Rehabilitation and Therapy Commons^™

Evolution Of Occupational Therapy Practice: Life History Of Janeene Sibla Otd, Otr/L, Sara Anderson, Colter Pettit

Oral History Student Papers

Objective: The purpose of this life history of Janeene Sibla was to provide current and future occupational therapist an overview of her journey as an occupational therapist in North Dakota. This life history also looks at the historical events that influenced the occupational therapy profession and Janeene. This life history was one of 31 done for a course at the University of North Dakota.

Method: The project directors reached out to occupational therapists and certified occupational therapy assistants in North Dakota and Wyoming. Janeene was assigned by the project directors to the researchers. A semi-structured recorded phone interview that lasted …

Evolution Of Occupational Therapy Practice: Life History Of Jan Nelson, Otr/L, Ma, Jessica Anderson, Reghan Boldt

Oral History Student Papers

Objective. The purpose of this qualitative study was to gather information about the history and evolution of occupational therapy (OT) practice, guided by the Kawa Model. The life history of Jan Nelson was one of 31 life history interviews conducted apart of a larger project of Life Histories of Individuals Who Have Been Influential in Developing Occupational Therapy in North Dakota and Wyoming.

Method. An hour and a half semi-structured interview was completed with Jan Nelson and two OT student researchers. From the interview data, the student researchers created themes that were meaningful to Jan Nelson’s life and OT career. …

Evolution Of Occupational Therapy Practice: Life History Of Diane Mccormack, Ms, Otr/L, Karen Jaspers, Alyssa Turner-Strong

Oral History Posters

This is one of 31 life history interviews which are 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 about 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. This study is intended to provide current and future generations of occupational therapists a view of the history and how occupational therapy practice has evolved from its …

Evolution Of Occupational Therapy Practice: Life History Of Sue Hamilton, Cota/L, Karlie Marler, Meagan Flom

Oral History Posters

This life history one of 31 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 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. It is anticipated that the life history process will be a powerful way to gather this information. This study is intended to provide current and …

Conservative Treatment Of A 58 Year-Old Male Referred To Physical Therapy With A Knee Sprain And Knee Osteoarthritis, Chase Pruitt

Physical Therapy Scholarly Projects

Background and Purpose: Knee osteoarthritis (OA) is a common condition in people over 50. Although there may be an association between acute knee injuries and knee OA later in life, the occurrence of acute knee injuries in patients with existing OA is less clear. The purpose of this case study is to evaluate the effectiveness of an impairment based therapy program in an individual with an acute knee injury and knee OA.

Case Description: This case follows a 57 year old male referred to physical therapy with an acute knee sprain and tri-compartmental knee OA. Treatment lasted 7 sessions …

A Case Report: Outpatient Physical Therapy Treatment Of A Patient With Unilateral Medial And Posterior Knee Pain And Osteoarthritis, Joseph T. Griffin

Physical Therapy Scholarly Projects

Background & purpose: Meniscus tears are commonly considered to be associated with a traumatic event, but the degenerative nature of osteoarthritis can also damage the cartilage. As meniscal tears are a common orthopedic pathology, choosing the correct treatment can be difficult and involve several factors. Current treatment options include partial or total meniscectomy, meniscal repair, or conservative management. There is growing research supporting the effectiveness in non-operative management of degenerative meniscal tears (DMT). The purpose of this case report was to investigate the non-operative management of a 47-year-old male with a unilateral DMT combined with osteoarthritis.

Case description: …

Physical Therapy Intervention In A Patient With West Nile Meningitis: A Case Approach, Kelsie Gunnufson

Physical Therapy Scholarly Projects

Background and Purpose. West Nile Virus (WNV) is a neurotropic virus capable of causing damage of varying severity. WNV is commonly transmitted to humans from mosquitoes and is most prevalent in the months of August and September due to the method of transmission. The WNV can produce mild systemic symptoms classified as West Nile Fever (WNF). However, it can progress and infiltrate the nervous system, at which point the virus is categorized as neuroinvasive. One classification is West Nile Meningitis (WNM) that involves infection and inflammation of the meninges or coverings surrounding the brain and spinal cord. There is …

Collaboration Of Music Therapy And Physical Therapy: A Case Study For Treatment Of A Patient With Chronic Stroke, Matthew Aymond, Michelle Sanders

Physical Therapy Scholarly Projects

Background and Purpose: Stroke is one of the leading causes of death in the United States and can cause severe, debilitating, and lasting effects. Although a fair amount of research has been performed on treatment of individuals following a stroke, few studies exist looking at the collaborative efforts of physical therapy and music therapy.

Case Description: This case follows the 13-week interdisciplinary care of an 83-year old female patient with chronic impairments following a cerebrovascular accident suffered approximately 2 years prior.

Interventions: Following an initial evaluation, the patient performed 11 one-hour treatment sessions over an 11-week period. …

The Effect Of Socket Tightness In Femur Stability In A Hifi Socket, Mary Bachman, Alicia Beckel, Amanda Belyaks

Physical Therapy Scholarly Projects

Background and Purpose: The introduction of the High-Fidelity (HiFi) interface was developed to help increase the intimacy of the prosthetic interface by using a series of alternating zones of tissue compression and release. The purpose of this study was to utilize motion analysis to measure the stability of the femur in individuals with trans-femoral amputation that utilize the HiFi socket for ambulation.

Methods: The subject was a 62 year old Caucasian female. She had a trans-femoral amputation 35 years prior due to a diagnosis of cancer located in the bone of her femur. Data collection was done with …

Association Of Generalized Joint Hypermobility And The Occurrence Of Musculoskeletal Work-Related Injury In The First Zero To Five Years Of Physical Therapy Practice: A Pilot Study, Mikelle Fetsch, Ashley Naas, Amanda Slaikeu

Physical Therapy Scholarly Projects

Background: Previous research has shown that there is greater prevalence of work-related injuries for Physical Therapists in their early years of practice. However, little evidence has focused on the correlation with the high physical strain and stress of the job to the rate of injury occurrence. Hypermobility has also been researched in regards to an increased risk of sustaining an injury, but no correlation has been found between hypermobility and work-related injury in Physical Therapists.

Purpose: The purpose of this study was to determine if there is a correlation between hypermobility and work-related injury occurrence in the first …

Factor Structure And Gender Invariance Testing For The Sport Anxiety Scale-2 (Sas-2), Leilani Madrigal, Vincenzo Roma, Todd Caze, Arthur C. Maerlender, Debra Hope

Center for Brain, Biology, and Behavior: Faculty Publications

This study aimed to provide further psychometric validation of the Sport Anxiety Scale-2 (SAS-2) by assessing the factor structure, invariance across gender, and convergent and divergent validity of the SAS-2 by correlating both related (i.e., anxiety sensitivity, brief fear of negative evaluation, intolerance of uncertainty, and negative affect) and unrelated constructs (i.e., positive affect, self-confidence). A total of 542 current and former competitive athletes completed a questionnaire through Amazon’s Mechanical Turk system. All data were collected via online survey. Participants were randomly assigned to an exploratory factor analysis (n = 271) and confirmatory factor analysis group (n = 271). Results …

Accumulating Data To Optimally Predict Obesity Treatment (Adopt): Recommendations From The Biological Domain, Michael Rosenbaum, Tanya Agurs-Collins, Molly S. Bray, Kevin D. Hall, Mark Hopkins, Maren Laughlin, Paul S. Maclean, Padma Maruvada, Cary R. Savage, Dana M. Small, Luke Stoeckel

Center for Brain, Biology, and Behavior: Faculty Publications

Background: The responses to behavioral, pharmacological, or surgical obesity treatments are highly individualized. The Accumulating Data to Optimally Predict obesity Treatment (ADOPT) project provides a framework for how obesity researchers, working collectively, can generate the evidence base needed to guide the development of tailored, and potentially more effective, strategies for obesity treatment. Objectives: The objective of the ADOPT biological domain subgroup is to create a list of high-priority biological measures for weight-loss studies that will advance the understanding of individual variability in response to adult obesity treatments. This list includes measures of body composition, energy homeostasis (energy intake and output), …

Left Lateralized Cerebral Glucose Metabolism Declines In Amyloid-Β Positive Persons With Mild Cognitive Impairment, Christopher M. Weise, Kewei Chen, Yinghua Chen, Xiaoying Kuang, Cary R. Savage, Eric M. Reiman

Center for Brain, Biology, and Behavior: Faculty Publications

Background: Previous publications indicate that Alzheimer's Disease (AD) related cortical atrophy may develop in asymmetric patterns, with accentuation of the left hemisphere. Since fluorodeoxyglucose positron emission tomography (FDG PET) measurements of the regional cerebral metabolic rate of glucose (rCMRgl) provide a sensitive and specific marker of neurodegenerative disease progression, we sought to investigate the longitudinal pattern of rCMRgl in amyloid-positive persons with mild cognitive impairment (MCI) and dementia, hypothesizing asymmetric declines of cerebral glucose metabolism. Methods: Using florbetapir PET and cerebrospinal fluid (CSF) measures to define amyloid-β (Aβ) positivity, 40 Aβ negative (Aβ-) cognitively unimpaired controls (CU; 76 ± 5y), …

Novel Biomarkers Of Physical Activity Maintenance In Midlife Women: Preliminary Investigation, Kelly A. Bosak, Vlad B. Papa, Morgan G. Brucks, Cary R. Savage, Joseph E. Donnelly, Laura E. Martin

Center for Brain, Biology, and Behavior: Faculty Publications

The precision health initiative is leading the discovery of novel biomarkers as important indicators of biological processes or responses to behavior, such as physical activity. Neural biomarkers identified by magnetic resonance imaging (MRI) hold promise to inform future research, and ultimately, for transfer to the clinical setting to optimize health outcomes. This study investigated resting-state and functional brain biomarkers between midlife women who were maintaining physical activity in accordance with the current national guidelines and previously acquired age-matched sedentary controls. Approval was obtained from the Human Subjects Committee. Participants included nondiabetic, healthy weight to overweight (body mass index 19–29.9 kg/m …

Structural And Functional Brain Imaging In Acute Hiv, Vishal Samboju, Carissa Philippi, Phillip Chan, Yann Cobigo, James Fletcher, Merlin Robb, Merlin Robb, Joanna Hellmuth, Khunthalee Benjapornpong, Netsiri Dumrongpisutikul, Mantana Pothisri, Robert Paul, Jintanat Ananworanich, Serena Spudich, Victor Valcour, Rv Teams

Psychology Faculty Works

Background:HIV RNA is identified in cerebrospinalfluid (CSF) within eightdays of estimated viral exposure. Neurological findings and impaired neuropsychological testing performance are documented in a subset of individuals with acuteHIV infection (AHI). The purpose of this study was to determine whether microstructural white matter and resting-state functional connectivity (rsFC) are disruptedin AHI.Methods:We examined 49 AHI (100% male; mean age = 30 ± SD 9.9) and 23 HIV-uninfected Thai participants (78% male; age = 30 ± 5.5) with diffusion tensor imaging (DTI) and rsFC acquired at 3 Tesla, and four neuropsychological tests (summarized as NPZ-4). MRI for the AHI group was performed …

Effects Of Walking Poles On Posture And Gait, Kate Darnell, Tatum Hall, Sadie Hefta, Jessica Lynch, Jenna Sagedahl, Nicole Salfer

Physical Therapy Scholarly Projects

INTRODUCTION: Walking poles have become increasingly popular not only as a tool for exercising, but also as an assistive device. Physical Therapists use them to assist patients with balance during ambulation. PURPOSE: The purpose of this study is to look at the effects of walking poles on gait speed and posture. METHODS: This study included 60 community ambulators between 21-74 years old (19 males and 41 females), seen for a single session. Participants were fitted for walking poles and given a 3-minute warm-up period to become comfortable with them. A 10 Meter Walk Test (10 MWT) was …

Tbi Stac Procedures: Touchscreen Tablet-Based Cognitive Assessment Versus Paper-Based Assessments For Traumatic Brain Injury, Sarah E. Wallace Ccc-Slp, Elena V. Donoso Brown Otr/L, James B. Schreiber Ph.D., Sarah Diehl M.S., Cf-Slp, Joanne Kinney M.S., Ccc-Slp, Lani Zangara M.S., Otr/L

Speech-Language Pathology Faculty Scholarship

No abstract provided.

Influence Of A Post-­Graduate Physical Therapy Residency Program On Clinical Reasoning, Professional Development, And Career Advancement In Nairobi, Kenya, Shala Cunningham

Department of Physical Therapy Student Theses, Dissertations and Capstones

Problem Statement

Residency programs that emphasize clinical reasoning and manual therapy can provide a means to optimize the outcomes of physical therapy without the need for or access to expensive equipment. The residency format of continuing education could allow physical therapists in developing countries access to specialty training and ongoing mentorship. However, there are limited studies that investigate the influence of residency training on the progression of clinical reasoning, professional development, and career advancement.

Purpose

The purpose of this study was threefold. The first objective was to describe the outcome of a post-graduate orthopaedic manual therapy residency program on development …

Impact Of An Exercise Program On Stress, Fatigue, And Quality Of Life For Individuals Living With Primary Immunodeficiency Disease, Kerri Sowers

Department of Physical Therapy Student Theses, Dissertations and Capstones

Background: There are over 300 Primary Immunodeficiency diseases (PID) that are a result of a genetic or idiopathic dysfunction of any aspect of the immune system. These conditions result in a higher frequency of infections, autoimmune conditions, or malignancies. Moderate intensity exercise is thought to help the immune system, while high intensity exercise may have a negative impact on immune function. The impact of exercise on individuals with an impaired immune system due to PID is not yet understood. Purpose: The purpose of this study was to investigate whether a low to moderate intensity exercise program would have an effect …

Physical Therapists’ Beliefs About Preparation To Work In Special Care Nurseries And Neonatal Intensive Care Units, Joyce Lammers

Department of Physical Therapy Student Theses, Dissertations and Capstones

BACKGROUND: Physical therapists (PTs) may care for full-term or premature newborns in all levels of hospital nurseries. There is some endorsement in the published physical therapy literature for restricting practice in the nursery setting to only those PTs with specialized training.1-4 PURPOSE: The purpose of this study was to understand the experiences of becoming and being a physical therapist in a special care nursery (SCN) or neonatal intensive care unit (NICU) from the therapists’ perspective. METHODS: The participants were physical therapists who have practiced in a SCN or NICU in the United States. A phenomenological approach was used and data …

Relationship Between Rehabilitative Ultrasound Imaging And The Modified Prone Straight Leg Raise Test To Identify Multifidus Weakness, Mitchell T. Maione

Department of Physical Therapy Student Theses, Dissertations and Capstones

Background: Low back pain (LBP) is often associated with lumbar spinal instability (LSI). The multifidus muscle is considered a stabilizer of the spine and has been studied extensively with Rehabilitative Ultrasound Imaging (RUSI). There may be a relationshipbetween clinical signs of LSI, decreased cross-sectional area (CSA) of the multifidus and weakness. Having the ability to detect multifidus weakness without the use of RUSI may serve to be invaluable to the clinician in detecting multifidus weakness.Purpose: To investigate the relationship between the modified prone straight leg raise test (MPSLR) and CSA of the multifidusmuscle as measured by RUSI and to investigate …

Training Appalachian, Hospital-Based Occupational Therapists On The Use Of Standardized, Occupation-Based Outcome Measures And Treatment Concepts For Traumatic Upper Extremity Injuries: A Pilot Program, Donald G. Pitts

Occupational Therapy Doctorate Capstone Projects

Executive Summary

Background. Traumatic injuries to the upper extremity, such as crush injuries, tendon lacerations, burns, and amputations, are common and may result in missed work, decreased independence in activities of daily living, and decreased the quality of life. In urban areas, traumatic upper extremity injuries are often treated by a Certified Hand Therapist (CHT), who is an occupational or physical therapist with specialized training who has passed a national certification examination. In the Appalachian region of Kentucky, people with traumatic hand injuries are most likely to be treated in a hospital-based outpatient orthopedic setting that is primarily staffed with …

Understanding Parkinson’S Through Visual Narratives: “I’M Not Mrs. Parkinson’S”, S. G. Lutz, Jeffrey D. Holmes, D. Rudman, A. M. Johnson, K. Ladonna, M. E. Jenkins

Occupational Therapy Publications

Although it is accepted that individuals with Parkinson’s disease (PD) must navigate challenges such as receiving their diagnosis, and changing daily occupations, little is known about how they navigate. The purpose of this study is to deepen the current understanding of the experience of living with PD and its implications for occupation through a narrative visual methodology (photo-elicitation). Methods: Six individuals with PD were asked to take photographs and share verbal narrative accounts to illustrate their experience of living with PD. Findings: Results highlight the interrelationship between occupation and identity, as many of the participants stories were interpreted as foregrounding …

Expanding Beyond Individualism: Engaging Critical Perspectives On Occupation., Alison J Gerlach, Gail Teachman, Debbie Rudman, Rebecca M Aldrich, Suzanne Huot

Occupational Therapy Publications

BACKGROUND: Perspectives that individualize occupation are poorly aligned with socially responsive and transformative occupation-focused research, education, and practice. Their predominant use in occupational therapy risks the perpetuation, rather than resolution, of occupational inequities.

AIM: In this paper, we problematize taken-for-granted individualistic analyses of occupation and illustrate how critical theoretical perspectives can reveal the ways in which structural factors beyond an individual's immediate control and environment shape occupational possibilities and occupational engagement.

METHOD: Using a critically reflexive approach, we draw on three distinct qualitative research studies to examine the potential of critical theorizing for expanding beyond a reliance on individualistic analyses …

Mathematical Abilities In Children With Developmental Language Disorder, Alexandra M. Cross, Lisa M.D. Archibald, Marc F. Joanisse

Health and Rehabilitation Sciences Publications

Purpose. The present paper provides a scoping review of the literature on mathematical abilities in developmental language disorder (DLD). Children with DLD typically struggle with learning in school, however the mechanism by which DLD impacts academic success is unclear. Mathematics involves demands in the multiple domains, and therefore holds potential for examining the relationship between language and academic performance on tasks mediated by verbal and non-verbal demands.

Methods. A scoping review was performed via computerized database searching to examine literature on mathematics and DLD. The 21 papers meeting inclusion criteria compared children with typical development or DLD on various tasks …

Interrelationships Of Functional Status And Health Conditions In Children With Cerebral Palsy: A Descriptive Study., Doreen Bartlett, Emily Dyszuk, Barbara Galuppi, Jan Willem Gorter

Physical Therapy Publications

PURPOSE: To examine the relationship among the Gross Motor Function Classification System (GMFCS), the Manual Ability Classification System (MACS), and the Communication Function Classification System (CFCS) in children with cerebral palsy (CP) and to determine the average number and effect of health conditions.

METHODS: Participants were 671 children with CP aged 2 to 12 years from Canada and the United States. Cross-tabulation of functional classifications and averages were computed for the number and impact of health conditions and comparisons among groups.

RESULTS: A total of 78 of the 125 possible classification combinations were recorded. Most frequent were GMFCS I, MACS …

Physical Rehabilitation Interventions In The Intensive Care Unit: A Scoping Review Of 117 Studies., Julie C Reid, Janelle Unger, Devin Mccaskell, Laura Childerhose, David J Zorko, Michelle E Kho

Physical Therapy Publications

BACKGROUND: Physical rehabilitation (PR) interventions in the intensive care unit (ICU) can improve patients' functional outcomes, yet systematic reviews identified discordant effects and poor reporting. We conducted a scoping review to determine the extent of ICU PR interventions and how they were reported and measured.

METHODS: We searched five databases from inception to December 2016 for prospective studies evaluating adult ICU PR interventions. Two independent reviewers screened titles, abstracts, and full texts for inclusion. We assessed completeness of reporting using the Consolidated Standards of Reporting Trials, Strengthening the Reporting of Observational Studies in Epidemiology, or Standards for Quality Improvement Reporting …

A Pilot Experimental Study Of Adding The Copm To The Occupational Therapy Evaluation Process In The Swing-Bed Division Of A Rural Hospital Setting, Sarah T. Durbin Ms.

Occupational Therapy Doctorate Capstone Projects

Background: Extensive evidence is available on the efficacy of occupation-based practice for improving patient outcomes in hospital settings. There were no studies that took place specifically in the swing-bed division of rural hospital settings regarding occupation-based practice prior to the implementation of this study. Purpose: This study sought to determine whether the addition of the COPM would increase occupational performance and patient satisfaction for individuals treated in the swing-bed division of a rural hospital setting. Theoretical Framework: The Canadian Model of Occupational Performance and Engagement is the primary theory supporting this study, due to the emphasis placed on client-centeredness, spirituality, …

The Impact Of Interactive Education On Caregivers Caring For Individuals With Dementia, Lisa K. Hong

Occupational Therapy Doctorate Capstone Projects

Background: Alzheimer’s disease and related dementias are becoming more prevalent and individuals with the disease requiring much physically and emotionally from caregivers. As caregivers are often thrust unprepared into their roles, the need for quality education becomes increasingly important.

Purpose: The purpose of this study was to identify changes in caregiver perception after participation in an interactive educational program. The following research questions were used: 1) What is the perception of both professional and family caregivers about their ability to provide care following an interactive education program for dementia care? 2) Does an education program change the caregiver’s general knowledge …

Critically Appraised Paper For “Adaptive Vs. Non-Adaptive Cognitive Training By Means Of A Personalized App: A Randomized Trial In People With Multiple Sclerosis.”, Kevin Ng, Jeffrey Kou, Patricia Lyons, Yvonne Lam, America Ortega, Kitsum Li

Occupational Therapy | Critically Appraised Papers Series

Multiple sclerosis (MS) is a condition that causes cognitive and physical fatigue, which can slow cognitive processing speed (CPS). Slow CPS affects occupational engagement. Evidence suggests that physical activity can be used as an intervention to address and manage slowed CPS in MS. This Level I randomized controlled trial (RCT) examined the impact of a physical-activity behavioral intervention on CPS and walking performance among people with mild to moderate MS.

Seventy-six participants with mild to moderate MS participated in the study for 6 months. The participants were split into two groups, the intervention group and the wait-list control group. In …