Rehabilitation and Therapy Commons^™

Effects Of Treadmill Interventions On Infants With Developmental Delays Presenting With Mild And Severe Impairments: A Case Series, Eric Nguyen Spt, Nicolle Gerchak Spt

Physical Therapy Research Symposium

Background: Physical development delays can severely limit a child’s ability to explore and learn about their environment. Evidence supports that this exploration promotes a child’s development in cognition, language acquisition, social skills, and further physical skills. Thus, interventions that target and improve early mobility can be highly valuable to a child’s life. Treadmill training in infants with developmental delays has shown to be an effective intervention in moving infants toward earlier independent walking and improved gross motor function.

Purpose: This study aims to explore the potential benefits of an established treadmill training program in infants with varying degrees of motor …

Covid Restrictions Did Not Decrease Physical Activity In Community-Dwelling Older Adults, Jillian Stoewer Spt, Cara Filce Spt, Holly J. Roberts Pt, Phd, Gcs, Ncs

Physical Therapy Research Symposium

Background

Understanding the long-term impacts of COVID-19-related stay-at-home orders on physical activity can help clinicians prepare for consequences that may impact their patient populations.

Purpose

This study examined effects of the 2020 COVID-19 stay-at-home orders on physical activity levels in community-dwelling older adults including the number of hours they spent walking outside of the home and working/volunteering in the community.

Methods

Eighty-nine participants completed a monthly Physical Activity Scale for the Elderly (PASE) for 10 months. One-way repeated measures ANOVAs with post hoc analyses were calculated to determine differences among PASE scores, PASE item 2 scores, and work/volunteer hours at …

A Systematic Review Of Chronic Pain Mechanism Differential Assessment Strategies For Physical Therapy, Kate Hovde Spt, Kenny Li Dpt, Kylie Wong Bs, Roger Allen Phd, Pt

Physical Therapy Research Symposium

Background

Recently, the International Association for the Study of Pain (IASP) redefined pain, the American Physical Therapy Association proposed pain education guidelines, and a new pain mechanism category (PMC) was defined as “nociplastic pain”. IASP defines three PMCs - nociceptive, neuroplastic, and nociplastic.

Purpose

Identify current clinical assessment strategies for differentiating between nociceptive, neuropathic, and nociplastic chronic pain, feasible for implementation by physical therapists (PTs).

Methods

In 2020, investigators independently searched databases for studies evaluating assessment methods differentiating “nociceptive,” “neuropathic,” “central,” “mixed pain” and “central sensitization,” with follow-up on “nociplastic pain”. A qualitative systematic review was performed utilizing defined inclusion …

Motivational Characteristics And Fulfillment Of Psychological Needs Among Physically Active Undergraduate Students, Rohan Cobb-Ozanne Spt, Kayla Renee Withers Spt, Danny Mcmillian Pt, Dsc

Physical Therapy Research Symposium

Background: Physical activity (PA) guidelines describe positive correlations between PA and health outcomes. Self-determination theory (SDT) was used to identify motivational factors crucial to a physically active lifestyle.

Purpose: Identify and analyze how motivational characteristics, fulfillment of psychological needs, and individual experiences/beliefs influence PA.

Methods: Participants defined as moderately to vigorously physically active by the International Physical Activity Questionnaire were recruited using nominated sampling and public advertising. Motivational characteristics and psychological needs were assessed using SDT, Motives for Physical Activities Measure – Revised (MPAM-R), and The Basic Psychological Need Satisfaction and Frustration Scale – General (BPNSF). Semi-structured interviews were recorded …

Pain Catastrophizing, Pain Intensity And Perceived Injustice Do Not Predict Hrv In Acute Pain, Jacqueline Diulio Spt, Hailey Kettel Spt, Karin Steere Dpt, Phd

Physical Therapy Research Symposium

BACKGROUND: The nature of chronic pain conditions is well documented, with systemic biological, psychological and social factors interacting in an emergent fashion. Autonomic nervous system dysregulation, reflected as decreased heart rate variability (HRV), is suggested to be a biomarker of systemic dysfunction. Previous research has demonstrated correlations between numerous chronic pain disorders and diminished HRV.

PURPOSE: To determine the relationship between pain and HRV in the acute phase of pain, and to examine the predictive value of psychosocial variables on HRV. This study is meant to enhance our sense of how early in the pain experience decreased HRV may occur. …

Critically Appraised Topic (Cat) Project Benefits And Methods For Promoting A Cue-Based Feeding Protocol For Premature Infants In The Nicu, Katy Knackstedt, Cooper Cochran, Tiffany Frias, Sara Parish

Occupational Therapy Evidence Projects

In collaboration with Cuyler Romeo, an occupational therapist working in the NICU at Banner-University Medical Center in Arizona, a systematic review was conducted to answer the question "What evidence exists for implementing cue-based feeding in the NICU?" Six databases were searched and eleven articles were selected for critical appraisal after meeting search criteria. The results indicate moderate evidence that supports the implementation of cue-based feeding (CBF) for preterm infants in the NICU. It is recommended that CBF be implemented in the NICU as a team approach with a protocol in order to provide positive feeding experiences for preterm infants. A …

Lower Extremity Compression Bandaging: A Treatment Option For Edema In Certain Clients With Heart Failure, Tatiana Klein, Samantha Kalmbacher, Katie Strain

Occupational Therapy Evidence Projects

The collaborating practitioner for this evidence project, Lauren Brown, OTRJL, works in an inpatient acute care setting in the Colorado University hospital. The researchable (PICO) question for this evidence project was raised by the collaborating practitioner as, "What is the evidence that using lower extremity multilayer compression bandaging is a safe and effective intervention for clients with heart failure in acute care to decrease lower extremity edema or lessen the impact of venous ulcers?" The evidence appraisal process found that lower extremity compression is safe for clients with stable heart failure, and may be safe for clients with severe heart …

Self-Feeding Interventions For Adults With Tremors, Kd Bradley, Kristine Miller, Samantha Patterson, Madelyn Siemer

Occupational Therapy Evidence Projects

This research analysis was completed in collaboration with Carol Schramek, OTR/L, who works at a skilled nursing facility (SNF) in Iowa run by ABCM corporations. A systematic review of literature was conducted to explore the research question: "What evidence-based interventions have been shown to be effective for reducing tremors, improving occupational performance, and/or increasing client satisfaction during self-feeding in adults with resting and/or action tremors?" After initial review of 73 articles based on title, 33 articles met our inclusion criteria and were included in our critical appraisal of our topic (CAT). We found there to be a lack of research …

A Critical Appraisal Of The Vital Components Of Vocational Rehabilitations Counselors On Return To Work Outcomes For Injured Workers, Danielle Van Dusen, Kate Schooley, Sarah Riddle

Occupational Therapy Evidence Projects

Our collaborating practitioner is Lee Caton, PT, is the Regional Vice President of Peoples Injury Northwest (PINN), which has multidisciplinary industrial rehabilitation facilities across Washington and Oregon. The research question was: "Is there a difference in the rate of return to work (RTW) for injured workers who use vocational rehabilitation counselors (VRCs) versus injured workers who do not use vocational rehabilitation counselors?" A literature review discovered 57 articles that were then reviewed and synthesized into 24 total articles that included 23 quantitative and 1 qualitative article and were then assessed in a critically appraised topic (CAT). Strong evidence was found …

Associations Between Otitis Media And Social Development And Behavior, Samantha Reed, Inga Rohde, Hannah Yu

Occupational Therapy Evidence Projects

Doreen Hunt, MA, OTR/L, is an occupational therapist at Children's Therapy of Woodinville, an outpatient pediatric clinic. She served as the primary collaborator with three University of Puget Sound occupational therapy (OT) doctoral students to address the research question, "How are chronic ear infections (otitis media) in early childhood associated with children's behavioral outcomes and social development?" A literature review identified 29 relevant articles which led to establishing themes of social skills, attention and behavior. Strong evidence indicates an association between chronic ear infections and social skills. However, due to mixed evidence, no clear associations could be found between chronic …

Best Practices For Toilet Training Children With Disabilities, Sara Kne, Gabriela Gonzalez, Jorge Medina

Occupational Therapy Evidence Projects

This research project was conducted in collaboration with Paige Kensil, OTR/L and Erica Petru, OTR/L at Little Fin Therapies. Through discussion with Paige and Erica, we determined that there was a need to examine the effectiveness of various toilet training interventions for children with disabilities. Therefore, a systematic review of the literature was conducted on strategies and interventions for toilet training focused on promoting independence of children between the ages of 2-18 years old with disabilities. The literature review yielded a total of 20 research articles published in peer-reviewed journals. Ten toileting interventions were examined in these articles for children …

Evidence Appraisal On Indocyanine Green Lymphography's (Icg-L) Efficacy In Diagnosing Lymphedema Compared To Other Assessment Methods, Jasmin Cardenas, Catherine Daggi, Leah Parsons

Occupational Therapy Evidence Projects

The authors collaborated with Kate Long, OTR/L, CL T who is currently practicing at Legacy Salmon Creek Rehabilitation outpatient clinic, to answer the research question, "How effective is indocyanine green lymphography (ICG-L) in diagnosing and guiding treatment of adult clients suspected of having lymphedema compared to other assessment methods?" Results of the in depth literature review provided moderate evidence to support the use of the ICG-L assessment method for obtaining an early, conclusive diagnosis of lymphedema. Findings also showed that imaging of individual lymphatic flow can assist certified lymphedema therapists (CLTs) in delivering personalized treatment to their clients. Compared to …

Evidence For Sensory Integration And Sensory-Based Interventions For Mental Health In Pediatric Populations, Elyse Johnston, Kelsey Graeber, Monica Lyons

Occupational Therapy Evidence Projects

There is an increasing prevalence of mental health concerns within the pediatric population (Centers for Disease Control and Prevention [CDC], 2022). To equip practitioners to address this need, researchers examined the literature to consolidate the evidence for the following question: "For children with mental health conditions, do Ayres' Sensory Integration and/or sensory-based interventions reduce mental health symptoms?". This project was undertaken in collaboration with Dr. Jackie Brown, DrOT, OTR/L, owner of Apple Tree Therapy, a private pediatric occupational therapy (OT) clinic in Kitsap County, WA. In sum, there is a moderate evidence base to support the use of Ayres' Sensory …