Rehabilitation and Therapy Commons^™

Patient Perceptions Of Acute Phases Of Rehabilitation Following Shoulder Arthroplasty, Elizabeth Horrall Stith, Lisa Borrero, Laura Santurri, Lori Breeden, Sarah Shemanski

The Open Journal of Occupational Therapy

Background: Shoulder arthroplasty is a common procedure, but a lack of research regarding recovery and rehabilitation limits occupational therapists from providing appropriate education and support. The purpose of this study was to explore and understand the patient’s experiences in the acute recovery phase following shoulder arthroplasty.

Method: Twelve participants completed three semi-structured interviews in the first 6 weeks following surgery. A basic-interpretive approach was used before coding interview transcriptions into categories.

Results: The participants initially reported increased reliance on assistance and/or modifications in ADLs routines, such as dressing, bathing, and sleep. Interruption in sleep was reported because …

Development Of The Occupational Performance Inventory Of Sexuality And Intimacy (Opisi): Phase One, Beth Ann Walker, Kasey Otte, Kelsey Lemond, Pamela Hess, Kandyse Kaizer, Tori Faulkner, Davis Christy

The Open Journal of Occupational Therapy

Background: The occupational therapy profession needs a framework to guide understanding of the occupational nature of sexuality and intimacy, assessment, intervention design, and measurement of outcomes. This study aimed to define the occupational nature of sexuality and intimacy and develop a theoretical and occupation-based screen, in-depth self-assessment, and performance measure.

Method: The Occupational Performance Inventory of Sexuality and Intimacy (OPISI) was developed following DeVellis’s (2017) guidelines for scale development that involved mapping the construct, generating an item pool, determining the format for measurement, and reviewing the initial item pool.

Results: The Occupational Therapy Sexual Assessment Framework (OTSAF) was developed to …

Assessing Unmet Needs Of Caregivers After Stroke: Occupational Therapist Practices And Perspectives, Deborah R. Clymer, Hadley A. Fields, Kathy Kniepmann

The Open Journal of Occupational Therapy

Background: Family caregivers of stroke survivors often feel unprepared and overwhelmed post discharge with numerous unmet needs. Occupational therapists can play an integral role in addressing family caregivers’ needs. Limited research exists on assessment practices of occupational therapists in identifying caregivers’ needs poststroke. This study explores the practices and perspectives of occupational therapists in assessing unmet caregivers’ needs.

Method: A cross-sectional, mixed methods research design was used to electronically survey 15 occupational therapists. Part 1 of the survey explored participant methods for identifying caregivers’ needs and their views on using formal caregiver assessment tools. Part 2 gathered participant perspectives on …

Pilot Study Of The Just Right Challenge Feeding Protocol For Treatment Of Food Selectivity In Children, Michelle A. Suarez, Elsie Bush

The Open Journal of Occupational Therapy

Background. This pilot study investigated the Just Right Challenge Feeding Protocol, a multicomponent treatment protocol for food selectivity that combines escape extinction, positive reinforcement, and systematic desensitization.

Method. This study used a single-subject, multiple-baseline-across-participants design to investigate whether treatment produced increases in the food inventories for seven children. All of the children in the study started with parent report of fewer than 15 foods in their dietary repertoire. A sensory profile for each child provided information for treatment planning and interpretation of the results of the study.

Results. Five out of the seven children accepted significantly more …

A Survey Of Occupational Therapy Services Provided For Adults With Autism Spectrum Disorder, Alisha Ohl, David Schelly, Dustin Brown, Nette Schulze, Maria Smith, Beth Davies

The Open Journal of Occupational Therapy

Background: We examined the services provided to adults with autism spectrum disorder (ASD) by occupational therapists across the United States.

Method: This cross-sectional study used an online survey, with a combination of structured and open-ended questions, to collect data from a nonprobability sample. Descriptive, inferential, and nonparametric statistics were used to analyze data.

Results: In our sample (N= 57), the majority of the participants spent less than half of their workweek intervening with the adult ASD population. Caregivers were instrumental in both referral and discharge, and Medicaid was the most common payer source. The Adult …

Exploring How Older People Living At Home Alone Occupy Their Time – A Time-Geographic Study, Alison Wicks, Megan Blanchard, Ingeborg Nilsson

The Open Journal of Occupational Therapy

Background: Knowing what older people choose to do with their time informs occupational therapists in their everyday practice. This study explored how sixteen older Australians living at home alone without support occupied their time.

Method: People aged 70 years and older living alone in one’s home and receiving no support services were voluntary recruited. The participants completed time-use diaries for 5 days and recorded how, with whom, and where they spent time. Data were coded and analyzed using the software program Vardagen.

Results: The participants reported 217 different daily activities. While patterns of daily participation varied, all …

Effectiveness Of A Multimodal Mindfulness Program For Student Health Care Professionals: A Randomized Controlled Trial, Sharon A. Gutman, Martha Sliwinski, Justin Laird, Jennifer Nguyen

The Open Journal of Occupational Therapy

Background: The effectiveness of a multimodal mindfulness program incorporating traditional and nontraditional forms of active and nonactive meditation practices with a sample of occupational and physical therapy students was assessed in this study.

Method: Thirty-six participants were randomly assigned to an intervention or control group. The 8-week mindfulness program consisted of one weekly 40-min in-person group session and four weekly 10-min online guided meditations. Pre and postintervention measures included the Perceived Stress Scale (PSS), Student Stress Management Scale (SSMS), mindfulness activity log, open-ended qualitative questionnaire, GPA, and counseling visit frequency.

Results: Statistically significant differences, with large effect …

How To Be A Good Peer Reviewer, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.

Pediatric Feeding Therapy At It's Finest: A Comprehensive Approach, Shelby Anderson

OTD Capstone Projects

The focus of this Experiential Component Project was to improve the processes and outcomes of a pediatric feeding therapy program at Sprocket Therapy Solutions, an outpatient pediatric therapy clinic located in Nashville, TN.

Advancing The Scientific Understanding Of Spiritual Care For Trauma In Combat Veterans And First Responders, Megan Broecker

OTD Capstone Projects

REBOOT Recovery is an organization that serves military service members, first responders, and their families through a 12-week faith-based trauma healing course. REBOOT is data driven and is continuously researching the short term and long term effects of the program on its participants. The purpose of this capstone project was to support REBOOT's past and current research studies and to develop content for all types of trauma incurred by the general population.

Increasing Employment Success: Helping Adults With Intellectual And Developmental Disabilities At Friends Life Improve Job Readiness Skills, Madeleine Ruff

OTD Capstone Projects

This poster discusses a class developed for adults with developmental disabilities that focuses on job readiness skills and successful employment within the community. The class focuses on three different sections including job exploration, preparing to get a job and maintaining employment. Each section includes resources such as worksheets, visuals & activities that are appropriate for varying cognitive levels of the friends to facilitate participation in each section. At the end of the class, the adults at Friends Life will have identified job interests, developed personal resume/vision statements and learned about appropriate behaviors to display at both interviews and employment site.

Implementation Of The Pediatric Evaluation Of Disability Inventory (Pedi-Cat) With Equine Assisted Activity And Therapy Participants, Tori Hendricks

OTD Capstone Projects

This pilot study aimed to determine whether the implementation of the PEDI-CAT assessment could be used to measure functional outcomes in equine assisted activities and therapies. 92 parents/caregivers of riders completed the assessment for the first time, while 12 parents/caregivers of riders completed it for the second time. When comparing pre and post assessments of riders, the 11/12 riders had a raw score increase. This change suggests that the PEDI-CAT assessment can in fact measure factors that affect overall quality of life, such as improvement in communication, motor skills, ADLs, and socialization in equine assisted activities and therapies.

Development And Implementation Of Employment And Housing Power Week Curriculum For Next Steps, Kelli Mcclintock

OTD Capstone Projects

Room In the Inn is a homeless resource center located in downtown Nashville, TN. There is a need for additional programming to the existing Employment and Housing Power Week curriculums in order to facilitate more participants towards employment and permanent housing. There is also a need for a universal, intake questionnaire that can be used by all staff members with their respective groups in order to identify the needs and wants of participants.

Efficacy And Caregiver Perceptions Of Child Passenger Safety Device Interventions For Behavioral And Postural Deficits, Michaela Isenberg

OTD Capstone Projects

Purpose: The purpose of this project was to develop a research design for the Special Needs Mobility Program at the Monroe Carell Jr. Children’s Hospital at Vanderbilt Rehabilitation Services One Hundred Oaks (MCJCHV).

Outcomes: A research design was developed that could be carried out by the Special Needs Mobility Program, concerning the transportation of children with special healthcare needs. After a written review of the related literature was completed and the research design was developed, all paperwork associated with submission to the International Review Board for Vanderbilt was completed, which included surveys that were designed as outcome measures for the …

"Mommy & Me" Constraint Therapy At Monroe Carell Jr. Children's Hospital At Vanderbilt, Logan Herndon

OTD Capstone Projects

Goals Of Experiential Component

• Develop advanced skills in clinical excellence, program development, leadership, and advocacy

• Provide resources for Vanderbilt to implement a CIMT program in the future

• Enact change in the Nashville community that benefits others through care, service, and social responsibilit

Promoting Physical Activity & Social Participation In Young Adults With Idd With Best Buddies, Belmont Chapter, Courtney Janusz

OTD Capstone Projects

Best Buddies is the largest international organization dedicated to end social, physical, and economic isolation among individuals with intellectual and developmental disabilities. Alongside of the Belmont Best Buddies president, we assessed the club’s specific needs and developed a sustainable field-day like event to promote engagement in physical activity and social participation. Much of the research found revolved around a lack of ability to engage and participate in these kinds of activities, which resulted in poor overall physical health. Also, research stated that participation in activities (similar to the one we want to create) is the context in which we form …

Aota Continuing Education: Occupational Therapy’S Role In Addressing Sexuality And Intimacy, Tiffany E. Lee, Jacqueline M. Marquez

OTD Capstone Projects

The purpose of this capstone project was to create a continuing education course for the American Occupational Therapy Association (AOTA) on the topic of OT’s role in addressing sexuality and intimacy. The topic of sexuality and intimacy is often under-addressed by healthcare professionals, despite its importance to clients. According to the Occupational Therapy Practice Framework, engagement in sexual activity is not only an ADL, but can be a key aspect of social participation in the context of familial and peer/ friend roles. Therefore, it is well within OT’s scope of practice to address sexuality and intimacy with clients. However, there …

Let's Talk About The Birds And The Bees: A Framework For Providing Sexual Education In Special Education, Heather Cowden

MOT Student Capstones

Background: Studies have shown that individuals with intellectual and developmental disabilities are anywhere from three to seven times more likely to be sexual abused. These individuals are also more likely to be victims of bullying and may display maladaptive sexual behaviors due to their lack of sexual health knowledge. While provision of sexual health education has been shown to have many benefits including helping to decrease bullying and increase academic success, many students in special education, especially those with intellectual and developmental disabilities, receiving little to no sexual education. This capstone project is aimed to raise awareness for the need …

Aquatic Therapy Interventions And Disability: A Recreational Therapy Perspective, Jason Scott, Angela Wozencroft, Vincenzo Nocera, Kelsey Webb, Jodi Anderson, Avery Blankenburg, Darrien Watson, Sophie Lowe

International Journal of Aquatic Research and Education

Aquatic therapy interventions are critical for individuals with disabilities and the role of the therapist is just as critical for successful and effective interventions. The field of therapeutic recreation trains students to develop and implement evidence-based facilitation techniques including the use of aquatic therapy to assist in helping clients achieve a change in functional status. This review of the literature examined the impact of aquatic therapy interventions on a variety of disabilities including osteoarthritis, multiple sclerosis, Cerebral palsy, autism spectrum disorder, and mental health from a recreational therapy (RT) perspective. This review provides a variety of information on the positive …

An Ergonomic Assessment Of Healthcare Rehabilitation Workers, William Shepherd, Laramie Locke, Katherine Archibong

Scholars Week

Patient handling is a common task within the healthcare industry. Rehabilitation Therapists (RTs) and Rehabilitation Therapist Assistants (RTAs) report a significantly high incidence rate of low-back injuries and other musculoskeletal disorders (MSDs). The purpose of this study was to characterize the ergonomic risks associated with patient transfers and assisted gait therapy. Exposure to ergonomic risk factors were assessed using the Strain Index (SI), Rapid Entire Body Assessment (REBA), and 3-Dimensional Static Strength Prediction Program (3DSSPP). Subjects included three RTs and one RTA at a local assisted living and rehabilitation healthcare facility. Preliminary results indicate a high risk of developing MSDs …

Walking Kinematics In Young Children With Limb Loss Using Early Versus Traditional Prosthetic Knee Prescription Protocols, Mark Daniel Geil, Zahra Safaeepour, Brian Giavedoni, Colleen Coulter

Faculty Articles

The traditional treatment protocol for young children with congenital or acquired amputations at or proximal to the knee prescribes a prosthesis without a working knee joint, based in part on the assumption that a child learning to walk cannot properly utilize a passively flexing prosthetic knee component. An alternative to this Traditional Knee (TK) protocol is an “Early Knee” (EK) protocol, which prescribes an articulating prosthetic knee in the child’s first prosthesis, during development of crawling and transitioning into and out of upright positions. To date, no study has compared samples of children with limb loss at or proximal to …

Effectiveness Of An Intensive Drowning Prevention Program And Skills Retention By Children With And Without Disabilities, Anna L. Forde Otd, Otr/L, Ctrs, Emily A. Zeman Otd, Ms, Otr/L, Lynn Clarke

International Journal of Aquatic Research and Education

This study examined the effectiveness of a drowning prevention program and the retention of swimming and water safety skills for 3-14 year-old children with and without disabilities. The intensive program, SWIM Central, used a top-down approach to teach 6 swimming and water safety skills during 10, 30-minute sessions. A post-participation parent survey results suggested that children ages 3-14 with and without disabilities who had previously participated in SWIM Central retained swimming and water safety skills to a similar degree. The current swim skill assessments showed that there was not an overall difference in swim skill performance in the presence of …

The Relationship Between The Use Of Hormonal Contraceptives And Ligamentous Knee Injury In The Female Collegiate Athlete, Nicole Michelle Thompson

Theses and Dissertations

Female athletes are three to six times more likely than males to sustain a ligamentous knee injury due to hormonal risk factors. Hormones of the menstrual cycle have been shown to alter the physiological component of ligamentous structures during the three phases of the cycle. Use of hormonal contraceptives (HCs) may influence the incidence and severity of ligamentous knee injuries in female athletes. The objective of this cross-sectional study was to determine the relationship between HC use and the type and severity of ligamentous knee injuries sustained among female collegiate athletes using an online survey distributed to NCAA female athletes …

High Supervised Resistance Training In Elderly Women: The Role Of Supervision Ratio, Denis Cesar Leite Vieira, Dahan Da Cunha Nascimento, Vitor Tajra, Tatiane Gomes Teixeira, Darlan Lopes De Farias, Ramires Tibana, Alessandro Oliveira Silva, Thiago Santos Rosa, Milton Rocha Moraes, Fabrício Azevedo Voltarelli, James W. Navalta, Jonato Prestes

Kinesiology and Nutrition Sciences Faculty Research

The objective of this study was to compare the effects of very high supervision (VHS-RT) versus high supervision (HS-RT) ratio resistance training (RT) on irisin, brain-derived neurotrophic factor (BNDF), muscle strength, functional capacity, and body composition in elderly women. Participants performed daily undulating periodized RT over 16 weeks with two different supervision ratios: VHS-RT at 1:2 (supervisor/subject) or HS-RT at 1:5. Serum was used to analyze brain derived neurotropic factor (BDNF) and irisin by enzyme-linked immunosorbent assay (ELISA). Body composition was evaluated by dual-energy X-ray absorptiometry, while functional capacity was evaluated using the Six-minute walk test, and Timed Up and …

Altered Achilles Tendon Morphology In Individuals With Chronic Post-Stroke Hemiparesis: A Case Report, Jing Nong Liang, Kai-Yu Ho

Physical Therapy Faculty Research

Background: Individuals post-stroke walk slowly and with more effort, which puts them at higher risks for falls. The slow walking speed results from insufficient propulsive forces generated by the paretic leg. Current rehabilitative efforts to improve walking function target increasing propulsive forces, but overlook the muscle-tendon unit. Case presentations: Two individuals with chronic post-stroke hemiparesis are presented. In both individuals post-stroke, paretic ankle plantarflexors presented with increased muscle tone. Gait kinetics revealed asymmetric propulsive forces, specifically, insufficient propulsive forces by the paretic legs, consistent with previous literature. Sonography revealed increased thickness of paretic Achilles tendon at the calcaneal insertion, in …

Altered Achilles Tendon Morphology In An Individual With Chronic Post-Stroke Hemiparesis: A Case Report, Jing Nong Liang, Kai-Yu Ho

Physical Therapy Faculty Research

Background: Individuals post-stroke walk slowly and with more effort, which puts them at higher risks for falls. The slow walking speed results from insufficient propulsive forces generated by the paretic leg. Current rehabilitative efforts to improve walking function target increasing propulsive forces, but overlook the muscle-tendon unit. Case presentations: Two individuals with chronic post-stroke hemiparesis are presented. In both individuals poststroke, paretic ankle plantarflexors presented with increased muscle tone. Gait kinetics revealed asymmetric propulsive forces, specifically, insufficient propulsive forces by the paretic legs, consistent with previous literature. Sonography revealed increased thickness of paretic Achilles tendon at the calcaneal insertion, in …

The Effects Of Thermal Aquatic Therapy, Meredith Ferguson

EXSI 432/532: Research Methods in Exercise Science: Research Proposal Posters

No abstract provided.

Men's Pelvic Health: Exploration Of Entry-Level Dpt Curricular Content Based On A National Faculty Survey, Kristin Lefebvre Pt, Phd, Ccs, M. Dripps Spt, K. Kolch Spt, S. Prestegard Spt, L. Weeks Spt, E. Zeller Spt, Shani Johnson Pt, Dscpt, Cmpt

DPT Capstone Posters

Introduction

• The pelvis and its floor play an integral role in everyday quality of life for both women and men.
• Survey research on women’s health content in Doctor of Physical Therapy (DPT) programs has helped develop curricular structure for entry-level therapists.
• Characteristics of content presented on men’s pelvic health (MPH) in DPT programs is unknown.
• 2019: The Section on Women’s Health voted to change their name to the Academy of Pelvic Health to be all inclusive.

Objective

• To examine current entry-level content on MPH in DPT programs, perceived barriers to content delivery, and to support future entry-level curricular development.

Participants …

Discovering Barriers To Diversity In Physical Therapy, Jeanne Lojovich Pt, Phd, Tyler Cogswell Spt, Jennifer Jorgensen Spt, Meg Larson Spt, Julia Roberts Spt, Jarinn Settsu Spt, Laura Wangsness-Willemsen Phd

DPT Capstone Posters

Introduction

• APTA defines diversity: “the racial and ethnic populations that are underrepresented in physical therapy education relative to their numbers in the general population, as well as individuals from geographically underrepresented areas, lower economic strata, and educationally disadvantaged backgrounds”
• 9.7 percent of DPT students identified as URM nationally.
• In Minnesota, 96.75 percent of persons with PT licenses self identify as White.
• This study is the directive of the MNPTA

Methods

The Effects Of Kinesiotape On Scapular Kinematics In Symptomatic Baseball Players, Peter J. Rundquist Pt, Phd, Matt Bouche Spt, Matt Higgins Spt, Max Intveld Spt, Kyla Schmidt Spt, Carli Wacker Spt

DPT Capstone Posters

Introduction

Baseball players are at an increased risk for shoulder dysfunction due to repetitive overhead throwing. Patients with symptomatic shoulders present with altered scapular kinematics, with the greatest variations found in upward rotation and posterior tilt which modify subacromial space. Previous investigations of the effects of kinesiotape (KT) on scapular kinematics have been inconclusive.

Objective

To determine the effects of KT on scapular kinematics in symptomatic collegiate baseball players.

Participants

Six Division II and III baseball players between 21 and 25 years old (mean 22.7) with a symptomatic throwing shoulder. Four were right hand dominant.

Methods

• Symptomatic was defined as …