Rehabilitation and Therapy Commons^™

Chronic Ankle Instability And Aging, Kyle B. Kosik

Theses and Dissertations--Rehabilitation Sciences

Lateral ankle sprains are the most common musculoskeletal injury among the general population and U.S. military personnel. Despite the common perception of being a minor injury, at least 1 out of 3 individuals with a previous ankle sprain will develop chronic ankle instability (CAI). This clinical phenomenon creates a significant barrier for patients to return to their prior level of physical function. Specifically, CAI is associated with reductions in physical activity level, leading to decreases in lower health-related quality of life and increase risk of developing of post-traumatic ankle osteoarthritis. Current evidence has largely focused on characterizing the mechanical and …

The Effect Of One-On-One Intervention In Athletes With Multiple Risk Factors For Injury, Kathryn Schwartzkopf-Phifer

Theses and Dissertations--Rehabilitation Sciences

Background: Lower extremity (LE) musculoskeletal injuries in soccer players are extremely common. These injuries can result in many days of lost time in competition, severely impacting players and their respective teams. Implementation of group injury prevention programs has gained popularity due to time and cost-effectiveness. Though participation in group injury prevention programs has been successful at reducing injuries, programs often target a single injury and all players do not benefit from participation. Players with a greater number of risk factors are most likely to sustain an injury, and unfortunately, less likely to benefit from a group injury prevention program. …

Social Participation In Schools: Developing The Role Of Occupational Therapy Practitioners, Kelly L. Leigers

Theses and Dissertations--Rehabilitation Sciences

The aim of this dissertation is to build the repertoire of occupational therapy practitioners so that they are better prepared in the provision of services addressing social participation of students with disabilities in the general education classroom. Students with disabilities in general education classrooms tend to have greater difficulty establishing and maintaining friendships (Wight & Chapparo, 2008), have fewer reciprocated friendships (Kemp & Carter, 2002), and lower stability in relationships than peers without disabilities. Furthermore, studies indicate that students with disabilities are less social accepted (Ekornas, Heimann, Tjus, Heyerdahl, & Lundervold, 2011) and are more isolated (Nadeau & Tessier, 2006). …

Prediction Of Acute And Recurrent Ankle Sprains In Athletes, Ryan S. Mccann

Theses and Dissertations--Rehabilitation Sciences

Ankle sprains are not only among the most common sport-related injuries, but also associated with a high rate of recurrence. While prevention is a favorable approach to reducing the incidence of index and recurrent ankle sprains, identifying individuals at greater risk may improve allocation of preventative resources. This dissertation aimed to accomplish the following through three aims: 1) determine the ability of baseline clinical tests to predict acute lateral ankle sprain (LAS) in an understudied athletic population, 2) describe the degree of residual impairments and activity limitations in athletes returning to play from a LAS, and 3) determine the ability …

Addressing Sleep Deficiencies In Older Adult Residents Of Long-Term Care Facilities: Presenting A Flowchart For An Interdisciplinary Approach, Peter Owens, Tavin Deru

Occupational Therapy Capstones

There is a growing population of older adults, or those people over 65 years old in long term care (LTC) facilities who report sleep deficiencies at a heightened rate, leading to decrease function, cognition, and social participation while increasing mortality, morbidity and the risk of falling (Booth & McMilliam, 2009; Cipolli, Mazzetti, & Plazzi, 2013; Crowley, 2011; Dzierewski et al., 2014; Helbig et al., 2013; Kuck, Pantke, & Flick, 2015). Occupational therapists (OTs) offer non-pharmacological sleep interventions in the long-term care facilities but are not present at many relevant sleeping times. This scholarly project is a flow chart aid to …

Female Veterans And Homelessness: A Resource Guide For Occupational Therapists, Jamie Schacht, Alison Tonsager

Occupational Therapy Capstones

Female veterans are the fastest growing subpopulation among the homeless population in the United States (U.S.) (Boothe, 2017). Female veterans report lack of access to gender-specific programs and therapy groups within the United States Department of Veterans Affairs (VA) to meet specific needs post-deployment (U.S. Department of Veterans Affairs, 2015b). Difficulty with reintegration post-deployment has been linked with homelessness among female veterans. There is evidence to support female veterans' over-representation in the homeless population is due to a higher prevalence of risk factors for homelessness as compared to male veterans and females within the general population (Byrne, Montgomery, & Dichter, …

Postsecondary Transition Services For Students With Autism Spectrum Disorder: An Occupational Therapy Approach, Luke Van Havermaet, Lynn Bielski

Occupational Therapy Capstones

Problem: Individuals with Autism Spectrum Disorder comprise a rapidly growing population with approximately 1168 children being diagnosed annually (CDC, 2016). Individuals with ASD often have difficulties with social interaction, sensory processing, emotional regulation and adapting to environmental changes (Rogers, 2010). Individuals who are diagnosed early in life are provided a wide variety of services to minimize these symptoms to maximize independence later in life, and in an academic setting. As individuals with Autism Spectrum Disorder come to the end of their K-12 education journey, the transition planning completed throughout the student's final year of high school are not carried out …

Using Evidence To Address Psychosocial Impairments Post-Stroke: A Guide For Occupational Therapy, Michael Thurn, Emilee Rath

Occupational Therapy Capstones

Introduction: Following a stroke, individuals experience a wide variety of physical and psychosocial impairments. While physical impairments are commonly given attention by medical practitioners, psychosocial impairments are often overlooked or undiagnosed. (Hildebrand, 2015). Unfortunately, the same is true in occupational therapy, where physical and psychosocial issues have not been receiving the same amount of attention, physical issues being addressed far more than psychosocial issues (Gillen, 2014). The purpose of this scholarly project is to provide occupational therapists a guide to use of current evidence-based assessments and interventions to address psychosocial impairments following stroke. The guide focuses on evidence-based assessments, and …

A Health Care Provider Training Guide To Enhance Cultural Competency In Long-Term Care, Julia Mcbrien, Ashley Prososki

Occupational Therapy Capstones

The population of adults over the age of 65 in the United States is steadily increasing and becoming more diverse. Older adults are the greatest consumer of health care services, and they have unique health care needs. One notable health care need pertains to cultural beliefs and wants. When health care providers address the diverse needs of older adults, health outcomes improve for the client and communication across the interprofessional team improves. Therefore, the students of this scholarly project created a series of three, 50-minute long training sessions focused on training health care providers how to be culturally competent in …

A Study Exploring Parents’ And Occupational Therapists Views On Facilitating Social And Emotional Development, Salena C. Neuwar

Honors College Theses

This study examined how parents of a child with a disability and the child's occupational therapist each facilitate social and emotional development among children who have or are currently receiving occupational therapy services. This study first served to identify, through interviews, what social and emotional skills are important individually to the parent and the occupational therapist that the child gains. Through interviews, the researcher investigated the perceptions of how parents and occupational therapists facilitate social and emotional skills. The location of the therapy session was found to be a vital component among parent and occupational therapist interaction. Finally, this research …

Wise And Well: A Pilot Study On The Effects Of Providing A Wellness Group Protocol To Enhance Occupational Fit Among Rural Community Dwelling Elderly Women, Brianna Berendt, Carly Hills

Occupational Therapy Capstones

Problem: There is a need for rural services for community-dwelling women due to a lack of resources, transportation, and social opportunities (Bacsu et a!., 2016; Averill, 201 2). Likewise, Shimada et a!. (2014) emphasized the impact and causes of social isolation on elderly individuals and how important it is for elderly individuals to establish a support system when facing challenges throughout later life. A third problem was described by Choi et a!. (2013) in that elderly individuals may experience a loss of independence and functional decline can result from being physically inactive. This indicates that there are increased health risks …

Intensive Outpatient Program For Substance Abuse: Occupational Therapy Guideline To Recovery, Jessica Dietz, Elynn Schriber

Occupational Therapy Capstones

The purpose of this scholarly project was to develop an evidence-based 12-session group protocol for occupational therapists (OTs) to use in an intensive outpatient program (IOP) for substance abuse. The target population for this scholarly project was young adults aged 18-25 who have illicit drug use issues. Guided by concepts of the Model of Human Occupation (MOHO), the protocol targeted common occupational performance and deficit issues encountered by individuals with substance use. The authors first observed one, 3-hour IOP session at Central Wyoming Counseling Center (CWCC) and participated in one, two-hour meeting with the director of substance abuse programing at …

Expanding The Role Of Occupational Therapy In Oncology: An Introduction To The Oncology Occupational Therapy Screening Tool And Occupational Therapy & Cancer Education Guide, Courtney Funk, Jessika Lackie

Occupational Therapy Capstones

Purpose: Cancer survivorship is growing as time progresses. The National Cancer Institute (2016) found the rate of survivorship after a cancer diagnosis was almost 14.5 million in 2014 and projected it to increase further by 2024 to nearly 19 million. This rise in cancer survivors indicates increased needs for rehabilitation services to cope with the multi-dimensional side effects of cancer and cancer treatment. Occupational therapy will be a key member of the oncology care team to improve physical, psychosocial, cognitive, and quality of life outcomes of this population. There are few resources currently available for practitioners to assist with referrals …

Leisure Occupations For Adults With Physical Disabilities: A Guide For Occupational Therapy Practice, Kelsey Glatt, Tracy Perish

Occupational Therapy Capstones

Problem: Limited research is available addressing active leisure participation and how leisure participation affects quality of life (QOL) of individuals following physical disability. Research shows a correlation between adaptive leisure participation and higher rated life satisfaction, community integration, perceived competence, and reduced negative mood states (Chun et. al., 2008; Lundberg et al., 2011a). There are currently no occupational therapy assessments for clients with physical disabilities having a goal of participation in active leisure occupations.

Purpose: To provide information and resources to occupational therapists and clients with paraplegia or lower tetraplegia spinal cord injury (SCI) in order to enhance participation in …

The Experience Of Occupational Therapy Practitioners And Students With Disabilities: A Mixed-Methods Pilot Study, Samantha Guenther, Anna Huss

Occupational Therapy Capstones

Purpose

This mixed-methods pilot study was conducted to provide insight into the experiences of occupational therapy practitioners and students with disabilities. The focus of this study was to analyze the effect of the Americans with Disabilities Act (ADA) and ADA Amendments Act (ADAAA) on access to reasonable accommodations. The researchers predicted that, although occupational therapy is a profession focused on advocacy for people with disabilities, reasonable accommodations are applied inconsistently for practitioners with disabilities within the OT field.

Methodology

A Qualtrics survey was sent out to occupational therapists with disabilities in order to collect demographic data and select participants for …

Lived Experience Of Individuals Who Had A Disruption In Ability To Drive, Shelby Hoskinson, Graydon Larsen

Occupational Therapy Capstones

Purpose: Driving is both a highly valued occupation within the United States and an occupation that is frequently addressed by occupational therapists. According to the CDC (2017) there are more than 40 million older drivers ages 65 years or older within the United States. There is extensive research pertaining to the value of the occupation of driving as well as evaluation and treatment approaches for the occupation of driving following an injury or illness. While driving is sometimes the best option after an injury or illness, there are situations when returning to driving is not realistic or safe for the …

Sexuality And Spinal Cord Injury: A Manual For Occupational Therapists In The Inpatient Rehabilitation Setting, Courtney Jacobson, Esada Mujcic

Occupational Therapy Capstones

The topic of sexuality has not been addressed in its entirety within the profession of occupational therapy and has been identified by patients as a need in order to receive comprehensive and holistic care (New, Seddon, Redpath, Currie, and Warren, 2016). More specifically, with 12,500 new cases of spinal cord injury (SCI) that occur each year, in addition to the significant impact on body functions that result from SCI, the topic of sexuality needs particular attention with this population (National Spinal Cord Injury Statistical Center, 2015). The purpose of this scholarly project was to create a manual supported by literature …

Road To Recovery: An Online Guide To Prepare Parents Of Children Who Have Sustained A Major Burn Injury For Successful Home And Community Transition, Michelle Jones, Chad Oppegaard

Occupational Therapy Capstones

Children are the most vulnerable population and represent the highest rate of nonfatal burns resulting in prolonged hospitalization, disfigurement, and disability. These injuries can be a severely stressful experience for children and their families. As a result, it is important for the patient and family members to not focus only on immediate treatment, but recognize the importance of long-term care following discharge in order to effectively reintegrate the child back into the home and community.

A literature review was conducted to investigate the key components of burn care throughout the duration of recovery. Research identified that many parents feel helpless, …

Occupational Therapy Resource Guide For The Utilization Of Three-Dimensional Printing, Andrew Ostrander, Jacy Whaley

Occupational Therapy Capstones

Many practitioners in the field of occupational therapy are unaware of the benefits and importance of implementing a three-dimensional (3D) printer in practice indicating that there is a need for occupational therapy involving the fitting, environmental modifications, and training on how to properly use a 3D printed prosthetic within the upper extremity. 3D printing is when a digital design is converted into a designed material that has a functional purpose and different materials can be used including metal, plastics, and composite materials (Thomas & Claypole, 2016). 3D printing has many unique and effective uses like creating adaptive devices, feeding devices, …

An Examination Of Spasticity Of The Lower Extremity Among Young People With Cerebral Palsy, Jordan Nourse

Honors College Theses

Background: Spasticity is the most common symptom among individuals with Cerebral Palsy (CP). Spasticity is often presented as stiff limbs often resulting in pain. Currently, clinicians are limited in diagnosing spasticity using observational tools. The purpose of this study was compare spasticity at various functional levels using dynamometry. Methods: Participants included nine adolescents (12-19) with CP and nine adolescents (age-matched) without CP. The participants participated in passive stretches delivered by the Biodex System 4 Pro Dynamometer at four different speeds (90, 120, 150, and 180 deg/s), Measurements of the quadriceps will be collected before and during passive knee extension stretches …

Alternative Therapies For People With Special Needs: An Emphasis On Animal-Assisted Therapies, Emily Hamilton

Undergraduate Honors Theses

This paper contains research examining the effectiveness of alternative therapies - play therapy, art therapy, music therapy, horticulture therapy, and animal-assisted therapies – in helping various special needs populations. The focus of this research was on animal-assisted therapies that utilized therapy dogs or horses. These therapies provide a plethora of benefits physically, mentally, and psychologically. 11 interviews were conducted with counselors, psychologists, therapy dog owners, and an equine therapy director to further examine the effectiveness of these alternative therapy programs. Each interview presented unique evidence of the positive impact these therapies are having on various populations. All research into these …

Examination Of The Rehabilitation Protocol Of Traumatic Transfemoral Amputees And How To Prevent Bone Mineral Density Loss, Emily R. Jenkinson

Honors Undergraduate Theses

The purpose of this literature review was to identify any adaptations that could be made to the rehabilitation process for Traumatic Transfemoral Amputees. Traumatic Transfemoral Amputation is particularly debilitating with the amputees encountering many obstacles throughout the rehabilitation process. These obstacles can prevent the return to pre-morbid functioning. With an ever-increasing number of amputees within the United States, it is imperative the rehabilitation process be addressed. This literature review addresses possible adjustments in the initial stages of rehabilitation examining the post-operative, pre-prosthetic, and prosthetic rehabilitation stage to enhance the physical functioning for the amputee. This comprehensive literature review encompassing 63 …

Self-Reported Adherence To Physical Activity For Cancer Survivors: An Update From The 2015 Nhis Database, Andrew Jackson Shearer

Theses and Dissertations--Kinesiology and Health Promotion

Cancer is the second leading cause of death in America. It’s been suggested that regular physical activity (PA) can improve health outcomes in cancer survivors. An estimate from BRFSS data (2009) suggested that 47% of all cancer survivors met recommended guidelines and that this estimate was not different from the population at large (48%). Several factors were examined from these BRFSS data to determine whether subgroups of survivors existed who might benefit from interventions aimed at improving their PA status. The purpose of this investigation was to obtain more recent estimates of adherence to established PA guidelines for cancer survivors. …

Age-Related Differences In The Lumbopelvic Kinematics During The Trunk Motions In The Anatomical Planes, Milad Vazirian

Theses and Dissertations--Biomedical Engineering

Management and control of the low back pain as an important health problem in the industrial societies necessitates to investigate how the risk of this disease is affected by aging. Since the abnormalities of the lumbopelvic kinematics are related to the existence or risk of low back injuries, the objective of this dissertation was set to find the age-related differences in lumbopelvic kinematics when performing basic trunk motions reaching to range of motion in different anatomical planes.

A cross-sectional study was designed where sixty asymptomatic individuals between 20–70 years old with no confounding health condition, no current or previous highly …

A Theory Of Veteran Identity, Travis L. Martin

Theses and Dissertations--English

More than 2.6 million troops have deployed in support of the wars in Iraq and Afghanistan. Still, surveys reveal that more than half feel “disconnected” from their civilian counterparts, and this feeling persists despite ongoing efforts, in the academy and elsewhere, to help returning veterans overcome physical and mental wounds, seek an education, and find meaningful ways to contribute to society after taking off the uniform. This dissertation argues that Iraq and Afghanistan War veterans struggle with reassimilation because they lack healthy, complete models of veteran identity to draw upon in their postwar lives, a problem they’re working through collectively …

Longitudinal Adaptations In Muscle Strength, Functional Performance, Gait Biomechanics, And Patient-Reported Function After Unilateral Total Knee Arthroplasty, Paul W. Kline

Theses and Dissertations--Rehabilitation Sciences

Objective: The aims of this research were to identify gaps in the literature related to impairments after total knee arthroplasty (TKA) (Aim 1) and define recovery between 3 and 6 months after TKA across four domains: 1) hip and knee muscle performance, 2) functional performance, 3) patient-reported function, and 4) biomechanics of walking and stair descent (Aim 2). Additionally, this project sought to explore the relationships between each domain (Aim 3) and establish predictive models to allow clinicians to use clinical measures to predict future gait biomechanics in patients after TKA (Aim 4). Ultimately, the results of this research would …

Effect Of A 12-Week Home-Based Neuromuscular Electrical Stimulation Treatment On Clinical Outcomes Following Articular Cartilage Knee Surgery, Caitlin E. Whale Conley

Theses and Dissertations--Rehabilitation Sciences

Articular cartilage defects in the knee are common, and can result in pain, decreased function and decreased quality of life. Untreated defects are considered to be a risk factor for developing osteoarthritis, a progressive degenerative joint disease with minimal treatment options. To address these issues, various surgical procedures are available to treat articular cartilage defects in the knee. While these procedures overall have positive results, after surgery patients experience large and persistent deficits in quadriceps strength. A contributing factor to this post-surgical weakness is believed to be the extended post-operative non-weight bearing period, with full weight bearing not initiated until …

A Grounded Theory Study Of Maternal Engagement Of Low Income, Young Rural Mothers In Home-Based, Early Intervention Services, Elaine K. Fehringer

Theses and Dissertations--Rehabilitation Sciences

Home-based, early intervention programs as a preferred delivery model are widely endorsed, heavily funded and highly utilized as prevention and remediation initiatives for families with young children (Eckenrode, et al., 2010; Karoly, Killion, & Cannon, 2005). Of concern, is that while an estimated 40 billion dollars are spent annually between federally funded programs and private foundations, a significant number of families disengage from services before the end of a child’s eligibility period (Stevens, Ammerman, Putnam, Gannon, & van Ginkel, 2005). Several meta-analyses indicate only modest effectiveness of home-based services (Tandon, et al., 2008). It is estimated that well over 500,000 …

The Relationship Between Selective Attention And Global Coherence In Narrative Discourse Following Right Hemisphere Stroke, Katherine Mccomas Maddy

Theses and Dissertations--Rehabilitation Sciences

Stroke is the leading cause of serious, long-term disability and nearly half of older stroke survivors experience moderate to severe disability. A common impairment following stroke is impaired discourse production. Functional outcome studies have proposed that the recovery of discourse abilities is critical to achieving a good quality of life. Communication impairments often persist into the chronic stages of recovery and can cause individuals to withdraw from social situations. Discourse production deficits may not be apparent in basic communication interactions, but become more obvious during complex conversations following non-aphasic brain injury (NABI) or right hemisphere stroke (RHD). The purpose of …

Physical Therapist Students’ Development Of Diagnostic Reasoning: A Longitudinal Study, Sarah Gilliland

Physical Therapy Faculty Articles and Research

Background and Purpose. Clinical reasoning is a complex problem-solving process that is necessary for effective clinical practice in physical therapy. Within the process of clinical reasoning, a physical therapist’s diagnostic reasoning should address the patient’s functional movement abilities and the impact of the patient’s condition on his or her ability to participate in life activities. This longitudinal study examined the development of entry-level physical therapist students’ diagnostic reasoning processes across time in their doctor of physical therapy education.

Methods. Qualitative methods were used to analyze participants’ diagnostic reasoning during a simulated patient case scenario. Six physical therapist students …