Rehabilitation and Therapy Commons^™

From Zoom To The Clinic: Unique Student Challenges In Physical Therapy Clinical Education, Amy Both, Jaclyn Catherine Carson, Matthew B. Garber, Heather Marie Mack, Nicole M. Sleddens

Posters and Presentations: Physical Therapy

While the abrupt shift in PT education (PTE) brought on by the pandemic created opportunities for educational innovation, it also brought relational separation and fragmented learning due to lockdowns, social distancing, face masks, and communication limited to virtual platforms. Academic programs increased use of virtual learning, rearranged curriculum, reduced lab and simulated learning time, and provided fewer, if any, opportunities for service learning and patient contact. Clinic sites paused clinic education experiences or hosted fewer students to maintain social distancing and limit disease exposure. As PTE returns to more typical curricular schedules and practices, it is important to be aware …

Effectiveness Of Simulation-Based Learning Compared To Integrated Clinical Experience In Development Of Dpt Students’ Clinical Decision-Making Skills, Derrick F. Campbell Pt, Dpt, Sc.D, Kristy Demers, Masoor Alameri, Fabian Bizama

Education Collection

Background: Simulation-based learning has a significant footprint on entry-level physical therapy programs. Students’ clinical decision-making (CDM) skills development through simulation-based learning (SBL) format when compared to the Integrated Clinical Experience (ICE) remains unknown. Self-efficacy of Clinical and CDM skills tool measures clinical skills, clinical decision-making, and total self-efficacy of clinical and CDM skills.2 A need to evaluate the effectiveness of simulation-based learning compared to ICE in development of CDM skills

Purpose: The purpose of this study was to compare the effectiveness of simulation-based learning and the Integrated Clinical Experience (ICE) in the development of DPT student clinical decision-making skills as …

Immediate Vs Delayed Feedback In A Progressive Musculoskeletal E-Module Case For Clinical Reasoning Development, Megan Frazee, Krista Gipson, Elizabeth Lyden, Stephanie Langel

Posters and Presentations: Physical Therapy

PURPOSE: Educators are responsible for developing clinical reasoning skills in Physical Therapy (PT) students. Simulated virtual experiences allow specific skills, such as clinical reasoning, to be learned and tested (Holdsworth, 2016). PT students prefer a combination of learning from e-modules and lecture formats (Gardner, 2016). Feedback is a critical component for consolidated learning; however, there is no consensus on the best timing of feedback (Schute, 2008). The purpose was to evaluate the impact of immediate versus delayed feedback through an e-module in PT students' accuracy in identifying the primary hypothesis, severity and irritability level for a virtual patient case. The …

Developing A Rapid Assessment Program For Student Success In Clinical Education, Nicole M. Sleddens, Betsy J. Becker, Grace Johnson, Joseph F. Norman

Posters and Presentations: Physical Therapy

Successful management of the struggling student in the clinic relies heavily on the early identification of clinical performance deficits. CIs who directly observe student performance, actions and behaviors should aim for early and precise identification of difficulties, which should lead to initial discussions with the student. If the student's struggles require involvement from the educational institution, the CI should promptly contact and collaborate with the DCE. Early communication with the DCE is beneficial, as they can provide support for CIs overwhelmed by the difficulties that accompany working with a challenging student. The DCE provides guidance on determining the depth of …

Orthopaedic Physical Therapy Residency And Fellowship Program Mentoring Structure: A Survey Of Program Directors, Darren Q. Calley, Kirk R. Bentzen, Megan Frazee, Matthew D. Haberl

Posters and Presentations: Physical Therapy

Purpose/Hypothesis: Mentoring is a required component of physical therapy residency and fellowship training, and a primary reason applicants pursue training in these programs. Resources outlining core competencies for effective mentoring, mentor and mentee characteristics, and recommendations for effective mentoring have been described. However, little is known about the timing, structure, and process of how mentoring and feedback is implemented across residency and fellowship programs. The purpose of this study was to better understand the structure, timing, and delivery of mentoring and the role mentors and program directors (PDs) play in orthopaedic physical therapy residency and fellowship programs. A secondary purpose …

Bruce Protocol Test Affects Postural Stability In Healthy Young Adults, Andreas Germanos, Tessa Heiberg, Annie Jeon, Emi Heisterkamp, Hao Giang, Jessica Cota, Laura Corona, Thomas Loi, Vincent Bovino, Shayce Cordero, Sunny Kim, Michael Shiraishi, Rahul Soangra

Physical Therapy Faculty Articles and Research

Maintaining balance is key in avoiding falls and injury. However, little is known on how increased cardiac activity may affect postural stability. This study investigated if increase in cardiac activity to 85% maximal heart rate (HR) when exercising with standard Bruce Protocol Test (BPT) influence postural sway. Ten young adults were tested for three postural stances, quiet bilateral standing with i) eyes open, ii) eyes closed, and iii) tandem stance, before and after performing the BPT. Resting Heart Rate (HR) and HR variability along with standard postural sway parameters like sway velocity, sway area, turn index, and power frequency in …

Association Of Functional Movement Screen And Y-Balance Test Scores With Injury In Elite Fast-Pitch Softball Athletes, Xiujing Zhao

Student Theses and Dissertations

The purpose of this study was to evaluate the association of FMS and YBT composite scores with injury in elite female fast-pitch softball athletes. Thirty-eight participants completed pre-season FMS and YBT assessments. Injury data were collected on the next day of finishing the season. FMS composite scores were significantly lower for the injured group (13.5 ± 2.4) comparison to the non-injured group 16.9 ± 1.6) (p ≤ .001, d = 1.67). Injured status was associated with lower FMS scores (r = .61; p <.001). No differences existed in YBT-UQ (p =.67, d = .14) and YBT-LQ (p =.16, d =.50) composite score between the injured (UQ = 96.0 ± 5.9, LQ = 96.7 ± 8.2) and the non-injure (UQ = 97.1 ± 1.6, LQ = 101.0 ± 9.1) groups; no significant associations were found between injury status and YBT-UQ composite scores (r = -.08; p = .64) or YBT-LQ composite scores (r = -.24; p = .14). Preseason FMS composite score was associated with subsequent injury.

Sensory Adaptive Environment To Enhance Participation In Healthcare For Children With Autism Spectrum Disorder: An Interdisciplinary Design Thinking Approach, Lady Rios-Vega, Otd, Otr/L, Amy Carroll, Otd, Otr/L, Rachel L. Dumont, Otr/L, Dianne Treadwell-Deering, Md, Matthew Fields, Md, Roseann C. Schaaf, Phd, Otr/L, Faota

Department of Occupational Therapy Posters and Presentations

Introduction/Background

• Participation in healthcare for children diagnosed with Autism Spectrum Disorder (ASD) can be overwhelming resulting in stressful responses safety concerns.¹
• Sensory features impact healthcare participation.
• Up to 84% of individuals with ASD experience atypical sensory features of : - Hyper or hypo reactivity to sensation.²
  - Unusual sensory interests in the environment.²
  - Poor sensory integration.²
• Families may refrain from participation in medical care to prevent negative experiences, contributing to occupational deprivation.¹
• Sensory Adaptive Environments (SAE) may improve participation for autistic persons.^1,3,4

The Simulated Café: A Virtually Delivered Pre-Employment Transition Program For Students With Autism, Leah Haller, Otd, Otr/L, Amy Carroll, Otd, Otr/L

Department of Occupational Therapy Posters and Presentations

Introduction

• Fewer than half the young adults diagnosed with autism are employed (Gotham et al., 2015; Chiang, et al, 2013).
• Individuals diagnosed with autism have a higher rate of unemployment compared to those with other disabilities (Buescher et al., 2014).
• Educators of individuals diagnosed with autism stress employment as a desired and measured outcome (Schall et al. 2012).
• Parents of individuals diagnosed with autism rated employment support as the greatest service priority (Neary et al.,2015).
• Individuals diagnosed with autism are 7.36 times more likely to be in paid employment if they receive vocational services (Park & Bouk, 2018).
• In the …

Using Knowledge Translation Strategies To Promote Integration Of Evidence Into Practice: Faculty, Fieldwork Educator And Fieldwork Student Partnerships, Amy Carroll, Otd, Otr/L, E. Adel Herge, Otd, Otr/L, Faota

Department of Occupational Therapy Posters and Presentations

The Research to Practice Gap

The gap between what is known from research and what happens at the point of care continues to be a concern across health care.^1,2 Occupational therapists have a positive attitude toward evidence based practice yet actual use of evidence to guide occupational therapy practice is low.^3,4

Neurodiversity Inclusive Practices In Higher Education: Using A Needs Assessment To Spur Change Throughout University Systems, Caitlin Rosica, Otd, Amy Carroll, Otd, Otr/L, Lady Rios-Vega, Otd, Roseann C. Schaaf, Phd

Department of Occupational Therapy Posters and Presentations

Introduction

• Approximately 50% of autistic people have average or above average intelligence, and growing numbers of autistic young adults attend college.¹
• Autistic students experience poor outcomes in college despite being academically well qualified. 34.9% of autistic young adults attempt college within 6 years of high school.² Of those, approximately 39% will graduate.³
• In higher education, there may be a mismatch in supports needed by autistic students versus supports provided.
• Autistic students report difficulty with sensory overload, mental health concerns, and daily living tasks.⁴
• The majority of supports for autistic students focus on academics, which is a …

An Interprofessional And International Collaboration To Establish The Content Validity Of The Checklist Of Nicu Caregiver Behaviors, Amy Carroll, Otd, Otr/L, Cecilia Roan, Otd, Otr/L, Michele K. Savin, Dnp, Aprn, Nnp-Bc, Amitava Sengupta, Md, Fnnf, Dch, Micp, Mbbs, Catherine V. Piersol, Phd, Otr/L, Faota

Department of Occupational Therapy Posters and Presentations

Introduction

The World Health Organization estimates that 15 million babies are born pre term every year.¹ “Preterm infants have a high risk of cognitive, neuromotor, and neurosensory problems after discharge from the Neonatal Intensive Care Unit (NICU).² The outcomes associated with pre term birth are influenced by early adverse experiences during critical care in a stressful NICU environment.³

Developmental care (DC) encompasses a broad array of interventions for developing infants which focus on minimizing the stress of the NICU.⁴ There are a number of approaches associated with DC The Universe of Developmental Care model describes five …

Ipads For Autism A Web Based Professional Learning Community For Teachers To Support Tablet Usage In Autism Classrooms, Emily E. Smith, Otd, Otr/L, Amy Carroll, Otd, Otr/L

Department of Occupational Therapy Posters and Presentations

Background and Significance

Since its emergence in 2010 the mobile technology of the iPad has excited both parents and teachers for its potential in the classroom. The portability of networked mobile technologies has helped students of all abilities to discover, influence, and examine knowledge as well as interact with educators and other students across the world.¹ While many school students have access to iPads, simply having technology in the school environment does not ensure teachers are ready to use it to their full potential.² Teachers need sufficient professional development to align knowledge of technology, pedagogy, and learning content. …

Efficacy Of Early Inpatient Rehabilitation Of Post-Covid-19 Survivors: Single-Center Retrospective Analysis, Ning Cao, Jaclyn Barcikowski, Franklin Womble, Bianca Martinez, Yevgeniya Sergeyenko, Jacob H. Koffer, Michael Kwasniewski, Thomas Watanabe, Rui Xiao, Alberto Esquenazi

Moss-Magee Rehabilitation Papers

OBJECTIVE: The aim of this study was to understand the demographic, clinical characteristics, and effectiveness of early inpatient rehabilitation of post-COVID survivors.

DESIGN: A single-center retrospective chart review analysis of 100 patients admitted to a newly created acute COVID rehabilitation unit (CORE+) from April to December 2020 was conducted.

RESULTS: The demographic and clinical characteristics and complications of 100 post-COVID patients were reviewed. Functional outcomes of GG Self-care and Mobility Activities Items (Section GG0130 and GG0170) of the Centers for Medicare & Medicaid Services of the Inpatient Rehabilitation Facility Patient Assessment Instrument (Version 3.0) at admission and discharge, prevalence of …

Exploring Community Recreation And Leisure Of Young Adults With Autism, Alexandria Taylor, Otd, Otr/L, Eis, Amy Carroll, Otd, Otr/L

Department of Occupational Therapy Posters and Presentations

Introduction

• Adults with autism participate less in the community compared to adults with other diagnoses (e.g., intellectual disability, emo tional disturbance, and learning disabilities) (Myers et al., 2015; Orsmond et al., 2013).
• Quantitative studies have shown the benefits of participating in recreation and leisure activities for young adults with auti sm (Bishop Fitzpatrick et al., 2017; Garcia Villamisar & Dattilo, 2010; Stacey et al., 2019).
• The use of qualitative research has been recommended to offer a deeper understanding (Stacey et al., 2019).
• The lack of opportunity for young adults with autism to share their experiences and opinions can lead to …

Anterior Connectivity Critical For Recovery Of Connected Speech After Stroke, Junhua Ding, Tatiana T Schnur

Faculty, Staff and Student Publications

Connected speech recovers to different degrees across people after left hemisphere stroke, but white matter predictors of differential recovery from the acute stage of stroke are unknown. We assessed changes in lexical-syntactic aspects of connected speech in a longitudinal analysis of 40 individuals (18 females) from the acute stage of left hemisphere stroke (within an average of 4 days post-stroke) to subacute (within 2 months) and chronic stages (early: 6 months, late: 1 year) while measuring the extent of acute lesions on white matter tracts to identify tracts predictive of recovery. We found that acute damage to the frontal aslant …

Cost-Benefit Analysis Of The Cope Program For Persons Living With Dementia: Toward A Payment Model, Laura T Pizzi, Eric Jutkowitz, Katherine M Prioli, Ember Yiwei Lu, Zachary Babcock, Heather Mcabee-Sevick, Dorothy B Wakefield, Julie Robison, Sheila Molony, Catherine V. Piersol, Laura N Gitlin, Richard H Fortinsky

Department of Occupational Therapy Faculty Papers

Background and objectives: There is a critical need for effective interventions to support quality of life for persons living with dementia and their caregivers. Growing evidence supports nonpharmacologic programs that provide care management, disease education, skills training, and support. This cost-benefit analysis examined whether the Care of Persons with Dementia in their Environments (COPE) program achieves cost savings when incorporated into Connecticut's home- and community-based services (HCBS), which are state- and Medicaid-funded.

Research design and methods: Findings are based on a pragmatic trial where persons living with dementia and their caregiver dyads were randomly assigned to COPE with HCBS, or …

Promoting Longevity Through Engagement In Purposeful Occupations, Jennifer K. Fortuna

The Open Journal of Occupational Therapy

Ron Henry, an artist based in Grand Junction, CO, provided the cover art for the Fall 2022 edition of The Open Journal of Occupational Therapy (OJOT). “On the Trail to Durango” is a 36” x 36” painting made from oil and acrylic on gesso board. Ron has been creating beautiful art since he was a child. Art has provided Ron with a strong sense of purpose throughout his life. At age 90, Ron attributes his longevity to living a healthy lifestyle and regular engagement in purposeful occupations, such as painting. In this tenth anniversary issue of OJOT, Occupation and the …

Cultivating Cultural Humility In Occupational Therapy Through Experiential Strategies And Modeling, Sylvia H. Anderson

The Open Journal of Occupational Therapy

Cultural competence and cultural humility have been topics in conversations for many years in multiple industries. Indeed, attempts have been made and continue to be made to address cultural ineptness and unawareness. Of particular concern are the attitudes and behaviors exhibited by health care practitioners. More specifically, the author will discuss the importance of cultivating cultural humility among occupational therapy educators, students, and practitioners through modeling and experiential learning strategies. This article is designed to help occupational therapy educators, professionals, and students to increase their awareness about the need for and benefit of cultural humility in education and practice. The …

Health Literacy And Occupational Therapy: A Discussion On Assessing And Addressing Limited Health Literacy, April M. Bryant, Bryan M. Gee, Lynn Gitlow

The Open Journal of Occupational Therapy

Health literacy is multidimensional and goes beyond simply education level. In addition, age, gender, race and ethnicity, social network, and income level, among other things, can contribute to the level of health literacy and affect health outcomes. Many Americans cannot make sound decisions regarding their health care because of limited health literacy, yet health literacy is rarely considered during an occupational therapy evaluation and subsequent plan of care. This manuscript informs occupational therapists on strategies to address limited health literacy by using literature and evidence.

Arts-Based Training Program Effectiveness: A Teaching Methodology In An Occupational Therapy Doctorate Program, Hillary Napier, Nicole Kovalevsky, Clarissa Stanhope, Alexandra Wasko, Katherine Williams, Rebecca Ozelie

The Open Journal of Occupational Therapy

Arts-based training programs can aid in building observational skills, communication, team building, and leadership through targeted analysis of works of art. Furthermore, arts-based training programs are unique in that they highlight non-technical skills (NTS). The goal of this study was to investigate the extent to which NTS were developed through an arts-based training program among entry-level occupational therapy doctorate (OTD) students. This study used a mixed methodological approach to analyze retrospective data. Quantitative analysis of the Kentucky Inventory of Mindfulness Skills (KIMS) assessment was conducted. Qualitative analysis was completed through analysis of the participants’ reflection papers. Quantitative results (n = …

Benefits Of Peer-Mentorship For Entry-Level Occupational Therapy Students: A Descriptive Study, Robert G. Gallagher, Razan Hamed

The Open Journal of Occupational Therapy

Background: This study explored the benefits of a new peer-mentorship program designed for Master's-level occupational therapy students.

Method: This was a descriptive study of an entry-level Master’s of occupational therapy (MOT) program. A group of entry-level MOT students participated in the program as mentees (n = 37 in summer 2019, n = 39 in fall 2019) and mentors (n = 9 in summer 2019, n = 8 in fall 2019) for two academic semesters. Feedback about the process and outcomes of the peer-mentorship program was collected at the end of each semester.

Results: The data showed that mentees reported …

The Development Of Leaders: Suggested Modules For Education, Tracey E. Recigno, Paula Kramer

The Open Journal of Occupational Therapy

The development of leaders is critical for the education of all professionals and, particularly, those in the field of occupational therapy. Current accreditation standards offer a limited perspective on leadership, and educators should consider a more holistic viewpoint to leadership development, especially as many programs are moving to the doctoral level. The adult learning theory of andragogy in conjunction with social learning theory, experiential learning theory, and leadership theories can help guide educators’ creation of integrative learning opportunities. This paper proposes a framework for leadership education that promotes building leadership capacity through leadership skill, identity, and mindset formation. Suggested evidence-based …

Developing An Anti-Racist Practice In Occupational Therapy: Guidance For The Occupational Therapist, Justin E. Lerner, Angie Kim

The Open Journal of Occupational Therapy

A strong anti-racist practice is critical for occupational therapists who represent an overwhelmingly white and female workforce yet serve people from all ethnic and racial backgrounds. These therapists are commonly unprepared to work with a racially diverse clientele because of a lack of reflective and critical practice grounded in anti-racism. This article provides some critical literature about race and racism in occupational science. We present important concepts for therapists to deepen their understanding of anti-racist practice, including intersectionality, agent and target groups, and equity and equality. We then explore some critical theoretical frameworks that can help conceptualize anti-racist practice, such …

Leadership Practices Of State Associations: Does State President Leadership Style Encourage Membership?, Leslie M. Sizemore

The Open Journal of Occupational Therapy

Background: This research addressed the “graying” of the professional state occupational therapy association as new clinicians are more frequently making the decision not to join. It is particularly relevant for boards who are attempting to establish and retain members.

Method: To assess the leadership styles of presidents of state occupational therapy associations and to examine the impact of leadership style on membership status, this research examined the self-perceived leadership styles of state occupational therapy association presidents, as measured by the Leadership Practices Inventory (LPI), a tool developed by Kouzes and Posner, authors of the Exemplary Leadership Model. It …

A Scoping Review Exploring The Use Of Art-Making-As-Therapy In Adult Mental Health Occupational Therapy Practice, Alan Johnson, Samantha Ashby, Miranda Lawry

The Open Journal of Occupational Therapy

Background: Art-making-as-therapy has been used by occupational therapists in mental health since the inception of the profession. It aims to enable people to gain mastery and produce art. This review synthesizes the research on the use of art-making as therapy by occupational therapists in adult mental health practice.

Method: Arksey and O’Malley’s 5-stage framework was used. A search of four databases was conducted with the inclusion criteria of papers from 1980 – 2020 using the keywords of occupational therapy, mental health or illness, and art. Thematic analysis was used to analyze the data.

Results: Of the 847 …

Promoting Self-Management Of Breast Cancer-Related Lymphedema Through The Remotivation Process, Kaye Rubio, Patricia Bowyer, Sherry Hite, Vidya Pingale, Wyona Freysteinson, Gayle Hersch, Christine Raber Phd, Otr/L

The Open Journal of Occupational Therapy

Background. Lymphedema affects a significant number of women with breast cancer. Self-Management Programs (SMP) are important in the long-term management of chronic conditions such as lymphedema. Motivation is crucial in the daily performance of the SMP. The study explored the effect of the Remotivation Process on the motivation of women with breast cancer-related lymphedema to incorporate an SMP into their daily routine.

Methodology. The study was a within-subjects quasi-experimental design that used the Volitional Questionnaire, frequency count of the SMP, and circumferential measurement as outcome measures. Eleven participants (n = 11) with breast cancer-related lymphedema completed the study …

The Masgutova Neurosensorimotor Reflex Integration (Mnri®): A Scoping Review, Lucretia A. Berg, Daniela Brown, Kaylee Kroll, Chandler Pfaff, Lesli Cleveland

The Open Journal of Occupational Therapy

Background. The Masgutova Neurosensorimotor Reflex Integration (MNRI^®) method emerged from Russia in the 1990s as an intervention to improve maturation, development, and functional abilities for a variety of clients. MNRI^® has since become an emerging intervention in occupational therapy in the US, particularly with pediatric clients. The evidence supporting use of MNRI^® remains limited.

Method. Using updates by Levac and colleagues (2010) to the Arksey and O’Malley (2005) process for scoping review, databases and the MNRI^®website were searched. Fourteen unique articles were identified and reviewed. Articles were categorized by common characteristics and …

Three-Dimensional Motion Analysis For Occupational Therapy Upper Extremity Assessment And Rehabilitation: A Scoping Review, Stephen W. Hill, Samantha Mong, Quyen Vo

The Open Journal of Occupational Therapy

Background: Three-dimensional (3D) human motion analysis provides objective, quantitative, and reliable kinematic data that are valuable in rehabilitation. Clinicians, including occupational therapists and other specialists, can apply this technology to quantify patients’ upper extremity (UE) motion during functional tasks. A better comprehension of altered body mechanics serves to guide clinical reasoning, develop evidence-based interventions, and monitor patients’ progress through follow-up. However, the scientific literature has yet to emphasize the practicality of using 3D motion analysis as a clinical measurement tool.

Method: This scoping review appraised 20 articles that used 3D motion analysis to quantify UE movements for individuals …

The Occupational Impact Of Mass Shootings: A Qualitative Study Of Survivor Accounts, Ashley Ellsworth, Susan Macdermott, Bridget Scheidler

The Open Journal of Occupational Therapy

Background: As mass shootings continue to persist in the United States, their occupational impact on victims needs further understanding. The purpose of this study was to examine stories shared by survivors of mass shootings to determine whether changes in occupational participation, performance, and fulfillment of meaningful roles and performance patterns occurred following the incident.

Method: Unobtrusive methods were used to collect and analyze publicly accessible audiovisual and written records following a qualitative research design. Themes were developed through thematic analysis.

Results: Victims at varying degrees of association to the event experienced changes in their occupational performance, participation, …