Rehabilitation and Therapy Commons^™

Self-Efficacy Of Professionalism: Online Modules To Improve Implementation On Level Ii Fieldwork, Leigh Leonard, Otd, Ms, Otr/L

Department of Occupational Therapy Faculty Papers

Professionalism is a fundamental component of occupational therapy. The American Occupational Therapy Association (AOTA) has many official documents that reference professionalism including the Occupational Therapy Code of Ethics, Standards for Continuing Competence, Standards of Practice for Occupational Therapy, and the Occupational Therapy Practice Framework: Domain and Process, 4th ed. There are high professional expectations of occupational therapy students, however, the definition of professional behaviors varies among fieldwork educators, faculty, and occupational therapy students. The literature revealed four themes of professionalism that were consistent across all stakeholders. Online education has increasingly become the norm for many programs and there is strong …

Participation In An Advanced Anatomy Capstone Project Facilitates Student Involvement In The Development Of An Instructional Tool For Novel Dissection, Larry J. Georgetti, Ashley C. Sims, Aaron Focht, Jamie Elcock, Kim Nixon-Cave, Amy Amabile

Department of Physical Therapy Faculty Papers

Introduction. Student-driven design of instructional tools within basic sciences curricula in general, and in anatomy in particular,has been shown to be both a positive educational experience for the student developers and a viable way to create quality materials for future courses. We present here a description of a student collaboration arising from participation in an advanced anatomy capstone research project, resulting in the creation of a new dissection protocol for the thoracolumbar junction dorsal primary rami and their branches.

Materials and Methods. This project was initiated by two third-year doctor of physical therapy (DPT)students and involved participation from faculty and …

Striving For Consistency Among Change And Uncertainty: A Year Of Interprofessional Student Hotspotting, Tracey Earland, Phd, Otr/L, Megan Hershman, Ms, Samantha Burke, Otd

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

In Student Hotspotting, interprofessional teams provide hands-on, individualized interventions to patients with high healthcare utilization to address underlying social determinants of health (such as education, economic stability, or neighborhood safety), promote interprofessional collaboration, and reduce unnecessary hospital admissions for patients with complex health and social needs.

Meet An Ipe Student Champion From Thomas Jefferson University, Umara Iftikhar

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

For the past year and a half, I have been a graduate assistant (GA) for JCIPE and have had the opportunity to work on various projects.

Risk Factors For Stress Fractures In Female Runners: Results Of A Survey, Therese Johnston, Allison E Jakavick, Caroline A Mancuso, Kathleen C Mcgee, Lily Wei, Morgan L Wright, Jeremy Close, Md, Ayako Shimada, Benjamin E Leiby

Department of Rehabilitation Medicine Faculty Papers

Background: Few studies compare women with and without stress fractures and most focus on younger, elite runners.

Hypothesis/purpose: Compare risk factors between female runners with and without a stress fracture history.

Study design: Case control.

Methods: An online survey targeting women age ≥18 years was distributed primarily via social media. Questions included demographics, running details, cross training, nutrition, injury history, medical/menstrual history, and medications. Women with stress fracture histories answered questions about location, number, and changes made. Data were compared between groups using t-tests, chi-square tests, or Fisher's exact tests. Multivariable logistic regression models simultaneously investigated associations of multiple factors …

Return-To-Play And Competitive Outcomes After Ulnar Collateral Ligament Reconstruction Among Baseball Players: A Systematic Review, Stephen J. Thomas, Ryan W. Paul, Adam B. Rosen, Sam J. Wilkins, Joseph Scheidt, John D. Kelly Iv, Ryan L. Crotin

Department of Exercise Science Faculty Papers

Background: Ulnar collateral ligament (UCL) reconstruction (UCLR) is very common in baseball. However, no review has compared the return-to-play (RTP) and in-game performance statistics of pitchers after primary and revision UCLR as well as of position players after UCLR.

Purpose: To review, synthesize, and evaluate the published literature on outcomes after UCLR in baseball players to determine RTP and competitive outcomes among various populations of baseball players.

Study Design: Systematic review; Level of evidence, 4.

Methods: A literature search including studies between 1980 and November 4, 2019, was conducted for articles that included the following terms: ulnar collateral ligament, elbow, …

A Survey Of Internal And Family Medicine Residents: Assessment Of Disability-Specific Education And Knowledge., Michael D Stillman, Nethra Ankam, Michael Mallow, Maclain Capron, Steve Williams

Department of Rehabilitation Medicine Faculty Papers

BACKGROUND: The literature suggests that primary care physicians are inadequately educated in the care of people with disabilities. No study to date has evaluated whether internal medicine (IM) and family medicine (FM) residents have received disability-specific education or their level of comfort in caring for people with physical disabilities.

OBJECTIVES: To assess IM and FM residents' receipt of disability-specific education during medical school and residency; to evaluate their self-reported comfort in managing secondary conditions associated with physical disabilities and in coordinating therapies and services for individuals with disabilities; to gauge their interest in receiving disability-specific education.

METHODS: An on-line survey …

Applying The Who Icf Framework To The Outcome Measures Used In The Evaluation Of Long-Term Clinical Outcomes In Coronavirus Outbreaks, Kajal Patel, Sofia Straudi, Ng Yee Sien, Nora Fayed, John L. Melvin, Manoj Sivan

Department of Rehabilitation Medicine Faculty Papers

(1) Objective: The World Health Organization's (WHO) International Classification of Functioning, Disability and Health (ICF) classification is a unified framework for the description of health and health-related states. This study aimed to use the ICF framework to classify outcome measures used in follow-up studies of coronavirus outbreaks and make recommendations for future studies. (2) Methods: EMBASE, MEDLINE, CINAHL and PsycINFO were systematically searched for original studies assessing clinical outcomes in adult survivors of severe acute respiratory distress syndrome (SARS), middle east respiratory syndrome (MERS) and coronavirus disease-19 (COVID-19) after hospital discharge. Individual items of the identified outcome measures were linked …

Differential Rates Of Intravascular Uptake And Pain Perception During Lumbosacral Epidural Injection Among Adults Using A 22-Gauge Needle Versus 25-Gauge Needle: A Randomized Clinical Trial, Robin Raju, Michael Mehnert, David Stolzenberg, Jeremy Simon, Theodore Conliffe, Jeffrey Gehret

Department of Rehabilitation Medicine Faculty Papers

BACKGROUND: Inadvertent intravascular injection has been suggested as the most probable mechanism behind serious neurological complications during transforaminal epidural steroid injections. Authors believe a smaller gauge needle may lead to less intravascular uptake and less pain. Theoretically, there is less chance for a smaller gauge needle to encounter a blood vessel during an injection compared to a larger gauge needle. Studies have also shown smaller gauge needle to cause less pain. The aim of the study was to quantify the difference between a 22-gauge needle and 25-gauge needle during lumbosacral transforaminal epidural steroid injection in regards to intravascular uptake and …

Bringing Function To Families: Ot’S Role In Parenting With Sci, Alexandra Economou, Ots, Molly Flannery, Ots, Nikki Tutelman, Ots, Courtney Wagner, Ots, Rebecca Sinko, Otd, Otr/L

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Objectives:

• Describe participation challenges that impact the role of parenting for parents with SCI
• Identify evidence-based intervention areas within the scope of OT that facilitate participation in the role of parenting with SCI
• Discuss the unique need and application for OT services to support parents with SCI

PICO Question:

What are interventions within the scope of OT practice that increase participation in the role of parenting with spinal cord injury (SCI)?

Promoting Coping For Adults With Neurodegenerative Conditions, Julia Kraushaar, Ots, Melanie Watt, Ots, Kristine Ismael, Ots, Julia Snavely, Ots, Adel Herge, Otd, Otr/L, Faota

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Objectives

• Identify neurodegenerative conditions and how they impact occupational performance and quality of life (QoL)
• Describe the effects of coping skill interventions on QoL among adults with neurodegenerative conditions
• Examine the role of occupational therapy in improving QoL in adults with neurodegenerative conditions

PICO Question

Within the scope of occupational therapy, what are the effects of coping skills interventions on improving quality of life in adults with neurodegenerative conditions?

Promoting Independence: Empowering Successful Transitions Out Of The North American Foster Care System, Samantha Chong, Ots, Kevin Dang, Ots, Leondra Graves, Ots, Taylor Holt, Ots, Rebecca Sinko, Otd, Otr/L

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Objectives

• Identify the supports and barriers of youth transitioning out of the North American foster care/foster home care systems.
• Describe occupational therapy’s current and emerging roles in life skills/IADL training with youth transitioning out of the foster care system.
• Describe the positive outcomes related to successful transitions into adulthood for foster youth.

PICO Question:

What life skills training interventions conducted by occupational therapy practitioners improve independence for youth transitioning out of the foster care system?

Empower The Future: The Impact Of Family-Centered Interventions On School Success For Children From Low Socioeconomic Backgrounds, Jacqueline Bruce, Ots, Ornella Delle Noci, Ots, Amaris Dobson, Ots, Bryan Johnston, Ots, Rebecca Sinko, Otd, Otr/L

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Objectives

• Describe poverty’s impact on early childhood development and subsequent effects on school participation.

• Discuss evidence-based, family-centered interventions associated with increased school success for children from low-income communities.

• .Acquire the knowledge to apply effective interventions within the scope of occupational therapy practice to promote improved school success.

PICO Question:

What is the impact of family-centered occupational therapy interventions on future school participation for children (0-6 years old) from low socioeconomic backgrounds?

Gaining Momentum: A Systematic Review Of Interventions To Promote Mental Health & Wellness For Mothers Postpartum, Amanda Marcinko, Ots, Lauren Opdyke, Ots, Jessica Sinotte, Ots, Emily Van’T Slot, Ots, E. Adel Herge, Otd, Otr/L, Faota

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Outcomes:

• Define participation challenges of mothers in the postpartum period.
• Discuss qualities of effective interventions within maternal mental healthcare.
• Apply effective interventions in occupational therapy practice to promote mental health and wellness of postpartum mothers.

PICO Question:

What interventions within the scope of occupational therapy practice promote mental health and wellness for women in the postpartum period?

Ready For Relationships: Promoting Appropriate Dating Behaviors In Adolescents & Young Adults With Intellectual & Developmental Disabilities, Lauren Buch, Ots, Kelly Dennin, Ots, Chelsea Fife, Ots, Eileen Mee, Ots, E. Adel Herge

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Objectives:

• Identify the need for effective relationship, sexuality expression, and sex education programming for adolescents with IDD based on current literature.
• Examine the role of occupational therapy in facilitating the development of healthy dating behaviors for adolescents with IDD.
• Apply components of a best practice approach to facilitate the development of appropriate dating behaviors for adolescents with IDD.

PICO Question:

What interventions within the scope of occupational therapy will lead to appropriate dating behaviors in adolescents and young adults with intellectual and developmental disabilities?

Smooth Transitions: Adapting To New Roles For Transgender Individuals, Rylea Hager, Ots, Daniella Mazzo, Ots, Meredith O’Neal, Ots, Eileen Young, Ots, Rebecca Sinko, Otd, Otr/L

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Outcomes:

• Define transgender and understand the occupational challenges associated with the gender-affirming transition process.
• Discuss the impact of the knowledge gap in gender-inclusive care, as well as the barriers to accessing healthcare services for transgender individuals.
• Acquire knowledge from current research and apply to occupational therapy interventions for transitioning transgender individuals in the process of new role assumption

PICO Question:

How can occupational therapists utilize interventions within their scope of practice (I) to promote positive transitions to new occupational roles (O) for individuals who are transgender (P)?

Let’S Get Spiritual! How Integrating Spirituality Into The Ot Process Impacts Well-Being For Those Experiencing A Life-Altering Diagnosis, Taneisha Esplin Jolley, Ots, Jeffrey Gold, Ms, Ots, Nicholas Luca, Ots, Antôn Nguyễn, Ots, E. Adel Herge, Otd, Otr/L, Faota

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Outcomes:

• Define spirituality as it applies to the scope of occupational therapy practice for individuals experiencing life-altering diagnoses and conditions
• Describe current evidence that supports incorporating clients’ spirituality into the occupational therapy process to ensure a holistic approach to practice
• Apply spiritual-based interventions in order to achieve positive outcomes for individuals experiencing life-altering diagnoses and conditions

PICO Question:

How does incorporating spirituality within the OT process impact well-being/QOL for individuals who have experienced life-altering conditions or diagnoses?

Moving On Up: The Transition From Middle To High School For Neurotypical Adolescents, Corinne Dever, Ots, Julia Forebaugh, Ots, Alexandra Mangino, Ots, Madeline Gamble, Ots, Samantha Morse, Ots, Rebecca Sinko, Otd, Otr/L

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Objectives

• Define the role of occupational therapy for the middle to high school transition.
• Identify potential interventions within the scope of occupational therapy to facilitate the transition from middle to high school.
• Acquire the knowledge from current research to apply occupational therapy interventions to neurotypical adolescents transitioning from middle to high school.

PICO Question

What kind of (I) interventions fall within the scope of occupational therapy (O) to increase school participation for (P) neurotypical adolescents transitioning from middle school to high school?

Experience Of Stigma Post Incarceration: A Qualitative Study, Rebecca Sinko, Tina M. Deangelis, Bernadette Alpajora, Josephine Beker, Ilyse Kramer

Department of Occupational Therapy Faculty Papers

Background: Minimal attention has been given to the perspectives and experiences of individuals post incarceration regarding stigma and its impact on reintegration and occupational engagement. This research aimed to understand how stigma is experienced among individuals who were formerly incarcerated and its influence on occupational engagement, specifically social participation, work, and school occupations. This research also examined the role of occupational therapy as an intervention in addressing stigma from the perspectives of individuals who were formerly incarcerated to inform practice and mitigate the influence of stigma. Method: Interviews were conducted with 10 participants of a work rehabilitation program for people …

Physiological Factors Of Female Runners With And Without Stress Fracture Histories: A Pilot Study., Therese E Johnston, Colleen Dempsey, Frances Gilman, Ryan Tomlinson, Ann-Katrin Jacketti, Jeremy Close

Department of Physical Therapy Faculty Papers

BACKGROUND: Female runners are at increased risk of stress fractures (SFs) compared with men. Literature is lacking with regard to best practice for preventing and treating SFs in women. The purpose of the study was to compare physiological measures and running-related factors between women of various ages and running abilities with and without a history of running-related SFs.

HYPOTHESIS: Women with and without SF histories will differ with regard to medical and menstrual history, bone health, body composition, nutrition, and running history.

STUDY DESIGN: Prospective cohort study.

LEVEL OF EVIDENCE: Level 2.

METHODS: A total of 20 female runners with …

Sensory Based Interventions In The School Setting: P Entions In The School Setting: Perspectives Of Paraeducators, Lyn Kaiser, Marie-Christine Potvin, Caitlin Beach

Department of Occupational Therapy Faculty Papers

Background: The purpose of this study was to explore paraeducators’ perceptions of sensory-based interventions (SBIs). Paraeducators are frequently responsible for implementing SBIs to enhance a student’s ability to learn in school. Previous studies have explored the perceptions of teachers and occupational therapists, but as of yet, there are no published studies exploring the perceptions of paraeducators regarding the efficacy of SBIs.

Methods: An ethnographic study was conducted with paraeducators (n = 11) working with students diagnosed with autism spectrum disorder or emotional disturbance in a center-based special education program. These paraeducators participated in a focus group or an interview that …

Efficacy Of Work-Related Training For Individuals With Autism Spectrum Disorder, E. Anderson, L. Hatton, K. Schlager, A. Shea, K. Watlington, M. Ferraro, M. C. Potvin

Student Papers, Posters & Projects

Research suggests that traditional models of work-related training, in addition to a lack of on-the-job support, may exacerbate difficulties experienced by individuals with autism spectrum disorder with obtaining and maintaining employment

The poor employment outcomes experienced by individuals with ASD are well-documented throughout literature and have resulted in the need to examine more effective ways of providing support and work-related interventions.

Although research has investigated the efficacy of work-related training on successful employment outcomes when used with individuals with ASD, a systematic review summarizing this evidence has yet to be published. Therefore, this review examines and interprets current research evidence …

Efficacy Of Social Cognitive Interventions On Improving Social Participation In Children With Autism Spectrum Disorder, T. Book, A. Ching, A. Pirilli, J. Salem, C. Taylor, S. Valverde, M. Ferraro, M. C. Potvin

Student Papers, Posters & Projects

Social cognitive training programs, developed primarily by mental health and educational professionals to teach social skills to children with ASD, may have the potential for implementation in the field of occupational therapy to support social participation among this population.

This current systematic review was conducted to examine the efficacy of social cognitive interventions to improve social participation in children with ASD

A Systematic Review Of The Efficacy Of Cognitive Stimulation Therapy (Cst) On Quality Of Life In Persons With Dementia, R. Babiarz, B. Haden, S. Karlin, J. Mark, A. Williams, M. Ferraro, M. C. Potvin

Student Papers, Posters & Projects

Quality of life (QoL) is an established outcome measure of patients with dementia and is strongly influenced by an individual's environment and mood. While there are many outcomes that can be examined with Cognitive stimulation therapy (CST) interventions, this systematic review focused on quality of life.

Efficacy Of Cognitive And Metacognitive Interventions On Executive Functioning Post Traumatic Brain Injury To Enhance Occupational Performance, C. Blaker, A. Curry, S. Dickerson, K. Johnson, M. Santangelo, A. Thomas Tasman, M. Ferraro, Marie-Christine Potvin

Student Papers, Posters & Projects

Cognitive rehabilitation (CR) is proposed as an effective intervention for individuals post Traumatic Brain Injury (TBI), by addressing cognitive function through remediating skills and practicing new compensatory skills. While there is considerable research, including systematic reviews that explore cognitive interventions post TBI, more research is needed in which occupational performance is the primary outcome of cognitive intervention. This current systematic review aims to synthesize the current body of evidence available on how using CR techniques to address executive functioning impact occupational performance in individuals who sustained a mild or moderate TBI.

Use Of Mobility And Exercise Videos During Covid-19 To Minimize Deconditioning, Nethra Ankam, Md, Tulasi Gude, Md, Courtney Back, Pt, Monina Florendo, Pt, Elizabeth Hearn, Pt, Morgan Miller, Pt, Kristen Stout, Pt

Health Equity and Quality Improvement (HEQI) Summit

COVID19 patients are at risk for becoming quickly deconditioned, especially in the hospital setting given the nature of the virus and those that get admitted. The concern for deconditioning stems from patients being confined to their room, the need to minimize exposure amongst healthcare providers and the need to conserve PPE.

We wanted to find ways to optimize opportunities for patient mobility, maintain patient and provider safety, all while conserving PPE. We reviewed the Chinese Association of Rehabilitation Medicine guidelines to help develop the exercise program.

Ensure Follow-Up For Functional Issues Post Covid-19, Nethra Ankam, Md, Tulasi Gude, Md, Kristofer Feeko, Do, Shannon Ames, Pt, Catherine Piersol, Ot, Tiffany Prince-Kandrakota, Pt, Erica Rao, Pt, Kristen Stout, Pt, Monina Florendo, Pt

Health Equity and Quality Improvement (HEQI) Summit

What's the Problem?

Patients post COVID-19 infection have functional limitations at home related to the multi-system effects of the infection, in addition to elevated risk for post-intensive care syndrome.

Our goals were to ensure patients had the resources they needed to safely mobilize at home, ensure referral to appropriate agencies for home care and therapies, and provide guidance on return to life activities in the setting of the stay-at-home order, need to self-quarantine, and limited outpatient therapy options.

Screening Tool To Ensure Optimal Patient Care And Function Post Covid Diagnosis, Nethra Ankam, Md, Shannon Ames, Pt, Dpt, Mba, Tiffany Prince-Kandrakota, Pt, Dpt, Ocs, Erica Rao, Pt, Dpt, Namrata Grampurohit, Phd, Otr/L, Catherine Piersol, Phd, Otr/L

Health Equity and Quality Improvement (HEQI) Summit

We developed a screening tool of questions to determine which patients would benefit from outpatient PM&R visits after discharge from the hospital/ED that included: four questions looking at function, shortness of breath and cognition. Screening questions were created so a YES response triggers a referral to PM&R to assess functional and cognitive needs for the patient.

Sars-Cov-2 Testing Guidelines For Patients Admitted To Mrh For Inpatient Rehabilitation, Deborah Cassidy, Do, Roger Liu, Do, Malav Shah, Md, Kyle Hummerston, Do, Jeanne Doherty, Md

Health Equity and Quality Improvement (HEQI) Summit

We implemented a clinical algorithmic approach with an emphasis on symptoms and risk to stratify patients into 3 groups:

• Acutely Ill COVID Rule Out/PUI
• Stable COVID Rule Out/PUI
• COVID OBS

Perceptions Of Risk For Stress Fractures: A Qualitative Study Of Female Runners With And Without Stress Fracture Histories., Therese E Johnston, Jeremy Close, Phil Jamora, Susan F Wainwright

Department of Physical Therapy Faculty Papers

OBJECTIVES: To gain insight into perceived factors related to bone health and stress fracture (SF) prevention for female runners and to understand their experiences within the medical community.

DESIGN: Cohort qualitative study.

SETTING: University health system.

PARTICIPANTS: Forty female runners, 20 who had SF histories and 20 age-and-running-distance matched women without SF.

MAIN OUTCOME MEASURES: Women participated in audiotaped qualitative semi-structured interviews. For women with a SF history, questions sought their perspectives on factors that they felt contributed to SF, experiences with the medical community, and changes made post SF. For women without a SF history, questions sought perspectives on …