Therapy Capstones
Peer mentorship programs are one approach to assist students with disabilities to be more successful within a college community. One such program is the Student Organization for Accessibility and Resources (SOAR) which focuses on the occupations of education, social participation, and leisure activities in conjunction with assisting students in identifying available resources. However, there is limited understanding regarding these types of programs. The purpose of this study was to gain an understanding of the student peer mentor’s overall experience, how the environment affected their experience, and the occupation of peer mentorship. Researchers utilized a phenomenological qualitative research method completing six …
A Home Away From Home: An Occupational Manual For Working With Refugee Populations, Katherine Erickson, Kari Kjergaard
A Home Away From Home: An Occupational Manual For Working With Refugee Populations, Katherine Erickson, Kari Kjergaard
Occupational Therapy Capstones
Problem: As of October 2016, over 65.3 million people have been displaced from their home due to civil wars and civil unrest; 21.3 million of this population are refugees and this number continues to grow (UNHCR, 2016). Due to the nature in which people become refugees and experience trauma, both physically and mentally, there is a rising need for health professionals to be culturally competent and well equipped to work with this population. The vast majority of refugee populations face barriers some of which include being forced to adapt to a new home environment, social isolation, language barriers, and ultimately …
Sexuality And Healthcare: The Perceptions Of Providers Regarding Role Delineation: Are Occupational Therapists Overlooked?, Brooke Friederichs, Olivia Isaacson
Sexuality And Healthcare: The Perceptions Of Providers Regarding Role Delineation: Are Occupational Therapists Overlooked?, Brooke Friederichs, Olivia Isaacson
Occupational Therapy Capstones
INTRODUCTION: The responsibility to address sexual activity is not clearly delineated to one certain healthcare profession, and therefore it often goes unaddressed (Rimmer et al., 2010). In addition, there is an overall lack of literature regarding the extent to which healthcare providers understand the role of occupational therapy in addressing sexual activity.
OBJECTIVES: The purpose of the study was to explore 1) how healthcare providers (physical therapists, occupational therapists, and registered nurses) perceive role delineation when addressing patient concerns about sexual activity 2) the level to which physical therapists and registered nurses believe sexual activity is outlined in the scope …
Perceptions Of Wellness Among Community Dwelling Older Adults, Sara Johnson, April Schmiesing
Perceptions Of Wellness Among Community Dwelling Older Adults, Sara Johnson, April Schmiesing
Occupational Therapy Capstones
Most older adults prefer to age in place where they are more likely to experience greater health benefits and cost savings as opposed to living in skilled care facilities. Literature supports the role of occupational therapy in community-based wellness programming that helps older adults age in place; however, there is a need to conduct needs assessments to inform wellness program topics and activities. This study explores health and wellness needs of older adults living in a low-income, senior housing complex in order to inform current health and wellness programming provided at this site.
Researchers used a non-experimental, cross-sectional survey study …
Identified Stressors And Coping Mechanisms Of Occupational Therapy Students, Amy Fitzsimmons, Ashley Zimmer
Identified Stressors And Coping Mechanisms Of Occupational Therapy Students, Amy Fitzsimmons, Ashley Zimmer
Occupational Therapy Capstones
Introduction: The purpose of this research study was to gather data on stressors experienced by occupational therapy students during their program and how they cope with their identified stressors. The rationale for this study was the lack of and inconsistent research regarding occupational therapy students, how they experience perceived psychological stress during their program, and how they cope with their identified stressors.
Methodology: The researchers utilized a quantitative exploratory survey design to discover perceived psychological stress and coping methods in Master’s of Occupational Therapy (MOT) students. Prior to recruitment, Institutional Review Board (IRB) approval was received. Respondents were recruited through …
Preparing Occupational Therapists For Treatment Of The Transgender Population: A Training Guide For Supportive Care, Nicola Grun, Lauren Trohkimoinen
Preparing Occupational Therapists For Treatment Of The Transgender Population: A Training Guide For Supportive Care, Nicola Grun, Lauren Trohkimoinen
Occupational Therapy Capstones
Throughout current literature, it is clear that people who identify as transgender face larger percentages of occupational injustice and deprivation than people who identify with the sex they were assigned at birth (Bar, Jarus, Wada, Rechtman, & Noy, 2016; Twinley, 2014). There is no occupational therapy specific research or client-specific programming for transgender people (Beagan, Chiasson, Fiske, Forseth, Hosein, Myers & Stang, 2013), which indicates the need for supportive care for this population. The purpose of this scholarly project is to develop a training guide to prepare occupational therapists to provide supportive care for the transgender population. The Ecology of …
Promoting Interdisciplinary Collaboration Across School Contexts: A Toolkit For Occupational Therapists, Sidney Luers, Shayna Shaffer
Promoting Interdisciplinary Collaboration Across School Contexts: A Toolkit For Occupational Therapists, Sidney Luers, Shayna Shaffer
Occupational Therapy Capstones
The purpose of this project was to create a toolkit for occupational therapists who work within the elementary school settings to promote collaboration with teachers and other school personnel. In recent years there has been an increase in children who qualify for occupational therapy services within the school, which creates a need for collaboration with occupational therapists and teachers. Kennedy and Stewart (2011) found that while occupational therapists and teachers desire a collaborative relationship, there is little evidence supporting a way to achieve effective collaboration between the professions.
An extensive literature review was conducted in order to acquire information to …
Educating Caregivers In Assisted Living Facilities (Alfs) Who Care For People With Dementia, Rodney Palmer, Ashley Palmer
Educating Caregivers In Assisted Living Facilities (Alfs) Who Care For People With Dementia, Rodney Palmer, Ashley Palmer
Occupational Therapy Capstones
It is estimated that approximately 40-71% of residents living within assisted living facilities (ALFs) have a form of dementia or other cognitive impairment (Harris- Kojetin et al., 2016; Zimmerman, Sloana, & Reed, 2014). There is also evidence that suggests that caregivers working within ALFs have inadequate knowledge on how to care for a resident diagnosed with dementia (Hughes, Bagley, Reilly, Burns, & Challis, 2008; McKenzie, Teri, Pike, LaFazia, & Van Leynseele, 2012; Sharpp, Kayser-Jones, & Young, 2012; Zimmerman et al., 2014). The authors of this scholarly project created an instructional manual that can be used to train caregivers within ALFs …
Evolution Of Occupational Therapy Practice: Life History Of Cassady Hoff Ms Otr/L, Danielle Chartier, Amanda Callahan
Evolution Of Occupational Therapy Practice: Life History Of Cassady Hoff Ms Otr/L, Danielle Chartier, Amanda Callahan
Oral History Posters
This life history is one of twenty nine life history interviews which are a part of a larger project, Life Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) in North Dakota and Wyoming. The purpose of the project is to gather information about the history and evolution of occupational therapy (OT) practice in North Dakota and Wyoming through life histories of individuals who have been influential in developing OT in these two states. It is anticipated that the life history process will be a powerful way to gather this information. This study is intended to provide …
Life History Of Dr. Sheri Montgomery, Ort/L, Otd, Mikaela Karpen, Stacy Sigmond
Life History Of Dr. Sheri Montgomery, Ort/L, Otd, Mikaela Karpen, Stacy Sigmond
Oral History Posters
This life history one of 29 life history interviews that are a part of a larger project, Life Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) in North Dakota and Wyoming. The purpose of the project is to gather information about the history and evolution of occupational therapy (OT) practice in North Dakota and Wyoming through life histories of individual who have been influential in developing OT in these two state. It is anticipated that the life history process will be a powerful way to gather this information. This study is intended to provide current and …
A Piece Of Evolution Of Occupational Therapy In North Dakota: Life History Of Rhoda Erhardt, Ms, Otr/L, Faota, Sidney Carlson, Alexis Tyce
A Piece Of Evolution Of Occupational Therapy In North Dakota: Life History Of Rhoda Erhardt, Ms, Otr/L, Faota, Sidney Carlson, Alexis Tyce
Oral History Student Papers
This life history is one of 29 life history interviews which are a part of a larger project, Life Histories of Individuals Who Have Been Influential in Developing Occupational Therapy in North Dakota and Wyoming. The purpose of the project is to gather information about the history and evolution of OT practice in North Dakota and Wyoming through life histories of individuals who have been influential in developing OT in these two states. It is anticipated that the life history process will be a powerful way to gather this information. By using a life history approach, this study focused on …
Evolution Of Occupational Therapy Practice: Life History Of Sarah Nielsen, Phd, Otr/L, Sarah Schwartz, Ashley Ystaas
Evolution Of Occupational Therapy Practice: Life History Of Sarah Nielsen, Phd, Otr/L, Sarah Schwartz, Ashley Ystaas
Oral History Student Papers
The purpose of this study was to examine the life of Dr. Sarah Nielsen through the use of a life history approach. The focus of this life history approach was Sarah's involvement in the evolution of OT practice in North Dakota. She is an active and influential individual in the OT profession as she has served various positions in the American Occupational Therapy Association (AOTA) and North Dakota Occupational Therapy Association (NDOTA), as well as a variety of committees at the University of North Dakota (UND). Sarah is currently an associate professor in the Department of OT at the UND. …
Evolution Of Occupational Therapy Practice: Life History Of Stuart Kuchel M.S., Otr/L, Michael Black, Ariel Campbell
Evolution Of Occupational Therapy Practice: Life History Of Stuart Kuchel M.S., Otr/L, Michael Black, Ariel Campbell
Oral History Student Papers
Objective. This qualitative life history was completed as part of a larger sample of 29 participants aimed to gather information about the history and evolution of occupational therapy practice in North Dakota and Wyoming through life histories of individuals who have been influential in developing occupational therapy in these two states and/or nationally.
Method. The participant was assigned by the project directors through purposive sampling. A semi-structured phone interview was conducted with the interviewer and two primary researchers. Data was coded and analyzed, which was then collapsed into categories, themes and a final assertion.
Results. The predominate categories representing the …
Occupational Therapy And Physiotherapy Education And Workforce In Anglophone Sub-Saharan Africa Countries, Augustine O. Agho, Emmanuel B. John
Occupational Therapy And Physiotherapy Education And Workforce In Anglophone Sub-Saharan Africa Countries, Augustine O. Agho, Emmanuel B. John
Rehabilitation Sciences Faculty Publications
Background: Sub-Saharan Africa (SSA) countries are faced with the challenge of educating a critical mass of occupational therapists (OTs) and physiotherapists (PTs) to meet the growing demand for health and rehabilitation services. The World Federation of Occupational Therapy (WFOT) and World Confederation of Physical Therapy (WCPT) have argued for the need of graduate-level training for OTs and PTs for decades. However, very few studies have been conducted to determine the availability of OT and PT training programs and practitioners in SSA countries.
Methods: Initial data were collected and compiled from an extensive literature search conducted using MEDLINE and PubMed to …
Occupational Profiles Of At-Risk Youth: A Multi-Case Study, Abigail Catalano
Occupational Profiles Of At-Risk Youth: A Multi-Case Study, Abigail Catalano
Electronic Theses and Dissertations
Occupational therapy’s work with at-risk and adjudicated youth is a practice area currently possessing a limited base of evidence. One significant need in this body of literature is for examination of evidence-based evaluation practices. This project describes implementation and results of an evaluation protocol, Primary Occupations for Work and Employment Readiness (POWER), designed to elicit comprehensive occupational profiles from participants. POWER consists of five assessment tools, supplemented by clinical observations and program data. The assessments included are the Occupational Self-Assessment (OSA), Model of Human Occupation Screening Tool (MOHOST), Double OT (DOT), Kawa River Model, and Role Checklist Version 3 (RCV3). …
Exploring Autism And The Caregiver Burden Relationship, Mary C. Drockton
Exploring Autism And The Caregiver Burden Relationship, Mary C. Drockton
Williams Honors College, Honors Research Projects
The purpose of this study was to collect qualitative data on the different stresses and burdens associated with being a caregiver for an autistic individual, and discover strategies of stress relief for caregivers. A total of four autism support group meetings hosted by the Autism Society of Greater Akron were attended and observed, with documentation of the discussion between the moderator of the meeting and the caregivers in attendance. Through observation of these meetings, common themes of stress in caregivers were revealed. These include: difficulty with the diagnosis process and finding medical treatment; seeking additional information on available medical treatments; …
Critically Appraised Paper For “Effect Of Physical Exercise-Movement Strategies Programme On Mobility, Falls, And Quality Of Life In Parkinson's Disease”, April Perez, Morganne Peterson, Raechel Jacala, Kitsum Li
Critically Appraised Paper For “Effect Of Physical Exercise-Movement Strategies Programme On Mobility, Falls, And Quality Of Life In Parkinson's Disease”, April Perez, Morganne Peterson, Raechel Jacala, Kitsum Li
Occupational Therapy | Critically Appraised Papers Series
A research team conducted a Level III prospective, longitudinal study to examine the effect of a standardized rehabilitation program, consisting of regular exercise and movement strategies, on fall risk, mobility, hospitalization, and quality of life for individuals with idiopathic Parkinson’s disease (PD). Over 2 years, 15 participants attended weekly rehabilitation sessions during Year 1 and biweekly sessions during Year 2. The rehabilitation program was designed to improve cardiovascular fitness, strength, flexibility, balance, posture, and gait pattern. Using a pre- and posttest study design, the research team assessed participants at baseline and at Year 1 and Year 2 follow-up evaluations. Using …
Critically Appraised Paper For “Efficacy Of Occupational Therapy For Patients With Parkinson's Disease: A Randomized Controlled Trial”, Amber Zadravecz, Hannah Tashjian, Emily White, Stephanie Pawek, Kitsum Li
Critically Appraised Paper For “Efficacy Of Occupational Therapy For Patients With Parkinson's Disease: A Randomized Controlled Trial”, Amber Zadravecz, Hannah Tashjian, Emily White, Stephanie Pawek, Kitsum Li
Occupational Therapy | Critically Appraised Papers Series
Parkinson’s disease is a disabling, progressive condition that hinders occupational performance in daily activities and social participation. Occupational therapy supports engagement in activities that are meaningful to the patient. The purpose of this study was to explore the benefits of occupational therapy in addition to standard care for patients with Parkinson's disease.
An Innovative Behavioral Interview For Pre-Admission Selection Of Occupational Therapy Students, Kitsum Li, Julia L. Wilbarger, Shad St. Louis
An Innovative Behavioral Interview For Pre-Admission Selection Of Occupational Therapy Students, Kitsum Li, Julia L. Wilbarger, Shad St. Louis
Collected Faculty Scholarship
The goal for pre-admission interview is to identify students who will be successful both academically and professionally. The traditional structured pre-admission interview has not been shown to be effective in predicting students’ success in academic and fieldwork performance. This article describes an innovative behavioral interview process during which applicants interviewed simulated clients as part of the preadmission selection process. The goals of the pre-admission behavioral interview were to observe applicants’ behavior as team players, and to assess their interpersonal communication skills, capability to be reflective, and professionalism. During the behavioral interview, faculty interviewers assessed the applicants’ performance in the planning …
Exploration Of The Use Of Sensory Diets In Occupational Therapy, Allison Hunt, Morganne Peterson, Emily White
Exploration Of The Use Of Sensory Diets In Occupational Therapy, Allison Hunt, Morganne Peterson, Emily White
Student Research Posters
The purpose of this study was to fill the gap in literature and further examine the use of sensory diets in the field of occupational therapy. This study investigated the use of sensory diets among California occupational therapy practitioners. A mixed-methods design was used to collect data through a SurveyMonkey survey. The survey was sent out to members of the Occupational Therapy Association of California (OTAC) and received 98 respondents within one month. Participants worked among various clinical settings and implemented sensory diets with various client populations. Practitioners reported using terms such as “sensory strategies,” “sensory tools,” and “sensory supports” …
Living With Fragile X Syndrome: Occupations As An Outcome Measure In A Clinical Trial, Kaylee E. Gothelf, Ty Duong, Ana Baldinger, Theresa Chase
Living With Fragile X Syndrome: Occupations As An Outcome Measure In A Clinical Trial, Kaylee E. Gothelf, Ty Duong, Ana Baldinger, Theresa Chase
Student Research Posters
The purpose of this study was to evaluate the use of semi-structured interviews as an outcome measure in a clinical trial for children with fragile X syndrome (FXS) ages 2-6. This qualitative approach was used to analyze twenty-five interviews of parents with children in a double-blind medication trial - sertraline or placebo. The aim was to assess occupational improvements in their child that may not have been detected with the use quantitative outcome measures alone. Results showed greater improvements in the sertraline group in areas of behavior, social participation, sensory-related behaviors, receptive language, education, family impact and therapeutic strategies. Our …
Protective Factors And Resilience In Older Adults, Jessica Mcclain, Caroline Lee, Katelyn Gullatt
Protective Factors And Resilience In Older Adults, Jessica Mcclain, Caroline Lee, Katelyn Gullatt
Student Research Posters
We sought to investigate whether three protective factors, (physical health, social support, and self-efficacy) predict resilience in Marin County older adults to promote successful aging in place. Fifty-eight Marin County participants aged 62 years and older participated in an exploratory cross-sectional quantitative study. Recruited from senior community programs and personal contacts, participants completed four self-report questionnaires. Descriptive and multivariate analyses using SPSS were conducted to investigate the relationship between the key variables. Of the three protective factors, self-efficacy is the most important predictor of resilience. Physical health and social support are important predictors of self-efficacy. In conclusion, three protective factors …
Therapeutic Listening® - Quickshifts Support For Pediatric Intervention, Bryant Luong, Ann Malloy, Shannon Preto
Therapeutic Listening® - Quickshifts Support For Pediatric Intervention, Bryant Luong, Ann Malloy, Shannon Preto
Student Research Posters
Few empirical studies have been conducted to provide evidence for the effectiveness of Therapeutic Listening - Quickshifts (TL-Q). Anecdotally, TL-Q has produced consistent positive results for therapists and clients as a pediatric intervention. Therefore, it is imperative to research TL-Q’s efficacy, which may lead to its broader implementation. In this study, the researchers examined the effectiveness of TL-Q intervention for children with sensory processing difficulties to improve participation and function in 1) school performance, (2) self-regulation and arousal, (3) activities of daily living (ADLs), (4) social/emotional skills, and (5) sensorimotor skills. Over the course of an 8 week prospective study, …
Outcomes Of Project-Based Therapy In Individuals With Autism, Sarah L. Yoder, Jason Ichimaru, Emily Lu, Nghi Tran
Outcomes Of Project-Based Therapy In Individuals With Autism, Sarah L. Yoder, Jason Ichimaru, Emily Lu, Nghi Tran
Student Research Posters
As the number of individuals with autism spectrum disorder (ASD) entering adulthood grows, it is crucial to identify interventions that can help this population acquire adaptive behaviors necessary for independent living and employment. This study aimed to identify how Autisty Studio’s project-based therapy impacts this population’s engagement in adaptive behaviors.The study utilized the Brief Adaptive Behavior Scale (BABS), a quantitative assessment informed by the BRIEF-2 and the Vineland-II, to measure improvements in adaptive behaviors in 11 participants at Autistry Studios. Specifically, the BABS measured frequency (Frq), highest level of assistance (LoAHigh) required, and lowest level of assistance (LoALow) required to …
Measuring The Effects Of Therapeutic Listening - Quickshifts, Hannah Tashjian, Phoebe Taasan, Donielle Hair
Measuring The Effects Of Therapeutic Listening - Quickshifts, Hannah Tashjian, Phoebe Taasan, Donielle Hair
Student Research Posters
This study examines a structured protocol to measure the effects of daily individualized use of Therapeutic Listening - Quickshifts (TL-Q) used to improve occupational performance in children with learning and developmental disabilities. The study identifies a standardized practice-based evidence procedure to measure the outcomes of implementing TL-Q within traditional OT practice. OTs worldwide are using sound-based therapies (SBTs) despite limited supporting evidence available regarding the productivity of these interventions. Even fewer studies have been published on the effects of Therapeutic Listening (TL), a novel intervention shown to increase personal and interpersonal skills including sensory processing skills, visual motor integration, and …
Critically Appraised Paper For “The Effect Of Modified Constraint-Induced Movement Therapy On Spasticity And Motor Function Of The Affected Arm In Patients With Chronic Stroke.”, Jacqueline Bloom, Emily Lu, Matt Tong, Kitsum Li
Critically Appraised Paper For “The Effect Of Modified Constraint-Induced Movement Therapy On Spasticity And Motor Function Of The Affected Arm In Patients With Chronic Stroke.”, Jacqueline Bloom, Emily Lu, Matt Tong, Kitsum Li
Occupational Therapy | Critically Appraised Papers Series
This study explored the effect of modified constraint-induced movement therapy (CIMT) on the spasticity and functional use of the affected arm and hand among persons of working age who presented with spastic hemiplegia resulting from a stroke that occurred more than 6 months ago. The researchers developed a modified CIMT program for use in an outpatient rehabilitation clinic with intensive and varied exercise training aimed at targeting the negative symptoms of spastic hemiplegia. Previous research on CIMT has taken place in laboratory settings and has not specifically focused on CIMT’s effects on spasticity.
The researchers used a battery of assessments …
Sleep In College Students: A Mixed Methods Study, Savannah Hancock, Jacqueline Bloom, Charlotte Sally, Rhianna Wallace
Sleep In College Students: A Mixed Methods Study, Savannah Hancock, Jacqueline Bloom, Charlotte Sally, Rhianna Wallace
Student Research Posters
College students in particular have chronically restricted sleep patterns and experience more daytime sleepiness, and physical and mental health issues than their same-aged peers who are not students. Sleep is an emerging area of research and intervention for occupational therapists. The purpose of this study was to identify and investigate how college student’s beliefs about sleep affect their quality of sleep. This study asked: how do beliefs and attitudes about sleep affect sleep quality and participation in valued occupations in college students? Four college students were interviewed regarding their sleep beliefs and attitudes. They also completed a two-week sleep diary …
Validation Of The Medication Box Task Assessment, Katherine Blank, Alison Chandler, Malcolm Isely, Serena Soria, Yamin Zaw
Validation Of The Medication Box Task Assessment, Katherine Blank, Alison Chandler, Malcolm Isely, Serena Soria, Yamin Zaw
Student Research Posters
Individuals with acquired brain injury (ABI) may experience challenges in their everyday occupational performance due to cognitive impairments. Cognitive tabletop and occupation-based assessments are used to evaluate cognition in individuals with ABI. There is a need for cognitive occupation-based assessments as they possess ecological validity: a reflection of an individual’s occupational performance in daily life. This study aimed to validate the Medication Box Task assessment in its use as a cognitive occupation-based assessment. The results of the Medication Box Task assessment were compared against the results of a battery of five gold standard tabletop assessments. Pearson correlations showed significant correlations …
Occupational Therapy In The Intensive Care Unit, Michelle Chan, Kelsie Colombini, Kristen M. Henderson, Courtney Malachowski
Occupational Therapy In The Intensive Care Unit, Michelle Chan, Kelsie Colombini, Kristen M. Henderson, Courtney Malachowski
Student Research Posters
In recent years, the number of inpatient cardiovascular surgeries has significantly increased in hospitals around America. Occupational therapists in the intensive care unit (ICU) at Mills-Peninsula Medical Center (Burlingame, California) currently lack a standard protocol for addressing physical, cognitive, and psychosocial factors in patients post cardiac surgery. Furthermore, interventions are frequently guided by professional experience and clinical reasoning instead of current evidence. The American Occupational Therapy Association’s Centennial Vision encourages occupational therapists to pursue science-driven practices and provide evidence-based interventions. In response to this vision, an extensive review of current literature was conducted and applied to develop an evidence-based clinical …
The Effects Of Therapeutic Listening On Bilateral Coordination, Avery Wilson, Mios Buccat, Amanda Grace Irao, Morgan Mousley, Michael Yra Munchua
The Effects Of Therapeutic Listening On Bilateral Coordination, Avery Wilson, Mios Buccat, Amanda Grace Irao, Morgan Mousley, Michael Yra Munchua
Student Research Posters
Therapeutic Listening® is an intervention increasingly used by occupational therapists despite the lack of supporting evidence in current literature. Therapeutic Listening® is a sound-based treatment developed by Sheila Frick, OTR/L, rooted in sensory integration. The purpose of this continuation study was to analyze the quality of bilateral movement in typically developing children after a Therapeutic Listening® session using a more sensitive, qualitative measure. This study used a randomized control pretest-posttest experimental design to analyze posture, smooth and continuous movement, effort, precision, and arm/leg movements. Specific items were further analyzed after eliminating those with a strong ceiling effect and focusing on …