Rehabilitation and Therapy Commons^™

Filipino Physical Therapists’ Practice And Perspectives On Non-Treatment Physical Activity For Older Adults, Frances Rom M. Lunar, Attilah Mae B. Alog, Alexa Ds Tanchuling, Kristen Mari Andal, Beatrice Camille Chan, Daniel C. Chua, Claire Beatrice Martinez, Ma. Anna Carmina D. Orlino, Jem Bettina G. Tan, Koji A. Katakura Jr., Marvin Louie S. Ignacio

Philippine Journal of Physical Therapy

Introduction:

Studies have already investigated the practice of physical therapists (PTs) in promoting non-treatment physical activity (NTPA). However, these were done in the context of mostly western settings or were not specific to older adult practice. It is still unclear if a similar level of practice and perspectives on NTPA promotion exists in a setting where physical therapy is more associated with rehabilitation than health promotion, such as in the Philippines. Therefore, this study aimed to describe Filipino PTs' knowledge of WHO physical activity (PA) guidelines and their use of behavioral change techniques (BCTs) and theories when promoting PA in …

History Of Falls, Mild Cognitive Impairment, And The Presence Of Home Environmental Hazards Among Community-Dwelling Older Persons In District V, Manila, Marilou J. Raval, Donald S. Lipardo

Philippine Journal of Physical Therapy

Introduction: It is important to investigate factors that may increase the fall risk in the geriatric population. This study aimed to determine the relationship between: 1) mild cognitive impairments (MCI) and history of falls; 2) home environmental hazards (HEH) and history of falls; and 3) MCI and HEHs among older adults.

Methods: Community-dwelling older persons of District V, Manila were random sampled to participate in this cross-sectional correlational study. The Home Falls and Accidents Screening Tool for Health Professionals (HOMEFAST-HP) and Fall History Questionnaire were used to collect information on the presence of HEH and history of falls, respectively. Chi-Square …

Arnis-Based Exercise Program For Balance Control In Community-Dwelling Older Adults: Study Protocol For A Pilot Randomized Controlled Trial, Donald Lipardo, Donald Manlapaz, Vergel B. Orpilla, Jim Carlo S. Buan, Jasneer Tricia C. Arevalo, Jaisen Lluch F. Cortez, Kyrell Patrick Desquitado, Vianca Mae L. Geli, Jose Raphael L. Lacorte, Johna R. Masibay, Caitlin Joy A. Sanchez, Alyssa Denise B. Villanueva

Philippine Journal of Physical Therapy

Background: Aging causes impairment in balance and increases the prevalence of falls in older adults. Martial arts are now incorporated into exercise programs to improve balance. Arnis, a Filipino Martial Art, can improve the balance control of older adults.

Objectives: This study primarily aims to determine the effects of an Arnis-based exercise program on balance control of healthy community-dwelling older adults. This study also aims to describe its effect on older adults’ concerns about falling and lower limb functional strength.

Methods:This will be a single-blind, pilot randomized controlled trial. Participants will be randomly allocated to either the intervention or …

Publishing Research Protocols, Rolando Lazaro, Arvie Vitente, Catherine Joy Escuadra, Esmerita Rotor, Jocel Regino

Philippine Journal of Physical Therapy

No abstract provided.

Train To Move: A Sensory Approach To Functional Fitness To Promote Movement And Play In Youth, Eboni Rowe, Lisa Griggs-Stapleton

Fall 2022 Virtual OTD Capstone Symposium

The Center for Disease and Control (2022) have implemented guidelines for over a decade suggesting a recommended amount of daily physical activity, however a high proportion of children and adolescents in the United States are physically inactive (Mitchell, 2019). Encouraging lots of movement and play can help build a strong foundation in which children understand that being physically active can and should be a healthy habit throughout their lives. Incorporating use of sensory-based occupational therapy can provide a fun and enjoyable approach to functional fitness and promote movement and play, especially for youth who may have special sensory needs. Therefore, …

Enhancing Leisure Participation For Women Who Are Experiencing Homelessness, Christine Truong, Susan Macdermott

Fall 2022 Virtual OTD Capstone Symposium

Opportunities to engage in leisure activities are limited for women experiencing homelessness (Klitzing, 2004). The purpose of this capstone was to develop a program for a residence serving women who are at risk of homelessness to improve their leisure participation and exploration. The needs assessment involved on-site observations at the Community Mission of Hope and Empowerment Village, literature review, client interviews, and an online questionnaire for volunteers and staff members. Although the program was not implemented due to time constraints and current programming already occurring, future sessions were outlined, and supplies were ordered through a grant to prepare for implementation. …

The Experiences Of Children With Neurological Conditions And Families, Charmaine Alexis Pasion, Jazminne Orozco Arteaga

Fall 2022 Virtual OTD Capstone Symposium

Children with chronic neurological conditions and their families experience various challenges that impact their quality of life and occupational participation as they reintegrate back into their communities (Dumas & Grajo, 2021; Taib et al., 2021). However, rehabilitation for children with chronic neurological conditions focuses on addressing functional impairments and self-care activities rather than transitioning home (Diener et al., 2021). Therefore, children and their families are in need of resources and interventions to address their occupational impact as they return to their occupations (Diener et al., 2021). This capstone research study explored the lived experiences of children with chronic neurological conditions …

Exploring Occupation-Based Practice For Athletes With Sports-Related Injuries, Brett Taylor, Susan Macdermott, Jay Gerzmehale

Fall 2022 Virtual OTD Capstone Symposium

The profession of OT has yet to be widely acknowledged and recognized within the world of sports (Reed, 2011). There is currently a lack of research related to OT's role in working with athletes who have sustained sports-related injuries. Although occupational therapists are currently working with athletes on sports rehabilitation and recovery, there is uncertainty within the profession regarding the presence of occupation-based practice (OBP) in the population of athletes and within the sports rehabilitation setting. The project aims to advocate for the profession of OT in sports rehabilitation and recovery and increase awareness of the importance of OBP when …

Enhancing Leisure Participation In An Inpatient Mental Health Setting, Jawad Aqil, Susan Macdermott

Fall 2022 Virtual OTD Capstone Symposium

This capstone project, Enhancing Leisure Participation in an Inpatient Mental Health Setting, was completed by a Doctor of Occupational Therapy candidate at the University of St. Augustine for Health Sciences. Project objectives aimed to identify and address internal and external barriers related to leisure participation in inpatient mental health settings from an occupational therapy perspective. A literature review of leisure engagement demonstrates beneficial mental health outcomes in correlation with increased leisure engagement during inpatient mental health treatment. However, leisure is often an underutilized facet of mental health treatment. Additionally, individuals with mental health challenges present with individualistic barriers decreasing leisure …

Occupational Therapy’S Role In Cleft Lip And Palate Treatment, Kelly Toy, Karen Park, Amanda Amaro

Fall 2022 Virtual OTD Capstone Symposium

Problem: This research study aims to understand the lived experience of cleft lip and palate (CLP) on mental health, social participation, and leisure to answer the research question: what is the occupational impact of CLP on mental health, social participation, and leisure activity?

Methods: A qualitative mixed methods research design —34 participants for the survey and 12 interviewees. The interviews were conducted through Zoom and lasted 1 hour. This study used thematic analysis to create themes.

Results: 85% of individuals with CLP experienced bullying, all individuals with CLP stated that their mental health was affected because of CLP, and 59% …

Assessing Asian American And Pacific Islander (Aapi) Teachers’ Workplace Wellness, Fiona Tang, Karen Park, Susan Macdermott, Deja Anderson

Fall 2022 Virtual OTD Capstone Symposium

Teachers have many instructional, behavioral and classroom management, and administrative responsibilities (Cormier et al., 2021; Hilger et al., 2021; Roeser et al., 2022). There is limited research on occupational therapy's role in teacher wellness. This study aimed to assess the challenges and barriers that Asian American and Pacific Islander (AAPI) teachers face, the causes of burnout, and the impact of the COVID-19 pandemic on AAPI teachers' wellness. This study used a mixed methods research design, including an online survey and semi-structured interviews, focused on the challenges, barriers, strengths, and needs that AAPI teachers face in public, middle, and high schools …

Occupational Therapy Students’ Time-Use After Transitioning To In-Person Learning, Jhannell Hannah Ocampo, Susan Macdermott

Fall 2022 Virtual OTD Capstone Symposium

The COVID-19 pandemic had an emotional and physical impact on occupational therapy (OT) and occupational therapy assistant (OTA) students. Students lost access to campus services, social circles, and “safe zones," which may have consequently become traumatic stressors (U.S. Department of Education, 2021; Bridgland et al., 2021). As students transition back to campus, they struggle to navigate and adapt to in-person occupations and how they use their time. Occupational therapists understand the need for meaningful occupations and the symbiotic relationship between their well-being and health (American Occupational Therapy Association, 2020). OTs have an emerging role in the post-secondary education setting, which …

The Farriers’ Perspective Of Ergonomics, Hailey Harrington, Gwen Morris

Fall 2022 Virtual OTD Capstone Symposium

Farriers, or individuals who specialize in the shoeing of horses, navigate a variety of ergonomic challenges. Such challenges have the potential to severely impact their working ability and other major areas of their lives. Early research from Holler (1984) and King (2003) investigated farrier perceptions of hazardous job requirements and tool hazards in relations to strain on their bodies. Additional factors to consider include other external factors such as human and animal interactions, physiological, and psychological factors (Flunker et al., 2020; Gombeski et al., 2017).The purpose of this study is to learn about the ergonomic conditions of farriers and their …

Occupational Therapy's Role In Transition Planning For Students With Learning Differences And The Significance Of The Kawa Model, Rita Marzeena, Jazminne Orozco-Arteaga, Holly Reed

Fall 2022 Virtual OTD Capstone Symposium

This capstone project seeks to define the role of occupational therapy in supporting a high school to college and career transition program by providing occupation-based interventions for the unique needs of students in the classroom. Using the KAWA Model, the students begin on a journey of self-discovery to identify the individual supports, strengths and barriers that help them to understand the factors that influence their life. In this process, the KAWA Model attempts to merge the holistic approach that is common in the western themes of occupational therapy with the expectations and trajectory that is common of a secondary student …

Effectiveness Of Simulation-Based Learning Compared To Integrated Clinical Experience In Development Of Dpt Students’ Clinical Decision-Making Skills, Derrick F. Campbell Pt, Dpt, Sc.D, Kristy Demers, Masoor Alameri, Fabian Bizama

Education Collection

Background: Simulation-based learning has a significant footprint on entry-level physical therapy programs. Students’ clinical decision-making (CDM) skills development through simulation-based learning (SBL) format when compared to the Integrated Clinical Experience (ICE) remains unknown. Self-efficacy of Clinical and CDM skills tool measures clinical skills, clinical decision-making, and total self-efficacy of clinical and CDM skills.2 A need to evaluate the effectiveness of simulation-based learning compared to ICE in development of CDM skills

Purpose: The purpose of this study was to compare the effectiveness of simulation-based learning and the Integrated Clinical Experience (ICE) in the development of DPT student clinical decision-making skills as …

The Reliability Of The Gnrb® Knee Arthrometer In Measuring Acl Stiffness And Laxity: Implications For Clinical Use And Clinical Trial Design., Kayla M. Smith, Nicole Miller, Steve Laslovich

Physical Therapy Collection

BACKGROUND: Stability of the knee is dependent on multiple factors including integrity of the anterior cruciate ligament (ACL). Greater knee joint laxity appears to negatively affect dynamic joint function and therefore reliable and valid measures of ACL stiffness and laxity are clinically valuable.

PURPOSE: The aim of this study was to investigate the reliability of the GENOUROB, (GNRB®) knee arthrometer device in measuring both stiffness and laxity of the ACL, and to provide information on sample size calculation for future clinical trials.

STUDY DESIGN: Cross-sectional test-retest study.

METHOD: Twelve healthy student participants (age 24-30 years; 6 females and 6 …

Assessing The Effectiveness Of The Mover Program For Treating Attention Deficit In Children (Mover: Movement Opportunities Through Vestibular Engagement Rhythm), Lindsay B. Williams, Camille Skubik-Peplaski

Student Journal of Occupational Therapy

Background: The purpose of this study was to investigate the effects of participation in a movement- to music program on the attention span of elementary school-aged children who have attention deficits. The hypothesis was that participants would demonstrate improved attention on the Test of Sustained Selective Attention (TOSSA) (Kovacs, 2015).

Methods: This quantitative study involved nine children who participated in four movement-to-music sessions with a staggered stop over a period of six weeks. The study incorporated a single group pre-test/post-test design, and a non-parametric Sign Test was utilized to analyze data from the TOSSA subcategories of concentration, detection, …

Resilience Development In Children With Adverse Childhood Experiences: The Role Of The Occupational Therapist And The Interdisciplinary Team, Kayla Frederick

Student Journal of Occupational Therapy

Research has revealed adverse childhood experiences (ACEs) can have a negative effect on a child’s development and put a child at an increased risk of physical and mental health problems in adulthood including obesity, diabetes, depressed mood, and attempted suicide (Anda et al., 2006; Felitti et al., 1998; Gilbert et al., 2015; Putamen, 2006). Some children have been able to counteract the negative effects of ACEs and achieve positive life outcomes using a principle called resilience (Zolkoski & Bullock, 2012). While researchers have begun to identify the key skills and character traits associated with resilience in children, few have explored …

Recommendations For Optimizing Cardiac Ischemia Detection For Physical Therapy Practice: Research Review, Stacey Pirtle, Germaine Ferreira

Physical Therapy Collection

Purpose: The purpose of this study is to guide physical therapists in recognizing ischemia using electrocardiogram strips during graded exercise stress testing using methods other than relying on ST segment deviation for cardiac ischemia detection.

Methods: A literature review of the English-language literature published between 1975 to 2022 on the detection and prediction accuracy of ECG abnormalities on cardiac ischemia during GXT was conducted using PubMed and CINAHL. Inclusion criteria included studies utilizing 12-lead ECG monitoring while performing GXT for the detection of cardiac ischemia. Exclusion criteria included studies that did not utilize GXT or ECG for detection of cardiac …

Assessing Ground Reaction Forces And Degenerative Changes Of Sound Limb In Unilateral Lower Extremity Amputees: A Systematic Review, Kira Donnelly, Colin Davis, Nicole Liotta, Angela Perkins, Vibhor Agrawal, Michael Jason Highsmith, Scott Michael Love

Physical Therapy Collection

Abstract Background: There is a rising number of individuals undergoing lower extremity amputation (LEA) and is associated with increased risk of comorbidities. Osteoarthritis (OA) and Degenerative Joint Disease (DJD) are conditions that cause reduction in an individual’s function, independence, and quality of life.

Research Design: A search of multiple databases using terms associated with possible functional declines as evidenced by the International Classification of Functioning, Disability and Health (ICF), followed by assessment of evidence using the PEDro scoring method will be conducted. Multiple reviewers will screen, sort, rate and extract data from articles.

Methods: A computer-aided literature search of PubMed, …

An Occupational Therapy Guidebook For Individuals With Substance Use Disorder, Cassidy B. Ardoin

Student Capstone Papers

Individuals with substance use disorder (SUD) experience barriers and challenges that impact their daily occupational performance, engagement, well-being, and quality of life. In addition to disrupting and distorting an individual’s unique occupational outcomes, SUDs can limit, replace, and dictate an individual’s daily meaningful activities, habits, routines, and skills that support healthy occupational engagement. Occupational therapy (OT) practitioners have a unique and valuable role in SUDs treatment as they are equipped to identify these barriers and implement strategies for supportive skill development or restoration. Based on the literature review conducted, OT practitioners do not have an OT practice guideline, protocol, or …

Establishing A Sustainable Occupational Therapy Student-Led Pro Bono Clinic At The University Of Saint Augustine In Austin, Texas, Daija Chumley

Student Capstone Papers

Under-resourced and underserved communities across the United States experience significant health disparities. These communities lack access to valuable services resulting in health inequities that impinge on their health, quality of life, and engagement in meaningful occupations. There is a need for occupational therapy to provide valuable services to the under-resourced and underserved community to address the historical inequity that impacts their overall quality of life. Universities have the potential to fulfill the gaps within these communities by establishing a pro bono clinic. The purpose of this capstone project is to establish a sustainable occupational therapy pro bono clinic at the …

Assessing The Needs And Barriers Of Esports Players In Participating In Esports And Daily Life, Kristen Musacco, Susan Macdermott, Stephanie Stoltenberg

Summer 2022 Virtual OTD Capstone Symposium

The purpose of this study is to determine the occupational needs and barriers faced by esports players as they participate in daily life and advocate for occupational therapy's potential role. A qualitative survey of 9 participants and 6 interviews were given. Thematic analysis identified themes of stigma surrounding seeking medical intervention in esports, as well as negative perceptions of how esports are viewed. Experience with an ergonomics specialist contributed to the understanding of basic ergonomics principles, proper measurement, and assessment of stations. This needs assessment provided a basis for understanding participant experiences in relation to the role occupational therapists in …

A Manualized Occupational Therapy Mindfulness Module For Clients With Ptsd, Michael Ramirez

Student Capstone Papers

Posttraumatic stress disorder (PTSD) adversely impacts an individual’s functioning across areas of daily occupation. There is a paucity of literature addressing occupational therapy (OT) for people with PTSD. The literature has advocated for the development of a manualized OT intervention with the inclusion of mindfulness as one of its components. To date, a mindfulness-based OT treatment guide or manualized program specifically for clients with PTSD has not yet been developed. The aim of this paper is to bridge a gap in the literature and to develop a resource for occupational therapists to employ mindfulness as a clinical intervention with clients …

Transportation As A Barrier To Healthcare Access For Older Adults Of Low Socioeconomic Status, Yanira Barajas, Susan Macdermott, Jazminne Orozco Arteaga

Summer 2022 Virtual OTD Capstone Symposium

The older adult population of those in the age group 65+ is one of the fastest growing populations in the following years. This project sought to identify what barriers older adults of low socioeconomic status face when trying to access transportation to healthcare appointments. The project also sought to understand what barriers healthcare professionals saw when their senior clients tried using transportation as well as what opportunities occupational therapists have to address the barriers if any. There was a theme of disconnect which appeared between healthcare professionals and their senior clients across multiple healthcare disciplines. This project was able to …

The Role Of Occupational Therapy In Unplanned Motherhood, Cierra Stewart, Karen Park

Summer 2022 Virtual OTD Capstone Symposium

For women experiencing unplanned pregnancy, the thought of becoming a mother can increase stress and affect the mother’s mental health. Maternal adjustment can include depression, anxiety, worry, stress, and happiness (Mihelic et al., 2016). The impact that this new role has effects daily demands, leading to a disruption in occupational engagement, environmental changes, and overall less time for the mother (Horne et al., 2005). There is currently not a well-defined role for occupational therapy within pregnancy medical clinics to support women experiencing unplanned pregnancy and their transition to motherhood. The purpose of this project is to provide care to new …

Supporting Rural Seniors Aging In Place Using Telehealth, Angel Alexander Gomez, Susan Macdermott

Summer 2022 Virtual OTD Capstone Symposium

Background: The United States is witnessing a demographic shift in that the number of Americans aged 65 and older is projected to nearly double from 52 million in 2018 to 95 million by 2060; the percentage of the 65 and older age group will increase from 16 % to 23 % (Administration for Community Living, 2018). In this ever-growing population, the American Association of Retired Persons (AARP) 2018 survey found that 76% of Americans over the age of 50 would prefer to remain in their current residence and 77% would like to continue living in their community as long as …

Occupational Therapy's Role In Athletic Retirement, Diana Mellin, Karen Park, Madison Harris

Summer 2022 Virtual OTD Capstone Symposium

Athletic retirement is described as a life transition involving withdrawal from the athletic role. Throughout the process of athletic retirement, individuals experience a loss of identity, roles, routines, and social support which has shown to negatively impact their overall mental health and well-being (Marterella & Smoot, 2017). This study investigated elite athletes’ experiences throughout their transition to athletic retirement, a ten-question online survey and semi-structured interviews were administered. Themes that emerged from the data are occupational adjustment and relearning roles, experiencing a crossroads of identity, external expectations, and pressures. Participants shared experiencing a period of burnout and detachment right after …

An Exploration Of The Lifestyle Of Rodeo Athletes, Brooke Tunnell, Susan Macdermott, Becki Cohill

Summer 2022 Virtual OTD Capstone Symposium

Rodeo is considered one of the most rapid-growing sports across many nations and consists of highly talented, tough athletes (Haney & Pearson, 1999). There is a gap in the research that examines the occupation of rodeo through an occupational therapy and occupational science perspective. Occupational science, the study of human occupation, focuses on how the form, function, and meaning of daily activities influence health and well-being (Larson & Zemke, 2003). Form, function, and meaning guided the mixed-method research study utilizing survey, interview, narrative prompt, and photo elicitation. Three themes were extracted from the data and embodied the personal and occupational …

Perceptions Of Using Diabetic Alert Dogs To Promote Occupations And Quality Of Life, Haley Speake, Rocio Alvarenga, Adam Gibson

Summer 2022 Virtual OTD Capstone Symposium

This capstone project consisted of a pilot phenomenological qualitative research study with the goal of assessing diabetic alert dogs' impact on their owners' occupations and quality of life from the owner's perspective. Individuals with type 1 diabetes that personally own a diabetic alert dog were interviewed virtually using a semi-structured approach. The goal of the interview questions was to gather information regarding health management, daily occupations, and quality of life. Gaps in the research were identified, and it was found that few research studies focused on the impact or benefits of a diabetic alert dog from the owner’s perspective. Therefore, …