Rehabilitation and Therapy Commons^™

Disability And Healthcare Access In Morocco: Social And Cultural Influences, Christa Shipman

Independent Study Project (ISP) Collection

I stepped into the SIT Multiculturalism and Human Rights program as a pre-physical therapy student with experience working and volunteering in the disability rights arena. Striking personal encounters with Moroccans combined with these past experiences drew me to investigate how social and cultural factors influence access to healthcare for people with disabilities. I hypothesized that access to medical care is limited by social or cultural mindsets, perceptions, or beliefs for those in my target population. This subject is relevant to Morocco as a developing country and as a society with, in some cases, fixed social dynamics, while in other areas …

Assessing The Need For And Access To Migrant-Sensitive Rehabilitative Healthcare: An Analysis Of Current Swiss And German Practices, Lauren Cuppy

Independent Study Project (ISP) Collection

In recent years, the noticeable increase in migration has placed scrutiny on the migrant-sensitive services provided in healthcare settings globally. Migrants, in general, experience different health issues and worse health outcomes than non-migrants. In response to this, healthcare systems around the world have begun implementing migrant-sensitive healthcare (MSHC) systems; yet, although nearly a third of the world’s population experiences some health condition that would benefit from rehabilitation, the implementation of MSHC rehabilitation services have been critically understudied. This paper seeks to investigate the geographic and MSHC accessibility of rehabilitation in Geneva, Switzerland to fill the current gap of literature and …

The Challenge Of Water Entries, Andrea S. Andrews, Shayne D. Baker

International Journal of Aquatic Research and Education

The authors presented a poster at the International Life Saving Foundation's World Conference on Drowning Prevention 2019 in Durban, South Africa titled, "Finding an Aquatic Voice," that was the basis for this article. The conference theme was "Growing Global Drowning Prevention Capacity,” and the aim of our poster’s contribution to the conference was to explore internal reasons for the variable capacity of water-wary persons to engage in water experiences which often manifest as a “water entry and exit conundrum." The paper provides critical decision points associated with these issues to encourage further reflective practice by aquatic professionals. The …

Do Water Safety Lessons Improve Water Safety Knowledge?, Michael J. Tipton, Joseph Muller, Cristian Abelairas Gomez, Jo Corbett

International Journal of Aquatic Research and Education

A person, usually a child or young adult, dies by drowning every 90 seconds around the planet. Most drowning prevention initiatives do not assess the efficacy of the intervention. In this study, thirteen- to fourteen-year-olds had their level of water safety knowledge (covering cold shock, rips and tides) assessed before, just after, and 3-6 months after one, 25-minute water safety lesson on these topics. We evaluated the knowledge gained and retained on water safety “awareness” (i.e., knowledge of risks) and “confidence” in terms of knowing what to do in an emergency. The results demonstrated that the lesson significantly increased water …

The Impact Of Postural Orthostatic Tachycardia Syndrome (Pots) On Function & Quality Of Life: A Descriptive Case Study, Emily Mike

Journal of Interprofessional Practice and Collaboration

This study aimed to identify and describe how an individual with postural orthostatic tachycardia syndrome (POTS) is impacted by the symptoms of the disorder. A descriptive case study was used to gain understanding of the lived experience of an individual with POTS. A semi-structured interview was conducted, and data analyzed to develop a theme. Following data analysis, one overarching theme emerged, the participant did not realize the impact that POTS has on her daily function and quality of life. The descriptions and summary provide evidence for the unique role that occupational therapists play in providing care for individuals with POTS.

Effects Of Rucksack Military Accessory On Gait Dynamic Stability, Seong H. Moon, Christopher W. Frames, Rahul Soangra, Thurmon Lockhart

Physical Therapy Faculty Articles and Research

Various factors are responsible for injuries that occur in the U.S. Army soldiers. In particular, rucksack load carriage equipment influences the stability of the lower extremities and possibly affects gait balance. The objective of this investigation was to assess the gait and local dynamic stability of the lower extremity of five subjects as they performed a simulated rucksack march on a treadmill. The Motek Gait Real-time Interactive Laboratory (GRAIL) was utilized to replicate the environment of the rucksack march. The first walking trial was without a rucksack and the second set was executed with the All-Purpose Lightweight Individual Carrying Equipment …

Integrating Occupation-Based/Focused Assessments During The Evaluation Process. Opportunity To Revisit The Topic In A Post Covid-19 Practice Setting?, John S. Luna

School of Social Work Faculty Publications

Occupational therapists treat clients across the lifespan, and every successful intervention begins with a successful evaluation. Incorporating a variety of norm-referenced standardized assessments into the assessment process has become increasingly important to justify services to third party payors identification of goals, and intervention strategies. However, occupational therapists tend to select assessments that are focused and measuring performance skills and client factors versus occupations and performance of occupations. The purpose of this article is to examine the topic of occupation based and occupation focused assessments. While using occupation-based/ occupation-focused assessments is not a new topic, the COVID-19 pandemic has changed how …

Supporting Children With Neurodevelopmental Disorders: Routines And Environmental Factors Affecting Sleep Quality, Constance Lew, Susan Macdermott, Karen Park, Becki Cohill

Summer 2021 Virtual OTD Capstone Symposium

Background: Sleep difficulties are more common among children with neurodevelopmental disorders (NDDs). There is limited research on sleep strategies used by parents of children with NDDs or resources written by occupational therapists. The study examines current sleep concerns and strategies used by parents of children with NDDs, including those affecting time it takes to fall asleep, duration of sleep, routines, and environmental factors that influence sleep.

Method: Parents and caregivers of children with NDDs (n=22) and with no diagnosis (n=6) participated in a survey and optional interview to assess current concerns and strategies used to address sleep. Data gathered included …

The Role Of Occupational Therapy: Military Dependents Transitioning Into Motherhood, Ria Allen, Becki Cohill, Susan Macdermott, Karen Park

Summer 2021 Virtual OTD Capstone Symposium

Background: Motherhood is a time of adjustments and changes. Mothers are learning how to balance taking care of a newborn, household responsibilities, and self-care. Adjustments of routine in everyday occupations can change quickly as the baby's needs evolve over time and established routines are disrupted and new routines are created. For military spouses, military culture and lifestyle can affect adjustments to motherhood as well including deployments, frequent moves, and reestablishing support systems. An in-depth literature review revealed that there is limited occupational therapy research, programming, and resources available to military dependent mothers

Purpose: The purpose of this study was to …

Returning To Our Roots: Re-Introducing Art Back Into Occupational Therapy, Vivi Trinh

Summer 2021 Virtual OTD Capstone Symposium

The usage of arts and crafts played a significant role in the fruition of the profession, but as it adopted more medically- and evidence-based treatment methods, most practitioners steered away from arts and crafts. The overall purpose of this project was to promote the use of art in OT as well as learn about the current use of art in OT through discussions held with practicing and retired occupational therapists and OT students with fieldwork experience. A portion of the project includes conducting a needs assessment at Urban Street Angels (USA), a community-based facility in downtown San Diego, CA that …

Occupational Therapist’S Impact In Current And Changing Roles And Routines For First-Time Foster Parents, Kathryn Chatfield, Becki Cohill, Susan Macdermott, Karen Park

Summer 2021 Virtual OTD Capstone Symposium

The purpose of this study was to understand occupational therapist’s impact in current and changing roles and routines for first-time foster parents as well as understanding how to establish, preserve and maintain such meaningful domains. This study allowed for insight into current and changing roles and routines for first-time foster parents. The results from this study allowed for further comprehension on how roles and routines were impacted, and that education and tools can be used to help decrease disruption to these domains. Understanding that taking on a new role as a foster parent means routines will be impacted in one …

Enhancing Discharge Preparation For Adults With Substance Use Disorder Within A Residential Treatment Facility, Piper Virva, Susan Macdermott, Becki Cohill, Karen Park

Summer 2021 Virtual OTD Capstone Symposium

The community reintegration process is a vital aspect of the recovery journey, which requires sufficient planning and preparation prior to discharge from treatment (Read & Stoffel, 2019). Individuals enrolled in a residential treatment program for SUD indicated that higher levels of assistance and preparation during the transition to community living and involvement in comprehensive discharge planning would better prepare them for community reintegration (Manuel et al., 2017). Historically, the role of occupational therapy (OT) with this population has been to facilitate the resumption of meaningful roles, identify supportive habits and routines, and address executive functioning deficits related to SUD (Champagne …

Exploring Occupational Dysfunction And Occupational Performance For Youth In Homeless Shelters, Akio Ross

Student Capstone Papers

The capstone project aims to explore and identify the role of occupational therapist in homeless youth shelters, to improve life skills necessary for independent living, and transition into the community of youths that occupy youth shelters. The proposed research project will fill the gap between occupational therapist, and youth shelters, by revealing barriers, while simultaneously developing and identifying a role for occupational therapist in homeless youth shelters.

An Investigation Of Occupational Therapy Utilizing Sensory Modulation To Manage Co-Morbid Chronic Pain And Substance Use In Order To Promote Occupational Performance And Recovery, Claire Ruth

Student Capstone Papers

Background: Those with chronic pain have worse drug and alcohol treatment outcomes and higher rates of relapse compared to those without pain or with reduced pain (Ilgen et al., 2020).

Methods: A descriptive study was employed with the aim of determining what are the sensory processing pattens of those with co-morbid chronic pain and in recovery for substance use. All participants completed the Adolescent and Adult Sensory Profile, the Brief Pain Inventory, and the Personal Recovery Outcome Measure (PROM).

Results: From the preliminary findings, individuals with co-morbid chronic pain and substance use may have atypical sensory processing …

Interprofessional Education And Practice: Perspectives From Students In Speech-Language Pathology And Recreational Therapy, David Hajjar, Jan Elich-Monroe, Susan Durnford

Teaching and Learning in Communication Sciences & Disorders

Interprofessional education and practice (IPE/IPP) are important components for undergraduate and graduate students to experience during their programs of study in speech-language pathology and related health professions. The American Speech-Language Hearing Association (ASHA) is a member organization of the Interprofessional Education Collaborative (IPEC) which promotes four core competencies required for effective practice: values/ethics, roles/responsibilities, interprofessional communication, and teams and teamwork. The purpose of this study was to gather the lived experiences from eight pre-professional students, four from speech-language pathology (SLP) and four from recreational therapy(RT), during focus groups and discussion forums conducted before, during, and after a 14-week IPE/IPP clinical …

Effects Of Social Technology On Older Adults In A Residential Living Facility, Katherine Bennett, Mia L. Gonzalez, Sydney L. Harper, Madison N. Logan, Kaeli M. Jeffers, Alexandrea C. Springer, Jeanne Sowers

Student Journal of Occupational Therapy

Personal connection and social interaction are vital components of health throughout the lifespan. Loneliness and social isolation among the older adult population impacts both physical and mental health negatively. Analysis of published research demonstrates the importance of considering the use of different social technology platforms to foster opportunities for social support among family and friends. Researchers noted an increased relevance of the need for social technology in residential living facilities with the emergence of the COVID-19 pandemic and social distancing. The study aims to investigate the impact of social technology, via Sherish℠ Connect on older adults’ reported levels of loneliness …

Analysis Of Occupational Therapy’S Role To Promote Healthy Sleep Participation To Support Caregivers Of Children With Autism Spectrum Disorder, Sophia N. Roman

Student Capstone Papers

Children with autism spectrum disorder (ASD) face sleep disturbances. Healthy sleep habits are essential for children with ASD and their caregivers to properly engage in their everyday lives. Occupational therapists are trained to evaluate clients in areas that contribute to sleep dysfunction and to focus on promoting optimal sleep performance. There is limited research on caregivers’ perceptions of their child’s sleep disturbances, these disturbances’ influence on occupational engagement, and whether occupational therapists have collaborated with caregivers of children with ASD to treat this area of occupation. Collecting data from caregivers by using a questionnaire can provide occupational therapy (OT) practitioners …

An Occupation-Based Program To Promote Mental Health Of At-Risk Youth In An After-Care Setting, Alexa Smith

Student Capstone Papers

The disproportionate tendency for young adults from disadvantaged backgrounds to shift from schools to the juvenile justice system is referred to as the “school to prison pipeline”. Treating and preventing mental health difficulties is within the scope of occupational therapy, and while the school system assists in mental health treatment, there is a lack of mental health supporting services in after-care settings. The purpose of the program development project is to increase the supportive mental health services provided to at-risk youth in the after-care setting. The project ran mental health group sessions using Cole’s Seven Step Model with participant groups …

Challenges For Children And Adolescents With Autism And Their Families During The Covid-19 Pandemic, Orsolya Pachner, Gabor Aranyi

Journal of Global Awareness

The restrictions and lockdown measures implemented in response to the Covid-19 pandemic have posed a pronounced risk to the mental health of people with autism and their families. We discuss specific difficulties affecting children and adolescents with autism and their families during the pandemic, drawing on a broad range of recently published research in many countries and regions. A global perspective is adopted to provide an overview of the state of affairs and identify good practices. We consider challenges in four areas: research and practice related to autism, challenges facing children and adolescents with autism, specific difficulties in their education …

Exploring The Therapeutic Relationship As A Central Focus Through Expressive Arts Therapy In Oncology, Akshata Parekh

Expressive Therapies Capstone Theses

The treatment for cancer can be physically, mentally, emotionally and socially challenging. These treatments have side effects like physical body pain, hair loss, changes in weight, energy, nausea and more. These physical changes impact the social, mental and emotional well-being of the patient and makes this journey of the life-threating prognosis of cancer very tough to confront. Expressive arts therapy provides a safe space for the patients to address their mental health concerns as a result of this treatment. The Capstone Thesis Project explored expressive arts therapy interventions with 95 patients through single or multiple sessions while going through their …

Making Room: Addressing The Counter-Therapeutic Nature Of Psychiatric Hospitalization Through Containment- Based Group Expressive Therapy, Max Sandor Copans

Expressive Therapies Capstone Theses

The process of hospitalization and the environment of a typical psychiatric hospital is often counter-therapeutic. To challenge this problem, clinicians may introduce the concept of psychological containment. To elaborate, being hospitalized anywhere can be disorienting, frightening and even traumatic. This problem is only further exacerbated in psychiatric hospitals where patients may be disorganized, manic, or struggling with psychosis. Furthermore, psychological containment is essentially the ability for psychiatric patients to prevent their intense emotions from effecting others negatively, and to act with resiliency when other patients are unable to contain their own disruptive behaviors. This paper utilizes both an initial literature …

Exploring The Usefulness Of Mindfulness Practices Through Zoom Meetings In Reducing Anxiety And/Or Stress Of Adults With Learning And Developmental Disabilities During The Covid-19 Pandemic, Thatiane Abra

Expressive Therapies Capstone Theses

This thesis explored which mindfulness meditations or mindfulness practices could be beneficial in the online sessions, the extent to which adults with learning and developmental disabilities could learn the practices remotely, and how stress and anxiety disorders could be reduced through online mindfulness interventions. Furthermore, it was also necessary to address the online sessions as the only mental health treatment possibility during the Coronavirus pandemic for the clients observed and the benefits and limitations of these interventions. Additionally, the importance of structure and routine for this population, the multi-modal structure of the interventions, and how attunement plays an important role …

The Use Of Mindfulness Meditation To Increase The Efficacy Of Mirror Visual Feedback For Reducing Phantom Limb Pain In Amputees, Nicolas Sebastian Mills

Doctoral Dissertations

Phantom limb pain is a chronic pain condition that negatively impacts the lives of over half of amputees, and results in considerable morbidity. Currently, there is no gold standard for treatment for phantom limb pain. However, a frequently used intervention is the use of mirror visual feedback, in which the amputee watches the reflection of the adjacent non-amputated limb move and exercise. In the last few decades, mindfulness-based interventions have been increasingly used with individuals living with different types of chronic pain. This study attempts to discover if the addition of a mindfulness-based intervention, such as guided meditation, will augment …

Exploring Occupational Therapy With Athletes Using Principles Of Lifestyle Redesign® To Support Academic Success And Life Balance., Michaela M. Dendinger

Occupational Therapy Capstone Presentations

Occupational therapists have a range of skills that can benefit a variety of populations. Despite these skills, occupational therapy has limited exploration within the field of athletics. The capstone project gave insight to the services occupational therapy can provide to the student-athlete population. Through the lens of Lifestyle Redesign®, the Student-Athlete Wellness Program was created to support student-athlete academic success and life balance. Following a needs assessment an online program was developed. The program was provided to students and athletes a University in the Midwest U.S. The program attracted 21 student-athletes and five students. Limited participation in surveys provided difficulties …

The Therapeutic Benefits Of Attunement Through Lindy Hop, Sarah Trowbridge

Expressive Therapies Capstone Theses

Dance/movement therapy (DMT) was developed as a tool to aide in therapeutic healing. A foundational aspect of DMT is attunement, the emotional/kinesthetic connection between two people that allows for meaningful and healing bonds to emerge. Lindy Hop is a partnered dance that fosters an environment of attunement, as it is accessed both subconsciously and consciously. This research explores Lindy Hop as a possible method of therapeutic treatment. The literature indicates the physiological need for attunement and how safety plays a key role in strengthening senses of self-identity, nervous system development, and worldview. Four experienced Lindy Hoppers were recruited to engage …

Developing An Adaptive Rock Climbing Curriculum For Suny Cortland Outdoor Pursuits 2021, Rebekah Mills

Master's Theses

SUNY Cortland Outdoor Pursuits opened in August of 2015 with the completion of the newly constructed Student Life Center. Outdoor Pursuits is a smaller department within the Recreational Sports Department. Outdoor Pursuits offers rock climbing services at its facility located in the Student Life Center. Currently, Outdoor Pursuits offers Bouldering and Top Roping services only when the Student Life Center is open, these hours are typically 3-10 pm. Monday-Friday and Saturday-Sunday 2-8 pm. These services are only provided to eligible SUNY Cortland faculty, staff, students, alumni, and other affiliated members. As the facility has grown in popularity during its operation, …

Adaptive Video Gaming In The Classroom, Lauren Ferrell, Daniela Mari Recinto, Desarae Finck-Fugazi, Christine Angela Manalang, Noémie Von Kaenel

Occupational Therapy | MSOT Capstone Projects

Background: Limited resources exist to support adaptive gaming in school programming using Microsoft® Xbox Adaptive Controller for children. On the other hand, there is abundant evidence supporting motor, cognitive, and social benefits to gaming in rehabilitation.

Objectives: The goal of this program development project was to create a virtual gaming toolkit to support the interdisciplinary team’s use of adaptive gaming during school programming.

Methods: Through our needs assessment and collaboration with our community partner, we discussed the parent and caregiver need for guidance in order to use the Microsoft® Xbox Adaptive Controller and facilitate gameplay with peers. Through an extensive …

Imposter Phenomenon: The Occupational Experiences Of First-Generation College Students, Jamie Zabat, Jacqueline Salas, Yashi Severson, Kevin Chavez, Krysta Gastelum, Javier Gomez

Occupational Therapy | MSOT Capstone Projects

Background: First-generation college students (FGCS) represent an underserved population navigating through higher education and therefore receive less support. There is a current gap in the literature that overlooks the interactions of occupational experiences, imposter phenomenon (IP), and first-generation college students. The purpose of this study is to use grounded theory to observe the impact of IP among FGCS enrolled in a four-year university in California.

Method: This research is a qualitative study using thematic analysis grounded theory. Data was collected through a screening survey and follow-up interview via video chats and in-person sessions, and a live transcription software …

Adaptive Gaming As An Occupation: Motor Phenomena And Lived Experiences, Christina Floyd, Melanie Blaisdell, Madeleine Pope, Audrey Metzger, Donna Chen Tubig, Lauren Andaya, Christine Vincent

Occupational Therapy | MSOT Capstone Projects

Purpose: This qualitative study examined the lived experience and motor phenomena that occur in people with disabilities during the occupation of video gaming. Historically, the occupation of video gaming, also referred to as gaming, has not been inclusive of individuals with disabilities due to the design of traditional video gaming controllers. Typical gaming controllers require fine motor control, finger dexterity, and in-hand manipulation to grasp and use the controls on the device. Although, many people with disabilities do not have the fine motor skills required to access these devices, creating a barrier for this population to engage in …

Opioid Use And Harm Reduction, Elise Bourassa, David Lee, Jason Rogers, Christian Silverthorne

Thinking Matters Symposium

Calls for various harm reduction approaches to the opioid epidemic are increasing in activist communities (Chapkis, 2020; Kennedy-Hendricks et al., 2019; Sederer & Marino, 2018). Given that harm reduction approaches, if implemented, will be provided by people in various helping professions, the current study investigates the relationship between choice of human service-focused college major and level of support for harm reduction interventions for people who use opioid drugs. A quantitative survey that aims to measure knowledge and perceptions of harm reduction strategies has been disseminated to students in social work, counseling, public health and nursing departments at the University of …