Rehabilitation and Therapy Commons^™

You’Ve Got Time: Occupational Therapy’S Role In The Juvenile Justice System, Monica Dasgupta, Ots, Jenna Hannan, Ots, Helena Riekena, Ots, Samantha Susson, Ots

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

Primary Focus: Children and Youth

Learning Objectives:

1. State one economic and two population health implications of juvenile incarceration in the United States.
2. Identify two occupation-based interventions implemented in the juvenile justice system.
3. Recognize two areas of opportunity for occupational therapy intervention in the juvenile justice system to promote occupational justice and reduce recidivism.

Abstract:

This is an introductory level presentation for occupational therapists (OTs), occupational therapy assistants, and students intended to provide insight to areas of opportunity for OT intervention to reduce recidivism in the juvenile justice system. A systematic review of the literature was conducted to answer the …

Specialized Medical Home For Patients With Spinal Cord Injury, Mendel Kupfer Md, Marci Ruediger Pt, Ms, Norah V. Dixon Ma

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Franklin Delano Roosevelt: The Diagnosis Of Poliomyelitis Revisited., John F. Ditunno, Jr, Bruce E. Becker, Gerald J. Herbison

Department of Rehabilitation Medicine Faculty Papers

Revisiting the ailments of famous historical persons in light of contemporary medical understanding has become a common academic hobby. Public discussion of Franklin Delano Roosevelt's (FDR) diagnosis of poliomyelitis after his sudden onset of paralysis in 1921 has received just such a revisitation. Recently, this 2003 historical analysis has been referenced widely on the Internet and in biographies, raising speculation that his actual diagnosis should have been Guillain-Barré Syndrome, a noncontagious disease of the peripheral nervous system rather than poliomyelitis. The authors of that 2003 analysis used a statistical analysis of his case by selectively choosing some of his reported …

Stand Tall, Don’T Fall: A Systematic Review On The Effectiveness Of Tai Chi For Improving Balance In Healthy Older Adults, Miya Cho, Ots, Moira Frain, Ots, Courtney Monk, Ots, Caitlin O'Neill, Ots, Kathryn Ricciardi, Ots

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

Objectives:

•Identify and describe the need for effective balance related interventions among the healthy older adult population

• Recognize occupational therapy’s role in improving balance to decrease risk of falls

• Discuss the effectiveness of Tai Chi as an intervention for improving balance within this population

PICO

• Is Tai Chi an effective intervention for improving balance in the healthy older adult population?

Presentation: 40:55

Handout at bottom of page.

Reframe The Pain: A Systematic Review Of Occupational Therapy Interventions To Promote Quality Of Life For Adults With Fibromyalgia, Alyssa Armstrong, Ots, Jonathan Forkin, Ots, Emma Jablonski, Ots, Shelby Moyer, Ots, Suzanne Sager, Ots

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

Objectives:

1. Define clinical presentation and three common characteristics of fibromyalgia (FMS) as it impacts quality of life (QOL).

2. Recognize the importance of an occupational therapy (OT) approach as an alternative to current practice methods.

3. Identify at least three effective EBP interventions within the scope of OT to address quality of life for individuals with FMS.

PICO:

What is the evidence to support the effectiveness of interventions within the scope of OT on improving quality of life for adults diagnosed with fibromyalgia?

Presentation: 43:56

Handout with references at bottom of page.

Keeping Up With The Preemies: Early Interventions In Occupational Therapy For Children Born Premature, Jennifer Donnelly, Ots, Angela Mancini, Ots, Heidi Miller, Ots, Taylor Vile, Ots

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

Objectives:

1. Identify areas of occupational performance that may be impacted by premature birth.

2. Understand current themes of interventions for promoting development after premature birth.

3. Apply evidence-based practice to interventions for children born prematurely.

PICO:

What is the evidence to support the use of early interventions in the scope of OT to promote development in children born prematurely?

Presentation: 53:18

Ergonomic Intervention For Injury Prevention In Healthcare Personnel: A Systematic Review, Marisa Andrews, Ots, Kory Collier, Ots, Erin Dougherty, Ots, Alyssa Vidovich, Ots

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

Objectives:

1. Recognize the magnitude of work-related injury in healthcare and the need for intervention in this area

2. Discuss 2 ergonomic interventions within the scope of OT practice that can improve work-related injury

3. Recall 2 common themes that have emerged based on current literature for ergonomic intervention

Clinical Research Question:

Does ergonomic intervention prevent work-related injuries and associated outcomes for healthcare personnel engaged in patienthandling?

Presentation: 39:05

Ot & Industrial Design: Developing Client-Centered Product Designs To Enhance Occupational Performance & Participation, Kimberly S. Mollo, Otd, Otr/L, Robert W. Walsh, Ms, Otr/L, Michael Mcallister, Mid

Department of Occupational Therapy Posters and Presentations

Objectives

• Recognize the needs and benefits of broadening inter-professional collaborations outside traditional occupational therapy models of teaching, learning, and practice.
• Identify components required to create, conduct, and integrate effective inter-professional occupational therapy and industrial design collaboration
• Describe outcomes to measure effectiveness at the student, client, and inter-professional levels.

Using Animals During Occupational Therapy To Improve Quality Of Life, Lauren Morosky, Mat, Ots, Elizabeth Gina Fenn, Ots, Audrey Zapletal, Ms, Otr/L

Department of Occupational Therapy Posters and Presentations

Background:

Integrating animals into occupational therapy intervention with individuals of various health conditions…

• Incorporating animals into an OT intervention plan is unique and can be an alternative to traditional device. Research suggests the animals may be viewed as a form of assistive technology(Camp, 2001).
• Occupational therapy intervention incorporating animals may:
• Increase participation in the community
• Augment the individual’s independence
• Positively impact the individual's psychosocial functioning (Camp, 2001)

Enhancing Occupational Therapy Student Systematic Reviews: An Occupational Therapy Faculty And Librarian Collaboration, Teal W. Benevides, Phd, Otr/L, Katie Moran, Ots, Gary E. Kaplan, Ms, Ahip, Paul Hunter, Mlis, Dmd, Daniel G. Kipnis, Msi

Department of Occupational Therapy Posters and Presentations

Objective: To describe the outcomes of a curriculum-based collaboration between Occupational Therapy faculty and librarians (‘collaboration’) to enhance graduate student skills for conducting and disseminating a systematic review (SR)

Teaching Mindfulness Strategies To Parents Of Adolescents With Executive Functioning Deficits To Support Caregiving Skills, Kimberly S. Mollo, Otd, Otr/L

Department of Occupational Therapy Posters and Presentations

SETTING & BACKGROUND

Health Horizons

• Suburban private medical practice located in suburbs of Philadelphia
  • General, integrative, and holistic medicine; psychiatry
• OT referrals contracted to Kimberly S. Mollo’s private homecare practice
  • Population: child, adolescent & young adult (ages 7-25)
  • Dx: ADHD, ODD, LD, NVLD, anxiety, & co-morbid executive dysfunction
  • OT sessions in home; parents are present to provide carryover
  • Fee-for-service pay structure

Executive Functioning

• Defined: complex neurological processes necessary for purposeful activity
• Skills emerge, combine, and mature during teenage years
• Lack of skill attainment:
  • Leads to difficulties in all areas of occupation
  • Predictor of level of occupational dysfunction in adulthood
• Parents …

Strategies For Integrating Health Literacy Into Entry-Level Ot Curricula: A Comprehensive Approach, Susan Toth-Cohen, Phd, Otr/L, Cheryl Miller, Drot, Otr/L, Mary Muhlenhaupt, Otd, Otr/L, Faota, Audrey Zapletal, Ms, Otr/L

Department of Occupational Therapy Posters and Presentations

Synopsis:

Health literacy is a significant factor impacting the efficacy of healthcare services. Initiatives related to health literacy demonstrate that OTs have unique opportunities to promote health literacy and facilitate its integration into practice. It is therefore critical to explore ways in which health literacy content can be incorporated into entry-­‐level OT curricula. Doing so will help ensure that future practitioners are prepared to meet key standards related to health literacy, including those established by ACOTE. This session will highlight strategies and methods to incorporate health literacy into entry-­‐level OT curricula.

Physical Therapy Capstone Posters In The Jefferson Digital Commons, Daniel G. Kipnis, Msi

Jefferson Digital Commons News

New Department of Physical Therapy capstone posters have been loaded in the Jefferson Digital Commons.

Does Yoga Practice Improve Balance In Older Adults?, Joanna Alfieri, Spt, Andrea Barberio, Spt, Ryt-500, Rebecca Mccammitt, Spt, Kevin Reeder, Spt, Susan Duff, Pt, Edd, Cht, Ryt-200

Department of Physical Therapy Capstone Posters

Purpose and Hypothesis:

The purpose of this systematic review was to determine the effects of a regular yoga program on balance in older adults. We hypothesized that a regular yoga program would improve balance and consequently reduce fall risk in the older adult population.

The Relationship Between Body Positioning, Muscle Activity, And Spinal Kinematics In Cyclists With And Without Low Back Pain, Gabriel Streisfeld, Spt, Caitlin E. Bartoszek, Spt, Emily F. Creran, Spt, Brianna A. Inge, Spt, Marc D. Mcshane, Spt, Therese E. Johnston, Pt, Phd, Mba

Department of Physical Therapy Capstone Posters

Objectives:

• To determine if relationships exist between body positioning, spinal kinematics, and muscle activity in active cyclists with non-traumatic LBP.
• To explore variations in optimal positioning and bike set up in order to address variables associated with LBP in the physical therapy clinic.

Locomotor Training In The Pediatric Spinal Cord Injury Population: A Systematic Review Of The Literature, Katelin Gorski, Spt, Kelsey Harbold, Spt, Katelyn Haverstick, Spt, Emily Schultz, Spt, Stephanie E. Shealy, Ms, Spt, Laura Krisa, Phd

Department of Physical Therapy Capstone Posters

Purpose:

The aim of this review was to investigate the effects of locomotor training on pediatric SCI and develop recommendations for pediatric LT guidelines.

Effects Of High Intensity Exercise On Central Neural Drive In Healthy Populations, Nicholas Legrand, Spt, Kyra Robb, Spt, Emily Slobodian, Spt, Nicole Weaknecht, Spt, Megan Wood, Spt, Stephanie Muth, Pt, Phd

Department of Physical Therapy Capstone Posters

Background:

Current research suggests that strength gains related to central neural adaptation occur more rapidly than peripheral mechanisms5. Central neural drive (CND) is the measure of cortical output that coordinates up-regulation of agonist contraction and inhibition of antagonist musculature in voluntary muscle contractions2. Two common techniques for measuring CND are twitch interpolation and motor evoked potential from transcranial magnetic stimulation.

Biomechanical Factors Associated With Knee Pain In Cyclists: A Systematic Review Of The Literature, Tiara Baskins, Spt, Rachael Koppel, Spt, Sam Oliver, Spt, Dj Stieber, Spt, Therese E. Johnston, Pt, Phd, Mba

Department of Physical Therapy Capstone Posters

Purpose:

This systematic review will focus on literature related to positioning on, and configuration of the bicycle that can influence forces acting on the knee and their potential effects on injury. This review also serves to present recommendations for rehabilitation and injury prevention based on the findings in current literature. The goal of this research was to develop an algorithm that can be used in guiding decision making for the sports medicine practitioner.

High Intensity Interval Training In High Risk Individuals: A Systematic Review Of The Literature, Claire Marine, Spt, Stephanie Nagy, Spt, Chelsea Payne, Spt, Carolyn Wise, Spt, Christine K. Wade, Pt, Edd, Rn

Department of Physical Therapy Capstone Posters

Purpose: This systematic review of the literature (SRL) aims to demonstrate that high intensity interval training is an effective, safe, and more efficient training protocol as compared to continuous moderate intensity exercise in patients with COPD or HF

The Effect Of Night Splints In The Treatment Of Plantar Fasciitis: A Systematic Literature Review, Kelly Boatwright, Spt, Thomas Hutchinson, Spt, Alyssa Saurman, Spt, Ernesto Méndez, Spt, Christopher Wanyo, Spt, Paul Howard, Pt, Dpt, Phd, Ocs, Faaompt

Department of Physical Therapy Capstone Posters

Objective:

To investigate the use of night splints for the treatment of plantar fasciitis and the current evidence regarding their ability to affect symptoms associated with plantar fasciitis.

Self-Selected Foot Strike Patterns In Runners When Transitioning From The Shod To Barefoot Condition: A Systematic Review Of The Literature, Jarett Fisher, Spt, Thomas Fraind, Spt, David A. Girardot, Spt, Erin James, Spt, Mary Mccoy, Spt, Carl Pitts, Pt, Dpt

Department of Physical Therapy Capstone Posters

Purpose and Background:

Recent research has begun to focus on foot strike patterns as they relate to injuries in runners. Runners who employ a rear-foot strike (RFS) pattern (in which the heel lands before the ball of the foot) are more likely to experience repetitive stress injuries such as tibial stress fractures, patellofemoral pain syndrome (PFPS), and plantar fasciitis. Conversely, runners demonstrating a forefoot strike (FFS) pattern (defined as the ball of the foot-usually the 4th and 5th metatarsal heads-landing before the heel) are more susceptible to Achilles tendon, plantarflexor, and metatarsal injuries. Several systematic studies have concluded that barefoot …

The Most Effective And Efficient Bedside Exam For The Dizzy Patient In The Acute Care Setting: A Systematic Review Of The Literature, Alexandra Davis, Spt, Katierae Hunsicker, Spt, Cathy Lee, Spt, Megan Shultz, Spt, Janette Scardillo, Pt, Dpt, Cbis

Department of Physical Therapy Capstone Posters

Purpose:

The purpose of this systematic review of the literature (SRL) is to evaluate the effectiveness and efficiency of vestibular bedside tests for patients with complaints of dizziness and vertigo in the acute care setting. This includes differentiating between a central and peripheral disorder, as well as diagnosing peripheral disorders within the scope of physical therapy practice

Does High-Intensity Exercise Better Improve Ambulation In The Population With Chronic Stroke, As Compared To Standard Care?: A Systematic Review Of The Literature, Caitlin Caruso, Spt, Courtney Comstock, Spt, Ashley Mckenna, Spt, Samantha Nixon, Spt, Ashley Wonneberger, Spt, Christine M. Tyrell, Pt, Phd, Ncs

Department of Physical Therapy Capstone Posters

Purpose:

To assess the effectiveness of high-intensity exercise on the improvement of gait deficits in survivors of chronic stroke as compared to standard care.

Application Of Dual Task Performance In Pediatrics And Adults With Traumatic Brain Injury: A Systematic Review, Lauren Bilski, Kathleen Clancy, Victoria Dean, Danielle Melfi, Kristin Reardon, Louis N. Hunter, Pt, Dpt

Department of Physical Therapy Capstone Posters

Purpose:

The aim of this systematic review of the literature is to investigate the application of cognitive and motor dual task paradigms in the physical therapy management of moderate to severe TBI population across the lifespan in physical therapy practice.

An Online Approach To Interprofessional Education, E. Adel Herge, Otd, Otr/L, Faota, Amber E. King, Pharmd, Bcps

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

Despite increasing interest in providing interprofessional education (IPE) opportunities for health profession students, the logistics of scheduling and integrating diverse curriculums remain challenging. Several models to address these potential barriers have been proposed and utilized (Blue et al, 2010). Faculty from three colleges within Thomas Jefferson University developed an asynchronous online interprofessional course as one solution to overcome logistical barriers to IPE.

Interprofessional Grand Rounds is offered to third year pharmacy students and second year occupational therapy (OT) students in the fall semester. The course utilizes a variety of learning activities to evaluate the influence of current public health and …

Road To Recovery: Dysphagia Treatment With An Adult With Sma Type Ii, Kara Maharay, M.S., Ccc-Slp, Bcs-S, Kelly Salmon, M.A., Ccc-Slp, Bcs-S, Clt-Lana, Ronald S. Kaiser, Ph.D

Department of Rehabilitation Medicine Posters

Objective: Spinal Muscular Atrophy (SMA) is a genetic and degenerative motor neuron disease that affects muscle control including the muscles responsible for head and neck control and swallowing (Kesting, n. d.). There is limited research on the benefits of exercise as a therapeutic modality for people with Spinal Muscular Atrophy (SMA) (Swoboda et al., 2007) and no existing research specifically targeting pharyngeal or laryngeal strengthening to improve swallow function. As demonstrated by the positive outcome in this case study, speech-language pathologists should be aware that various modalities for dysphagia treatment such as biofeedback, neuromuscular electrical stimulation (NMES), and an exercise …

Prevalence And Utilization Of Medical Care Services In Persons With Autism Spectrum Disorder Using Medicare Claims, Henry J. Carretta, Phd, Katelyn Graves, Ms, Teal W. Benevides, Phd, Ms, Otr/L

Department of Occupational Therapy Posters and Presentations

Objective:

To characterize the prevalence of autism spectrum disorder (ASD) among persons in Medicare claims and contrast with prevalence documented during disability determination in Social Security Administration (SSA) Supplemental Security Income (SSI) files.

Poster presented at APHA in Chicago Illinois.

Implications Of Screen Use In Young Children's Occupations, Denise G. Doria, Ots, Michele Mathew, Ots, Mary Muhlenhaupt, Otd, Otr/L, Faota

Department of Occupational Therapy Posters and Presentations

Introduction:

OTs need to address both the duration and quality of screen media children use, to promote their development and participation in healthy occupations.

New Create Day Presentations In The Jdc, Daniel G. Kipnis, Msi

Jefferson Digital Commons News

Collaborative Research and Evidence Among Therapists and Educators (CREATE) Day is a clinical education program presented by occupational therapy graduate students in partial fulfillment of the Master of Science degree in Occupational Therapy at Thomas Jefferson University.

Locomotor Adaptation Is Influenced By The Interaction Between Perturbation And Baseline Asymmetry After Stroke., Christine M. Tyrell, Erin Helm, Darcy S. Reisman

Department of Physical Therapy Faculty Papers

Stroke survivors without cerebellar involvement retain the ability to adapt to the split-belt treadmill; however it has been suggested that their rate of adaptation may be slowed compared to those who are neurologically intact. Depending on limb placement, the split-belt treadmill can be configured to either exaggerate baseline asymmetry, or reduce it, which may affect the behavior of adaptation or de-adaptation. The objectives of this study were to characterize the rate and magnitude of locomotor (de)adaptation in chronic stroke survivors compared to healthy matched subjects, and to evaluate whether exaggeration or reduction of baseline asymmetry impact the responses. Seventeen stroke …