Rehabilitation and Therapy Commons^™

Evolution Of Occupational Therapy Practice: Life History Of Catherine Bailey, Mot, Otr/L, Ashley Cambronne, Rachel Fritzler

Oral History Student Papers

Purpose: This project gathered information about the history and evolution of OT practice in North Dakota and Wyoming through life histories of individuals who have been influential in developing occupational therapy (OT) in these two states. Catherine Bailey was selected to participate; she has been practicing for approximately 40 years and has influenced OT practice in the state of Wyoming.

Method: Data was collected through participant interview. The interview was audio recorded and transcribed. Data was then coded and collapsed into categories with corresponding themes. The researchers utilized the Kawa Model (Turpin and Iwama, 2011) and a timeline provided by …

Life History Of Carol Olson, Ph.D., Otr/L, Faota, Laurel Busch, Emily Bachmeier

Oral History Posters

This life history is one of 29 life history interviews which are a part of a larger project, Life Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) in North Dakota and Wyoming. The purpose of the project is to gather information about the history and evaluation of occupational therapy (OT) practice in North Dakota and Wyoming through life histories of individuals who have been influential in developing OT in these two states. It is anticipated that the life history process will be a powerful way to gather this information. This study is intended to provide current …

Evolution Of Occupational Therapy Practice: Life History Of Dr. Hanson, Otr/L, Faota, Melissa Groth, Martha Scoby

Oral History Student Papers

Objective. The purpose of this qualitative life history study was to examine the life and work of Dr. Debra Hanson to gather information about the history and evolution of occupational therapy in North Dakota and Wyoming from her perspective.

Method. An audio recorded semistructured interview was utilized to gather information and perspective from Dr. Hanson regarding her involvement in the evolution of occupational therapy practice. Dr. Hanson was one participant selected from a participant list compiled through purposive sampling by the project directors. The interview was transcribed and coded. Categories with corresponding themes and a final assertion emerged through the …

Evolution Of Occupational Therapy Practice: Life History Of Charlie Baumer, Cota, Bailey Fruit, Hannah Williams

Oral History Posters

Charlie Baumer is a Certified Occupational Therapy Assistant (COTA) who was interviewed by two year II occupational therapy students at the University of North Dakota at Casper College as part of a life history qualitative study. The interview was a semi-structured interview that lasted two hours with questions that were geared toward the history and evolution of occupational therapy in Wyoming. This single interview is a part of a larger life history qualitative study to gather information in regards to the history and evolution of occupational therapy practice in North Dakota and Wyoming through the life histories of occupational therapy …

Evolution Of Occupational Therapy Practice: Life History Of Dr. Hanson, Otr/L, Faota, Melissa Groth, Martha Scoby

Oral History Posters

Objective. The purpose of this qualitative life history study was to examine the life and work of Dr. Debra Hanson to gather information about the history and evolution of occupational therapy in North Dakota and Wyoming from her perspective.

Method. An audio recorded semistructured interview was utilized to gather information and perspective from Dr. Hanson regarding her involvement in the evolution of occupational therapy practice. Dr. Hanson was one participant selected from a participant list compiled through purposive sampling by the project directors. The interview was transcribed and coded. Categories with corresponding themes and a final assertion emerged through the …

Life History: Janet Salzwedel, Otr/L, Sadie Larson, Karissa Kempel

Oral History Posters

Objective. This life history is one of 29 life history interviews which are a part of a larger project, Life Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) in North Dakota and Wyoming. The purpose of this project is to gather information about the history and evolution of occupational therapy (OT) practice in North Dakota and Wyoming through life histories of individuals who have been influential in developing OT in these two states.

Method. An in-depth interview was conducted with Janet Salzwedel in the comfort of her home. Categories and themes were synthesized from the interview …

Evolution Of Occupational Therapy Practice: Life History Of Janet Salzwedel, Karissa Kempel, Sadie Larson

Oral History Student Papers

Objective. This life history is one of 29 life history interviews which are a part of a larger project, Life Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) in North Dakota and Wyoming. The purpose of this project is to gather information about the history and evolution of occupational therapy (OT) practice in North Dakota and Wyoming through life histories of individuals who have been influential in developing OT in these two states.

Method. An in-depth interview was conducted with Janet Salzwedel in the comfort of her home. Categories and themes were synthesized from the interview …

Evolution Of Occupapational Therapy Practice: Life History Of Wanda Berg, Tiana Brown, Alli Fox

Oral History Student Papers

This qualitative study was done via a semi structured interview with Dr. Wanda Berg. This paper reflects only a portion of a larger study done to learn about the history of occupational therapy (OT) from the perspective of influential OT practitioners and educators from North Dakota (ND) and Wyoming. From the researcher's interview with Dr. Berg, themes about her life and the profession were discovered.

Purpose: The purpose of this study is to learn about the history of occupational therapy from the perspective of influential OT practitioners and educators from North Dakota and Wyoming

Methods: A qualitative study was done …

Life History Of Stuart Kuchel M.S., Ort/L, Michael Black, Ariel Campbell

Oral History Posters

Objective. This qualitative life history was completed as part of a larger sample of 29 participants aimed to gather information about the history and evolution of occupational therapy practice in North Dakota and Wyoming through life histories of individuals who have been influential in developing occupational therapy in these two states and/or nationally.

Method. The participant was assigned by the project directors through purposive sampling. A semi-structured phone interview was conducted with the interviewer and two primary researchers. Data was coded and analyzed, which was then collapsed into categories, themes and a final assertion.

Results. The predominate categories representing the …

Evolution Of Occupational Therapy Practice: Life History Of Lance Norman, Jade Clement, Miranda Hosking

Oral History Student Papers

Objective. The purpose of this life history study was to gather information regarding the history and evolution of occupational therapy (OT) practice in North Dakota and Wyoming. The life history of Lance Norman and his influence in developing OT in North Dakota was one of 29 stories explored.

Method. The qualitative study used a life history approach. A semi-structured interview was conducted with the participant that was assigned to the researchers via a purposive sampling method. The interview was recorded, transcribed, and an open coding process was used for data analysis. To guide the research process the Kawa model …

Low Back Pain And Mechanical Diagnosis Treatment: A Case Report, Alicia Bullinger

Physical Therapy Scholarly Projects

Background and Purpose: Acute low back pain is one of the most common and expensive reasons for adults to see a family physician and is commonly treated by physical therapists. Although most patients recover quickly with minimal treatment, patient education and exercises directed by a physical therapist may decrease recurrent pain and need for health care services. The purpose of this case study is to determine if the McKenzie Method is effective treatment for acute low back pain in the medical workforce using evidence based practice.

Case Description: Patient was a 37-year-old Caucasian female who worked as a registered nurse …

Diagnosis And Treatment Of Sacroiliac Joint Dysfunction: A Case Report, Joseph R. Perry

Physical Therapy Scholarly Projects

Sacroiliac joint dysfunction (SIJD) is plausible and can be treated through skilled physical therapy. The purpose of this case study is to educate and inform on the treatment for sacroiliac joint dysfunction. The patient was an 81 year old female, who was direct access and presented to physical therapy with complaints of left buttock and hamstring pain that was exacerbated with prolonged sitting. Upon physical examination it was determined the patient presented with SIJD which demonstrated a left on left sacral rotation, left ups lip, and bilateral anterior rotation of either pelvis intermittently. Official diagnosis was sprain of the sacroiliac …

The Effectiveness Of "Stepping On" In Reducing Fall Risk In The Elderly Using The 30-Second Chair Stand Test, Brianna Albrecht

Physical Therapy Scholarly Projects

Background: One-third of all adults over the age of 65 years of age falls each year. Falls cost patients financially, physically, and emotionally. Balance and strength deficits contribute to increasing an individual's fall risk. Studies have shown the efficiency of community-based exercise and education programs on reducing the risk of falling.

Objective: The purpose of this study was to determine whether participants in Stepping On experienced an improvement in balance and confidence following completion of the program. The study also evaluated the correlation between self-perceived risk of falling on the CDC Fall Risk Survey and their actual risk …

Traumatic Brain Injury: A Case Study Of An Atypical Rehabilitation Progression Due To Unmodifiable Circumstances, Brianna Gustafson

Physical Therapy Scholarly Projects

Background and Purpose Traumatic brain injuries (TBI) are very prevalent throughout the US. They are often caused by a head injury leading to alterations in brain functioning and often result in lifelong disabilities. Current literature is limited on the aspects of rehabilitation following a TBI because of the many factors that differ within each case. This study will explore an atypical pathway for rehabilitation following a TBI.

Case Description The patient was a 32-year-old male who sustained a TBI following a motor vehicle accident (MVA). The Glasgow Coma Scale (GCS) and Rancho Los Amigo Scale (RLAS) were assessed initially and …

Conservative Treatment Of 'Flail Chest' Following Non-Union Fractures Of The Thoracic Rib Cage With Secondary Shoulder Pathology: A Case Report, Chase Kerber

Physical Therapy Scholarly Projects

Background and Purpose - Fractures of the thoracic ribs are common injuries with a high incidence of secondary co-morbidities which may require a slower rehabilitation progression and result in a delayed return to full function. Patients with these diagnoses often seek physical therapy intervention in order to regain their prior level of function.

Case Description - A 51 year-old male sustained multiple rib fractures, pneumothorax, and a left shoulder injury as a result of falling backwards off a 6 foot platform. He presented to physical therapy for evaluation and treatment with the goal of returning to his occupation as a …

Barefoot Versus Shod Training: Effects On Navicular Drop And Foot Pressure Analysis, Evan Condry, Daniel Himmerick, Tiffany Vanhaaften

Physical Therapy Scholarly Projects

Background and Purpose: Running is a popular form of exercise around the world. The running population generally runs in a rear-foot strike pattern (RFSP), yet there is questioning on the possible benefits of running in a forefoot strike pattern (FFSP). The main goal of FFSP is the possible reduction of running related injuries by reducing the stress on the medial longitudinal arch. The purpose of this research study is to determine if a barefoot running retraining program will have an effect on navicular drop height, plantar pressure area, and peak plantar pressure of the medial aspect of the foot.

Material/Methods …

Shinrin-Yoku (Forest Bathing) And Nature Therapy: A State-Of-The-Art Review, Dr. Margaret M. Hansen, Reo Jones, Kirsten Tocchini

Nursing and Health Professions Faculty Research and Publications

Background: Current literature supports the comprehensive health benefits of exposure to nature and green environments on human systems. The aim of this state-of-the-art review is to elucidate empirical research conducted on the physiological and psychological effects of Shinrin-Yoku (or Forest Bathing) in transcontinental Japan and China. Furthermore, we aim to encourage healthcare professionals to conduct longitudinal research in Western cultures regarding the clinically therapeutic effects of Shinrin-Yoku and, for healthcare providers/students to consider practicing Shinrin-Yoku to decrease undue stress and potential burnout. Methods: A thorough review was conducted to identify research published with an initial open date range and then …

Are Preseason Functional And Biomechanical Measures Associated With Lower Quadrant Injury Risk In Division Iii Athletes?, Natalie Ellis, Jordan Petersen, Jordon Reyes, Victor Wilson, Cj Zita

Student-Faculty Research - College of Physical Therapy

A recent trend in sports medicine research is to determine risk of injury during sport based on preseason functional performance test (FPT) measures.

Equivocal findings associated with prior studies may leave PTs with uncertainty as to which FPT, or combination of FPTs, can best identify athletes who have a greater risk for injury.

Previous studies have utilized "low-tech" FPT measures: standing long jump (SLJ), single-leg hop (SLH), lower extremity functional test (LEFT), and the Y-balance test (YBT) (1,3,4).

These "low-tech" options may not be able to identify potential deficits that could be collected with "high-tech" measures (e.g., DVJ measures collected …

Morphological Changes In Achilles Tendon Thickness Following An 8-Week Heavy Load Eccentric Exercise Program, W. Howe, B. Telfer, J. Leung, M. Suzuki, C. Young, Tyler Cuddeford

Student-Faculty Research - College of Physical Therapy

• Achilles Tendinopathy (AT) is an overuse injury characterized by pain, focal tenderness, and intratendinous imaging changes.

• Current protocols for treating mid-portion AT are not effective, likely due to not providing sufficient load to the tendon.

• Alfredson’s eccentric protocol, which utilizes high repetition with low load, reduces pain with mid-portion AT in 60.3% of individuals (Van der Plas, 2011)

• Research indicates that heavier loading of the Achilles tendon yields superior results to high repetition with low load (Stevens, 2014)

• Tendons have demonstrated plasticity in their ability to adapt to heavy resistance training. Combined with knowledge that …

The Neuropsychology Of Sport And Performance, Arthur C. Maerlender

Center for Brain, Biology, and Behavior: Faculty Publications

Neuropsychological theory has been a mainstay for understanding pathology within the brain-behavior context. However, our theories for predicting superior behavior are not as well developed. Sport neuropsychology was developed on the presumption that athletes represent a population in a relatively well-controlled environment for studying brain pathology due to injury. This study of pathology within a high-performance environment has been responsible for identifying the effects of mild traumatic brain injury (mTBI) on individual functioning. Far less attention has been paid to the other end of the performance continuum, and yet, viable brain-behavior hypotheses should hold true across the spectrum of function …

Validity And Reliability Of Baseline Testing In A Standardized Environment, Kathryn L. Higgins, Todd Caze, Arthur C. Maerlender

Center for Brain, Biology, and Behavior: Faculty Publications

Objective — The Immediate Postconcussion Assessment and Cognitive Testing (ImPACT) is a computerized neuropsychological test battery commonly used to determine cognitive recovery from concussion based on comparing post-injury scores to baseline scores. This model is based on the premise that ImPACT baseline test scores are a valid and reliable measure of optimal cognitive function at baseline. Growing evidence suggests that this premise may not be accurate and a large contributor to invalid and unreliable baseline test scores may be the protocol and environment in which baseline tests are administered. This study examined the effects of a standardized environment and administration …

Measurement Of Cortisol In Saliva: A Comparison Of Measurement Error Within And Between International Academic‑Research Laboratories, Jessica L. Calvi, Frances R. Chen, Victoria Brann Benson, Eleanor Brindle, Matt Bristow, Alpana De, Sonja Entringer, Helen Findlay, Christine Heim, Eric A. Hodges, Heiko Klawitter, Sonia Lupien, Holly M. Rus, Jitske Tiemensma, Silvanna Verlezza, Claire-Dominique Walker, Douglas A. Granger

Center for Brain, Biology, and Behavior: Faculty Publications

Objective: Hundreds of scientific publications are produced annually that involve the measurement of cortisol in saliva. Intra- and inter-laboratory variation in salivary cortisol results has the potential to contribute to crossstudy inconsistencies in findings, and the perception that salivary cortisol results are unreliable. This study rigorously estimates sources of measurement variability in the assay of salivary cortisol within and between established international academic-based laboratories that specialize in saliva analyses. One hundred young adults (Mean age: 23.10 years; 62 females) donated 2 mL of whole saliva by passive drool. Each sample was split into multiple- 100 μL aliquots and …

Patterns Of Referral In High School Concussion Management Programs: A Pilot Study Of Consultants From Different Disciplines, Jonathan Lichtenstein, Kate S. Linnea, Arthur C. Maerlender

Center for Brain, Biology, and Behavior: Faculty Publications

School-based concussion management programs cover thousands of young athletes, yet there is little in the way of research to assess program processes or outcomes. This study examined the referral patterns of consultants working with ten high school concussion management programs. In addition to the number of referrals made to specialists, other potential outcome variables were explored. The sample included over 5,000 athlete-seasons and 298 concussions managed directly by certified athletic trainers. All programs used computerized neuropsychological testing (both baseline and post injury). Two groups were compared: five programs used a clinical neuropsychologist (NP) as the testing consultant and five used …

Attention Is Associated With Postural Control In Those With Chronic Ankle Instability, Adam B. Rosen, Nicholas T. Than, William Z. Smith, Jennifer M. Yentes, Melanie L. Mcgrath, Mukul Mukherjee, Sarah A. Myers, Arthur C. Maerlender

Center for Brain, Biology, and Behavior: Faculty Publications

Chronic ankle instability (CAI) is often debilitating and may be affected by a number of intrinsic and environmental factors. Alterations in neurocognitive function and attention may contribute to repetitive injury in those with CAI and influence postural control strategies. Thus, the purpose of this study was to determine if there was a difference in attentional functioning and static postural control among groups of Comparison, Coper and CAI participants and assess the relationship between them within each of the groups. Recruited participants performed single-limb balance trials and completed the CNS Vital Signs (CNSVS) computer-based assessment to assess their attentional function. Center …

Sandbagging On The Immediate Post-Concussion Assessment And Cognitive Testing (Impact) In A High School Athlete Population, Kathryn L. Higgins, Robert L. Denny, Arthur C. Maerlender

Center for Brain, Biology, and Behavior: Faculty Publications

The Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) is a computerized neuropsychological test battery commonly used to assess cognitive functioning after a concussion. It is recommended that application of ImPACT utilizes a baseline administration so athletes have an individualized baseline with which to compare post-injury results should they sustain a concussion. It has been suggested that athletes may provide suboptimal effort, called “sandbagging,” in order to return to their baseline cognitive scores, and thus to play, more quickly. This research examines ImPACT baseline scores when high school athletes were asked to attempt to “sandbag,” and compares those scores with scores …

Psychological And Neural Contributions To Appetite Self-Regulation, Luke E. Stoeckel, Leann L. Birch, Todd Heatherton, Traci Mann, Christine Hunter, Susan Czajkowski, Lisa Onken, Paige K. Berger, Cary R. Savage

Center for Brain, Biology, and Behavior: Faculty Publications

Objective: This paper reviews the state of the science on psychological and neural contributions to appetite self-regulation in the context of obesity. Methods: Three content areas (neural systems and cognitive functions; parenting and early childhood development; and goal setting and goal striving) served to illustrate different perspectives on the psychological and neural factors that contribute to appetite dysregulation in the context of obesity. Talks were initially delivered at an NIH workshop consisting of experts in these three content areas, and then content areas were further developed through a review of the literature. Results: Self-regulation of appetite involves a complex interaction …

Pilot Study Of Endurance Runners And Brain Responses Associated With Delay Discounting, Laura E. Martin, Jason-Flor V. Sisante, David R. Wilson, Angela A. Moody, Cary R. Savage, Sandra A. Billinger

Center for Brain, Biology, and Behavior: Faculty Publications

High levels of endurance training have been associated with potentially negative health outcomes and addictive-like symptoms such as exercise in the presence of injury and higher levels of impulsivity. This pilot study examined the relationships among self-report measures of addictive symptoms related to exercise and behavioral and neural measures of impulsivity in endurance runners. We hypothesized endurance runners would have increased preference for immediate rewards and greater activation of cognitive control regions when making decisions involving delayed rewards. Twenty endurance runners (at least 20 miles/week) were recruited to undergo measures of self-report exercise addiction symptoms, impulsive decision-making (delay discounting) and …

Lateral Hypothalamic Activity Indicates Hunger And Satiety States In Humans, Omid Talakoub, Raquel R. Paiva, Matija Milosevic, Marcelo Q. Hoexter, Ruth Franco, Eduardo Alho, Jessie Navarro, Jose F. Pereira Jr., Milos R. Popovic, Cary Savage, Antonio C. Lopes, Pedro Alvarenga, Durval Damiani, Manoel J. Teixeira, Euripides C. Miguel, Erich T. Fonoff, Marcelo C. Batistuzzo, Clement Hamani

Center for Brain, Biology, and Behavior: Faculty Publications

Lateral hypothalamic area (LHA) local field potentials (LFPs) were recorded in a Prader–Willi patient undergoing deep brain stimulation (DBS) for obesity. During hunger, exposure to food-related cues induced an increase in beta/ low-gamma activity. In contrast, recordings during satiety were marked by prominent alpha rhythms. Based on these findings, we have delivered alphafrequency DBS prior to and during food intake. Despite reporting an early sensation of fullness, the patient continued to crave food. This suggests that the pattern of activity in LHA may indicate hunger/satiety states in humans but attest to the complexity of conducting neuromodulation studies in obesity.

Efficacy Of Kinesio Taping As An Adjunct Intervention To Traditional Physical Therapy In The Treatment Of Nonspecific Acute Low Back Pain: A Prospective Randomized Controlled Trial, Hossameldien Elkholy

Department of Physical Therapy Student Theses, Dissertations and Capstones

The Efficacy of Kinesio Taping as an Adjunct Intervention to Traditional Physical Therapy in the Treatment of Nonspecific Acute Low Back Pain: A Prospective Randomized Controlled Trial Background: Acute low back pain (LBP) is a significant health problem worldwide and is one of the leading causes of disability. Objective: The purpose of this study was to examine the effect of Kinesio Taping (KT) on disability, fear-avoidance beliefs, and pain intensity in patients with acute, nonspecific LBP. Research Design and Methods: A prospective, randomized controlled study of consecutive patients referred to physical therapy with a primary complaint of LBP. Seventy-eight patients …

Sensory-Based Group Treatment In Reducing Physically Acting-Out Behaviors And Perceived Levels Of Distress, Tiffany Barnette

Occupational Therapy Doctorate Capstone Projects

Background: Mental health legislation over the last several decades has focused on restricting the use of seclusion and restraints within facilities receiving federal financial assistance. Facilities serving psychiatric populations have looked for strategies to eliminate the need for these forced interventions. One strategy is the use sensory-based treatment in occupational therapy intervention. Sensory approaches that have been adopted as ‘best practice’ include the use of sensory rooms, groups and kits to help users learn how to regulate psychological and emotional states of arousal.

Purpose: The purpose of this Capstone Project was to examine the effectiveness of a sensory-based …