Rehabilitation and Therapy Commons^™

The Implementation Of Animal Assisted Therapy In Adult Neurological Rehabilitation, Rachel Camilleri

OTD Capstone Projects

This doctoral capstone project was completed through a partnership with Pi Beta Phi Rehabilitation Institute at Vanderbilt University Medical Center. The focus of this project was to develop animal assisted therapy interventions that could be utilized amongst occupational therapy practitioners with the clinic’s facility dog in an effort to increase utilization of animal assisted therapy. The process for this project required a thorough review of the literature on animal assisted therapy and neurological rehabilitation, conversations with current and past facility dog teams to learn about their work, and trialing animal assisted therapy activities in patient sessions. The outcome of this …

Promoting Participation In Individuals With Parkinson’S Disease Through The Development Of Accessible Occupation-Based Resources, Kelly Struthers

OTD Capstone Projects

This doctoral capstone project was completed through partnership with Rock Steady Boxing Music City, a non-profit organization that provides boxing classes for individuals diagnosed with Parkinson’s disease and other motor-related disorders. The purpose of this project was to understand the participatory barriers that are common within the Parkinson’s disease community and develop solution-oriented resources in response to these barriers. All developed resources were intentionally created to maximize accessibility and explored areas such as driving, fatigue, caregiving, and memory. These resources were compiled and distributed to the “fighters” of Rock Steady Boxing via an in-person “OT Corner” bulletin board, the weekly …

Supporting Adolescent Parents Involved In Younglives, Rachel Fister

OTD Capstone Projects

This doctoral capstone project focused on creating educational tools and resources for adolescent caregivers, volunteer mentors, and staff associates involved in YoungLives. YoungLives is a branch of the non-profit outreach organization YoungLife, that supports adolescent/teen parents and expecting mothers worldwide. The goal of this project was to supply accessible and user-friendly resources for the population to gain knowledge on pediatric topics such as child development, age appropriate milestones, sensory processing, as well as activities to promote occupational skills. The project outcomes resulted in a guidebook and deliverables for education and training purposes, a social media platform for nationwide connection and …

Providing Sensory Integration Education And Transition Tools For The Tennessee Baptist Children’S Homes, Thuy-Duong D. Huynh

OTD Capstone Projects

This doctoral capstone project was completed through a partnership with the residential department of the Tennessee Baptist Children’s Homes, a state-wide ministry that cares for children whose families are in crisis. There were two primary focuses for this project: (1) providing sensory integration education to house parents and (2) creating tools to ease transitions. Outcomes included a presentation and training on sensory integration, a booklet with easily accessible sensory integration information, a local activity guide for day visits with families, and a routine schedule of home visits to ease transitions.

Navigating Dysautonomia: A Workbook For Empowered Living, Madison Thornton

OTD Capstone Projects

Dysautonomia Support Network (DSN) is a nonprofit organization composed of volunteers who have a passion for serving the population of individuals with dysautonomia. Dysautonomia is a complex and often debilitating disorder affecting the autonomic nervous system, which regulates involuntary bodily functions such as heart rate, blood pressure, digestion, and temperature control. Those living with dysautonomia face a myriad of challenges ranging from chronic fatigue and dizziness to gastrointestinal issues and cognitive impairment. The unpredictability of symptoms can significantly impact daily life, leading to feelings of frustration, isolation, and helplessness. However, amidst these challenges lies the potential for empowerment and transformation. …

Fighting Against Parkinson's: A Collection Of Occupation-Inspired Workouts For Rock Steady Boxing, Landis Llewelyn

OTD Capstone Projects

This doctoral capstone project was completed through a partnership with Rock Steady Boxing in Hendersonville, North Carolina. Rock Steady Boxing provides group workout classes for all stages of Parkinson’s disease with a focus on improving quality of life through empowering individuals to fight back against Parkinson’s. The purpose of this project was to analyze various occupations deemed as difficult by the participants of Rock Steady Boxing in Hendersonville, North Carolina, and create workouts directly targeting the skills needed to successfully perform these occupations. These workouts were implemented into classes at Rock Steady Boxing and modified to accommodate a wide range …

Encouraging Participation For Trainees At Autism Career Training, Sydney L. Stahl

OTD Capstone Projects

This doctoral capstone project was completed with Autism Career Training (ACT), a non-profit organization that teaches vocational skills to young adults with autism. The purpose of this project was to improve the participation of ACT trainees in all aspects of programming. To do this, various strategies; social activities; and community networking were implemented. Strategies to improve classroom participation, social conversation, and address sensory needs were developed and incorporated, along with a sensory profile assessment. Social activities were introduced, and partnerships were started with various employers in the community. An activity analysis was done per each job position available at these …

Mental Health And Wellness Programming For Adults With Down Syndrome, Chloe Samter

OTD Capstone Projects

This capstone project was completed in partnership with GiGi’s Playhouse located in Brentwood, TN. GiGi’s Playhouse is a non-profit organization that offers free programming for individuals with Down syndrome and their families. The focus of this project was addressing the mental health and wellness of adults with Down syndrome. The goal of this project was to provide meaningful lessons and activities for participants to learn about mental health, coping strategies, and emotional exploration. Participants had the opportunity to learn and practice meditation, mindfulness, self-advocacy, healthy relationships, creative expression, and more. Participants completed The Warwick-Edinburgh Mental Well-being Scale (WEMWBS) as a …

Living With Chemo Brain – Tips And Tricks To Improve The Quality Of Life For Individual’S Diagnosed With Cancer, Jamie Brown

OTD Capstone Projects

This doctoral capstone project was completed through a partnership with Gilda’s Club of Middle Tennessee, a non-profit organization focused on creating a sense of community and support for individuals who are impacted by cancer. The focus of this project was to develop a resource for members that addressed executive functioning changes that occur with chemo brain with a goal of making it both applicable and user friendly. The deliverable sought to provide members with basic tips and tricks for improving their quality of life. Utilizing an occupational lens, this manual contains practical strategies to address decreased memory, cognitive fatigue, processing …

Fashion For All: An Exploration Into Adaptive Fashion, Morgan F. Harrison

OTD Capstone Projects

The purpose of this doctoral capstone was to educate future clothing designers on the adaptive/inclusive clothing market and the need for further exploration into accessible, fashion forward clothing. This project was completed through a partnership with O’More College of Architecture and Design at Belmont University. The goal of this project was to provide students with an introspective look at the interface of fashion and disability. This was achieved by creating case studies based on interviews with individuals with various disabilities regarding their relationship with clothing. The result of this project was a recorded lecture that included demographics, available adaptive clothing …

Enhancing Concussion Education And Documentation Within Belmont University’S Athletic Department, Jenna M. Ogle

OTD Capstone Projects

This doctoral capstone project was completed through a partnership with Belmont University’s Sports Medicine Department. The primary purpose of this project was to identify the department’s current needs and to develop deliverables to enhance and facilitate the concussion education and documents provided to Belmont Athletics stakeholders (including student athletes, university educators, coaching staff, and other members of administration). The process included collaboration with university athletic trainers and student-athletes to ensure usability and creation of relevant products. These resources include informational handouts designed for both student-athletes and educators, an on-field concussion assessment and protocol, concussion education resources with increased opportunities for …

Empowering Clients And Care Partners Living With Parkinson’S Disease Through Evaluating And Addressing Gaps In Client And Care Partner Education, Victoria E. Vik

OTD Capstone Projects

This doctoral capstone project was completed through a partnership with My LiveABILITY, LLC in College Grove, TN. My LiveABILITY is a mobile outpatient clinic that services Parkinson’s patients and their caregivers within the Williamson County area. They specifically provide in-home occupational therapy to address cognition, balance, gait, mobility, posture, strength, coordination, stamina, pain, and mental health, in-depth planning for aging in place, LSVT BIG for Parkinson’s patients, and they provide caregiver and care partner training, education, and support. The goals of this project were accomplished in two main parts. Part 1 consisted of conducting researching to gain the lived experience …

Implementing Occupational Therapy Principles Into The Linden Waldorf Neurodivergent Student Population, Brooke M. Bledsoe

OTD Capstone Projects

This doctoral capstone project was completed through partnership with Linden Waldorf School in Nashville, TN. The focus of this project was development, implementation, and advocacy regarding occupational therapy techniques for the neurodivergent student population. The goal of this project was to provide direct observations, educational presentations, and various educational materials on a variety of neurodivergent deficits and diagnoses in order to help empower Linden Waldorf faculty and staff to best meet the needs of their students. The deficits and diagnoses covered in this project are as follows: executive dysfunction, emotional dysregulation, dyslexia, autism spectrum disorder, anxiety, and attention deficit hyperactivity …

Best Practice For Creating A Sensory Garden And Calming Cart For Preschool-Aged Children At A Reggio-Inspired Preschool, Emmalee Lawrence

OTD Capstone Projects

The goal of this capstone project was to create program plans for a sensory garden and calming cart as well as create resources for parents and teachers on the use and benefit of these plans for the children at First Presbyterian Church Early Preschool. Research on current programs at the preschool indicated the school could benefit from additional sensory and calming opportunities. The programs created during this capstone project were meant to improve sensory exploration, increase overall emotional well-being, as well as support developmental milestones in preschool-aged children. The goals of this project were achieved through collaboration with staff, teachers, …

Metro Parks Adults With Disabilities - Health Management, Kaylee M. Lane

OTD Capstone Projects

This doctoral capstone project was completed through a partnership with Metro Parks adults with disABILITIES. This agency is a local day program focused on providing every Nashville citizen in Davidson County with intellectual and developmental disABILITIES with an equitable opportunity for safe recreational and cultural activities. Metro Parks offers a variety of age and ability appropriate activities that highlight the ABILIITIES of all members. The primary focus of this capstone experience was to create an evidenced based program designed specifically for this population. The goal of the project was to increase participation in meaningful occupations and overall wellbeing for attending …

Expanding Impact To Promote Wellness And Functional Independence, Margaret Stacy

OTD Capstone Projects

This doctoral capstone project was completed in partnership with Spiral Spine Pilates (SSP). SSP is a studio that specializes in supporting the scoliosis community, offering a range of resources for everyone, no matter their age, curve, or where they are in their journey. SSP utilizes evidence-based methods to lengthen and strengthen the body while empowering clients to live happily, pain-free, and fearlessly. The objective of this project was to expand the positive impact SSP can make on promoting wellness and functional independence for its clients through the development and refinement of resources. This included increasing the usability and accessibility of …

A Multicenter Feasibility Randomized Controlled Trial Using A Virtual Reality Application Of Pain Neuroscience Education For Adults With Chronic Low Back Pain, Ryan Mcconnell, Elizabeth Lane, Grace Webb, Dana Lapeze, Hailey Grillo, Julie Fritz

Funded Scholarship

Background

Chronic low back pain (CLBP) is a highly prevalent condition among adults and is correlated to high levels of pain, high disability, and lower quality of life. Pain neuroscience education (PNE) helps to explain the pain experience and can affect psychosocial factors, such as fear of movement, anxiety, socioeconomic status, work life satisfaction, etc. More recently, virtual reality (VR) programs have emerged allowing for immersive PNE experiences.

Objective

The purpose of this randomized clinical trial is to determine the feasibility of using a VR application for the delivery of immersive PNE (VR-PNE) and other activity training for patients with …

Predictors Of General Well-Being In Postprofessional Students Of Occupational Science And Occupational Therapy, Elena Wong Espiritu

Funded Scholarship

Background: Doctoral students experience decreased well-being during their educational experience. Self-compassion, engagement in meaningful occupations, and occupational balance positively impact well-being in individuals. This study examined the relationships between these constructs in postprofessional occupational science and occupational therapy students.

Method: This quantitative cross-sectional study collected national survey data (N = 113) using the Self-Compassion Scale – Short Form, the Engagement in Meaningful Activities Survey, the Occupational Balance Questionnaire 11, and the 14-item Scales of General Well-Being. Multiple linear regression analysis determined how well each construct predicted general well-being and the strength of each construct’s relationship compared to other …

An Overview Of Systematic Reviews Investigating Clinical Features For Diagnosing Neck Pain And Its Associated Disorders, Ryan C. Mcconnell

Funded Scholarship

Background: Neck pain is a common condition that is often difficult to diagnose. Previous literature has investigated diagnostic accuracy of examination measures, but the strength and clinical applicability are limited. This overview of systematic reviews aimed to investigate clinical features for diagnosing neck pain and its associated disorders.

Methods: An overview of systematic reviews was conducted searching four electronic databases for systematic reviews evaluating diagnostic criteria for neck pain. Quality and risk of bias were assessed using the AMSTAR 2 and ROBIS. Clinical features for neck pain were investigated for diagnostic utility.

Results: Twenty-seven systematic reviews were included. Hand radiculopathy …

Completeness Of Dry Needling Intervention Reporting In Musculoskeletal Conditions Using The Standards For Reporting Interventions In Clinical Trials Of Acupuncture And Template For Intervention Description And Replication Checklists: A Systematic Review, Ryan C. Mcconnell

Funded Scholarship

OBJECTIVE: The purpose of this study was to determine the completeness of reporting of dry needling (DN) as a primary intervention, using the Template for Intervention Description and Replication (TIDieR) and Standards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA) checklists.

DESIGN: This study is a systematic review of methodological reporting.

LITERATURE SEARCH: Electronic databases (Ovid MEDLINE ALL, Cumulative Index to Nursing and Allied Health Literature, Cochrane Central Register for Controlled Trials, Embase, and SPORTDiscus) were searched from inception to April 2024.

STUDY SELECTION CRITERIA: Clinical trials addressing the effects of DN on pain, function, and/or musculoskeletal impairments in …

Navigating The Layers Of Concern For Safe Dry Needling Of The Rectus Abdominis: A Cadaveric Study, Ryan C. Mcconnell, Christi L. Williams

Funded Scholarship

Objectives: To assess needle placement accuracy in the rectus abdominis (RA) muscle during dry needling (DN) without entering the peritoneum.

Methods: Two physical therapists performed DN on a cadaver, making 10 attempts each to needle the RA without entering the peritoneum. Techniques followed two common DN approaches. Ultrasound verified needle depth and safety.

Results: Seventy percent of attempts were recorded as safe needle placement, while 30% were unsafe. Accurate RA needle placement without peritoneal entry occurred in 55% of attempts.

Discussion/Conclusion: Inadvertent peritoneal needle placement during RA DN poses risks regardless of experience. Ultrasound guidance may enhance safety and precision …

The Home Modification Process Through The Lens Of An Ot, James C. Nichols

OTD Capstone Projects

This doctoral capstone project was completed through partnership with FiftyForward and The Home Connection. Both of the organizations serve as a resource for the aging in place population throughout Middle Tennessee. The focus of this project was to provide the OT perspective on the home modification project. Throughout this project, over 15 home evaluations were completed, 1 ramp was built, and 5 homes were modified for increased functionality. Additionally, the creation of systematic guide on how to prepare to age in place, and a 20 page comprehensive resource list was developed with active links to technology, adaptive equipment, DME, and …

Creation Of Occupational Therapy Treatment Protocols For Diagnoses Affecting The Upper Extremities, William Hughes

OTD Capstone Projects

This doctoral capstone project included creation of 20 conservative and post-surgical occupation-based and occupational therapy focused treatment protocols covering diagnoses affecting the upper extremities as well as a comprehensive protocol manual accompanied by a guide for use. This doctoral capstone poster contains a needs assessment, goals of the project, the protocols development process, the occupational therapy perspective, and examples of the protocols created.

Promoting Health Education And Wellness Among Clients Of Nurses For Newborns, Whitney Mitchell

OTD Capstone Projects

This doctoral capstone project was completed through a partnership with Nurses for Newborns, a nonprofit organization sending specially trained, registered nurses to the homes of babies, moms, caregivers, and teens who face medical, social, or environmental risks. Nurses for Newborns of Tennessee exists as a safety net for families most at-risk in order to prevent infant mortality, child abuse, and neglect by providing home nursing visits promoting healthcare, education, and positive parenting skills. This project was driven by the organization’s need to increase three areas: parent/caregiver participation in physical activity while also bonding with their child, parent/caregiver knowledge of activities …

Promoting Full Participation For Students Involved In Young Life Capernaum, Hannah Simmons

OTD Capstone Projects

This doctoral capstone project focused on creating educational tools and resources for students, leaders, and coaches involved in Nashville Young Life Capernaum. Young Life Capernaum is a longstanding organization that is built on serving young people with intellectual and developmental disabilities. The goal was not to change what they are doing but to supply practical skills and knowledge on topics such as self-regulation, behavior management, accommodations, and appropriate language use to increase participation and inclusivity of all stakeholders involved. The results were guidebooks, specifically made for Capernaum leaders, coaches, and students, that attempt to encompass common questions and frequently needed …

Exploration Of Inclusivity And Accessibility Of Play Spaces And Miracle League Facilities, Anna Dyduch

OTD Capstone Projects

Throughout this capstone project, Anna Dyduch partnered with Miracle League facilities throughout North America to individually assess 300+ facilities for inclusivity standards based on updated best practice standards. Miracle League is an inclusive baseball program for children and adults with disabilities to promote community engagement and play. The focus of the project was to gauge inclusivity of all facilities to provide a database of how each facility scores; this will promote the highest standard of inclusivity for all upcoming Miracle League facilities to be built. Additional project activities included assessing local playgrounds and play spaces for ADA standard accessibility and …

Implementing Occupational Therapy Principles Into A Lower Elementary Private School In Middle Tennessee, Alexandra Shea Katzman

OTD Capstone Projects

This doctoral capstone project was completed through partnership with Middle Tennessee Christian School in Murfreesboro, TN. The focus of this project was development, implementation, and advocacy regarding pivotal occupational therapy principals in a school that does not offer school OT services. The goal of this project was implementation of the Zones of Regulation curriculum into Kindergarten - 2nd grade classrooms as well as development of a fine motor skills resource guide for teachers and parents. Zones of Regulation training sessions consisted of identifying emotions, categorizing these emotions into Zones, and discussing regulation tools that drive self regulation. Fine motor resource …

Inclusive Unmounted Lesson Curriculum Development At Saddle Up!, Emily A. Wagstaff

OTD Capstone Projects

This capstone project was completed through a partnership with Saddle Up! in Franklin, TN. Saddle Up! provides adaptive riding lessons, therapy services, and equine-assisted learning opportunities for children with disabilities. The focus of this project was to develop an unmounted lesson curriculum that is adaptable for the wide variety of participants served by the organization. Other project activities included conducting movement assessments of equines to determine eligibility for therapy services, completing requirements for the PATH International Certified Therapeutic Riding Instructor (CTRI) certification, and providing staff with education and resources to assist children with various performance deficits.

Mental Health And Mindfulness: A Homeroom Curriculum At Benton Hall Academy, Kasey A. Rohleder

OTD Capstone Projects

This capstone project was completed through a partnership with Benton Hall Academy in Nashville, TN. This academy is a school for children who learn differently and works to help students be successful in their education and transition into the workplace or higher learning opportunities. This project focuses on improving the mental health of lower and middle school students through a 27 week homeroom curriculum teaching about mindfulness, social skills, attention, and emotional regulation. Current literature and materials, students needs, and stakeholder input was utilized to create and implement the project in the lower and middle school homeroom classrooms.

Positive Behavioral Supports And Sensory Experiences At Benton Hall Academy, Ania Spann

OTD Capstone Projects

This project was completed in partnership with Benton Hall Academy, a private institution located in Nashville, TN that provides a compassionate learning environment with individualized learning opportunities for children that learn differently. The focus of this capstone project was to enhance sensory experiences and implement positive behavioral intervention and supports. This was accomplished through providing an in-service presentation, providing resources, continuous communication with faculty and staff, and interaction with students.