Rehabilitation and Therapy Commons^™

Investigating Professional Development: Comparing Students Self-Assessment With Assessment Of The Clinical Instructors, Johana Kontarovsky Spt, Jennifer Hastings Pt, Phd

Physical Therapy Research Symposium

Investigating Professional Development: Comparing Students Self-Assessment with Assessment of the Clinical Instructors

Johana Kontarovsky, SPT
Mentor: Jennifer Hastings PT, PhD

Background: Professional behavior and self-assessment are aspects that are paramount to being a successful medical professional.

Purpose: This purpose of this study was to look at the development of professionalism in the cohort of 2020 at our institution. The concept was to investigate the students’ use of reflection as a foundation for personal and professional development.

Methods: The Self Reflection and Insight Scale (SRIS) was given to the SPTs September and December 2017 as well as May of 2020. The …

The Relationship Of Catastrophization, Pain Intensity, And Heart Rate Variability In Acute Pain - A Pilot Study, Carolyn Barbee Spt, Elizabeth A. Waddell Spt, Karin Steere Dpt

Physical Therapy Research Symposium

Background: Reduction in heart rate variability (HRV) can strongly and independently predict adverse health outcomes.Chronic pain conditions are associated with reduced HRV, and HRV may be a biomarker for predicting chronic pain.

Purpose: While pain intensity and catastrophization are associated with chronic pain,the aim of this study is to investigate their relationship with HRV in individuals with acute pain.

Methods: Fourteen subjects from two facilities participated. Data from two participants was excluded. HRV was collected while seated as participants completed an iPad survey. Raw inter-beat interval (IBI) data was analyzed with Kubios software.

Results: Multiple regression analyses were …

Influences Of Balance Confidence, Fear Of Falling, And Fall History On Physical Activity Levels In Community-Dwelling Older Adults, Alison Yang Spt, Holly Roberts Pt, Phd

Physical Therapy Research Symposium

Background: Physical activity levels generally decline with increasing age. Few studies have examined the influences of balance confidence, fear of falling, and fall history on physical activity levels in older adults.

Purpose: To determine the relationships between balance confidence, fear of falling, fall history, and physical activity level in community-dwelling older adults.

Methods: Eighty-eight participants completed the Activities-specific Balance Confidence Scale (ABC), Fear of Falling Avoidance Behavior Questionnaire (FFABQ), and a self-reported fall history. They reported their monthly activity levels using the Physical Activity Scale for the Elderly (PASE). Pearson correlation coefficients (r) were used to analyze …

Resiliency, Anxiety And Depression Amongst Dpt Students - A Survey During The Covid-19 Pandemic, Michaela Corbitt Spt, Amber Odo Spt, Robert Boyles Pt, Dsc, Ocs, Faaompt

Physical Therapy Research Symposium

Resiliency, Anxiety and Depression Amongst DPT Students–A Survey of Three Cohorts During the COVID-19 Pandemic

Michaela Corbitt, SPT; Amber Odo, SPT

Mentor: Robert Boyles, PT, DSc

Background: Doctor of Physical Therapy (DPT) programs are challenging due to the academic rigor, fast-paced learning environment, tuition cost, and feelings of inadequacy. Resiliency involves the ability to cope with stressors presented in daily life. Higher levels of resiliency has been associated with lower levels of depression, stress, and anxiety. This negative correlation may be key for preventing burnout, increasing life satisfaction, and prolonging careers for DPT graduates.

Purpose: To assess resiliency, anxiety and …

Treadmill Training For Infants With Down Syndrome: A Case Study, Mary Ngo Spt, Anna Paradee Spt, Julia Looper Pt, Phd

Physical Therapy Research Symposium

Background: Children with Down syndrome (DS) experience motor delays particularly with ambulation. Previous research has suggested that a 5 time per week, 8 minute per session protocol for treadmill training (TT) was effective in earlier acquisition of walking.

Purpose: To examine the effectiveness of a home-based 2 time per week, 20 minute per session TT protocol on the development of independent step taking in an infant with DS.

Methods: A 20-month-old boy with DS, underwent a repair for esophageal atresia at 5 months, and currently uses a feeding tube. He was independently sitting and non-ambulatory. Weekly Zoom meetings were conducted …

Strengths-Based Interventions To Support Positive Role Identity In Home Health Practice, Sarah Kiefer

School of Occupational Therapy Master's Capstone Projects (2016-2021)

The author collaborated with a home health occupational therapist in Western Washington. The therapist’s research question was, “What evidence is there to support strengths-based therapy interventions effective in supporting positive role identity in adults with physical disabilities who are receiving home health or outpatient rehabilitation services?” Home health practitioners may not account for a client’s mental health challenges that impact role identity. A client’s sense of role identity can influence re-engagement in meaningful activities that support quality of life. The evidence review found that role identity concepts, like autonomy, are considered to be important, but often measured as secondary outcomes. …

Evidence Supporting The Effectiveness Of Standardized Assessments At Predicting Safe Performance Of Activities Of Daily Living For Patients In Skilled Nursing Facilities, Jenna Mangiagli, Bridget Manion, Mckenzie Roque, Olivia Wasilenski

School of Occupational Therapy Master's Capstone Projects (2016-2021)

The research question was “What is the evidence to support the effectiveness of standardized assessments at predicting safe performance of ADLs for patients in skilled nursing facilities (SNFs)?” The literature review results indicate that there is strong evidence to support the effectiveness of the Barthel Index (BI), Modified Barthel Index (MBI), and Functional Independence Measure (FIM) at predicting safe performance of ADLs for patients in SNFs. It is recommended that practitioners use the MBI to predict safe performance of ADLs for patients at intake and discharge from SNFs. To support implementation of the research findings, a fact sheet and pre-recorded …

Improving Recidivism And Outcomes Within Inpatient Psychiatric Hospitals, Brooke Harrison, Madison Mainard, Marissa Mclellan, Kate Ricke

School of Occupational Therapy Master's Capstone Projects (2016-2021)

In collaboration with a local occupational therapist in the adult inpatient acute mental health unit at a small urban hospital in Western Washington, we conducted a systematic literature review to determine which strategies are most effective in reducing readmission to inpatient adult psychiatric facilities for individuals experiencing homelessness and/or substance abuse. Overall results found housing assistance, 24/7 resource access, interdisciplinary teams, and holistic individualized care to be effective in the reduction of recidivism for individuals experiencing homelessness and/or substance abuse. Interventions focused on money management, diagnosis education, and community reintegration were also supported. Evidence indicated systemic social and legislative reform, …

Effectiveness Of Auditory Interventions On Children's Attention, Engagement, Self-Regulation, And Auditory Discrimination, Victoria Brager, Claira Geller, Jessica Kresl, Emily Waham

School of Occupational Therapy Master's Capstone Projects (2016-2021)

Sensory-based interventions are commonly used in occupational therapy practice to support children and youth with disabilities that may impact occupational performance. Auditory interventions are a specific sensory intervention centered around the use of sounds thought to create neural changes in the brain resulting in improved functional performance (Wink, McKeown, & Casey, 2017). Four occupational therapy research students collaborated with a local pediatric occupational therapist who was interested in obtaining updated evidence on auditory interventions with children. Researchers screened and systematically reviewed the literature to address the question, "Do auditory interventions improve self-regulation, engagement, auditory discrimination, and/or attention for children?" Upon …

Addressing Attention Difficulties In School-Aged Children Through Interventions Targeting On-Task Behavior And School Performance, Loran Edwards Ots, Rebekah Jugensen Ots, Jessica Oppenheimer Ots, Michelle Parker Ots

School of Occupational Therapy Master's Capstone Projects (2016-2021)

Tomi Johnson, OTR/L, the primary collaborator for this project, is an occupational therapist with the Kent School District (KSD) working with children in grades K-6. She worked with occupational therapy (OT) students to answer the question: Which school-based related service interventions are effective in improving school performance in children with attention challenges. The results of this systematic review identified six intervention modalities that can be implemented by occupational therapists to address attention challenges in school-aged children including: (1) self-monitoring, (2) school-to-home daily report cards, (3) physical activity, (4) sensory supports, (5) high tech, and (6) metacognitive and behavioral training. Based …

Nonpharmacological Pain Management Strategies For Infants In The Pediatric Intensive Care Unit, Kasen Boie, Kylie Farrenkopf, Hannah Henrikson, Lauren Kikumoto

School of Occupational Therapy Master's Capstone Projects (2016-2021)

Developmentally appropriate care is a central feature of rehabilitation in the pediatric intensive care unit (PICU), but the hospital environment often fails to meet the specific needs of infants, impacting the quality of care that they receive. The infant rehabilitation team at Oregon Health and Science University Doembecher Children’s Hospital collaborated with student researchers to identify the most effective nonpharmacological pain strategies in order to communicate these strategies to other allied health professionals. The final practice question was “What are the most effective nonpharmacological pain management practices for optimal developmental outcomes for infants 12 months old and younger in the …