Rehabilitation and Therapy Commons^™

Bridging Resources For Occupational Therapists And Children At Mckenna Farms, Audrey S. Morris

OTD Capstone Projects

Mckenna Farms Therapy Services is a therapeutic riding center that offers hippotherapy and therapeutic riding services. They also offer therapy services such as: physical therapy, occupational therapy, and speech therapy as well. This project focused on creating online occupational therapy resources (e.g., activities, worksheets, handouts). This project also included making a pamphlet that provided inclusive experiences in the Northwest Georgia area for children/families. The deliverables of this project are the online occupational therapy resource binder easily accessible in a google drive, and the physical pamphlet with information on inclusive experiences.

Operating Room Acquired Pressure Injury Prevention, Audrey E. Dillon, Lexi K. Johnston, Grace L. Johnston, Amy N. Cochran

SPARK Symposium Presentations

Our change project focuses on preventing pressure injuries in OR patients using an alternating pressure overlay and gel pad system during surgery and recovery. Pressure injuries cost the healthcare system upwards of $26 billion annually, and surgery patients are at high risk due to prolonged immobility, constant pressure on one area, hemodynamic changes, and excessive moisture. Nurses can play a critical role in reducing healthcare costs and improving patient outcomes by utilizing proper training and outcome tracking. The estimated cost of implementing this system is $37,000, significantly lower than the long-term cost of pressure injuries. Key
stakeholders include nurse managers, …

Contemporary Normative Values For Five Common Static Standing Tasks On Firm And Compliant Floor Surfaces In Children Two To Thirteen Years, Nancy Darr

Funded Scholarship

Background/Objectives: Static upright tasks, including standing unsupported (SU), eyes closed (SEC), feet together (SFT), tandem (TS), and single limb (SLS), are routinely examined in children and are included in many norm-referenced measures. Existing normative values for these standing tasks may not apply to contemporary children and have not been established across wide age ranges. The primary purpose of this study was to investigate developmental trajectories of and relationships between four static standing positions (SPs [SU, SFT, TS, SLS]) in children aged 2 through 13 years who are developing typically. The effects of altered sensory input, including floor surface (firm and …

Influence Of Virtual Reality On Lower Extremity Joint Kinematics During Overground Walking, Hunter Derby, Nathan Conner, Adam C. Knight, Harish Chander

Funded Scholarship

The inability to regain balance following a trip-induced event is one of the leading causes of falls and fall-related injuries in older adults. Virtual reality (VR) has the potential to expose individuals to realistic environments with minimal injury risk compared to real-world exposures. The purpose of this study was to compare lower extremity joint kinematics during overground walking when exposed to real and virtually generated trip obstacles. A total of 14 healthy participants [7 male, 7 female; age: 23.46 ± 3.31 years; height: 173.85 ± 8.46 cm; mass: 82.19 ± 11.41 kg; shoe size (men’s): 9.03 ± 2.71 s] were …

Sailing Is For Everyone: Developing An Adaptive Sailing Program For Seattle's Community Boating Center, Karoline J. Ashpole

OTD Capstone Projects

This doctoral capstone project was in partnership with Seattle’s community boating center, Sail Sand Point (SSP). SSP’s mission is “to bring the joy and life-enhancing benefits of sailing and small boats to people of all ages, abilities, and backgrounds”. This project aimed to develop adaptive sailing programming to increase sailing access to individuals with disabilities. This included expanding the partnership with Outdoors For All, an adaptive outdoor recreation organization in Seattle. Through this partnership we hosted their summer camp for five sailing days with five additional days planned for after the completion of this project, demonstrating program sustainability and longevity. …

Interprofessional Education Through Home Modification, Cathey P. Norton, Kelly R. Gore

Faculty Scholarship Symposium

Creating safe and accessible environments for all people, including physical, sensory, and cognitive disabilities is an important part of training students in occupational therapy, physical therapy, and interior design. Approximately 125 students from these disciplines worked together during a unique interprofessional experience, to perform everyday tasks with a simulated disability, then collaborated as interprofessional teams to make recommendations for home environment modifications to improve safety and accessibility for individuals with physical challenges. This was a unique opportunity for all the students to learn about other disciplines and the expertise that each brings to the table to help our clients.

Improved Motor Skills In Autistic Children After Three Weeks Of Neurologic Music Therapy Via Telehealth: A Pilot Study, Nicole M. Richard Williams, Corene Hurt-Thaut, Jessica Brian, Luc Tremblay, Marija Pranjic, Jessica Teich, Melissa Tan, Julia Kowaleski, Michael Thaut

Faculty Scholarship

Background: Many autistic children experience motor skill deficits which can impact other areas of functioning, and research on therapeutic interventions for motor skills in autism is in a preliminary stage. Music-based therapies have been used extensively to address motor skills in non-autistic populations. Though a handful of studies exist on the effects of music-based therapies for movement in autistic children, none have investigated the possibility of administering sessions via telehealth. This mixed-methods pilot study investigated whether nine Neurologic Music Therapy (NMT)^® sessions via telehealth would improve motor and attention skills in autistic children.

Methods: Five autistic children between five …

Sensory Exploration Curriculum Development For Individuals With Intellectual And Developmental Disabilities At Friends Life Community, Caroline F. Stegall

OTD Capstone Projects

This project served to promote sensory strategies among participants at a day program for adults with disabilities. Using an occupational therapy lens, a sensory exploration-based curriculum and collaborative efforts for a sensory room on site were developed.

The Impact Of Parent And Caregiver Perceptions Of Inclusivity Regarding The Concepts Of Inclusive Playgrounds​, Cydnee M. Bacci

OTD Capstone Projects

This capstone was completed in partnership with Recreational Concepts, LLC and Ingrid Kanics OTR/L, FOATA, CPSI. The purpose of this project was to collect current and accurate data regarding parent and caregiver perceptions of inclusive play throughout the Middle Tennessee area. The inclusive playgrounds that participated in this study were Mary’s Magical Place, Henslee Park, and the Thisbe and Noah Promise Park Foundation. Current literature highlights the fact that a sizeable gap exists regarding who is using inclusive playgrounds and if they are properly facilitating inclusive play. Obtaining a deeper understanding of how inclusive playgrounds are being used leads to …

Nashville Dolphins Water Safety Awareness Project, Evan D. Eidson

OTD Capstone Projects

This doctoral capstone project was completed with Nashville Dolphins. The Nashville Dolphins offer free learn to swim lessons and swim team programs for children and adults with disabilities at no cost. The organization serves over 300 swimmers in the learn to swim classes and over 100 swimmers on their swim team. The programs are run by volunteers. The focus of this project was to develop programming resources to raise awareness of water safety and the steps for the Nashville Dolphins to help lower statistics of drowning rates. Deliverables provided to the organization include PowerPoint presentation to be sent to parents …

Exploring Leisure And Recreation Programming Within A Transitional Living Community, Alexandra Joynes

OTD Capstone Projects

Dismas House is an approved Tennessee Department of Correction (TDOC), 501(c)(3) non-profit residential re-entry program serving men who are returning to the community from state and county jails and prisons. The purpose of this capstone experience is to collaborate with Dismas House staff and residents to create sustainable resources for community dinner and programming engagement through a recreation and leisure lens. At Dismas House, the goal is to support these men as they navigate a variety of challenges that come with transition from prison back into society, whether this is through providing basic needs, focusing on health & well-being, employing …

Creation Of Educational Resources And Program Development For The Empower Me Center, Sarah Marie T. Morris

OTD Capstone Projects

This doctoral capstone project was completed with the Empower Me Center, a multi-faceted non-profit organization based in Lebanon, Tennessee. They serve individuals with special needs through activities and opportunities for growth while providing community education on disabilities and inclusiveness. Educational content and disability awareness programming was created for teachers, clinicians, parents/caregivers, etc. to meet the needs of community education and disability awareness. Using an occupational therapy perspective, multiple presentations for future medical and educational conferences were created. In addition, Ryan’s Recess is a disability awareness program that was further developed to increase knowledge in an inclusive environment by offering exposure …

Implementing Caregiver Resources Handout And Enhancing Parent And Caregiver Appreciation Week, Sidney Coolidge

OTD Capstone Projects

This doctoral capstone project was completed in partnership with MOVE Inclusive Dance, an inclusive dance studio that empowers individuals of all ability levels to learn life skills through dance. The aim of this project was to provide parents and caregivers resources that would introduce them to different businesses and groups around the greater Nashville area. As a result, a parent and caregiver resource document was created to benefit families from early diagnosis in childhood to adulthood and included financial aid opportunities, respite care, support groups, legal planning, and many others. The project culminated with parent and caregiver appreciation week where …

Development And Implementation Of A Training Manual For Increased Utilization Of The Universal Exercise Unit (Ueu), Anya Marie Jones

OTD Capstone Projects

This doctoral capstone project was completed in partnership with Rehab Without Walls (RWW) Neuro Solutions in Hendersonville, TN; an outpatient clinic dedicated towards serving adults with various neurological conditions, including stroke, spinal cord injury, traumatic brain injury, cerebral palsy, and more. The focus of this project was to develop a training manual for the therapists at RWW to improve occupation-based utilization of the Universal Exercise Unit (UEU). Through the lens of the Ecology of Human Performance (EHP) model and Albert Bandura’s theory of behavior change, each therapist’s performance range (i.e., ability to perform tasks) depended on both the context (the …

Respite Care And Relief For Brain Injury Survivors And Their Caregivers, Sydney Bradley

OTD Capstone Projects

This doctoral capstone was completed through a partnership with Neuro Therapy Nashville. Neuro Therapy Nashville (NTN) is an outpatient interdisciplinary clinic that provides services to brain injury survivors including stroke, traumatic brain injury, Parkinson’s, etc. Their mission is work in collaboration with patients to regain as much normal function as possible and return to better, more productive lives through a positive, hopeful and expectant environment. The primary purpose of this project was to create and develop three different programs to provide respite and relief for the brain injury survivors and their caregivers. The process of the project involved collaboration with …

Auditory Feedback Decreases Timing Variability For Discontinuous And Continuous Motor Tasks In Autistic Adults, Nicole M. Richard Williams, Luc Tremblay, Corene Hurt-Thaut, Jessica Brian, Julia Kowaleski, Kathrin Mertel, Sebastian Schlüter, Michael Thaut

Faculty Scholarship

Introduction: Autistic individuals demonstrate greater variability and timing error in their motor performance than neurotypical individuals, likely due at least in part to atypical cerebellar characteristics and connectivity. These motor difficulties may differentially affect discrete as opposed to continuous movements in autistic individuals. Augmented auditory feedback has the potential to aid motor timing and variability due to intact auditory-motor pathways in autism and high sensitivity in autistic individuals to auditory stimuli. Methods: This experiment investigated whether there were differences in timing accuracy and variability in autistic adults as a function of task (discontinuous vs. continuous movements) and condition (augmented auditory …

Capstone Curriculum For University Students With Intellectual Disabilities At Lipscomb University’S Ideal Program, Aubrey J. Barcelo

OTD Capstone Projects

The IDEAL program at Lipscomb University is an inclusive postsecondary education program for young adults with intellectual disabilities. This project was centered around creating a curriculum for the capstone course for fourth year students in the IDEAL program. The capstone course is two semesters of 14-week curriculum aimed at completing an independent/semi-structured needs-based project and experiential learning. The deliverables of the advanced program capstone include a culminating project based on the five components of Person-Centered Planning. The curriculum includes templates and task lists incorporating principles of universal design to facilitate students’ ability to complete the project independently.

Development Of Teacher Training Program, Manual, & Curriculum Guide For Inclusive Dance Studio, From An Occupational Therapy Perspective, Susanna C. Dunn

OTD Capstone Projects

This capstone project was completed in collaboration with MOVE Inclusive Dance, a nonprofit, inclusive dance studio specifically serving individuals of all ages with various disabilities. A needs assessment conducted with the staff at MOVE necessitated a cohesive teacher manual, including teacher training protocol, disability index, safety precautions, sample class activities, curriculum guide, and more. The focus of this capstone was to create and distribute a teacher training manual to dance teachers at MOVE Inclusive Dance. The teacher training manual was created using anonymous pre and post test qualitative and quantitative surveys to assess teacher perceptions regarding feelings of confidence and …

Marshall Co. Parks Department: Miracle League Of Western Ky, Ragan Harris Winters

OTD Capstone Projects

This doctoral capstone project was completed by Ragan Harris Winters through a partnership with the Miracle League of Western Kentucky at Mike Miller Park to develop a training video for volunteers participating in future baseball seasons. The focus of this project was to develop a brief volunteer training video with beneficial information to prepare volunteers to assist players before, during, and after the games. The training video aimed to educate volunteers of the Miracle League to assist players with varying disabilities and what to expect when volunteering at the CFSB Field of Dreams. The project also included administrative tasks related …

The Sensory Library: Facilitating Opportunities For Success At Bellevue Elementary School, Reagan M. Trussell

OTD Capstone Projects

This doctoral capstone project was completed through a partnership with Lamar County School District near Hattiesburg, Mississippi. This school district has eight elementary school campuses. The purpose of this project is to provide teachers with tools to improve focus, learning, and participation to facilitate opportunities for success in the classroom. A “sensory library” was created at two elementary school campuses to service grades prek-5 to accomplish this goal.. Faculty was also provided deliverables including rules of the sensory library, instructions to access and use the sensory library digital QR checkout system, the basics of sensory processing, sensory guidebook, contents of …

Enhancing Participation In Play Through Staff Training At We Rock The Spectrum, Megan Poppens

OTD Capstone Projects

This doctoral capstone was completed by partnering with We Rock the Spectrum in Franklin, Tennessee. We Rock the Spectrum is an inclusive, sensory-safe play environment for all children. The goal was to provide education, coaching, and practical tips for staff to foster increased inclusion and participation in play. A training manual was created with topics including the impact of play, development, respectful disability language, disability terms and abbreviations, sensory regulation, safety, common misconceptions, pediatric diagnoses, strategies for leading groups, behavior management, and interacting one-on-one with children. The educational resources were used to enhance the staff member’s knowledge, confidence, and skills …

Expanding The Availability Of Adapted Athletics For Youth With Physical Disabilities In Middle Tennessee, Alexandra Hurd

OTD Capstone Projects

This doctoral capstone project was completed in partnership with ABLE Youth in Nashville, TN. ABLE Youth is a non-profit organization that uses sports as the motivation for children who use wheelchairs to reach their goals of independence. The two main goals of this project were as follows: One, to facilitate the Music City Wheelchair Basketball Tournament, the largest adaptive athletics event in Tennessee, and Two, to expand the variety of sports offered at the monthly Super Sports Saturday events. By the end of this capstone experience, volleyball and lacrosse were introduced to the ABLE youth program participants. Ideas for future …

Best Screening: Introducing The Neonatal Assessment Visual European Grid To Nicus In Tennessee, Gabrielle Sledge

OTD Capstone Projects

Blind Early Services Tennessee (BEST) is an early intervention agency that serves children ages 0-5 with visual impairments across Tennessee. BEST serves over 200 children and families across the state offering early intervention (BEST Start), parent empowerment (BEST Advocate), and family support (BEST Together) programming. The purpose of this project was to assist in the implementation of an early identification initiative (BEST Screening) using the Neonatal Assessment Visual European Grid (NAVEG). The NAVEG is a newborn vision screening shown to identify neurological risk for visual impairments. The long-term goal of this program is to promote the screening and early identification …

Childhood Cancer Survivorship: Navigating A New Normal In Middle Tennessee, Karli M. Beaumont

OTD Capstone Projects

Monroe Carell Jr. Children’s Hospital at Vanderbilt in partnership with Vanderbilt-Ingram Cancer Center offers REACH for Cancer Survivorship, a pediatric cancer survivorship clinic. REACH provides a full range of follow-up care designed to meet the physical, emotional, and practical needs of survivors and continuous surveillance of deleterious effects of cancer and its treatments. The purpose of this project was to meet population and agency needs through research of long- and late-term sequela while advocating for occupational therapy’s role in the oncology population through the proactive therapy and prospective surveillance models. The process of creating this project included synthesizing the literature, …

Flip For Function Program Development To Increase Effectiveness Of Current And Future Program Offerings, Brianne Dombrowski

OTD Capstone Projects

This doctoral capstone was completed in partnership with Flip for Function, a therapeutic gymnastic program that combines occupational therapy practices to serve children with developmental differences. The goal of this project was to address gaps in the company from perspectives of the current program and the population it serves, to increase satisfaction of all those involved in Flip for Function. This capstone project focused on creating updated training protocols, developing effective curriculum for class offerings, and furthering marketing content for current and future programming. Resources were created for the onboarding process to ensure each new hire is provided with all …

Occupation-Based Fine Motor Activities For Individuals With Parkinson's Disease At Rock Steady Boxing, Caylin N. Dean

OTD Capstone Projects

This doctoral capstone project represents a collaborative effort with Rock Steady Boxing (RSB), an organization dedicated to supporting individuals with Parkinson’s Disease (PD). Many individuals with PD experience fine motor deficits which highlights the importance of addressing these challenges. The primary objective of this project is to identify and address such deficits among participants at RSB Music City and Franklin through the development of occupation-based fine motor activities. Qualitative surveys were utilized to understand participants' satisfaction with their fine motor abilities and the impact on quality of life. The outcome of this project is a set of occupation-based fine motor …

Bridging The Gap: Equipping Caregivers With Skills To Promote Development, Victoria Long

OTD Capstone Projects

This doctoral capstone project was completed through a partnership with Alverson Pediatric Therapy, a private, community-based pediatric practice. Alverson Pediatric Therapy aims not only to meet the child’s needs, but also to equip all parents with the skills and confidence to help their child reach the next stage of development. The primary focus of this project was to develop accessible caregiver education on various occupation-based and developmentally appropriate topics. These topics included developmental milestones, emotional regulation, sensory processing, dressing, and so forth. Outcomes of the project included fourteen weeks of social media programming and four, in-depth video module scripts with …

Bridging The Gap Between The Occupational Therapy Department And The Education Department At An Inclusive Preschool, Brenna C. Hunt

OTD Capstone Projects

This doctoral capstone project was completed through a partnership with First Steps Inc. in Nashville, TN. First Steps Inc. is both an outpatient therapy clinic and an inclusive childcare facility that provides education for children with special needs alongside their typically developing peers. This project sought to bridge the gap between the occupational therapy department and the education department at First Steps to promote participation, inclusion, and developmental growth in the classrooms. The focus of the project was the development and implementation of various OT tools and resources to be used in the classrooms. Deliverables included choice boards, visual schedules, …

Increasing Staffs’ Awareness Of Adaptive Swim Lesson Methodology And Enhancing Agency’S Infant Lesson Programming, Chloe E. Volpi

OTD Capstone Projects

This doctoral capstone project was conducted in partnership with Sunshine Swim Center, located in Elk Grove, CA. Sunshine is a small-scale swim lesson company that is proud to offer their community small class sizes and personalized swim instruction. The focus of this project was to educate agency staff on the importance of adaptive swim lessons for children with disabilities and enhance the current infant lesson programming. The staff education material included information on instruction modification, informal behavior modification, alternate forms of communication, cueing, skill grading, and the sensory properties of water. Enhancements to the infant programming included adding fifteen new …

A Parent's Guide To Pediatric Wheelchair Equipment, Gianna M. Sarli

OTD Capstone Projects

This capstone project was completed through a partnership with Permobil. Permobil is an assistive technology company that makes assistive technology solutions that enrich the lives of individuals with disabilities. They create a wide range of assistive technology products including power wheelchairs, manual wheelchairs, cushions, extremity supports, positioning equipment, and so much more. The focus of this project was to create the Content Brief for a pediatric landing page on their website. This webpage is focused on how Permobil products can support a child’s occupational participation and help them achieve their daily goals. The goal of this content was to have …