Rehabilitation and Therapy Commons^™

Efficacy And Safety Of Methylprednisolone Sodium Succinate In Acute Spinal Cord Injury: A Systematic Review, Michael G. Fehlings, Jefferson R. Wilson, James S. Harrop, Brian Kwon, Lindsay A. Tetreault, Paul M. Arnold, Jeffrey M. Singh, Gregory W.J. Hawryluk, Joseph R. Dettori

Department of Neurosurgery Faculty Papers

Study Design: Systematic review and meta-analysis. Objective: The objective of this study was to conduct a systematic review to assess the comparative effectiveness and safety of high-dose methylprednisolone sodium succinate (MPSS) versus no pharmacological treatment in patients with traumatic spinal cord injury (SCI). Methods: A systematic search was performed in PubMed and the Cochrane Collaboration Library for literature published between January 1956 and June 17, 2015. Included studies were critically appraised, and Grades of Recommendation Assessment, Development and Evaluation methods were used to determine the overall quality of evidence for primary outcomes. Previous systematic reviews on this topic were collated …

A Clinical Practice Guideline For The Management Of Acute Spinal Cord Injury: Introduction, Rationale, And Scope, Michael G. Fehlings, Lindsay A. Tetreault, Jefferson R. Wilson, Brian K. Kwon, Anthony S. Burns, Allan R. Martin, Gregory Hawryluk, James S. Harrop

Department of Neurosurgery Faculty Papers

Acute spinal cord injury (SCI) is a traumatic event that results in disturbances to normal sensory, motor, or autonomic function and ultimately affects a patient’s physical, psychological, and social well-being. The management of patients with SCI has drastically evolved over the past century as a result of increasing knowledge on injury mechanisms, disease pathophysiology, and the role of surgery. There still, however, remain controversial areas surrounding available management strategies for the treatment of SCI, including the use of corticosteroids such as methylprednisolone sodium succinate, the optimal timing of surgical intervention, the type and timing of anticoagulation prophylaxis, the role of …

Interprofessional Grand Rounds: Student Hotspotting Team 2016-2017, Caroline Komanecky, Peter Sacci, Danielle Mcfadden, Nuriya Neumann, Michaela Scotten, Melissa Murphy

Department of Occupational Therapy Posters and Presentations

No abstract provided.

Atrophy Of Gluteus Maximus Among Women With A History Of Chronic Low Back Pain., Amy H. Amabile, John H. Bolte, Saskia D. Richter

Department of Physical Therapy Faculty Papers

BACKGROUND: Although the relationship between low back pain (LBP) and the size of certain trunk muscles has been extensively studied, the relationship between gluteus maximus (GM) size and LBP has been only minimally examined. Determining whether such a relationship exists would help improve our understanding of the etiology of LBP, and possibly provide a rationale for the use of therapeutic exercise interventions targeting GM with LBP patients. The objective of this study was to compare gluteus maximus cross-sectional area in individuals with chronic LBP, and in a group of individuals without LBP. Our hypothesis was that individuals with LBP would …

Ot Department News- Issue #2

Department of Occupational Therapy Newsletter

In this Issue:

• Faculty Spotlight
• OT Roots in Mental Health
• Alumni Highlight
• CREATE
• OT & Design
• Saturday Academic Pipeline
• Post-professional OTD Spotlight

Evidence In Action: Impact Of Early Occupational Therapy Intervention In The Complex Stroke Patient, Gabriela Charles, Otr/L, Katie Connolly, Otr/L, Alan Cook, Otr/L, Megan Drollinger, Otr/L

Department of Occupational Therapy Posters and Presentations

Introduction

Cerebrovascular disorders represent the third leading cause of mortality and second major cause of long-term disability in North America (3). Patients who arrive at the emergency room within 3 hours of their first symptoms tend to have less disability 3 months after a stroke than those who received delayed care (4). Further, several studies suggest stroke rehabilitation is most effective when initiated early, and confirms the existence of a positive correlation between early rehabilitation interventions and improved functional outcomes (2). Rationale to support these findings is centered around various arguments that bed rest negatively affects various body systems and …

Occupational Therapy And People Living With Scoliosis And Undermineralized Bones, Curran Smith, Ids, Katie Ramin, Ots

Program of Industrial Design Posters

Poster highlights work with 7 year old boy Brendan. Created Prone Pillow which can be used as a back rest. It also features a handle for carrying and a removable cover.

A Company-Wide Initiative To Improve Screening For Vision Impairment, Tami Levengood, Otr/L, Mscs, Otd, Marie Christine Potvin, Phd, Otr/L

CSHLA Scholar Day

Objectives:

• > 1 out of 6 point up in knowledge of vision impairment & confidence in screening (6 questions; 1=strongly disagree to 7=strongly agree)
• 40% of clients will undergo vision screening
• Identify & resolve barriers to vision screening (4 questions)

Sensory-Based Interventions In The School Setting: Perspectives Of Paraeducators, Lyn Carvell, Ms, Otr/L, Otd Candidate, Marie-Christine Potvin, Phd, Otr/L

CSHLA Scholar Day

Sensory experiences or environmental modifications can:

• Regulate behavior
• Improve sensory modulation
• Improve readiness for activities
• Improve focus for learning

Sleep Quality And Quantity May Differ By Design Versus Health Science Majors At Philadelphia University, T. Sweeney, T. Buonanno, B. Balsirow, J. Bhatt, B. Buleza, N. Grosso, T. Paulose, M. Pease, R. Petrie, A. Zaveri, A. Bower

CSHLA Scholar Day

Abstract:

Sleep deprivation in college students leads to a diminishment in motivation, ability to retain information, and shortens attention span which combined leads to lower academic performance. While some students may resort to caffeine or substance use to increase productivity, others forego drowsiness and consequently suffer from sleep deprivation. Increased stress and screen time both aggravate this situation. We hypothesize that there is a relationship between work demands related to a student’s choice of major and poor sleep quantity and quality. A 38-question survey was administered to 70 college students at Philadelphia University in March 2017 using Typeform, an on-line …

The Use Of Quiet Books With People With Late Stage Dementia: A Case Study, Monique Chabot, Otd, Otr/L, Clipp, Caps, Cla, Jaime Galaton, Mot, Otr/L

Department of Occupational Therapy Posters and Presentations

Discussion of the use of Quiet Books as a method to provide sensory stimulation to people with late stage dementia to reduce agitation and combativeness with activities of daily living. Supporting literature for the use of sensory stimulation with people with dementia is also highlighted.

Poster presented at AOTA 2017 Annual Conference in Philadelphia PA and POTA 2016 Annual Conference

An Occupation-Based Learning Support Program For At-Risk Occupational Therapy Students, Arlene Lorch Otd, Otr/L, Ches

Department of Occupational Therapy Posters and Presentations

Objectives:

• Describe an occupation-based, learning support program offered to occupational therapy students struggling academically.

• Identify key learning issues identified by occupational therapy students and staff seeking academic support services.

• Develop an initial outline of steps to identify need and create an occupation-based, learning support program.

Institutional Repositories, Evidence Exchange, And Other Options To Share Your Findings And Research With The World, And How To Retain Your Rights., Kimberly S. Mollo, Otd, Otr/L, Daniel G. Kipnis, Msi

Department of Occupational Therapy Posters and Presentations

Objective 1: Understand the need for open access to research and interventions

Objective 2: Be aware for the available venues for disseminating research findings

Did you come up with a new intervention, and would you like to share it with the world? Would you like a secure place to put your conference posters and handouts from your AOTA and other professional presentations? If so then Open Access is for you. This discussion among peers will discuss how you are preserving your research, and how we could collaborate more to share our findings across the country.

Department Integration Of A Community Hospital With A Large Urban Teaching Hospital: A Case Report, Jessica Shank, Pt

Jefferson Hospital Staff Papers and Presentations

Purpose/Background

Healthcare is rapidly changing and community hospitals are no longer able to keep up. Accountable Care Organizations (ACOs) are absorbing many of these hospitals. Rehab departments within these facilities are afforded the opportunity to impact the financial bottom line by removing inefficiencies and promoting higher quality patient care. The purpose of this quality improvement initiative was to develop a process to integrate departments focusing on efficiency, patient care, and employee engagement.

Interprofessional Peer Teaching: Physical Therapy Students Teaching Dental Students To Transfer Patients, Kim Dunleavy, Pt, Phd, Ocs, Venita Sposetti, Dmd

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

Background While the need for interprofessional education (IPE) has been clearly elucidated, (Interprofessional Education Collaborative, 2016), one of the major barriers is the logistical challenge of meeting curricular requirements for all involved. The organization and time required in an already full schedule are often deterrents. Ideal opportunities meet specific program curricular requirements as well as enhancing interprofessional competencies. Interprofessional competencies include developing skills to teach other health care providers about profession-specific skills and enhancing communication across the professions (Bridges, 2011; Interprofessional Education Collaborative, 2016). Active learning techniques have been advocated for adult learners to promote motivation and engagement (Knowles, 1984), …

Outcomes Of An Evidence-Based, Data Driven-Model Fieldwork Experience For Occupational Therapy Students, Amy P. Carroll, E. Adel Herge, Lindsay Johnson, Roseann C. Schaaf

Department of Occupational Therapy Faculty Papers

Over the past decade, there has been an increased emphasis on evidence-based practice (EBP) and the use of outcome measurement in clinical practice, however, the implementation of evidence into practice remains challenging and irregular. During fieldwork, students often experience a disconnect between the emphasis on EBP in the classroom and lack of use in the clinic. Recognizing the need to develop high-quality, evidence-based and data-driven models of practice for student training, we partnered with local fieldwork educators to develop an innovative program that guides students and simultaneously trains fieldwork educators (FWE) in the use of a systematic data driven decision …

Promoting Environments That Measure Outcomes: Partnerships For Change, Roseann C. Schaaf, Amy P. Carroll, Susan Toth-Cohen, Janice P. Burke, Caryn Johnson, E. Adel Herge

Department of Occupational Therapy Faculty Papers

This paper describes the development of the PrEMO^© (Promoting Environments that Measure Outcomes) program. PrEMO^© is an innovative model promoting evidence-based practice (EBP) while developing capacity and quality of Level II fieldwork placements. The PrEMO^© program is described from initiation to completion, including development of site-specific learning objectives, the twelve week schedule and the role of faculty mentorship. Occupational therapy (OT) students, and university OT program faculty including academic fieldwork coordinators, partner with fieldwork educators at the site to implement EBP using a data-driven decision making (DDDM) process to guide the development of evidence-based practices. PrEMO^{© …}

Ot Department News- Issue #1

Department of Occupational Therapy Newsletter

No abstract provided.

Differential Item Functioning In The Patient Reported Outcomes Measurement Information System Pediatric Short Forms In A Sample Of Children And Adolescents With Cerebral Palsy., Wendy J. Coster, Pengsheng Ni, Mary D. Slavin, Pamela A. Kisala, Ratna Nandakumar, Mary Jane Mulcahey, David S. Tulsky, Alan M. Jette

Department of Occupational Therapy Faculty Papers

AIM: The present study examined the Patient Reported Outcomes Measurement Information System (PROMIS) Mobility, Fatigue, and Pain Interference Short Forms (SFs) in children and adolescents with cerebral palsy (CP) for the presence of differential item functioning (DIF) relative to the original calibration sample.

METHOD: Using the Graded Response Model we compared item parameter estimates generated from a sample of 303 children and adolescents with CP (175 males, 128 females; mean age 15y 5mo) to parameter estimates from the PROMIS calibration sample, which served as the reference group. DIF was assessed in a two-step process using the item response theory-likelihood ratio-differential …

Mind Mapping: A Strategy To Promote Interprofessional Collaboration Among Health Science Students, Catherine Maher, Pt, Dpt, Genevieve Pinto Zippo, Pt, Edd

JCIPE Conference

Purpose/Background:

This presentation will provide participants with an understanding of what mind mapping is and engage participants in a discussion and hands on experience of how mind mapping can be used to prepare students for interprofessional collaborative practice and integrate patient centered models of care. Managing a patient’s plan of care requires health care practitioners to share and integrate data in order to formulate a plan of care. How to engage with other disciplines is often developed during student’s clinical educational experiences. Assisting and engaging students during the academic portion are essential to prepare them for interprofessional collaborative practice. Mind …

The Dip: Orchestrating A Clinical Immersion Experience In Interprofessional Education, Karen M. Sames, Otd, Otr/L, Faota, Rebecca L. Mcgill, Edd, Rn

JCIPE Conference

Research Question:

Do health professions students who participate in an interprofessional education experience report improved teamwork skills?

Therapeutic Interventions For The Treatment Of Infants Exposed To Drugs And Alcohol In Utero, Faigie Bier, Ots, Elizabeth Fenn, Ots, Angela Kochobay, Ots, Katie Moran, Ots, Kavita Naik, Ots

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

Primary Focus (Complete): Children and Youth

Learning Objectives (Provide 3 learning objectives):

At the conclusion of the session, the learner will be able to:

1. Identify areas of occupational performance that are affected when an infant is born with Neonatal Abstinence Syndrome or Fetal Alcohol Spectrum Disorder.
2. Recognize the importance of therapeutic interventions in promoting healthy development and participation of infants within the scope of practice for occupational therapy.
3. Apply evidence-based occupational therapy interventions for infants with Neonatal Abstinence Syndrome (NAS) or Fetal Alcohol Spectrum Disorders (FASD).

Abstract:

In the United States, approximately 0.2-1.5 per 1,000 infants are …

Retrain Your Brain: A Systematic Review Of Functional Electrical Stimulation’S Effect On Adl Participation Post-Stroke, Alyssa Brief, Ots, Jimmy Cassel, Ots, Rachael Kaufman, Ots, Caitlin Knudsen, Ots, Sharon Krause, Ots

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

Primary Focus: Rehab, Disability & Participation Learning Objectives:

Learning Objectives:

● Describe the impact of stroke on ADL performance

● Identify the role of OT in stroke rehabilitation

● Explain how Functional Electrical Stimulation (FES) falls within the scope of OT practice

● Interpret the current evidence on how FES influences ADL participation for individuals poststroke

Abstract:

Stroke is one of the leading causes of long term disability in the United States (Centers for Disease Control and Prevention, 2015). According to HartmanMaeir, Soroker, Ring, Avni, and Katz (2007), 57% of stroke survivors will eventually discontinue their meaningful activities, including activities …

Losing A Limb, Regaining Independence: A Systematic Review Of Occupational Therapy Interventions For Lower Extremity Amputations, Davis Berzins, Ots, Jennifer Cohen, Ots, Jamie A. Frank, Ots, Gabrielle Kirk, Ots, Jennifer Mitchell, Ots

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

Primary Focus:

Rehab, Disability & Participation

Learning Objectives:

1. Describe lower extremity residual limb care interventions within the scope of occupational therapy
2. Explain the prevalence of individuals who sustain a lower extremity amputation and understand the impact on the U.S. health-care system
3. Identify lower extremity residual limb care interventions to maximize occupational performance

Abstract:

The purpose of this presentation is to report findings of a systematic review regarding residual limb care interventions supporting increased occupational performance in adults post lower extremity amputation. A systematic review was completed utilizing PubMed, CINHAL, and OTseeker. Inclusion criteria included articles with a sample of adults …

Aging In Place: Technology And Independence For Community-Dwelling Older Adults, Mikael Avery, Ots, Devon Barber, Ots, Maggie Derstine, Ots, Clarice Licon, Ots

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

Primary Focus: Productive Aging

Learning Objectives:

By the end of this presentation, participants will be able to:

1. Explain the rationale for the use of technology-based interventions for community-dwelling older adults.
2. Describe three current technologies that can be used to positively impact occupational performance for community-dwelling older adults.
3. Describe the barriers to successful implementation of technology-based interventions for community-dwelling older adults.

Abstract:

The population of older adults in the U.S. continues to rise, as does the desire to remain in one’s own home, a concept known as “aging in place” (Piau, Campo, Rumeau, Vellas, & Nourhashémi, 2014; Centers …

Can I Have Your Attention? (And Keep It): Interventions To Improve Executive Function Skills In Children Post-Traumatic Brain Injury, Brianna Clee, Ots, Brianna Fecondo, Ots, Sara Johnson, Ots, Catherine Misczak, Ots

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

Primary Focus: Children and Youth

Secondary Focus: Rehab, Disability, & Participation

Learning Objectives:

*Objective 1: Identify and recognize the clinical need of the pediatric traumatic brain injury population in regards to OT practice.

*Objective 2: Interpret presented findings to identify 2-3 of the most effective interventions for desired outcomes for this population.

*Objective 3: Differentiate opportunities and barriers to implementing effective executive functioning interventions in current occupational therapy practice.

Abstract:

Traumatic brain injuries are a frequent source of disability within the pediatric population with estimates of 500:100,00 children in America experiencing an injury each year (Anderson et al., 2012). …

Occupational Therapy Interventions For Activities Of Daily Living In Adults With Osteoarthritis, Amanda Gilroy, Ots, Anna Guthrie, Ots, Tierney Guido, Ots, Maura Iacobucci, Ots

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

Primary Focus: Productive Aging

Learning Objectives:

At the end of this presentation, participants will be able to:

1. Describe the clinical presentation of osteoarthritis and three ways it impacts Activities of Daily Living (ADL) performance
2. Recognize the value of an Occupational Therapy intervention in addition to surgical and pharmacological interventions for osteoarthritis
3. Identify at least three current evidence based practice interventions for improving ADL performance for people with osteoarthritis

Abstract:

Currently, 30.8 million Americans have diagnoses of osteoarthritis (OA) and the number of individuals with arthritis is projected to increase to 78 million by 2040 (CDC, 2016). Health care costs for …

Fall Prevention Interventions For Community-Dwelling Older Adults, Monica Heacock, Ots, Erin Kelly, Ots, June Park, Ots, Alex Muscella, Ots, Tony Thierolf, Ots

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

Primary Focus: Productive Aging

Learning Objectives:

At the conclusion of the session, the learner will be able to: 1. Recognize the impact of falls on community-dwelling older adults

2. Describe ways to include fall prevention interventions into current clinical practice

3. Discuss benefits of preventative interventions in regards to current healthcare trends

Abstract: According to the Centers for Disease Control and Prevention (CDC), older adults (65+ years) are the largest growing population in the United States which comprises 14.5% of the total population (CDC, 2015). This population is estimated to almost double by 2030 to approximately 71 million Americans over …

Occupational Therapy In Preventative Care: Promoting Cardiovascular Health In Underserved Women, David Goldstein, Ots, Rachel Marlow, Ots, Katherine Nelson, Ots, Megan Smith, Ots, Phoi Truong, Ots

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

Primary Focus:

☝ Health & Wellness

Level of session: intermediate, mixed audience

Learning Objectives:

By the conclusion of this presentation, participants will:

Describe how health disparities affect underserved women

Identify evidence supporting the inclusion of occupational therapy in preventative care practice

Discuss occupational therapy’s role in preventative care as it relates to cardiovascular health and wellness

Abstract:

Heart disease causes one in three deaths each year in women (AHA, 2012). Increasing healthcare costs disproportionately affect women with low incomes and those from diverse backgrounds (CHUW, 2012). For underserved women, lack of insurance, education and variations in culture may compromise …

Not Just A “Touch Of The Sugars”: The Use Of Occupational Therapy Interventions To Promote Independence In Diabetes Self-Management, Eric Bull, Ots, Juliana Sullivan, Ots, Jenna Devaney, Ots, Jillian Fader, Ots, Kathleen Sheppard, Ots

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

Primary Focus: Health & Wellness

Secondary Focus: General & Professional Issues

Learning Objectives:

At the end of this presentation, participants will:

Objective 1: Define the scope of self-management in relation to diabetes care.

Objective 2: Describe how the prevalence of diabetes and complications from mismanagement impact the United States healthcare system.

Objective 3: Identify 2-3 ways in which occupational therapists can facilitate diabetes self-management in clinical practice to promote health and wellness.

Abstract:

In the United States (U.S.), 29.1 million people have diabetes mellitus (DM) (Centers for Disease Control and Prevention [CDC], 2014) and the cost of diabetes care …