Rehabilitation and Therapy Commons^™

Using Concept Mapping To Develop A Human Rights Based Indicator Framework To Assess Country Efforts To Strengthen Rehabilitation Provision And Policy: The Rehabilitation System Diagnosis And Dialogue Framework (Resyst), Dimitrios Skempes, John L. Melvin, Per Von Groote, Gerold Stucki, Jerome Bickenbach

Department of Rehabilitation Medicine Faculty Papers

Background: Rehabilitation is crucial for the realization of the right to health and a proper concern of global health. Yet, reliable information to guide rehabilitation service planning is unavailable in many countries in part due to the lack of appropriate indicators. To ensure universal health coverage and meet the central imperative of "leaving no one behind" countries must be able to assess key aspects of rehabilitation policy and provision and monitor how they have discharged their human rights responsibilities towards those most disadvantaged, including people with disability. This article describes the process of developing an expert guided indicator framework to …

Occupational Therapy’S Role In Early Language Development Of Babies And Young Children, Aimee E. Ketchum, Otd, Otr/L, Marie-Christine Potvin, Phd, Otr/L

Student Papers, Posters & Projects

Occupational therapy practitioners in their interactions with babies, young children and their families, can be change-agents who promote rich language environments as a foundation to social interactions, social participation and academic successes. OTPs may be the sole provider working with a family or may reinforce with families the plan of care developed by speech-language pathologists (SLP) or early intervention teachers. The first step for OTPs is deeper knowledge of the importance of early language exposure, social interaction and participation development in young children and approaches that promotes rich language environments.

Cannabis Shenanigans: Advocating For The Restoration Of An Effective Treatment Of Pain Following Spinal Cord Injury., Daniel E. Graves, Phd

Department of Rehabilitation Medicine Faculty Papers

Cannabis is an effective treatment for pain following spinal cord injury that should be available to patients and researchers. The major argument against the rescheduling of cannabis is that the published research is not convincing. This argument is disingenuous at best, given that the evidence has been presented and rejected at many points during the political dialog. Moreover, the original decision to criminalize cannabis did not utilize scientific or medical data. There is tension between the needs of a society to protect the vulnerable by restricting the rights of others to live well and with less pain. It is clear …

Optimizing Physical Therapy Sessions Among Patients Undergoing Elective Lumbar Surgery, Ellina Hattar, Md, Kelly Hufford, Dpt, Marie Wilson, Rn, James Harrop

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Background

Physical therapy is imperative in achieving early mobilization, thereby reducing morbidity of immobility such as venous thrombolic events, improving postoperative pain, and facilitating appropriate disposition among patients who have recently undergone spine surgery. At TJUH, patients undergoing elective spine surgery are planned to engage in physical therapy (PT) twice a day. There are however several impediments that may limit the ability of patients to adequately participate in PT.

A Systematic Review Of The Efficacy Of Weighted Vests And Blankets On People With Asd Or Adhd, E. Denny, W. Folkes, I. Ghattas, H. Kaufmann, H. Williams, Marie-Christine Potvin

Student Papers, Posters & Projects

Sensory-based treatment methods are commonly used by occupational therapists and others working with individual with ADHD and ASD (Wan Yunus, Liu, Bissett, & Penkala, 2015). Weighted vests or weighted blankets are popular sensory-based interventions used with people with these conditions. Weighted vests and weighted blankets are widely reported to have various benefits and positive outcomes with children with these conditions (Shulman, 2018). They are thought of as providing deep pressure that is reported to help clients self-regulate, diminish episodes of maladaptive behavior and anxiety or stress, and improve attention, sleep, and mood (Shulman, 2018). A series of systematic reviews have …

Cognitive Orientation To (Daily) Occupational Performance (Co-Op) Approach And Children With Disabilities, E. Amidon, K. Matteo, K. O'Toole, C. Pistilli, A. Slomowitz, Marie-Christine Potvin

Student Papers, Posters & Projects

There is a growing body of research evidence for the CO-OP approach since first published in 2001. Individual studies such as single case designs have found positive outcomes using this approach, however, no prior systematic reviews exist. Therefore, this review aims to compile and evaluate the efficacy of the CO-OP approach in children with disabilities.

A Systematic Review Of The Effects Of Handwriting Interventions On Adults With Parkinson’S Disease, J. Buchanan, W. Rybak, V. Stange, J. Wing, V. Yeh, L. Carvell

Student Papers, Posters & Projects

Occupational therapists working with this population have incorporated a variety of methods into their interventions in an attempt to facilitate greater ease and legibility in handwriting. These interventions include finemotor hand exercise programs, practice-based programs, and visual and auditory cueing (Bryant, Rintala, Lai, DeBakey & Protas, 2010). Improvement in handwriting skills can increase quality of life and independence, as well as decrease frustration, for those with PD (Collett et al., 2017). A systematic review of available research was completed in order to assess the efficacy of these interventions for both short and long-term outcomes. Eleven studies were identified as relevant …

Integrating A Behavioral Activation Approach Within Occupation-Based Intervention To Reduce Depression In Older Adults With Low Vision, Tracey Vause-Earland, Phd, Otr/L, Catherine Verrier Piersol, Phd, Otr/L, Faota

Department of Occupational Therapy Posters and Presentations

No abstract provided.

Implementation Of An Evidence-Based Intervention To Improve The Wellbeing Of People With Dementia And Their Carers: Study Protocol For 'Care Of People With Dementia In Their Environments (Cope)' In The Australian Context., Lindy Clemson, Kate Laver, Yun-Hee Jeon, Tracy A. Comans, Justin Scanlan, Miia Rahja, Jennifer Culph, Lee-Fay Low, Sally Day, Monica Cations, Maria Crotty, Susan Kurrle, Catherine V. Piersol, Laura N Gitlin

Department of Occupational Therapy Faculty Papers

BACKGROUND: There are effective non-pharmacological treatment programs that reduce functional disability and changed behaviours in people with dementia. However, these programs (such as the Care of People with dementia in their Environments (COPE) program) are not widely available. The primary aim of this study is to determine the strategies and processes that enable the COPE program to be implemented into existing dementia care services in Australia.

METHODS: This study uses a mixed methods approach to test an implementation strategy. The COPE intervention (up to ten consultations with an occupational therapist and up to two consultations with a nurse) will be …

Trunk Motion Visual Feedback During Walking Improves Dynamic Balance In Older Adults: Assessor Blinded Randomized Controlled Trial., Eric Anson, Lei Ma, Tippawan Meetam, Elizabeth Thompson, Roshita Rathore, Victoria Dean, John Jeka

Department of Physical Therapy Faculty Papers

BACKGROUND: Virtual reality and augmented feedback have become more prevalent as training methods to improve balance. Few reports exist on the benefits of providing trunk motion visual feedback (VFB) during treadmill walking, and most of those reports only describe within session changes.

RESEARCH QUESTION: To determine whether trunk motion VFB treadmill walking would improve over-ground balance for older adults with self-reported balance problems.

METHODS: 40 adults (75.8 years (SD 6.5)) with self-reported balance difficulties or a history of falling were randomized to a control or experimental group. Everyone walked on a treadmill at a comfortable speed 3×/week for 4 weeks …

A 6-Week Hip Muscle Strengthening And Lumbopelvic-Hip Core Stabilization Program To Improve Pain, Function, And Quality Of Life In Persons With Patellofemoral Osteoarthritis: A Feasibility Pilot Study., Lisa T. Hoglund, Laura Pontiggia, John D. Kelly

Department of Physical Therapy Faculty Papers

Background: Patellofemoral joint (PFJ) osteoarthritis (OA) is prevalent in middle-aged and older adults. Despite this, there are minimal studies which have examined conservative interventions for PFJ OA. Weakness of proximal lower extremity muscles is associated with PFJ OA. It is unknown if a hip muscle strengthening and lumbopelvic-hip core stabilization program will improve symptoms and function in persons with PFJ OA. This study examined the feasibility and impact of a 6-week hip muscle strengthening and core stabilization program on pain, symptoms, physical performance, peak muscle torques, and quality of life in persons with PFJ OA.

Methods: Ten females with PFJ …

Partnering For Success! Occupational Therapy, Industrial Design, & Medicine: Creating Innovative Solutions, Brenna Jacko, Ots, Megan Vesey, Ots, Nuriya Neumann, Ots, Mikael Avery, Ms, Otr/L, M. Arch, Kim Mollo, Otd, Otr/L

Department of Occupational Therapy Posters and Presentations

No abstract provided.

Reflecting The Communities That We Serve: Embracing Diversity And Inclusion Initiatives In Occupational Therapy Education, Jonette Ishmael, Ots, Nuriya Neumann, Ots, Tracey Vause-Earland, Otr/L, Phd

Department of Occupational Therapy Posters and Presentations

Background

• There is a current lack of diversity seen in OT classrooms across the country.
• It is paramount we create a diverse occupational therapy student body in order to meet the needs of the diverse communities we serve.
• Students, educators, and therapists, need to develop cultural reflexivity, humility and safety when serving patients of various background (Taff & Blash, 2017).
• Through establishing diversity and inclusion initiatives within OT education we can increase awareness and provide education that will radically shape the OT workforce in coming years.
• Efforts to diversify OT programs is key to progressing as a profession, and reflecting …

Rehabilitation: The Health Strategy Of The 21st Century., Gerold Stucki, Jerome Bickenbach, Christoph Gutenbrunner, John L. Melvin

Department of Rehabilitation Medicine Faculty Papers

There is strong evidence that population ageing and the epidemiological transition to a higher incidence of chronic, non-communicable diseases will continue to profoundly impact societies worldwide, putting more pressure on healthcare systems to respond to the needs of the people they serve. These trends argue for the need to address what matters to people about their health: limitations in their functioning that affect their day-to-day actions and goals in life. From its inception, rehabilitation, 1 of the 4 health strategies identified in the Declaration of Alma Ata in 1978, has had functioning as its outcome of interest. Its practitioners are …

Strengthening Health-Related Rehabilitation Services At National Levels., Christoph Gutenbrunner, Jerome Bickenbach, John L. Melvin, Jorge Lains, Boya Nugraha

Department of Rehabilitation Medicine Faculty Papers

OBJECTIVE: One of the aims of the World Health Organization's Global Disability Action Plan is to strengthen rehabilitation services. Some countries have requested support to develop (scale-up) rehabilitation services. This paper describes the measures required and how (advisory) missions can support this purpose, with the aim of developing National Disability, Health and Rehabilitation Plans.

RECOMMENDATIONS: It is important to clarify the involvement of governments in the mission, to define clear terms of reference, and to use a systematic pathway for situation assessment. Information must be collected regarding policies, health, disability, rehabilitation, social security systems, the need for rehabilitation, and the …

Scaling Up Rehabilitation - Towards An International Policy Agenda., Christoph Gutenbrunner, Jerome Bickenbach, Kristian Borg, Boya Nugraha, John L. Melvin, Gerold Stucki

Department of Rehabilitation Medicine Faculty Papers

No Abstract (Guest Editorial).

Primary Care-Ot For Older African Americans With Diabetes And Mild Cognitive Impairment: Intervention Approaches And Case Stories, Catherine Verrier Piersol, Phd, Otr/L, Faota, Susan Santalucia, Ms, Otr/L, Michele Rifkin, Mhsed, Otr/L, Barry Rovner, Md, Robin Casten, Phd, Neva White, Np, Crnp, Cde

Department of Occupational Therapy Posters and Presentations

Purpose:

To test the efficacy of a collaborative intervention to lower hemoglobin A1c levels (HbA1c) in older African Americans with Type 2 diabetes (DM), Mild Cognitive Impairment (MCI), and suboptimal medication adherence and glycemic control.

Aims:

1. To reduce HbA1c level by 0.5% at 6 and 12 months.
2. To increase MEMS-measured adherence to an oral DM medication at 6 and 12 months.

Hypotheses:

1. Fifty-five percent of intervention participants, compared to 25% of control participants, will have a reduction in HbA1c of 0.5% at 6 months (short term effect) and 12 months (maintenance effect).
2. The Primary Care-Occupational Therapy intervention will increase MEMS-measured …

Ot Department News- Issue #3

Department of Occupational Therapy Newsletter

In this Issue:

• Alumni Spotlight
• Alumni Highlights
• Faculty Spotlight
• International Experiences
• Advanced Practice Certificate
• New Faculty Spotlight
• Research Highlights
• Student Volunteers
• CREATE Day
• Department Chair Update
• Faculty News

Perceptions About Authentic Leadership Development: South African Occupational Therapy Students' Camp Experience, Fatima Hendricks, Susan Toth-Cohen

Department of Occupational Therapy Faculty Papers

Background. Twenty-three years into democracy, concern is deepening regarding the slow progress of Occupational Therapy (OT) in South Africa, especially with regard to diversity and inclusion within OT. Methods. This study explores authentic leadership development primarily among Black OT students attending a pilot Occupational Therapy Association of South Africa (OTASA) National Student Leadership Camp. It seeks to ascertain their perceptions on leadership and leadership development. This descriptive pilot study employs in-depth interviews and subsequent content analysis, with 12 OT students from six university OT programs in South Africa. Findings. Four categories of participant perceptions on authentic leadership development emerged from …

Manual Therapy Interventions In A Complex Case Of Upper Quarter Symptoms In A Professional Violinist, Paul Howard, Pt, Dpt, Phd, Ocs, Faaompt

Department of Pathology, Anatomy, and Cell Biology Posters

This poster illustrates how knowledge of clinical anatomy, biomechanics, and orthopaedic manual therapy can be applied to the examination and treatment of a violinist.

Download Entire Issue: Collaborative Healthcare: Interprofessional Practice, Education And Evaluation (Jcipe), Volume 8, Number 2, Fall 2017

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

Download Entire Issue: Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE), Volume 8, Number 2, Fall 2017

Meet An Ipe Champion From Thomas Jefferson University: Michaela Scotten, Michaela Scotten, Ots

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

As part of the two-year curriculum for my Master's degree in Occupational Therapy, I engaged in the Health Mentors Program. Additionally, I had the honor of volunteering with No One Dies Alone through the student IPE interest group throughout my last year. My main involvement with JCIPE was through Student Hotspotting, beginning July, 2016 (offered through Camden Coalition of Healthcare Providers Primary Care Progress, and Association of American Medical Colleges). I had the opportunity to work with an interdisciplinary team of eight students and four faculty members to identify "super-utilizing" patients with complex psychosocial and healthcare needs. As a team, …

The Contribution Of Technology To The Development And Sustainability Of An Occupational Therapy Community Of Learners In Doctoral Education, Susan Toth-Cohen, Phd, Otr/L, Mary Gozza-Cohen, Phd, Sandra Schefkind, Otd, Otr/L, Faota

Department of Occupational Therapy Posters and Presentations

This case study describes the pivotal role of technology in developing a community of practice (COP) designed for post professional occupational therapists that enabled doctoral students, alumni and faculty to share information and insights about topics, initiatives and research critical to the Occupational Therapy field. The COP evolved through ongoing development of the post-professional occupational therapy doctorate (PPOTD) program at Jefferson University in Philadelphia.

The conceptual foundation for the COP moved beyond an initial focus on course delivery to an emphasis on development, implementation, and sustainability of a vibrant learning community. Transformation of the COP was greatly facilitated through the …

All Limbs Lead To The Trunk, Daniel E. Graves, Phd, Darryn Atkinson, Phd, Pt

Department of Rehabilitation Medicine Posters

This poster describes the development of and the psychometric properties of the trunk scale that measures the voluntary motor ability in the thoracic and upper lumbar regions. The function of the trunk musculature has far reaching implications, particularly in persons with SCI, where postural control and voluntary movement are compromised to varying degrees. Precisely coordinated muscle actions must occur in the appropriate sequence, duration, and combination for the optimal movement function and maintenance of balance and posture during dynamic activities. Trunk mobility is required for nearly all mobility tasks, particularly transitional movements such as rolling, supine to sit, and sit …

Massage Therapy In Outpatient Cancer Care: A Metropolitan Area Analysis., Virginia S. Cowen, Robin Streit Miccio, Bijal Parikh

Department of Occupational Therapy Faculty Papers

Massage offers cancer patients general quality of life benefits as well as alleviation of cancer-related symptoms/cancer-treatment-related symptoms including pain, anxiety, and fatigue. Little is known about whether massage is accessible to cancer patients who receive treatment in the outpatient setting and how massage is incorporated into the overall cancer treatment plan. Outpatient cancer centers (n = 78) in a single metropolitan area were included this mixed-methods project that included a systematic analysis of website information and a telephone survey. Massage was offered at only 40 centers (51.3% of total). A range of massage modalities were represented, with energy-based therapies (Reiki …

Linking Spinal Cord Injury Rehabilitation Between The World Wars: The R. Tait Mckenzie Legacy., John F. Ditunno, Jr

Department of Rehabilitation Medicine Faculty Papers

Spinal cord injury (SCI) medicine emerged after World War II due to mass casualties, which required specialized treatment centers. This approach to categorical care, however, was first developed during World War I, led by pioneers R. Tait McKenzie and George Deaver, who demonstrated that soldiers disabled by paralysis could return to society through fitness/mobility, recreational and vocational training. McKenzie, a Canadian and the first professor of physical therapy in the US, influenced Deaver and military physicians in Britain, Canada, and the U.S. with his achievements and publications. Although early mortality from SCI was high, advances in the treatment of skin …

Culture Of Mobility, Beth Colborn, Dpt, Helene Daly, Msn, Rn, Kathleen Hilbert, Rn, Msn, Cm, Gordon R. Reeves, Md, Jessica Shank, Pt, Mpt, Elizabeth Singh, Dpt, Lisa Wus, Dnp, Rn, Crnp, Pccn-Cmc

Department of Rehabilitation Medicine Posters

Objectives

•Create an interdisciplinary approach to patient mobility and functional independence

•Provide education and support to lead a culture of mobility

•Develop a system that reduces immobility related adverse outcomes and promotes overall patient well-being

•Utilize evidence based practice to create a program that will decrease variation in patient care in order to optimize hospital based outcomes

A Clinical Practice Guideline For The Management Of Patients With Acute Spinal Cord Injury: Recommendations On The Use Of Methylprednisolone Sodium Succinate, Michael G. Fehlings, Jefferson R. Wilson, Lindsay A. Tetreault, Bizhan Aarabi, Paul A. Anderson, Paul M. Arnold, Darrel S. Brodke, Anthony S. Burns, Kazuhiro Chiba, Joseph R. Dettori, Julio C. Furlan, Gregory W. Hawryluk, Langston T. Holly, Susan Howley, Tara Jeji, Sukhvinder Kalsi-Ryan, Mark R. Kotter, Shekar N. Kurpad, Brian Kwon, Ralph J. Marino, Allan R. Martin, Eric M. Massicotte, Geno J. Merli, James W. Middleton, Hiroaki Nakashima, Narihito Nagoshi, Katherine Palmieri, Andrea C. Skelly, Anoushka Singh, Eve Tsai, Alexander R. Vaccaro, Albert Yee, James S. Harrop

Department of Rehabilitation Medicine Faculty Papers

Introduction: The objective of this guideline is to outline the appropriate use of methylprednisolone sodium succinate (MPSS) in patients with acute spinal cord injury (SCI). Methods: A systematic review of the literature was conducted to address key questions related to the use of MPSS in acute SCI. A multidisciplinary Guideline Development Group used this information, in combination with their clinical expertise, to develop recommendations for the use of MPSS. Based on GRADE (Grading of Recommendation, Assessment, Development and Evaluation), a strong recommendation is worded as “we recommend,” whereas a weaker recommendation is indicated by “we suggest.” Results: The main conclusions …

Type And Timing Of Rehabilitation Following Acute And Subacute Spinal Cord Injury: A Systematic Review, Anthony S. Burns, Ralph J. Marino, Sukhvinder Kalsi-Ryan, James W. Middleton, Lindsay A. Tetreault, Joseph R. Dettori, Kathryn E. Mihalovich, Michael G. Fehlings

Department of Rehabilitation Medicine Faculty Papers

Objectives: The objective of this study was to conduct a systematic review of the literature to address the following clinical questions: In adult patients with acute and subacute complete or incomplete traumatic SCI, (1) does the time interval between injury and commencing rehabilitation affect outcome?; (2) what is the comparative effectiveness of different rehabilitation strategies, including different intensities and durations of treatment?; (3) are there patient or injury characteristics that affect the efficacy of rehabilitation?; and (4) what is the cost-effectiveness of various rehabilitation strategies? Methods: A systematic search was conducted for literature published through March 31, 2015 that evaluated …

A Clinical Practice Guideline For The Management Of Patients With Acute Spinal Cord Injury: Recommendations On The Type And Timing Of Rehabilitation, Michael G. Fehlings, Lindsay A. Tetreault, Bizhan Aarabi, Paul Anderson, Paul M. Arnold, Darrel S. Brodke, Kazuhiro Chiba, Joseph R. Dettori, Julio C. Furlan, James Harrop, Gregory Hawryluk, Langston T. Holly, Susan Howley, Tara Jeji, Sukhvinder Kalsi-Ryan, Mark Kotter, Shekar Kurpad, Brian K. Kwon, Ralph J. Marino, Allan R. Martin, Eric Massicotte, Geno J. Merli, James W. Middleton, Hiroaki Nakashima, Narihito Nagoshi, Katherine Palmieri, Anoushka Singh, Andrea C. Skelly, Eve C. Tsai, Alexander R. Vaccaro, Jefferson R. Wilson, Albert Yee, Anthony S. Burns

Department of Neurosurgery Faculty Papers

Introduction: The objective of this study is to develop guidelines that outline the appropriate type and timing of rehabilitation in patients with acute spinal cord injury (SCI). Methods: A systematic review of the literature was conducted to address key questions related to rehabilitation in patients with acute SCI. A multidisciplinary guideline development group used this information, and their clinical expertise, to develop recommendations for the type and timing of rehabilitation. Based on GRADE (Grading of Recommendation, Assessment, Development and Evaluation), a strong recommendation is worded as “we recommend,” whereas a weaker recommendation is indicated by “we suggest. Results: Based on …