Rehabilitation and Therapy Commons^™

Salvation Shared A Shoebox At A Time, Samantha Snively

Lake Union Herald

No abstract provided.

Role Transitioning For Athletes Coping With Injury And Occupational Loss, Steven L. Huft, Izaak P. Schafer

Occupational Therapy Capstones

Purpose: The purpose of this scholarly project was to develop an occupational therapy based intervention program for persons who are experiencing changes in their role as athletes. These transitions may include return to sport following an injury, unanticipated retirement from sport, or anticipated retirement from sport.

Methods: A thorough literature search and review was conducted using the following research databases: CINAHL, Google Scholar, PubMed, and PsycINFO. Evidence from the occupational therapy, physical therapy, athletic training and psychology professions was reviewed regarding the prevalence of injury in varying sports contexts, athletes’ ability to transition during role changes or interruption, injury rehabilitation, …

Students' Experience Of Learning To Use Occupation As Intervention On Fieldwork In Medical Settings, Kelli Atkinson, Nicole Knutson

Occupational Therapy Capstones

There are few studies that focus on students’ experiences of fieldwork; specifically, investigating how students learn to use occupation. In addition, there is limited research regarding the students’ learning to use occupation-based interventions in medical settings. The purpose of this independent study was to explore students’ experience of learning to use occupation as intervention on fieldwork in medical settings and specific strategies used by students and fieldwork educators for learning to use occupation as intervention. A phenomenological, qualitative research design was used with this study. Participants were recruited through the use of the University of North Dakota occupational therapy department …

Illness Management And Recovery: The Role Of Occupational Therapy, Crystal Brecht, Jenna Mcgregor

Occupational Therapy Capstones

Purpose: The Illness Management and Recovery (IMR) model is a collaborative program that focuses on living with a chronic mental illness by educating the client on management techniques that will facilitate goal setting toward recovery (Mueser et al., 2006).The purpose of this scholarly project was to review the occupational therapy (OT) literature and determine the role of OT in IMR programs.

Method: A comprehensive review was conducted on occupational therapy interventions appropriate for inclusion in the IMR modules. Sources utilized for the review included: United States and international OT journals, OT textbooks, and other publications authored by OTs from the …

The Use Of Occupation-Based Interventions In Long-Term Care: A Qualitative Study, Amy Jo. Jensen, Mallory Carlson

Occupational Therapy Capstones

Purpose: To explore occupational therapists' use of occupation- based interventions in long-term care facilities.

Methodology: A literature review was completed on the use and effect occupation-based intervention has within a long-term care practice setting. Based upon the findings of this literature review, a qualitative research study was conducted using a grounded theory approach adopted from Strauss and Corbin (1998). Six occupational therapists working in long-term care facilities in Minnesota were recruited through purposive sampling using convenience and snowballing techniques. Each participant was interviewed once using a semi-structured interview. Data from the interviews was then coded and grouped into categories. Themes …

Caring For Individuals With Fibrodysplasia Ossificans Progressiva (Fop): A Treatment Manual For Occupational Therapists, Amanda Rositas, Kathryn Zavoral

Occupational Therapy Capstones

Fibrodysplasia Ossificans Progressiva is a rare and disabling genetic disorder that results in ossification of the soft tissues (Kaplan, Xu, et al., 2008; Kocyigit, Hizil, Hemis, Sabah, & Memis, 2001). There is a lack of research and literature on therapeutic intervention for those with a diagnosis of FOP. However, occupational therapists (OTs) can help those with FOP increase their quality of life through enhancement of activities of daily living (Kaplan, Le Merrer, et al., 2008). Overall, this product will serve as a guide for occupational therapists working with individuals diagnosed with FOP. The benefits of this product will be determined …

Embracing Life With Als: The Role Of Occupational Therapy From Diagnosis To End Of Life Care, Chelsey Edwards, Amy Ferguson

Occupational Therapy Capstones

Purpose: The purpose of this scholarly project was to develop a comprehensive document that describes the role of the occupational therapist in working with clients and families affected by Amyotrophic Lateral Sclerosis CALS) from diagnosis to end-of-life care.

Method: A literature review was conducted using the AJOT, PubMed, CINAHL, and OT SEARCH databases. Information was gathered regarding current literature of ALS, the disease process, occupational therapy's role in ALS treatment, caregiver's role in end-of-life care, assistive technology, palliative care options, and additional support strategies. Additional ALS material was gathered from the ALS Association's informational manuals.

Results: Designed from the perspective …

Low Back Pain With Psoas Tightness, Trevor Northagen

Physical Therapy Scholarly Projects

Background and Purpose

Low back pain is a prevalent healthcare issue which has a number of causes. There are many types of treatment with varying levels of success. The psoas is a back muscle which may undergo changes in a patient with back pain. Treatment may have to be modified if changes are seen in the psoas.

Case Description

A 66 year-old woman reported low back and right hip pain, as well as right-sided abdominal pain around a surgical incision. The physical therapy examination revealed adhered scar tissue around the incision, psoas muscle tightness, as well as low back and …

Influence Of Foot Position On Lower Extremity Muscle Activation, Casey Darling

Physical Therapy Scholarly Projects

The anterior cruciate ligament (ACL) in the knee is often sprained or torn in injuries resulting from jumping, cutting, or hyperextension of the knee. When the knee is put under a valgus, varus, or rotatory stress it can put strain on the ACL. Lower extremity motor control can help control the amount of varus and valgus stress on the knee. Lower extremity muscle control is involved with preventing this stress and resulting injuries. This study was performed to determine whether the position of the foot (neutral, supination, and pronation) has an effect on lower extremity muscle activity during single-leg squats. …

Fiber Type And Cross-Sectional Area Characteristics In Hindlimb Muscles Of The Long-Lived Ames Dwarf Mouse, David Farder

Physical Therapy Scholarly Projects

Background: Aging is associated with sarcopenia and a change of composition in muscle fibers. Ames dwarf mice have been found to have a decreased susceptibility to the deleterious effects of the aging process, when compared to a normal mouse counterpart. This study looks at the muscle composition of the Ames dwarf mouse compared to the normal mouse by analyzing two muscles, extensor digitorum longus (EDL) and soleus (Sol).

Methods: Researchers harvested hind limb muscles from Ames dwarf mice and normal mice. The fours muscles were EDL, Sol, Gastrocnemius/Plantaris, and tibialis anterior (TA). EDL and Sol were sliced and stained with …

Influence Of Foot Position On Lower Extremity Muscle Activity, Hayley J. Letvin

Physical Therapy Scholarly Projects

Being that the anterior cruciate ligament (ACL) is the most commonly torn ligament, much research has been performed regarding this matter. Females have been found to be more likely to tear their ACL. This may be due to strength, structural (anatomical), hormonal, and neuromuscular differences compared to men. Several studies have also been conducted to help improve preventative measures with using strengthening and neuromuscular training programs. Many speculations have been made about the precipitating factors of an ACL injury. The general consensus in regard to foot placement is that the foot is usually placed in pronation during an ACL tear. …

Use Of Robotics In Spinal Cord Injury: A Case Report., Lori Siedziewski, Roseann C. Schaaf, Julie Mount

Department of Occupational Therapy Faculty Papers

OBJECTIVE: We examined the use of robotics to treat upper-extremity (UE) dysfunction in tetraplegic patients with spinal cord injury (SCI).

METHOD: a 51-yr-old man with incomplete SCI participated in an occupational therapy program that combined traditional occupational therapy with Reo Go®, a comprehensive therapy platform that includes a robotic guide featuring a telescopic arm to enable high repetitions of functionally relevant UE exercises.

RESULTS: The participant demonstrated measurable improvements in active range of motion, muscle strength as measured through manual muscle testing, perceived right UE function, and self-care performance as measured by the FIM™.

CONCLUSION: The findings from this case …

Data Note: Prevalence Of Youth With Autism Who Received Vocational Rehabilitation Services, Alberto Migliore, Agnieszka Zalewska

Data Note Series, Institute for Community Inclusion

In 2002, about six children aged eight years per every 1000 people in the general population received a diagnosis of autism spectrum disorder (ASD). The corresponding figure in 2008 was about 11 children, a 78% increase in just six years¹.

To better understand how the increasing population of people with autism may impact adult programs, we examined the number of youth with autism served by state vocational rehabilitation programs in 2010. To account for the states' general population sizes, we reported the number of youth with autism served per 100,000 in the state general population (prevalence).

As Figure …

Serum Cartilage Oligomeric Matrix Protein: A Biomarker For Acute Articular Cartilage Damage, Johanna M. Hoch

Theses and Dissertations--Rehabilitation Sciences

Bone bruise lesions (BBL) are documented on MRIs diagnosing acute knee ligament injury (AKLI). Recent evidence has indicated that a majority of patients that sustain an AKLI, especially anterior cruciate ligament (ACL) knee injury, will develop post-traumatic osteoarthritis (PTOA) 10-20 years following injury. It has been proposed that the initial damage sustained to the articular cartilage overlying BBL causes a cascade of events that may result in PTOA.

Researchers have proposed a modification to treatment protocols for more severe BBL, or have stressed the need for the development of protective therapies to protect the articular cartilage. However, there are limited …

Developing A Model Of Client Satisfaction With A Rehabilitation Continuum Of Care, Melba G. Custer

Theses and Dissertations--Rehabilitation Sciences

Client satisfaction is an important outcome indicator because it measures multiple domains of the quality of healthcare and rehabilitation service delivery. It is especially important in occupational therapy because it is also client-centered. There are multiple domains of satisfaction and findings described in previous research; however, there is no single standard of measuring client satisfaction or any single working model describing the relationship among variables influencing satisfaction. This research was designed to apply a measure of satisfaction in rehabilitation and to develop a working model of satisfaction.

This study was an exploratory and predictive study using a large existing dataset …

Use Of A Video Game Based Balance Training Intervention On The Balance And Function Of Children With Developmental Disabilities, Gina C. Siconolfi-Morris

Theses and Dissertations--Rehabilitation Sciences

Many children with developmental disabilities (DD) have physical impairments and limitations in their participation. Rehabilitation research often focuses on either physical impairments or participation restrictions, when both need to be investigated. The purposes of these two studies were to evaluate an at home therapist directed video game balance training intervention on balance, gait velocity (GV), hip strength and activities of children with DD. The pilot study was a single-subject non-concurrent multiple baseline design. Balance measures included: weight bearing symmetry; center of pressure area and velocity; time to boundary mean minima and standard deviation; and timed up and go. The participant’s …

The Development Of The Self-Efficacy Of Balance Scale (Sebs): Investigation Of Psychometric Properties In Female Basketball Players, Carrie Silkman Baker

Theses and Dissertations--Rehabilitation Sciences

Lower extremity injuries are the most common sports related injury. Many steps have been taken to attempt to identify individuals who might be at a higher risk for sustaining a lower extremity injury. Resource and time intensive screening techniques have been used previously to attempt to identify such individuals. However these techniques have focused heavily on postural control and landing mechanics in athletes, no psychological measure has been used to identify individuals who might be at a higher risk of lower extremity injury.

Self-efficacy of balance can be defined as how capable an individual feels he or she can balance …

The Use Of Explicit, Non-Evocative Print Referencing With Preschool Children At-Risk: Implications For Increasing Print Concept Knowledge, Susan Thomas Frank

Theses and Dissertations--Rehabilitation Sciences

The purpose of this research study was to investigate the learning of print concepts (PCs) by preschool children at risk for literacy problems using an experimental treatment: explicit, non-evocative print referencing. Children from low socio-economic status (SES) families have been determined to be at-risk for literacy learning problems including a reduced knowledge of print concepts.

The study incorporated a multiple group (experimental and control) time series design with persistent insertion of treatment to those subjects who were assigned to the experimental condition. Participants included 25 children at-risk, ages 4:0- 4:11 (years: months) who qualified for pre-school services and for subsidized …

A Community-Based Occupational Therapy Wellness Program For Adult Clients With Traumatic Brain Injury, Cody Link, Amanda Myklebust

Occupational Therapy Capstones

Each year in the United States, over 1.5 million people sustain a traumatic brain injury (TBI) (Centers for Disease Control and Prevention, 2011). TBI can cause a variety of long-term problems with thinking, sensation, language, sensorimotor, and emotions (Centers for Disease Control and Prevention, 2011). These lead to long-term problems in areas of social participation, emotional wellness, work and volunteer participation, community integration, leisure participation, and healthy life balance. This indicates the need for continuing occupational therapy to address these problem areas. Communitybased interventions provide a service to promote health in an individual’s natural environment and can focus on a …

A Guide For Teachers And Paraprofessionals Working With Children With Autism Spectrum Disorder, Lesley Fettig

Occupational Therapy Capstones

The purpose of this scholarly project was to create a resource for occupational therapists in the public school system to provide a guide to educators and paraprofessionals working with children with autism spectrum disorder. The resulting guide for the occupational therapist provides the necessary materials to develop child specific guides for the educator and paraprofessional. The product provides education and guidance to optimize the educator and paraprofessional's ability to provide for the needs of a child with autism spectrum disorder in the school environment.

A comprehensive literature review was conducted to examine current best practice and treatment guidelines for autism …

Sexuality: The Missing Activity Of Daily Living: A Pilot Study, Lindsay Farkas, Elizabeth Reynolds

Occupational Therapy Capstones

Purpose: The purpose of this pilot study was to explore the comfort level of occupational therapists addressing sexuality with clients in physical disability clinical settings in Minnesota, North Dakota, South Dakota and Wisconsin. A secondary intention of this study was to explore why or why not OTs are addressing sexual issues with their clients, and if therapists are addressing sexual issues, what resources are utilized.

Methods: A non-experimental design pilot study was conducted to explore the comfort level of occupational therapists addressing sexual issues with clients in physical disability settings. A mixed-methods, triangulation survey design was used to gather data …

A Physical Wellness Program For The Transition Into A Wheelchair, Christa Haas, Meghan Lyle

Occupational Therapy Capstones

Based on the information from the literature reviewed in Chapter II, individuals may experience secondary medical complications and disruption to engagement in meaningful occupations once confined to a wheelchair for mobility. According to Matuska, Giles-Heinz, Flinn, Neighbor, & Bass-Haugen (2003) education through wellness programming has lasting benefits on participation in meaningful occupations and prevention of occupational limitations. The product of this scholarly project, A Physical Wellness Program for the Transition into a Wheelchair, was designed with a holistic approach to promote health and wellness in clients' transitioning to wheelchairs; the wellness program was designed to facilitate a healthy lifestyle and …

Developing An Occupational Therapy Community/Client Wellness Program, Lindsey Sauer, Lindsey Wolsky

Occupational Therapy Capstones

Health promotion is gaining more recognition with the increase of chronic diseases worldwide and the growing elderly population in the United States. The World Health Organization (2011) places a particular emphasis on health promotion as well as preventative care. The role of occupational therapy fits directly with this emphasis. The American Occupational Therapy Association (2008) identified occupational therapy's roles to include promotion of healthy lifestyle, use of occupation as a means to improve health and provide services to both individuals and populations.

Problem: Although health promotion and prevention is well within the realm of occupational therapy, Flannery and Barry (2003) …

An Occupation-Based Protocol Designed For Women With Cardiac Conditions, Erika Swirzcki, Andrea Young

Occupational Therapy Capstones

Coronary heart disease is the leading cause of death in women worldwide as well as the number one cause of death in the United States (American Heart Association [AHA], 2010). Women are not adequately represented when entering phase II of cardiac rehabilitation due to the numerous barriers that they may experience. The purpose of this scholarly project is to help meet women’s unique needs and facilitate their return to meaningful life roles and occupations after experiencing a cardiac event. This protocol provides guidelines for occupational therapists to use during phase II of cardiac rehabilitation and addresses the implementation of occupation-based …

Bringing Occupation To Long-Term-Care Setting, Danielle Shepers, Stephanie Blonigen

Occupational Therapy Capstones

As a person enters a long-term-care (LTC) facility, they lose their home, independence, possessions and routine (O'Sullivanm, 2004). Adopting a meaningful occupational or social role may improve psychological well-being in elders (Keung Yuen, Huang, Burik, & Smith, 2008). There is a need for resources to support the use of occupations as treatment modalities in LTC setting. The purpose of this scholarly project is to address this need.

A literature review was conducted using AOTA, AJOT, OT Practice, CINAHL, SCOPUS, and PubMed on topics relating to the populations served in LTC, and types of OT intervention used in LTC. Issues concerning …

An Occupational Therapy-Based Education Program For Caregivers Of Individuals With Cerebral Palsy: A Culturally Conscious Perspective, Allison L. Kalb, Diana L. Huettl

Occupational Therapy Capstones

Introduction: Individuals with cerebral palsy (CP) are able to lead functional, productive, and fulfilling lives when provided the opportunity. In the country of Ghana, the prevalence of CP is estimated to be one out of every 300 births (Purple Field Productions [PFP], 2011), however, a lack of education about CP and other disabilities, limited access to healthcare services, and scarce resources hamper the Ghanaian people’s opportunities for habilitation (Reynolds, 2010; Tinney, Chiodo, Haig, & Wiredu, 2007). In addition, cultural beliefs and societal attitudes toward people with disabilities in Ghana pose a barrier for those individuals to fully participate in occupation. …

Educating And Communicating Through Sociolinguistic Registers: Adolescent Client, Chanaé Jones, Brittany Mayer

Occupational Therapy Capstones

PROBLEM: Currently tests such as the SAT (Scholastic Assessment Test) and ACT (American College Testing), as well as employment use what is identified as formal sociolinguistic register (Joos, 1967 & Payne, 2005). Payne (2005) built upon Joos’ (1967) definition and presented five registers: frozen, formal, consultative, casual, and intimates. Formal register is defined as; one-way participation, no interruption such as is seen with introductions between stangers. Technical vocabulary; “fuzzy semantics" or exact definitions are important. Montano-Harmon (1991) found that many minority and poor students do not have access to formal register at home but rather tend to rely primarily in …

Growing Occupational Identity: The Use Of Agricultural Entrepreneurship For Young Adults With Disabilities To Successfully Enter, Adapt, Or Inhabit The Role Of Worker, Nicole Likewise, Theresa Podio

Occupational Therapy Capstones

“We know what we are, but not what we may be.” – William Shakespeare

Purpose: The purpose of this project was to develop a grant proposal in order to obtain funding for the development of an entrepreneurial program for young adults with disabilities transitioning into adulthood in rural Wyoming. Through participation in the program young adults would have the opportunity to pursue entrepreneurship in sustainable agriculture while concurrently developing an occupational identity.

Methods: A selected literature review was conducted to identify the scope of the problem and identify what, if any, programs are currently being offered to assist youth transition …

Organic Photovoltaics: A Charge Transfer Perspective In The Study Of Donor-Acceptor Pairs, Marco Olguin

Open Access Theses & Dissertations

The present research involves the study of donor-acceptor (D/A) dyad complexes from a charge transfer energy perspective. The aim is to provide insight and predictive understanding into the charge transfer processes of the molecular-level components in donor-acceptor based organic solar cells using computational methods to describe photochemical processes at the quantum mechanical level within the Density Functional Theory (DFT) approximation. Predictive understanding is anchored in reproducing experimental results, wherein the present work a perturbative excited-state DFT method is described in detail and shown to give CT energies in excellent agreement with benchmark experimental data. With an accurate excited state method …

Working With Mild Traumatic Brain Injury: Voices From The Field, Page Walker Buck, Rebecca G. Laster, Jocelyn Spencer Sagrati, Rachel Shapiro Kirzner

Social Work (Graduate) Faculty Publications

No abstract provided.