Rehabilitation and Therapy Commons^™

Systematic Review Shows Tele-Rehabilitation Might Achieve Comparable Results To Office-Based Rehabilitation For Decreasing Pain In Patients With Knee Osteoarthritis, Tamila Latif-Zade, Brian Tucci, Danna Verbovetskaya, Elizabeth Bialkin, Brian Ng, Stephan Heddon, Jean-Philippe Berteau

Publications and Research

Background and Objectives This systematic review aims to evaluate the efficacy of Tele-Rehabilitation for decreasing pain in patients with knee osteoarthritis (OA). Materials and Methods: Following the guidelines of Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), three electronic databases (CINAHL, PubMed, PEDro), along with the addition of grey literature, were used to collect information. Randomized control trials (RCTs) comparing tele-rehabilitation (TR) to office-based-rehabilitation (OB) were critically appraised using the 2005 University of Oxford Standard. A total of 139 articles (PubMed = 132, CINAHL = 5, PEDro = 0, grey literature = 2) were acquired. Results: After the screening, …

Understanding Factors Relevant To Poor Sleep And Coping Methods In People With Schizophrenia, Yen-Ching Chang, Megan C. Chang, Yun-Jou Chang, Ming-De Chen

Faculty Research, Scholarly, and Creative Activity

Background

Sleep disruption is pervasive in people with schizophrenia, but few studies have explored their sleep experiences. This study aims to identify factors relevant to sleep problems and explore coping methods used by community-dwelling people with schizophrenia.

Methods

Eighteen participants with schizophrenia were recruited from three mental health centers in Taiwan. They completed a semi-structured interview and the Pittsburgh Sleep Quality Index (PSQI) assessment. The Person-Environment-Occupation model offered a framework to assess factors related to sleep. Thematic analysis was used for the qualitative data analysis.

Results

Factors related to sleep were classified under person, environment, and occupation domains. The person …

Neurophysiological Changes Of Brain And Spinal Cord In Individuals With Patellofemoral Pain: A Systematic Review And Meta-Analysis Protocol, Jing Nong Liang, Savanna Budge, Austin Madriaga, Kara Meske, Derrick Nguyenton, Kai-Yu Ho

Physical Therapy Faculty Research

Introduction: Reduced neuromuscular control due to altered neurophysiological functions of the central nervous system has been suggested to cause movement deficits in individuals with patellofemoral pain (PFP). However, the underlying neurophysiological measures of brain and spinal cord in this population remain to be poorly understood. The purpose of this systematic review is to evaluate the evidence for altered cortical and spinal cord functions in individuals with PFP.

Methods and analysis: The protocol for conducting the review was prepared using the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols guidelines. We will systematically search the literature that examines cortical and …

Knowledge, Attitude, And Practice Of Orthopedic Manual Physical Therapists Toward Lifestyle Screening And Education: A Descriptive Study, Jillian M. Zollinger, Sozina Katuli

Faculty Publications

Introduction. Lifestyle-focused rehabilitation plans need to become part of the standard system of care for the treatment of chronic diseases. To achieve this goal, the KAP of rehabilitation professionals toward lifestyle medicine needs to be understood. This study investigated the niche of orthopedic manual physical therapy and is purposed as a foundational model for continued research. Method. A survey instrument was designed to investigate the KAP of orthopedic manual physical therapists toward lifestyle screening and education. Results. There were 155 participants of which 58.1-72.3% reported frequently talking to their patients about lifestyle topics, while 78.1-80.6% felt highly confident and competent …

Ikebana: An Ancient Tradition Of Contemporary Healing And Artful Practice, Jennifer K. Fortuna Phd, Otr/L

The Open Journal of Occupational Therapy

Dr. Ricardo Carrásco, PhD, OTR/L, FAOTA, is an occupational therapy professor and ikebana artist. He provided the cover art for the Summer 2021 edition of The Open Journal of Occupational Therapy (OJOT). Ikebana is the ancient Japanese art of arranging flowers. “Kanta of the Wind, Sun and Moon” is an ikebana design made from blue and white Phalaenopsis orchids, chrysanthemum, bear grass, and heirloom driftwood. This gendaika, or freestyle design, is a haiku tribute to the wind, sun, and moon. Dr. Carrásco has been practicing occupational therapy and ikebana for more than 5 decades. As an occupational scientist and …

The Potential Of Virtual Reality In Social Skills Training For Autism: Bridging The Gap Between Research And Adoption Of Virtual Reality In Occupational Therapy Practice, Vineeta Pandey, Lori Vaughn

The Open Journal of Occupational Therapy

Impairments in social functioning greatly hinder children and youth with autism spectrum disorder (ASD) from responding appropriately and adapting to various social situations. As a result, individuals with ASD get fewer opportunities for social inclusion, physical well-being, and forming interpersonal relationships. Virtual reality (VR) has been studied extensively in this area, where a large body of evidence shows that VR is a promising tool for social skills training (SST) in individuals with ASD. With the flexibility and projected effectiveness that VR offers, it can provide more opportunities to learn and practice strategies for recognizing daily challenges that involve forming social …

Cognitive Orientation To Daily Occupational Performance (Co-Op): 1-Week Group Intervention With Children Referred For Motor Coordination Difficulties, Rose Martini, Jacinthe Savard

The Open Journal of Occupational Therapy

Background: The aim of this study was to explore the effectiveness of a Cognitive Orientation to daily Occupational Performance (CO-OP) intervention delivered in a group format in a 1-week summer day camp program for children referred for motor coordination difficulties. Transfer of learned skills to self-selected tasks not addressed in the group intervention was also explored.

Method: A quasi-experimental one group pretest-posttest design with a 1-month follow-up was used. Changes in nine children’s self-selected occupational performance goals, as well as their sense of self-efficacy for these goals, were determined using nonparametric statistics.

Results: Findings indicate a significant …

A Comparison Of Two Keyboarding Instruction Methods Over 2 Years For Elementary Students, Denise K. Donica, Peter Giroux, Young Joo Kim, Sydney Branson

The Open Journal of Occupational Therapy

Background: As computer and digital device use continues to grow in prevalence for school and work tasks, it is important for elementary-aged students to develop efficient keyboarding skills to support future academic and vocational success.

Method: A quasi-experimental pre-test and post-test study design was used to compare the effect of two different keyboarding instructional approaches on elementary students over a consecutive 2-year period. One group used Keyboarding Without Tears (KWT; N = 592) both years while the other group used free web-based activities the first year and Keyboarding Without Tears the second year (mixed methods; N = 714). …

A Comparison Of Activity Participation Between Children With And Without Asthma, Jacqueline R. Jezioro, Sharon A. Gutman, Stephanie Lovinsky-Desir, Virginia Rauh, Frederica P. Perera, Rachel L. Miller

The Open Journal of Occupational Therapy

Background: Asthma affects approximately 6 million children in the United States and can greatly impact quality of life and occupational engagement. Although occupational therapists are well-equipped to address participation limitations, insufficient evidence exists to support the role of occupational therapists in asthma treatment.

Method: The purpose of this study was to further understand the occupational limitations experienced by children with asthma. We also explored a dual diagnosis of asthma and obesity. The participants included children with (n = 84) and without (n = 63) asthma living in New York City. The Child Behavior Checklist, Youth Self Report, Brief …

Promoting Population Health In Local Communities: Parental Perceptions Of An Embedded Movement And Physical Activity Program For A Preschool Population, Jennifer Hight, Shirley P. O'Brien, Colleen M. Schneck

The Open Journal of Occupational Therapy

Background: Many children reach kindergarten lacking age-appropriate motor skills because of a lack of access to early intervention services or a lack of continued early intervention beyond 3 years of age. Research suggests sedentary children become sedentary adults, which contributes to a growing population of unhealthy Americans with chronic health conditions, such as high blood pressure, diabetes, heart disease, and psychosocial difficulties. Parents often are not aware of the benefits of engaging in physical activity or possess a lack of awareness of their local resources. A community based preschool movement program was created to foster physical activity and promote …

Preliminary Measurement Properties Of The Early Childhood Occupational Profile (Ecope), Cary C. Moore

The Open Journal of Occupational Therapy

Background: This study established the preliminary psychometric properties of the Early Childhood Occupational Profile (ECOPE; Moore & Bowyer, 2018) and investigated the perspectives of occupational therapists on the clinical utility of the tool.

Method: An embedded mixed methods research design was used to support the use of different research questions and unique sets of data. National and international occupational therapists administered the ECOPE on video case studies and on children from their caseload. These data were analyzed using the Rasch goodness of fit statistics to evaluate the validity and reliability of the ECOPE. The participating occupational therapists also …

Plagiocephaly Perception And Prevention: A Need To Intervene Early To Educate Parents, Sonja Burmeister, Allison N. Kayne, Ali R. Yazdanyar, J. Nathan Hagstrom, David B. Burmeister

The Open Journal of Occupational Therapy

Background: Plagiocephaly is a condition where the cranium has been malformed because of external forces or premature cranial suture fusion. This study’s objective was to gather and examine data regarding parent and caregiver awareness of plagiocephaly and its potential impact on development as well as to determine their rate of concern for positional flattening.

Method: A cross-sectional survey study was conducted. Categorical variables were described by frequency and proportions. The study was conducted across eight outpatient pediatric sites. Approximately 1,100 parents and caregivers were targeted. Inclusion criteria required participants to be willing to answer the questionnaire, to be …

Use Of A Caregiver Coaching Model For Implementation Of Intensive Motor Training For Hemiplegic Cerebral Palsy: A Case Study, Sheryl Eckberg Zylstra, Aimee Sidhu

The Open Journal of Occupational Therapy

Background: There is extensive literature to support the efficacy of both pediatric constraint-induced movement therapy (pCIMT) and hand-arm bimanual intensive therapy (HABIT) for children with hemiplegic cerebral palsy. In addition, there is increasing evidence to support the training of caregivers (parents and other care providers) to carry out therapy interventions in the home. The Family Activity Adaptation Model (FAAM) presents guidelines for parent and caregiver coaching for intensive therapies used in occupational therapy practice.

Method: In this descriptive case study the FAAM was used to frame caregiver training to answer the question: Is a coaching model, using a …

Observing And Promoting Normative Developmental Outcomes: Reciprocity Is Key, Nicki L. Aubuchon-Endsley, Bryan M. Gee, Heather L. Ramsdell, Nancy Devine, Hillary E. Swann-Thomsen, Nicholas Burgett, Leah R. Kollmeyer, Michele R. Brumley

The Open Journal of Occupational Therapy

Background: Occupational therapists focus on caregiver-infant reciprocity, which is influenced by a host of biopsychosocial factors and is predictive of developmental outcomes across domains. It is important for early intervention professions to understand how different forms of reciprocity may predict infant development in salient domains (i.e., language, mobility, and co-occupation). Therefore, the purpose of this study was to investigate associations among related measures of development in and across age, while also exploring how reciprocity influences the acquisition of developmental milestones.

Method: We examined these important areas of development in relation to novel caregiver-infant co-occupational constructs in addition to …

Occupational Therapists’ Perceptions Of Intraprofessional Collaboration When Working With Young Children Aged Birth To 3 Years, Christine Rocchio Mueller, Mindy Garfinkel

The Open Journal of Occupational Therapy

Background: Birth to 3 years of age is a critical period in a child’s development, and occupational therapy intervention during this period can serve many purposes. While pediatric occupational therapists may be working in different settings with different specialties, the foundational knowledge all occupational therapists possess provides a common lens through which they approach treatment. Intraprofessional collaboration is considered best practice, as it is not uncommon for young children to receive occupational therapy services by more than one therapist, and in more than one practice setting at the same time.

Method: This study used a qualitative, phenomenological approach. …

Adaptations To Early Intervention Service Delivery During Covid-19, Lauren Little, Ashley Stoffel

The Open Journal of Occupational Therapy

Background: Early Intervention (EI) systems made a rapid shift to telehealth during the COVID-19 pandemic. Given the limited preparation of EI providers in the telehealth service delivery model, it is unclear how providers implemented adaptations. The purpose of this study was to evaluate the factor structure of the Service Delivery Adaptations Questionnaire and examine the influence of provider type, years of EI experience, and willingness to return to in-person services on the questionnaire’s subscales.

Method: We used exploratory factor analysis (EFA) to examine the structure of the Service Delivery Adaptations Questionnaire among n = 704 EI providers. We …

Occupational Therapists’ Perspectives On Family-Centered Practices In Early Intervention, Irma J. Pereira, Francine M. Seruya

The Open Journal of Occupational Therapy

Background: Early intervention (EI) requires service provision in natural settings while incorporating interventions based on family-centered practice (FCP). This study sought to understand (a) how occupational therapists define and implement FCP in their daily interventions and (b) therapists’ perspectives on using this model of practice in EI.

Method: This study used a qualitative, phenomenological approach. Nine licensed occupational therapists from six states with a minimum of 3 years of working experience in the area of EI participated. Semi-structured interviews were recorded, transcribed, and subsequently coded and analyzed for emergent themes.

Results: The therapists had an average of …

They Said: Preparing Future Ei Providers Across Disciplines Through An Academic Partnership, Beth K. Elenko

The Open Journal of Occupational Therapy

No abstract provided.

They Said: Coaching Alongside Families In Early Intervention, Beth K. Elenko

The Open Journal of Occupational Therapy

No abstract provided.

Bringing The Family To The Center Of Early Intervention Practice In Occupational Therapy, Beth K. Elenko

The Open Journal of Occupational Therapy

No abstract provided.

Myonuclear Transcriptional Dynamics In Response To Exercise Following Satellite Cell Depletion, Yuan Wen, Davis A. Englund, Bailey D. Peck, Kevin A. Murach, John J. Mccarthy, Charlotte A. Peterson

Physical Therapy Faculty Publications

Skeletal muscle is composed of post-mitotic myofibers that form a syncytium containing hundreds of myonuclei. Using a progressive exercise training model in the mouse and single nucleus RNA-sequencing (snRNA-seq) for high-resolution characterization of myonuclear transcription, we show myonuclear functional specialization in muscle. After 4 weeks of exercise training, snRNA-seq reveals that resident muscle stem cells, or satellite cells, are activated with acute exercise but demonstrate limited lineage progression while contributing to muscle adaptation. In the absence of satellite cells, a portion of nuclei demonstrates divergent transcriptional dynamics associated with mixed-fate identities compared with satellite cell replete muscles. These data provide …

Persistent Dyspnea, Declined Moderate To Vigorous Physical Activity, Functional Status, And Quality Of Life During The Post-Acute Phase Of Covid-19 Infection: A Pilot Case Control Study., Hussain Aslan Mph. Ed., Msc., Corey Tomczak Phd, Darcy Marciniuk Md, Scotty Butcher Phd

Journal for Sports Neuroscience

Abstract

Purpose: The purpose of this study was to explore the multifaceted impacts of post-acute phase of COVID-19 infection on the sense of dyspnea, select intensities of physical activity, functional, and psychological variables among survivors compared to age matched healthy participants and their implications for rehabilitation programs in this population.

Methods: Seventy-eight (male, female age 30-70 yrs.) participants (39 COVID-infected, CI and 39 age-matched healthy controls, HC). Four questionnaires were used to assess the variables in this study: dyspnea scale of the Modified Medical Research Council (mMRC), International Physical Activity Questionnaire (IPAQ), Functional Status Questionnaire (FSQ), and the RAND-36 measure …

Episodic Memory Encoding And Retrieval In Face-Name Paired Paradigm: An Fnirs Study, Qian Yu, Boris Cheval, Benjamin Becker, Fabian Herold, Chetwyn C. H. Chan, Yvonne N. Delevoye-Turrell, Ségolène M. R. Guérin, Paul Loprinzi, Notger Mueller, Liye Zou

Faculty and Student Publications

Background: Episodic memory (EM) is particularly sensitive to pathological conditions and aging. In a neurocognitive context, the paired-associate learning (PAL) paradigm, which requires participants to learn and recall associations between stimuli, has been used to measure EM. The present study aimed to explore whether functional near-infrared spectroscopy (fNIRS) can be employed to determine cortical activity underlying encoding and retrieval. Moreover, we examined whether and how different aspects of task (i.e., novelty, difficulty) affects those cortical activities. Methods: Twenty-two male college students (age: M = 20.55, SD = 1.62) underwent a face-name PAL paradigm under 40-channel fNIRS covering fronto-parietal and middle …

Covid-19 Exposure And Diagnosis Among College Student Drinkers: Links To Alcohol Use Behavior, Motives, And Context, Hannah K. Allen, Samantha Cohen-Winans, Kaitlyn Armstrong, Nash C. Clark, M. Allison Ford

Faculty and Student Publications

The COVID-19 pandemic is a public health crisis. College student alcohol use is highly prevalent and primarily occurs in social settings where risk for COVID-19 transmission is heightened. This study explored the associations between alcohol use frequency, quantity, motives, and context with: (i) quarantine due to COVID-19 exposure and (ii) a positive diagnosis for COVID-19. A sample of n = 409 college student drinkers completed an online survey about their health and behaviors during the Fall 2020 semester. Since the start of the semester, 36% of students quarantined and 13% of students received a COVID-19 diagnosis. More frequent alcohol use …

Patterns Of Weight Change In A Commercial Weight Loss Program, Heontae Kim, Taeyeon Oh, Natalie M. Papini, Nanette V. Lopez, Stephen D. Herrmann, Minsoo Kang

Faculty and Student Publications

Objectives: In this study, we examined compliance and progress factors associated with weight loss and maintenance, individual patterns of weight trends following weight loss, and impact of early weight loss on longer-term weight change. Methods: We conducted secondary analysis of pre-post data. Participants were 8769 persons (mean age = 47.63 ± 13.78 years; 77.74% women; mean weight = 97.20 ± 22.82 kilograms; BMI = 34.09 ± 6.84) in a commercial weight management program. We carried out multiple regression analyses on weight change and percentage, and used ANOVA and the Pearson chi-square test to examine participant characteristics, weight change patterns, and …

Promoting Healthy Transitions: Occupational Therapy Interventions For Health Management Of Homeless Populations Discharging From Health Care Settings, Dominic Carullo, Hana Chamoun, Alison Mcandrew, Brian O'Sullivan, Chelsea Pierce

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Objectives
By the end of this presentation, participants will be able to

• Identify the need for effective interventions to create better connections to health services and facilitate health management skills in individuals experiencing homelessness prior to discharge from a healthcare setting
• Recognize the potential for occupational therapists to increase health literacy and the development of self-directed health management skills for individuals experiencing homelessness prior to hospital discharge
• Apply components of an evidence-based, best practice approach to promote the development of healthy behaviors and health management skills in individuals experiencing homelessness

PICO Question
What interventions within the scope of occupational therapy …

Ua10/1 Vitality Report, Wku Suzanne Vitale Clinical Education Complex

CEC Publications

Newsletter created by and about the Suzanne Vitale Clinical Education Complex.

• Moore, Mary. From the Director's Desk
• McMaine-Render, Sarah. Circle of Support - Summer Program
• Sales, Shannon. The 2021 Special Needs Expo
• Reynolds, Laura. 14th Annual Run for Autism
• Schaeffer, Beth. It's That Time, Again
• Conder, Sarah. Art, Imagination, & Friendship
• Elkins, Michelle. CIrcle of Support - Graduates
• Brunett, Lauren & Kelsey Harris. A Word from Our Family Resource Program Interns
• Hudson, Caroline. Alternative & Augmentative Communication Support in Renshaw Early Childhood Center
• Wheeler, David. LifeWorks@WKU Spring 2021
• Swietek, Molly. Conceptualizing an Alliance for Autism & Other Learning Differences
• Collins, …

Exploring Colorectal Cancer Research And Its Connection To Occupational Therapy: A Critical Review, Brook L. Burns, Megan L. Foster, Tosha L. Tunney, Riane B. Wubbenhorst

Older Adult

This article aims to critically review the current literature related to occupational therapy (OT) and colorectal cancer (CRC). The GVSU electronic library system was used to identify articles using keywords and MeSH terms related to CRC and OT. Articles were analyzed for key variables related to the OT scope of practice and were evaluated for quality using the Physiotherapy Evidence Database (PEDro) scale. Findings show that CRC was referenced in 76.47% of the 34 articles, OT in 20.59%, ADLs in 50%. Pain and quality of life (QoL) were explicitly measured in 17.65% of the articles. Of the reviewed articles, 52.94% …

"We Need To Genuinely Listen To What People Tell Us They Need": Identifying How To Support Individuals Living With Mental Illness And/Or Substance Use Difficulties To Thrive Following Homelessness In London, Ontario, Carrie Marshall

Occupational Therapy Publications

While unhoused, persons who have experienced homelessness are frequently consumed with securing the necessary conditions to meet their basic needs including finding a place to stay for the night, finding food, and keeping safe. It is frequently assumed that when individuals secure a tenancy following homelessness, that their life naturally improves for the better in most or all areas of their lives. Unfortunately, recent research suggests that many individuals who secure housing after homelessness continue to live in a state of survival. While the importance of supporting individuals to secure and sustain housing cannot be understated, other aspects of a …

Parent-Infant Bond: The Connection Between Parents And Infants In The Nicu, Megan Casselberry, Anita Fagotti, Ava Gambucci, Emma Sardinskas, Carly Scheiner

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Objectives

• Define the challenges of parent-infant relations in the neonatal intensive care unit (NICU) setting
• Discuss the role of occupational therapy in fostering parent-infant bonding in the NICU
• Interpret evidence-based interventions within the scope of occupational therapy practice to promote familial relations and social interactions amongst infants and parents

PICO Question
For infants in the NICU, what are evidence-based interventions within the scope of occupational therapy that increase parent-infant bonding?