Rehabilitation and Therapy Commons^™

Occupational Therapy Students’ And Graduates’ Perspectives Of Traditional And Nontraditional Level I Fieldwork Experiences, Carrie Gorman, Mariah Cadzow, Paige Inch, Alyson Onder, Colin Reed

Occupational Therapy Student Scholarship

Among occupational therapy students and recently graduated practitioners, what are the perceptions of Level I fieldwork in understanding the role of an occupational therapist, application to didactic coursework, and impact on overall skills?

Quantitative findings suggest that students and graduates perceived traditional Level I FW settings to be the most effective for understanding the role of an OT, application to didactic coursework, and impact on overall skills in comparison to respondents who experienced non-traditional Level I fieldwork settings. Qualitative data supports this finding as the most common theme reported was participants' desire to work alongside an OT during fieldwork, as …

Occupational Therapist Perspectives On Oral Hygiene Interventions Among Children And Youth With Autism, Kimberly Duetsch, Megan Chamberlin, Jordyn Hamilton, Anna Mostoller, Giannalise Pepoli, Emma Sanchez

Occupational Therapy Student Scholarship

What are the perceptions and experiences of OT professionals regarding the implementation and efficacy of interventions addressing oral hygiene among children with ASD?

The current study suggests that a wide variety ofOH interventions are being implemented in practice and are perceived to be efficacious by OT/OTAs. Implementation of these interventions is not without barriers, the most reported being carryover in the home. Findings suggest the potential for positive outcomes of the collaboration between dental professionals and OTs/OTAs. Future research is needed to explore how to navigate this collaboration given the time and setting constraints within each discipline.

Provider And Caregiver Perspectives On The Family Guided Routines Based Approach To Interventions, Leanne Rutt, Hannah Brezinski, Jane Seitz, Arianna Ramsaran, Nathan Smith

Occupational Therapy Student Scholarship

1. What were the perceptions of EI providers that received their coaching endorsement, on the value of improving their competence and confidence in applying the FGRBI coaching model to improve client outcomes?

2. Among caregivers of children served in early intervention, what were their experiences with an FGRBI endorsed provider?

The inherent nature of early intervention (EI) service delivery involves developing a strong collaborative dynamic with caregivers in support of the child.Our study investigated how providers and caregivers felt about the new implementation of theFGRBI model within HMJ counties. Despite low response rates, overall both providers and caregivers reported they …

Compliance Is Not Inclusion: Exploring The Lived Experience Of Disabled Occupational Therapy Students And Practitioners, Joanna Behm, Grace Euler, Rachel Luscher, Hannah Mumau, Lauren Viscusi

Occupational Therapy Student Scholarship

What is the lived experience of disabled occupational therapists in terms of the supports and barriers encountered during their participation in OT school and OT practice?

This study explored the lived experiences of disabled OT students and practitioners. The findings demonstrate the ableism and barriers experienced by the participants in a field that is meant to fight ableism with disabled clients. Conversely, the success of the participants when barriers were removed demonstrated the key tenants of the social model of disability. As a profession, OT should continue to work towards inclusion of disabled students and colleagues.

The Impact Of Peer Support On Social Participation For Burn Survivors, Jim Foster, Hannah Davis, Eveny Miller, Arianna Moyer, Erin Terreson, Megan Miller

Occupational Therapy Student Scholarship

In our study, we looked at six main areas of life (LIBRE domains) to see how people who received support from peers after a burn injury, compared to those who did not get such support. The standard score was determined to be 50, with 40 being one standard deviation below the norm and 60 being one standard deviation above the norm. Those who did not receive peer support had higher social participation scores than those who received peer support across all six domains. Though, those who did receive peer support and those who did not receive peer support both had …

Sensory Rooms In Schools, Leanne Rutt, Makenna Bailey, Abigail Chez, Katelyn Correll, Emily Nunn, Ashley Schott

Occupational Therapy Student Scholarship

What are school staff's (teachers, related service providers, administrators, etc.) perceptions of the utilization and efficacy of sensory rooms to support student participation in education?

This study aimed to contribute to increasing the knowledge base of effective sensory room use in the school-based context. Majority of the respondents were special education teachers and school-based OTs, but according to literature, OTs should have the largest role. There was vast diversity with how the rooms were used and what equipment/supplies were within the room (most for unplanned purposes). Responses were largely positive for the impact on student behavior/emotional regulation. 15 out of …

Enhancing Workforce Diversity: Recruitment & Admissions Strategies Of Ot Programs, Joanna Behm, Abrielle Kautzmann, Holly Peterson, Kayla Shin, Tiffany Tseng

Occupational Therapy Student Scholarship

How do OT programs recruit and admit diverse students?

The findings of this study indicated that although universities valuethe recruitment and admissions of diverse students, work still needs to be done. Universities should consider recruitment strategies used by schools with more diversity like creating articulation agreements with universities with diverse student bodies, having diverse admissions staff, and ensuring marketing materials reflect diversity and inclusivity. They should also consider admissions strategies like inclusion of a diverse review committee and student group interviews. Future research should explore diverse students’ perspectives on their recruitment and admissions experiences.

Predictive Value Of Gg Score On Discharge Destination In Patient’S With Neurological Conditions, Krystal Robinson-Bert, Taylor Davis, Kayleigh Frisch, Mallory Maclellan, Travis Meckley

Occupational Therapy Student Scholarship

Research Questions

1. When using section GG of the Care Tool, what items successfully predict discharge destinations?

2. What are the cut off scores for each item that determine the location when using section GG?

3. Does an increase in GG scores between admission and discharge effect the appropriate discharge destination?

It would be beneficial for inpatient rehabilitation hospitals to identify patients at admission that may be at a higher risk to discharge to a location other than home. This high-risk group could include any patient that scores below the mean for GG total score (61.2) or below the mean …

Effectiveness Of Behavioral Graded Activity In Decreasing Functional Limitations In Older Adults With Lower Extremity Osteoarthritis, Fatou Dieye, Sarah Durham, Devon Fogel, Anastasia Hester, Steph Kim, Ethan Tucker, Borko Rodic

Physical Therapy Student Scholarship

Introduction & Purpose

Osteoarthritis (OA) is the most common joint disease and the leading cause of disability in older adults.1 Physical therapy (PT) offers many benefits for patients with OA. Unfortunately, the long-term outcomes for these patients even after receiving PT treatment may be inadequate.2-7

As a profession, we need to continue to explore treatment strategies to improved quality of life. Behavioral Graded Activity (BGA) could be a treatment strategy to utilize.

Long-Term Effects Of Hvla And Exercise Vs. Exercise Alone For Adults With Chronic Lbp, Alicia Hagan, Ashley Martincek, Kylee O'Hara, Noah Esbenshade, Stefanie Kent, Borko Rodic

Physical Therapy Student Scholarship

Introduction & Purpose

Chronic low back pain is among the leading causes of disability globally and continues to have a high reoccurrence rate within the first year of treatment.

The treatment cost of low back pain has become an increased burden on the healthcare system and patients at an estimated $100 billion per year.

With incidence and economic burden of LBP on the rise, physical therapy has been shown to be an efficient and costeffective treatment.

Previous research shows improvements to pain and function following HVLA mobilization and exercise in short-term outcomes (< 3 months), but there is limited evidence showing the long-term effects (> 6 months.)

PICO: In adults with chronic …

Examining The Effectiveness Of Body-Weight Supported Treadmill Training On Children Under 21 With Cerebral Palsy, Marcus Betzer, Rubin Chavarria, Joel Huck, John Miller, Rony Roman, Summer Schell, Michael Lehr

Physical Therapy Student Scholarship

Introduction & Purpose

Cerebral Palsy is a disorder characterized by abnormal muscle tone, postural dysfunction, gait dysfunction, and abnormal movement patterns.

This disease affects children worldwide, specifically about 2-3 children out of every 1,000 in the USA as well as about 500,000 children under 18 total.

Early intervention for development of gross motor function is highly important when considering improvement in functional capabilities.

The research shows that utilization of body-weight supported treadmill training (BWSTT) in children aged 0-21 with cerebral palsy (CP) is one of the most effective ways in developing gross motor function.

In Patients Post-Stroke, Is Implantable Peroneal Nerve E-Stim More Effective Than Transcutaneous E-Stim In Improving Foot Clearance?, Alvyn Abraham, Aurora Bailey, Elizabeth Kue, Garrett March, Vanessa Quintero, Cynthia Tan, Amy Humphrey

Physical Therapy Student Scholarship

A cerebrovascular accident (CVA) more commonly known as a stroke, is a life changing event resulting in impairments that decrease the quality of life.1 Over 795,000 people each year suffer from a stroke and are affected by resulting impairments and disabilities, of these impairments 20% of those affected by a stroke will acquire foot drop.2 Foot drop is due to paralysis or weakness of the ankle dorsiflexor muscles3,4 and therefore describes the inability to actively raise the toes up required to clear the ground during swing phase, resulting in the toes to drag. Foot drop not only causes abnormal gait …

Virtual Reality Therapy For Fall Prevention In Older Adults A Comparative Study To Conventional Exercise, Isaac Bachert, Graham Brugger, Lauren Demaioribus, Nathan Fritz, Johanna Redick, Carder Smith, Amy Humphrey

Physical Therapy Student Scholarship

Purpose

The purpose of this critically appraised topic is to investigate if VR-HMD interventions have a superseding impact on older adults in preventing falls in comparison to conventional physical therapy balance exercises.

Introduction

• Increases in technology, one of the newest being virtual reality, has positively impacted the world of rehabilitation.
• There are many different types of virtual reality systems that are used, but the most common is the Virtual Reality Head Mounted Display (VR-HMD).
• In the United States, 28% of adults aged 65 and older report falling each year. This is significant because falls are the leading cause of injury-related …

Effectiveness Of Mechanical Versus Manual Traction In Reducing Cervical Radiculopathy Pain And Disability, Kelsey Ader, Nathaniel Apgar, Joel Clabaugh, Cody Frye, Caitlyn Harper, Brian Shenk, Michael Lehr

Physical Therapy Student Scholarship

Purpose

To compare cervical traction methods and determine the most effective method for treating cervical radiculopathy to reduce pain and disability in patients aged 20-70 years old.

Introduction

• Cervical radiculopathy is a common musculoskeletal disorder resulting in pain and disability among patients seeking physical therapy services.
• Radicular pain arising from irritation of cervical spine nerve roots affects approximately one in every thousand individuals and the cost associated with diagnosis and treatment for this condition places a substantial burden on the healthcare system.
• The estimated non-operative cost to an average patient is $1,143 and is often accompanied by up to 10 …

Investigating The Efficacy Of Application Of Taping Interventions For Individuals Suffering From Patellofemoral Pain Syndrome, Valerie Brown, Daniel Codrington, Grant Jacobs, Kurtis Kessler, Borko Rodic

Physical Therapy Student Scholarship

• Patellofemoral pain syndrome (PFPS) occurs in 25% of adolescents and adults

• PFPS is a result of biomechanical imbalances, trauma, and muscle tightness/weakness

• Anterior knee pain is the primary complaint of patients with this condition

• McConnell taping and Kinesio taping are two techniques that physical therapists often use for treatment

Purpose: • To examine the literature comparing the effectiveness of two taping techniques — McConnell and Kinesio taping, and their respective impact on reducing pain in patients with PFPS

The Effects Of Dual Tasks On Balance And Gait In Patients With Parkinson’S Disease: A Critically Appraised Topic, Kathy Dao, Emily Glass, Adrienne Maday, Stephen Mcloughlin, Borko Rodic

Physical Therapy Student Scholarship

● Parkinson’s Disease (PD) is a progressive neurodegenerative disease that affects over 10 million people globally.

● There is evidence to suggest that dual-cognitive tasks negatively impact the gait and balance of patients with PD.

● 19-38% of patients with PD will develop cognitive impairments.

● Higher level cognitive functioning dual tasks exacerbate freezing of gait episodes (FoG).

● Research shows potential improvement with dual-tasks during gait secondary to prioritization of motor task of walking.

Optimal Treatment For Adhesive Capsulitis: Corticosteroid Injections With Manual Therapy Interventions, Jaceline Dejean, Carrie Mitcheltree, Mariah Purtee, Rachel Shim, Karl Bergmann

Physical Therapy Student Scholarship

Adhesive capsulitis, also known as frozen shoulder, is defined by the restriction of active and passive glenohumeral motion in all planes that is also accompanied by shoulder pain. It is most common in women between the ages of 40-60 and presents as symptoms of pain and decreased shoulder range of motion which progressively worsen over time. With the lack of knowledge by researchers regarding the etiology of adhesive capsulitis, it raises many unanswered questions including, "Which treatment approach is best?” Different treatment approaches for this condition may include local anesthetics, nonsteroidal antiinflammatory drugs (NSAIDs), oral steroids, steroid injections, arthroscopic surgery, …

The Effectiveness Of The Functional Movement Screen And Vertical Drop Jump Test As Screenings To Predict Non-Contact Acl Injury, Luke Cable, Bray Jackson, Matt Kirchner, Samantha Slater, Borko Rodic

Physical Therapy Student Scholarship

The purpose of this Clinically Appraised Topic (CAT) was to evaluate the predictive validity of two movement screening tools: the FMS, which evaluates kinematic control during functional movement tasks and the VDJT, which evaluates both kinetic and kinematic variables during a high impulse jump task. With both screening tools looking to identify at risk movement patterns, this CAT sought to evaluate predictive screening ability and determine which tool demonstrated superior ability to stratify non-contact ACL injury risk.

The Comparison Between Skilled Vestibular Therapy And Neuromuscular Reeducation Following A Mild Traumatic Brain Injury: A Critically Appraised Topic, Justin Jaquette, Robert Snyder, Rachel Sullivan, Paige Waldy, Michael E. Lehr

Physical Therapy Student Scholarship

Vestibular therapy is a specialized form of physical therapy used to treat vestibular disorders or symptoms, characterized by dizziness, vertigo, and trouble with balance, posture, and vision. CDC reports from 2001-2009, the estimated number of ER visits for sports and recreational related concussions increased 62% in those 19 years old or younger, Abnormal vestibular information affects the position and movement of the head in space. Inaccurate vestibular input requires the brain to rely on the visual system which can result in fatigue and difficulty performing activities of daily living? Traditional concussion management consists of rest until complete resolution of symptoms, …

Comparison Of Cervical Spine Mobilization With Exercises To Manual Therapy At Temporomandibular Joint, Emil Bagdasarov, Amanda Crecelius, Joseph Hofer, Ruchita Patel, Borko Rodic

Physical Therapy Student Scholarship

• Temporomandibular disorders (TMD) encompasses varying degrees of pathologies associated with dysfunction, pain, and derangement of the surrounding musculature of the joint and muscles of mastication.

• Major source of chronic orofacial pain that interferes in activities of daily living and can lead to psychological factors such as anxiety, depression, and social factors

• Anatomical positioning of the TMJ with the cervical spine has led researchers towards investigating association between the two regions.

• Associated with headaches, ear-aches, and cervical posture.

• Manipulations to the spine have been widely accepted as a treatment intervention for decreasing pain and improving function/mobility …

The Effectiveness Of Grade 5 Mobilizations Vs. Grade 1-4 Mobilizations On Mechanical Neck Pain: A Clinically Appraised Topic, Andrew J. Eyster, Edgar D. Garcia, Jared W. Mccrillis, Sean D. Smith, Michael E. Lehr

Physical Therapy Student Scholarship

• From 2000 to 2010, mechanical neck pain (MNP) prevalence ranged from 30% to 50% in adults. Other data suggests that 46% to 54% of every adult will experience some form of neck pain during their lives.

• Non-thrust mobilizations (NTM) and Thrust mobilizations (TM) are among the common interventions used in manual therapy in treatment of MNP.

• The evidence accumulated for this clinically appraised topic (CAT) suggests high clinical variability among the effectiveness in NTM and TM among adults with mechanical neck pain.

The Effectiveness And Safety Of Dry Needling In The Treatment Of Lateral Epicondylitis, Courtney Purnell, Josannah Rosario, Jordan Smithberger, Helana Supsic, Karl Bergmann

Physical Therapy Student Scholarship

The purpose of our paper was to analyze existing research that discusses the effectiveness and safety of dry needling (DN) in the treatment of lateral epicondylitis (LE). Current research and clinical practice support the use of DN to treat tendinopathies. Our hypothesis is that DN combined with traditional physical therapy (PT) interventions will be the most effective intervention in treating LE. We hypothesize that it is a safe treatment if utilized appropriately by certified DN clinicians.

The Effects Of Dry Needling And Whole-Body Vibration On Jump Height And Performance In Adults: A Critically Appraised Topic, Tiffany Sam, Sammy Nguyen, Alex Taylor, Tim Miserendino, Dr. Amy Humphrey

Physical Therapy Student Scholarship

Whole-body vibration (WBV) involves oscillation of the plates to produce vibrations. It cause: rapid eccentric-concentric muscle action to enhance muscle performance due to rapid reflex and stretch-reflexes. WBV can also cause temporary positive changes to soft tissues like skeletal muscle by increasing circulation. Dry needling (DN) is an invasive skilled intervention performed by licensed physical therapists requiring a thin filiform needle through the skin to reach soft tissues like muscle or bone that causes a mild inflammatory response to improve pain and relax muscles tissue. Analysis of jump height was the outcome measure used to determine muscle performance. The purpose …