Rehabilitation and Therapy Commons^™

Outpatient Physical Therapy Treatment Of Patient With Spondylosis: A Case Study, Paige B. Kropuenske

Physical Therapy Scholarly Projects

Background and Purpose: In the United States low back pain (LBP) is one of the leading causes for individuals to reach out to health care professionals. LBP is often associated with a diagnosis of spondylosis. Spondylosis is present in about 80% of peoples in the United States. The prevalence of spondylosis continues to increase without a definite cure or form of treatment. Overall, exercise and intervention have proven to decrease symptoms of pain of those with spondylosis. However, success of treatment may see large variables in success. Further research into specific treatment interventions may be warranted to decrease chronic …

Periacetabular Osteotomy With Tibial Derotation And Fai Repairs As A Treatment For Symptomatic Hip Dysplasia In An Athlete: A Case Study, Marlie M. Maanum

Physical Therapy Scholarly Projects

Background and Purpose: This case study details a 16-year-old patient following periacetabular osteotomy surgery with labral repair and tibial derotation. In reading this case, you will learn about interventions performed and ideas to consider for any patient hoping to return to sports following orthopedic procedures.

Case Description: Throughout the rehabilitation there was a large focus on the patient returning to sports, specifically basketball. The physical therapy prescription focused on mobility and strengthening of the entire lower extremity due to this surgery’s aggressive nature at the ankle and hip joint. It is accepted throughout the orthopedic world that there …

The Effect Of Physical Therapy Intervention On Fatigue, Balance, Depression And Quality Of Life In Clients Following Medical Treatment For Cancer: A Pilot Study, Mckenna N. Johnson

Physical Therapy Scholarly Projects

People who are diagnosed with cancer and undergo radiation or chemotherapy treatment are at great risk for developing long-term side effects such as fatigue, balance deficits, depression, and decreased quality of life months and even years following treatment. With approximately 16.9 million people in the United States with a history of invasive cancer, and an expected steady increase in this number in the coming years, a better understanding of these side effects and how they can be treated would be instrumental for health care professionals. The purpose of this study was to test the effect of exercise intervention on fatigue, …

Interdisciplinary Approaches To Pediatric Aquatic-Based And Land-Based Therapy, Danielle E. Scheck

Occupational Therapy Capstone Presentations

With various injuries, diseases, and conditions continuing to grow and expand with our rising population size, so does the need for therapeutic intervention. To assist in the rehabilitation process, aquatic therapy may be used by multiple healthcare professionals to best benefit their clients through the aquatic medium's unique hydrodynamic and hydrostatic qualities. The aquatic medium is particularly beneficial to the pediatric population as water is usually naturally motivating and "fun." Occupational and physical therapists are among the professionals qualified to perform "aquatic-based" therapy in addition to or in place of more traditional "land-based" therapy. This project aims to expand on …

Restoring Identity For The Homeless: Exploring Occupational Therapy Services For Unhoused Populations, Christina E. Geistfeld

Occupational Therapy Capstone Presentations

Individuals experiencing homelessness face many occupational and social barriers that limit the ability to participate in meaningful daily living activities, impacting the overall identity of individuals within this population. Occupational therapy services have been explored but there is a continued need to expand and advocate for the effect of occupational therapy in meeting the population’s needs and ultimately aim to reduce homelessness rates. This capstone project sought to explore service delivery for individuals at the Stephen Center in Omaha, Nebraska who are experiencing homelessness, providing increased advocacy efforts along with continuing to explore clinical skill development to best serve the …

Targeted Alveo-Pleural Fistula Endobronchial Valve Treatment Using Ventilation Scintigraphy, Calvin Sidhu, Shoba Ratnagobal, Rajesh Thomas, Gary Y.C. Lee, Enya Drudy, Roslyn J. Francis

Research outputs 2022 to 2026

Persistent air-leaks can be difficult to localize in radiology. Bronchoscopic management of air-leaks requires identification of the leak's location to allow suitable targeted treatment. One-way endobronchial valves have become a suitable option for persistent air-leaks. In this report, a combination scintigraphy and one-way endobronchial valve treatment successfully resolved a persistent air-leak.

Creating An Occupational Therapy Based Preschool Curriculum, Taelor Gartman

Occupational Therapy Doctoral Capstones

This doctoral capstone project is geared toward creating and implementing an occupational therapy-based therapy program for the preschool population at Kids-A-Cat-A-Me daycare in Trumann, Arkansas. The goal of the project was to implement key principals from occupational therapy to children in early childhood development. Exposing the children to fine motor skills, gross motor skills, handwriting skills, and play skills on a daily basis allows them to practice and master age-appropriate skills. Exposure to the developmental skills aims to prevent maladaptive behaviors, while promoting growth and development.

Leaders Create Leaders: A Transformational Perspective, Kyra Wright

Occupational Therapy Doctoral Capstones

The doctoral capstone experience aims to assess and facilitate new hires' professional and clinical reasoning skills to ensure they provide high-quality care and succeed within the organization. Participants will understand transformational leadership theory and how it aligns with occupational therapy. Participants will understand how transformational leadership principles can be applied to leadership roles. Participants will be able to understand the implications of fostering transformational leadership within the workplace.

Health Management Program For Homeless Veterans, Rileigh Smith Daniels

Occupational Therapy Doctoral Capstones

In the United States, it's clear that homelessness within the veteran population is rampant, with programs only slowing the growing number, not decreasing it. The inclusion of health management skills within the homeless veteran community can help reduce homelessness and prolong life satisfaction within this population. Access to health care, nutrition management skills, and social promotion and maintenance can help decrease homelessness within the homeless veteran population by providing the health management skills needed to obtain occupational balance. By implementing occupational therapy’s role and scope within health management skills, the hope is that homelessness within the veteran community will decrease …

Leap 2.0: Theatre As A Therapeutic Modality For Adults With Special Needs, Sydnie Walker

Occupational Therapy Doctoral Capstones

The purpose of the multi-week theatre workshop is to help adults with special needs experience increased quality of life and daily functioning by facilitating the development of skills in social participation, leisure participation, and community engagement through the collaborative theatre process.

Developing Meaningful Leisure Activities For Residents In An Assisted-Living Facility, Mabry Watson

Occupational Therapy Doctoral Capstones

Ultimately, residents’ engagement in leisure activities within assisted living facilities are crucial to increase their overall quality of life, self-esteem, and longevity. The lack of activity coordinators not providing resident-centered activities promotes the need for meaningful leisure activity programs to decrease occupational deprivation. Occupational therapists’ primary obligation is to promote independence within assisted-living facilities and any client they are presented with. OTs determine what their clients identify as meaningful to them in their daily occupations. They have a unique perspective on health and wellness, allowing them to design programs that focus on the benefits of providing meaningful and productive occupations …

Suicide Prevention In The Adolescent And Young Adult Population, Marlee June Stepp

Occupational Therapy Doctoral Capstones

Suicide is a complex topic and requires a multi-discplinary approach. Various health professionals need to be involved in the training and care of suicide prevention. There is a lack of standardized approach in medical schools to properly train students in suicide prevention. Advocacy, awareness, and evidence-based training are needed.

Educating Healthcare Professionals On Burnout Risk Factors, Effects, & Interventions, Rian Thomas

Occupational Therapy Doctoral Capstones

Purpose: Address the occupational phenomena of burnout through the intervention of education by making aware the risk factors of obtaining it, its effects on an individual, and interventions that can combat it. Program Development: Utilized evidence based resources to create an educational module to present to the staff and healthcare workers of the site. The module included risk factors that increase the chances of obtaining burnout, the effects of burnout on an individual, and interventions that have been proven to have positive effects on combating burnout.

Improving Health Outcomes Of Families: An Agency-Wide Database To Support Parental Education, Savannah Williams

Occupational Therapy Doctoral Capstones

The purpose of the Doctoral Capstone Project was to increase access to parent and child education in order to improve the health outcomes of families in Arkansas. The agency-wide database is a program that provides access to educational and informative resources to be utilized when working with families. A quality improvement evaluation, paired with critical review of a SWOT analysis, was conducted to enhance understanding of the site’s current resources. Resources within the database were modified, acquired from outside sources, or created utilizing evidence to support content.

Nurturing Neonates: Navigating The Nicu, Paige Lunceford

Occupational Therapy Doctoral Capstones

Nurturing Neonates is a caregiver education program designed to provide occupation-based, health literate, and multi-modal education to caregivers of infants in the NICU. The program is designed to occur in conjunction with hospitals housing Level I-IV NICUs, serving as an extension of care to neonates through education of their caregivers to facilitate safe and developmentally-appropriate care following the transition to home.

Implications Of Pelvic Floor Health For Postpartum Women Within A Crossfit Setting, Chamy D. Keough

Occupational Therapy Doctoral Capstones

The purpose of the capstone was to gain valuable experience in an emerging practice area and create a comprehensive pelvic health program to increase social and emotional support perceived by new mothers, address new physical limitations experienced and advocate for new mothers within a CrossFit setting.

Developing Activities That Promote Social Participation For Dementia Residents Residing In Assisted Living Facilities, Rebecca Northcutt

Occupational Therapy Doctoral Capstones

The purpose of the Doctoral Capstone Project is to create and implement a social participation program of activities to address and enhance the health and wellness and social needs of the dementia residents residing in the Liberty Park assisted living facility.

Informed Women: Addressing The Education Needs Of Women In The Perinatal Period, Allison Claire Shirley House

Occupational Therapy Doctoral Capstones

Current educational materials utilized at White River Health are comprehensive, however could be overwhelming to women experiencing the stress that can be associated with the changes that follow birth and being a parent to a newborn. Women report that after receiving educational materials, they lack preparedness for the perinatal and do not feel competent in self or infant care. Following the review of current materials, it was determined that the use of web-based, virtual education in an easily accessible format and created to be health literate could improve the health of women and their children in the perinatal period. Further, …

Sensory Integration In The Classroom: Meeting Children’S Needs Through Educational Programming For Teachers, Hannah Irvin

Occupational Therapy Doctoral Capstones

The Doctoral Capstone promotes health and wellness for children by addressing their sensory needs and allowing them to fulfill their role as a student. The client-centered approach adds value to the profession by advocating for school-aged children to be able to meet their sensory needs and using occupational therapy expertise to deliver education on the importance of fulfilling sensory needs for children. Sensory integration in the classroom allows a child to meet their sensory needs and fulfill their role as a student in their natural environment, which is different from other professions.

Inpatient Physical Therapy Management Of Patient With Post-Operative Quadriparesis Following Posterior Cervical Lamenectomy And Fusion: A Case Report, Kayla A. Christopherson

Physical Therapy Scholarly Projects

Background and Purpose: Spinal hemangioblastoma are benign tumors that compress the surface of the spinal cord. Surgical resection of the hemangioblastoma with a posterior cervical laminectomy and fusion technique is one treatment option. This form of treatment can lead to poor outcomes such as post-operative quadriparesis although rare. The following case study depicts physical therapy interventions use to treat a patient with post-operative quadriparesis for posterior laminectomy and fusion of C6-T2.

Case Description: The patient was a 77-year-old female with complex past medical history and multiple comorbidities. She received inpatient physical therapy for 31 days before transferring to …

Conservative Outpatient Physical Therapy Management Of Patient With Atraumatic Anterior Sternoclavicular Joint Subluxation: A Case Report, Fallon N. Hill

Physical Therapy Scholarly Projects

Introduction: Atraumatic Anterior Subluxations of the Sternoclavicular Joint (SCJ) are a rare upper extremity injury that may cause range of motion (ROM) and strength deficits to the shoulder joint due to pain and feelings of instability. There are a variety of approaches for management as with SCJ subluxations, but atraumatic anterior displacements respond mostly to conservative management or masterly neglect.

Case Description: The patient was a 63-year-old female with an atraumatic anterior subluxation of her right side. The patient did not qualify for surgical or physician intervention and was referred to physical therapy for conservative treatment and pain …

A Golf Fitness Program To Develop Clinical Skills In Student Physical Therapists: A Program Proposal, Development And Recommendations For Implementation., Derek Ferebee

Physical Therapy Scholarly Projects

PROBLEM: Golf is a fast-growing sport that is played by people all around the world of all ages and skill levels. The complexity of the golf swing and varying skill levels of participants leads to increased risk for injury. Acute and chronic musculoskeletal injuries can occur to the lumbar spine, shoulders, wrists, and elbows. The injuries are common among amateur, intermediate, and professional golfers. Studies show that the overall rate of injury in golfers is 15-20%. This is a surprisingly high amount of injuries for a low-impact sport. Physical therapists are an important healthcare provider for individuals with musculoskeletal injuries. …

A Case Report Of Guillain-Barre Syndrome, Jonathan Tyre

Physical Therapy Scholarly Projects

Background and Purpose: Guillain-Barre Syndrome is a medical condition with no known cause. Incidence of this condition is 1 to 2 per 100 000 people in the United States. Guillain-Barre Syndrome is a condition in which a person’s immune system attacks the person’s nervous system and demyelinates nerves in a person’s body.

Case Description: The patient is a 64-year-old male who received physical therapy services following a diagnosis of Guillain-Barre Syndrome. The condition came on with insidious onset and the patient had no signs or symptoms prior to his diagnosis. The patient was evaluated and treated by my clinical …

Case Report Of A 42-Year-Old Male Affected By Plantar Fasciitis, Jenna Baumgartner

Physical Therapy Scholarly Projects

Background and Purpose: Plantar fasciitis is an irritation of the plantar fascia that causes increased pain and inflammation of the area. Plantar fasciitis affects nearly 1 in 10 people in their lifetime with a high likelihood of reoccurrence. There can be multiple causes but physical therapy (PT) can be crucial for the reduction of pain and return of function. Due to high likelihood of reoccurrence, it is the goal to give patients the tools that they need to self-treat when they experience another bout of plantar fasciitis.

Case Description: The patient was a 42-year-old male who had pain in …

The Effects Of Blood Flow Restriction On Electromyography Activity Of Proximal And Distal Upper Extremity Musculature, Nicole Mazour, Lauren Savageau, Michael Leonhardt, Samuel Helgeson

Physical Therapy Scholarly Projects

Purpose/Hypothesis: Blood flow restriction therapy (BFR) has become a popular means of strength training and intervention used by physical therapists, athletic trainers and body builders. BFR allows for high intensity resistance training at a low intensity training level. It has been shown that BFR increases muscular hypertrophy and strength due to the vascular occlusion that occurs during BFR application. When performing BFR a pressurized tourniquet cuff is applied to the proximal portion of the selected limb. Individuals complete exercise between 20-40% of their 1 repetition maximum (RM) while utilizing the BFR cuff for improvements in muscular strength. Most BFR …

Outpatient Physical Therapy Management Of A Patient With Right Hamstring Strain Injury: A Case Report, Tina M. Belgarde

Physical Therapy Scholarly Projects

Background and Purpose: Hamstring injuries are the most common muscle strains in competitive sports. Insufficient rehabilitation may be attributed to a high occurrence of recurrent hamstring injuries in athletes. This case study evaluates the effectiveness of physical therapy following a Grade 2 right hamstring injury and discusses the outcomes experienced by the patient.

Case Description: The patient was a 51-year-old Caucasian female athlete who received 6 outpatient physical therapy treatments. She presented with a Grade 2 right hamstring injury after hearing a pop while competing in a tennis tournament.

Interventions: The therapy provided emphasized the use of …

Memory In Motion: Dance And Movement Therapy In Older Adults With Alzheimer's And Related Dementia, Ashley Picard

Senior Honors Projects

Alzheimer’s disease is the most common form of dementia and is caused by progressive neurodegenerative changes in the brain that alters one’s memory, attention, and language. As cognitive function decreases, people with dementia experience deficits in mobility, resulting in muscle stiffness and rigidity that debilitates their personhood. Therefore, an appropriate approach that creates a stimulating, pressure-free environment to encourage those with Alzheimer’s to move can help them have a renewed quality of life, positive behavior changes, and decreased anxiety. More specifically, incorporating dance-based exercises that utilize rhythmization, cognitive integration, social inclusion, and improvisation can be a holistic and practical approach …

Viability Of Equine Assisted Activities And Therapies For Individuals With Developmental Disorders: A Systematic Review, Faith Pinson

Honors Theses

The objective of this review is to determine whether Equine-Assisted Activities and Therapies (EAAT) are a viable form of therapy for people with various developmental disorders. A viable form of therapy is one that is more beneficial than traditional forms of therapy that already exist, as traditional therapies may be generally less expensive and have plentiful research to support their use). In order to be beneficial, EAAT would need to yield improved results when either compared side by side with traditional therapy or used as a complementary therapy with traditional therapy. In this systematic review, the included studies examined the …

Immobilization And Its Effects On Functional Recovery After Spinal Cord Injury., William H. Gregory

College of Arts & Sciences Senior Theses

Recovery, or rather the failure to recover, is a perplexing issue of spinal cord injury that is currently being investigated. This issue becomes more puzzling when investigating models in which spinal cord injury (SCI) is studied. There appears to be greater functional recovery experienced by animals within these models after injury as compared to patients in the clinical setting. While many things could contribute to this disparity, one difference that stands out when comparing the basic research model and clinical experience of SCI is the inactivity and limb disuse after the injury. This same level of immobility is rarely accounted …

Occupational Therapy In The Neonatal Intensive Care Unit (Nicu) & Implementation Of The Test Of Infant Motor Performance, Juliana C. Keane

Occupational Therapy Capstone Presentations

Current literature identifies the recognizable value of occupational therapy within the NICU; however, not all NICUs utilize therapy services. The purpose of this project was to highlight the role of occupational therapy in the Neonatal Intensive Care Unit (NICU) and implement the Test of Infant Motor Performance (TIMP) within this setting through a variety of goals, objectives, and produced deliverables. Als’ Synactive Theory of Development and the Person-Environment-Occupation-Performance (PEOP) Model guided this capstone project. In addition to in-depth clinical practice, education and program development were the methods utilized to achieve the project’s goals. The results of this project further support …