Rehabilitation and Therapy Commons^™

Effect Of Therapist-Initiated Versus Self-Initiated Vestibular Stimulation On Vocalization In Children With Autism, Carol L. Maddox

Masters Theses

Therapist-initiated vestibular stimulation was compared to self-initiated stimulation to determine their relative effects on vocalization in children with autism. Vocalizations produced during table-top activities were also compared to those produced during vestibular stimulation. Two children with autism participated in the study. Vestibular stimulation was provided by a hammock swing. All vocalizations were recorded during a total of thirteen 15-minute test sessions.

Results indicated that in this study: (a) There was no significant difference in quantity of vocalizations produced during self-initiated versus therapist-initiated vestibular stimulation, and (b) there was a significant increase in vocalizations during vestibular stimulation as compared to during …

Continuous Passive Motion After Knee Arthroscopy, Lisa Bauman

Masters Theses

The purpose of the study was to investigate the effect of continuous passive motion (CPM) after arthroscopy. A CPM machine was used one hour following knee surgery. Statistical analysis was performed to determine differences in knee range of motion (ROM), strength and circumference, at time intervals preoperatively, one, seven, and twenty-eight days following surgery. The analysis of variance revealed no significant difference between the CPM and control groups for any parameter. A significant interaction effect between treatment and time was demonstrated one day after surgery for extension, joint line circumference, and midthigh circumference; and 28 days after surgery for the …

The Effects Of Added Purpose On Fine Motor Performance In Learning Disabled Children, Sarah Lynn Austin

Masters Theses

The idea that occupations which offer added levels of purpose elicit a high quality of performance is widely accepted within occupational therapy. In this experiment involving fine motor performance, fifty-three learning disabled children were randomly assigned to two groups. It was hypothesized that children cutting out a circle, presented as a wheel which would complete a paper truck, would cut more accurately than those who cut out the same circle without the suggestion of it being used as a wheel. Accuracy was assessed by measuring the area of the children's cutting errors. The experimental design included the use of a …

Leisure Satisfaction Of Alcoholics And Cocaine Addicts, Tamera F. Stanback

Masters Theses

A role for occupational therapists is to help substance abuse clients achieve a healthy balance across occupational performance areas, including leisure. The literature suggests that alcoholics have deficits in leisure, but cocaine addicts have not yet been studied systematically in terms of leisure. This study compared twenty alcoholics from two Midwestern in-patient treatments centers to fourteen unmatched cocaine addicts at the same centers in terms of their leisure satisfaction. Then, nine male subjects from each group were matched in terms of age and family status, and t-test comparisons were made once again. The Leisure Satisfaction Scale was used as a …

Reliability And Validity Of The Body Mechanics Obstacle Course Evaluation, Louise Sinclair-Eastman

Masters Theses

A review of the literature suggests that the way in which an individual performs activities, or body mechanics, can affect the amount of stress placed on the low back. Several clinical programs treat patients with low back pain by teaching proper body mechanics. Although body mechanics obstacle course evaluations are used by occupational therapists to assess patients, there has been no published information regarding the reliability and validity of these evaluations. The purpose of this study was to establish the validity and reliability of one version, the Body Mechanics Obstacle Course (BMOC).

Content validity was established by reviewing the literature …

Muscle Stress And The Use Of Body Mechanics, Kathleen Ann Keeler

Masters Theses

The purpose of this study was to examine the amount of lower back muscle stress produced during lifting tasks, using variations in weight and postures. Electromyographic activity of the erector spinae muscles at the L4-5 vertebral level was measured.

Thirty healthy female subjects participated in the study. Each subject lifted loads of two given weights using both the stooped and squat lifting postures. Electromyographic activity was recorded and averaged throughout each lift.

Results indicated that increased weight resulted in increased stress on the erector spinae muscles, regardless of posture. The squat lifting posture was found to be more stressful on …

The Purposeful Use Of An Object In The Development Of Skill With A Prosthesis, Hon Keung Yuen

Masters Theses

Theoretically, perceptual information from the interaction with an object and its surfaces (an affordance) facilitates the development of motor skill. This study investigated the use of an affordance in learning control of flexion and extension of an above-elbow training prosthesis. Fifty-two male college students were randomly assigned to two training procedures: two, 1.5-minute periods of a joining dots activity with a flashlight attached to the hook of the prosthesis (affordance group), and practice moving the prosthesis at the elbow joint (no-affordance group) for the same amount of time. To assess generalization of skill to a different task, each subject traced …

The Effects Of Group Incentive Plans On Individual Performance, Karen Geralyn Stoneman

Masters Theses

A simulated work environment was utilized to study the effects of group incentive plans on individual performance on an assembly task. The subjects in the study were college students who worked in groups of a small size, a medium size, or a large size. A reversal design was utilized in which the first condition was an individual incentive condition, the second was a group incentive condition, and the final was the return to an individual incentive condition.

The results showed: (a) individual performance did not significantly change when individuals were switched from an individual to a group incentive plan; (b) …

Congruence Between Type Of Activity And Volition And Its Relationship To Life Satisfaction In Nursing Home Residents, David De Noble

Masters Theses

This study examines the relationship between life satisfaction and the volition subsystem of 32 older adults who reside in nursing homes. Specifically, it attempts to measure congruence or the perception of the individual that the inherent characteristics of an activity "fit" his or her sense of personal causation, values and interests. The study examines the relationship between this congruence and life satisfaction.

Results of the study identified positive correlations between congruence and life satisfaction. Correlations between congruence of volition subsystem components and activity were at a statistically significant level (p <.05) for personal causation, values and total volition. Correlations between congruence of volition subsystem components and some specific activities were also found.

Effect Of Choice Making On A Self-Care Activity In Mentally Retarded Adults And Adolescents, Martin S. Rice

Masters Theses

Of central importance to occupational therapy is the issue of motivation in activity. The purpose of this study was to look at the effects of choice on motivation during an activity undertaken by mentally retarded adults and adolescents. Each subject was given a choice of five wrinkled T-shirts that had sports logos on them. The subject chose one but was then asked to iron the T-shirt before he took it to keep. With counterbalancing for order of presentation, each subject also experienced not having a choice between five T-shirts and then ironing the one given to him. The amount of …

Rheumatoid Arthritis: Balancing Activity And Rest, Lynn A. Lowe

Masters Theses

Fatigue is a major symptom of rheumatoid arthritis (RA), along with joint pain, stiffness and functional impairment. Balancing activity and rest in order to decrease fatigue is frequently mentioned by health professionals as an important strategy in the management of the disease. One hundred and three adult men and women with RA were surveyed via a written questionnaire about their experience of fatigue, four types of rest, employment status, duration of illness, age, sex, and advice about rest. Frequencies related to these variables are reported. Some rest variables were found to be significantly correlated with age and fatigue. No significant …

A Comparison Of An Ideal And A Real Quality Of Work Life Program, Noreen Goldschmidt

Masters Theses

The purposes of this study were to examine the differences between: (a) a real and idealized Quality of Work Life program; (b) individual groups and the idealized Quality of Work Life program, and (c) groups surveyed.

Two departments were surveyed to obtain perceptions of a Quality of Work Life program existing within a utility company located in the state of Michigan.

Percentages were calculated on the Agree and Strongly Agree response alternatives for all items included on the survey. For the three comparisons made the difference in percent was tested at the.05 level of significance. The results indicated that the …

The Evaluation Of Factors Affecting Adherence To An Exercise Program Among College Students, Mark Robert Dean

Dissertations

Though investigative studies have identified the many benefits of aerobic exercise for both biological and behavioral health, only a small percentage of individuals maintain regular exercise. Team or group exercise programs report higher participation rates, but studies of individually prescribed exercise programs typically report problems of compliance and attrition. The purpose of the present study was to evaluate the effectiveness of various interventions--including the provision of course bonus points, cash lottery, and partner assignment--designed to increase exercise compliance among college students. Thirty-two student volunteers reporting "no current exercise" were randomly assigned to either the "partner" or the "individual" exercise group. …

The Effects Of Activity Group Structure On Cohesion, Engagement, And Affective Meanings In Acute-Care Psychiatric Patients, Hope L. Brucki

Masters Theses

Through activity analysis, occupational therapists identify various components of group structure and group processes for use in therapeutic activities. This study compared the effects of individual activity group structure (members engage in individual projects) and common activity group structure (members share a common project) in a sample of 38 acute-care psychiatric patients. Subjects were randomly assigned to one of eight theme-oriented poster-making groups, four for each experimental condition. Cohesion among group members was measured by the Group Environment Scale (GES), engagement was assessed by the Group Climate Questionnaire-Short Form (GCQ-S), and affective meanings were evaluated by Osgood's short-form semantic differential …

Assessing The Needs Of Mothers With Mentally Retarded Offspring: An Empirical Approach, Jonathan Rabinowitz

The Journal of Sociology & Social Welfare

This exploratory study assesses the needs of mothers with retarded offspring living at home. Previous studies have focused on meeting those parental needs which would benefit their retarded offspring. This study does not limit parental needs to those needs, which if met would benefit the retarded child, and defines parents as an independent group with special needs.

Holidays As Multiple Realities: Experiencing Good Times And Bad Times After A Disabling Injury, Mary Jo Deegan

The Journal of Sociology & Social Welfare

Holidays are idealized as times of celebration. They are embedded in cultural symbols, family patterns, and lived experience. Because all holidays are not good times, however, the lived experience of holidays is considerably more complex than its symbolization. This ambivalence is dramatically deepened for recently disabled adults who view holidays as a specially strained time of remembrance. Past holidays are often idealized in a new way as one's biography is placed into a new embodied reality. Simultaneously, holidays remain days when one is supposed to celebrate, and often denote some celebration for the injured. The resulting experience is a melange …

Ipsilateral Electromyographic Activity Of Shoulder Muscles During Unilateral Maximal Resistance Of Grasp In The Prone-On-Elbows Position, Bryan John Wodaski

Masters Theses

This study reports the relationship between electrical output of the deltoid muscle and the pectoral is major muscle (clavicular portion) ipsilaterally, following maximal resistance to grasp of the non-dominant hand while in the prone-on-elbows position. Forty-two normal college students were recruited from Western Michigan University, Kalamazoo, and were randomly assigned to experimental and control groups. The experimental subjects' shoulder muscles' electrical activity was measured for changes from baseline to maximal contraction during two trials. The control group was measured in the same manner but they were not asked to contract their hand against resistance. For both groups electrical activity was …

Issues In Assessing Community Resources For The Leisure-Time Needs Of The Elderly, Jordan I. Kosberg, Juanita L. Garcia

The Journal of Sociology & Social Welfare

The growth of leisure-time, following retirement, is potentially problematic for the elderly and can result in such adversities as depression, problem drinking, loneliness, and boredom. Leisure-time resources include recreation, education, volunteerism, training, voluntary associations, familialism, and solitary activities. The use of resources for leisure-time needs of the elderly are influenced by idiosyncratic differences; cultural background, financial resources, geographic variations; and the characteristics of programs and services. There is a need to better prepare individuals for the use of leisure-time. Each community must ensure that leisure-time resources exist and do not exclude any elderly from possible involvement, for either structural, programmatic, …

Group Structure And Humor, Effects On Group Cohesion And Affective Meaning, Mary Ellen Rus

Masters Theses

The ability to identify therapeutic components of an activity is an important skill of occupational therapists trained in activity analysis. This study examined potentially significant factors in activity analysis: the use of humor and group structure. Four groups (two with a parallel structure and two with a project structure) participated in a hat making activity designed to elicit humor. Four groups (two with a parallel structure and two with a project structure) participated in a bookmark making activity. Subjects' affective responses were measured by Osgood's short-form semantic differential, and the cohesion among group members was assessed by the Group Environmental …

Attendant Care And Occupational Therapy, Barbara Barrett Lucas

Masters Theses

The purpose of this study was to explore the current status and future potential of the relationship between attendant care and occupational therapy. Survey results showed that a large number of occupational therapists and in independent living centers, and that there is potential for an increase of occupational therapy involvement in attendant care.

Living And Acting In An Altered Body: A Phenomenological Description Of Amputation, Mary Jo Deegan

The Journal of Sociology & Social Welfare

Adults with recent amputations are often perceived as suffering from post-operative depression and phantom limbs. These states are frequently seen as failures in "adjustment" since there are often few physiological involvements which curtail daily functioning. This perspective is seen as compatible with major American values of pragmatism, individualism, and a mechanistic medical model. We suggest here that problems in daily living and the phantom limb are not "mental" aberrations but rather reflections of a radically altered lived experience. The performance of the actor is significantly changed and can be discussed as a function of changed experience, and style. This persppctivedraws …

Receiving Help: Management Strategies Of The Handicapped, Nancy A. Brooks

The Journal of Sociology & Social Welfare

The social act of helping is presented from the recipient's viewpoint. Interview material from handicapped adults and contributions from the literature on helping provide insight to the helped person's management and interpretation of being helped. Techniques employed in the management of help are described. Alternative strategies and interpretations are available to the helped person; receiving help is not necessarily demeaning as social norms suggest. The interaction between helper and helped person is the central concern.

Depression And Physical Rehabilitation, Mary Jo Deegan

The Journal of Sociology & Social Welfare

Depression is often expected in our society during physical rehabilitation. This and similar expectations structure the experience of a physical disability. Contradictions in expectations and demands by providers to conform to this paradigm create barriers in the rehabilitation process. Changes in the physical rehabilitation paradigm are briefly suggested.

Interest And Pupil Dilation: A Print Advertising Pre-Test, Roy Douglas Adler

Masters Theses

No abstract provided.

Areas Of Knowledge And Skills Essential To Occupational Therapists In Clinical Psychiatry --A Critical Study Of 395 Performance Examples, Elizabeth A. Boles

Masters Theses

Introduction

Occupational therapy, an allied medical discipline, has experienced rapid growth in the slightly more than forty years of its existence. The impetus given to this field through the training of World War I reconstruction aides, the forerunners of professional occupational therapists, has been described by Willard and Spackman.¹ These authors state that the inauguration of the first collegiate training program took place at Milwaukee Downer College in 1913. By 1921 a national professional organization had been formed,² and by 1938 four schools of occupational therapy had been accredited, based on standards set up by the American Medical …