Rehabilitation and Therapy Commons^™

Self-Selected Foot Strike Patterns In Runners When Transitioning From The Shod To Barefoot Condition: A Systematic Review Of The Literature, Jarett Fisher, Spt, Thomas Fraind, Spt, David A. Girardot, Spt, Erin James, Spt, Mary Mccoy, Spt, Carl Pitts, Pt, Dpt

Department of Physical Therapy Capstone Posters

Purpose and Background:

Recent research has begun to focus on foot strike patterns as they relate to injuries in runners. Runners who employ a rear-foot strike (RFS) pattern (in which the heel lands before the ball of the foot) are more likely to experience repetitive stress injuries such as tibial stress fractures, patellofemoral pain syndrome (PFPS), and plantar fasciitis. Conversely, runners demonstrating a forefoot strike (FFS) pattern (defined as the ball of the foot-usually the 4th and 5th metatarsal heads-landing before the heel) are more susceptible to Achilles tendon, plantarflexor, and metatarsal injuries. Several systematic studies have concluded that barefoot …

The Most Effective And Efficient Bedside Exam For The Dizzy Patient In The Acute Care Setting: A Systematic Review Of The Literature, Alexandra Davis, Spt, Katierae Hunsicker, Spt, Cathy Lee, Spt, Megan Shultz, Spt, Janette Scardillo, Pt, Dpt, Cbis

Department of Physical Therapy Capstone Posters

Purpose:

The purpose of this systematic review of the literature (SRL) is to evaluate the effectiveness and efficiency of vestibular bedside tests for patients with complaints of dizziness and vertigo in the acute care setting. This includes differentiating between a central and peripheral disorder, as well as diagnosing peripheral disorders within the scope of physical therapy practice

Does High-Intensity Exercise Better Improve Ambulation In The Population With Chronic Stroke, As Compared To Standard Care?: A Systematic Review Of The Literature, Caitlin Caruso, Spt, Courtney Comstock, Spt, Ashley Mckenna, Spt, Samantha Nixon, Spt, Ashley Wonneberger, Spt, Christine M. Tyrell, Pt, Phd, Ncs

Department of Physical Therapy Capstone Posters

Purpose:

To assess the effectiveness of high-intensity exercise on the improvement of gait deficits in survivors of chronic stroke as compared to standard care.

Application Of Dual Task Performance In Pediatrics And Adults With Traumatic Brain Injury: A Systematic Review, Lauren Bilski, Kathleen Clancy, Victoria Dean, Danielle Melfi, Kristin Reardon, Louis N. Hunter, Pt, Dpt

Department of Physical Therapy Capstone Posters

Purpose:

The aim of this systematic review of the literature is to investigate the application of cognitive and motor dual task paradigms in the physical therapy management of moderate to severe TBI population across the lifespan in physical therapy practice.

An Online Approach To Interprofessional Education, E. Adel Herge, Otd, Otr/L, Faota, Amber E. King, Pharmd, Bcps

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

Despite increasing interest in providing interprofessional education (IPE) opportunities for health profession students, the logistics of scheduling and integrating diverse curriculums remain challenging. Several models to address these potential barriers have been proposed and utilized (Blue et al, 2010). Faculty from three colleges within Thomas Jefferson University developed an asynchronous online interprofessional course as one solution to overcome logistical barriers to IPE.

Interprofessional Grand Rounds is offered to third year pharmacy students and second year occupational therapy (OT) students in the fall semester. The course utilizes a variety of learning activities to evaluate the influence of current public health and …

Road To Recovery: Dysphagia Treatment With An Adult With Sma Type Ii, Kara Maharay, M.S., Ccc-Slp, Bcs-S, Kelly Salmon, M.A., Ccc-Slp, Bcs-S, Clt-Lana, Ronald S. Kaiser, Ph.D

Department of Rehabilitation Medicine Posters

Objective: Spinal Muscular Atrophy (SMA) is a genetic and degenerative motor neuron disease that affects muscle control including the muscles responsible for head and neck control and swallowing (Kesting, n. d.). There is limited research on the benefits of exercise as a therapeutic modality for people with Spinal Muscular Atrophy (SMA) (Swoboda et al., 2007) and no existing research specifically targeting pharyngeal or laryngeal strengthening to improve swallow function. As demonstrated by the positive outcome in this case study, speech-language pathologists should be aware that various modalities for dysphagia treatment such as biofeedback, neuromuscular electrical stimulation (NMES), and an exercise …

Prevalence And Utilization Of Medical Care Services In Persons With Autism Spectrum Disorder Using Medicare Claims, Henry J. Carretta, Phd, Katelyn Graves, Ms, Teal W. Benevides, Phd, Ms, Otr/L

Department of Occupational Therapy Posters and Presentations

Objective:

To characterize the prevalence of autism spectrum disorder (ASD) among persons in Medicare claims and contrast with prevalence documented during disability determination in Social Security Administration (SSA) Supplemental Security Income (SSI) files.

Poster presented at APHA in Chicago Illinois.

Implications Of Screen Use In Young Children's Occupations, Denise G. Doria, Ots, Michele Mathew, Ots, Mary Muhlenhaupt, Otd, Otr/L, Faota

Department of Occupational Therapy Posters and Presentations

Introduction:

OTs need to address both the duration and quality of screen media children use, to promote their development and participation in healthy occupations.

New Create Day Presentations In The Jdc, Daniel G. Kipnis, Msi

Jefferson Digital Commons News

Collaborative Research and Evidence Among Therapists and Educators (CREATE) Day is a clinical education program presented by occupational therapy graduate students in partial fulfillment of the Master of Science degree in Occupational Therapy at Thomas Jefferson University.

Using Interprofessional Education & Simulation-Based Learning In Health Profession Curricula To Improve Competence & Confidence: A Systematic Review, Danielle Elfand, Ots, Briana Elson, Ots, Courtney Hudson, Ots

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

Objectives of Presentation:

● Describe the types of interprofessional education (IPE) simulation-based learning experiences in current health professions curricula.

● Discuss benefits for implementation of IP simulation into pre-licensure health profession programs.

● Explain how IP simulation-based learning improves workforce competency and confidence in entry-level health

● professionals.

PICO: What is the impact of interprofessional education simulation activities in improving workforce competency and confidence in entry level health professionals?

Presentation: 44 minutes

I Think Therefore I Can. A Systematic Review Of Metacognitive Strategies And Their Impact On Occupational Performance In Adults Following Stroke, Kerry Canton, Ots, Chelsea Difrancesco, Ots, Christy Geaney, Ots, Sarah Jamieson, Ots, Jessica Talarico, Ots

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

Objectives of Presentation:

1. Explain the role of metacognition in everyday activities

2. Discern the quality of evidence regarding metacognitive strategies in adults who have sustained a stroke.

3. Conceptualize a metacognitive intervention to utilize within stroke rehabilitation based on the evidence

presented in this session.

PICO: What is the evidence for the impact of metacognitive interventions on occupational performance in adults who have sustained a stroke?

Presentation: 43 minutes

Reach For The Stars: Improving Upper Extremity Function After Spinal Cord Injury, Carlisle Bland, Ots, Molly Bucciero, Ots, Shelby Hankins, Ots, Blair Krevitz, Ots, Nicole Matyas, Ots

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

Objectives of Presentation:

1.) Describe how cervical spinal cord injury affects UE functioning necessary for activities of daily living.

2.) Describe occupational therapy interventions used to increase UE functioning in cervical SCI.

3.) Discuss how current evidence supports implementing occupational therapy interventions into clinical practice for individuals with cervical SCI, in order to maximize independence in activities of daily living.

PICO: What is the evidence supporting occupational therapy interventions to increase upper extremity function in order to improve ADL performance following Cervical Spinal Cord Injury?

Presentation: 42 minutes

Promoting Quality Of Life For Individuals With Huntington’S Disease, Lyndsay Gentile, Ots, Mallory Koch, Ots, Elyse Mccabe, Ots, Jessica Royal, Ots, Sarah Sadofsky, Ots

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

Objectives of Presentation:

 Describe the symptoms of Huntington’s disease and their impact on functional performance.

 Recognize the role of occupational therapy in improving quality of life for individuals with Huntington’s disease.

 Discuss how occupational therapy interventions for individuals with Huntington’s disease can be applied in a variety of settings.

Clinical Question:

What is the effectiveness of occupational therapy interventions in improving quality of life for individuals with Huntington’s disease?

Presentation: 46 minutes

Early Mobilization In The Intensive Care Unit (Icu): A Systematic Review, Lara Belasco, Ots, Shannon Dixon, Ots, Nina Pesce, Ots, Jennifer Wong, Ots

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

Learning Objectives:

At the conclusion of the session, the learner will be able to:

1. Explain early mobilization techniques in the Intensive Care Unit (ICU)

2. Identify the role of occupational therapy in the ICU

3. Discuss the implications of early mobilization interventions for adults in the ICU

Clinical Question:

What are the effects of early mobilization on ADL performance for adults in the ICU?

Presentation: 42 minutes

A World Of Opportunities: Community Reintegration For Individuals With Brain Injury, Francine Gebbia, Ots, Amy Miller, Ots, Marianella Sanchez, Ots, Erica Serviolo, Ots, David Turoff, Ots

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

Objectives of Presentation:

● Define community reintegration within the scope of occupational therapy

● Explain the importance of community reintegration for adults with a brain injury

● Discuss the effectiveness of occupational therapy interventions used to promote community reintegration

for adults with a brain injury

PICO:

What is the effectiveness of occupational therapy interventions in community reintegration for individuals with brain injury?

Presentation: 53 minutes

Back In The Saddle: A Systematic Review Of Occupational Therapy Interventions That Facilitate Return-To-Work, Preston W. Lockwood, Ots, Julie Luu, Ots, Brady Mcguire, Ots, Jay Skaria, Ots

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

Objectives of Presentation:

1. Recognize the opportunity for injured workers, organizations, and society to benefit from occupational therapy interventions that improve return to work (RTW) outcomes.

2. Classify RTW occupational therapy interventions based on effectiveness.

3. Describe strategies to apply evidence-based interventions in current clinical practice.

PICO: What interventions within the scope of occupational therapy best facilitate return-to-work for adults with musculoskeletal disorders on workers compensation?

Presentation: 50 minutes

Interventions For Improving Occupational Performance Post-Concussion In Children And Adolescents: A Scoping Review, Abigail Gilmore, Ots, Amy Gottesman, Ots, Sarah Kauper, Ots, Michelle Malon, Ots, Brianna Schwoyer, Ots, Alisha Unternahrer, Ots

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

Objectives of Presentation:

● Recognize the significant impact of concussion on immediate and long-term mental and physical well being in the pediatric population.

● Identify the need for novel and effective interventions that address the impact of pediatric concussions.

● Describe current concussion interventions and management practices and the gap that exists in the literature.

● Discuss interventions within the scope of OT practice to address occupational performance in children and adolescents post-concussion.

Clinical Question: What interventions within the scope of occupational therapy practice are indicated in the current literature to improve occupational performance in children and adolescents who have …

Use Of Medicare Claims As A Source For Research Prevalence And Utilization Of Medical Care Services In Persons With Autism Spectrum Disorder Over And Under Age 65, Henry J. Carretta, Phd, Katelyn Graves, Ms, Teal W. Benevides, Phd, Ms, Otr/L

Department of Occupational Therapy Posters and Presentations

Objective:

1. To evaluate the feasibility of using Medicare claims by determining the number of identifiable persons with autism spectrum disorder (ASD) in a three year limited data set (2008-2010)

2. To describe the structure, types, and limitations of Medicare claims files for ASD research

2015 Create Day Presentations In The Jdc, Daniel G. Kipnis, Msi

Jefferson Digital Commons News

Collaborative Research and Evidence Among Therapists and Educators (CREATE) Day is a clinical education program presented by occupational therapy graduate students in partial fulfillment of the Master of Science degree in Occupational Therapy at Thomas Jefferson University. Students conduct a systematic review of the literature on key topic areas that reflect current occupational therapy practice trends. The presentations include an introduction of the topic literature.

The latest round of 2015 Collaborative Research and Evidence Among Therapists and Educators (CREATE) Day presentations have been loaded into the Jefferson Digital Commons

Supporting The Occupational Therapy Student In The Production And Dissemination Of Systematic Reviews: An Interprofessional Collaboration Among Librarians And Occupational Therapy Faculty, Teal W. Benevides, Phd, Otr/L, Paul Hunter, Dmd, Mlis, Gary E. Kaplan, Ms, Ahip, Daniel G. Kipnis, Msi

Department of Occupational Therapy Posters and Presentations

Objectives

This poster describes the outcomes of a curriculum-based collaboration between librarians and OT faculty (‘collaboration’) to enhance graduate student skills for conducting a systematic review (SR); the collaboration included database instruction, bibliographic management software, and culminated in student presentations to healthcare practitioners for continuing education credit. Three outcome areas are discussed: impact of the collaboration on student satisfaction and perceived competence; characteristics of the included literature; and the dissemination of SR findings to healthcare practitioners.

Methods

Three librarians participated in the instruction and the institutional repository (Jefferson Digital Commons; JDC) deposits. A total of 132 students over a period …

Cross-Cultural And Inter-Professional Knowledge Translation Of Developmentally Supportive Care In An Indian Nicu, Amy Carroll, Otd, Otr/L, Susan Toth-Cohen, Phd, Otr/L

Department of Occupational Therapy Posters and Presentations

Synopsis:

A cross-cultural, and inter-professional NICU Team, including an American OT, used knowledge translation (KT) frameworks to apply current global evidence in developmentally supportive care in ways that were useful, cost effective, and meaningful to the families and staff in their tertiary care NICU setting in Gurgaon, India. The team used Pre & Post videotaping of routine care and procedures to measure the change in practice.

Objectives

1. Increase NICU nurses’ use of DSC during routine care and procedures

2. Decrease the use of non-supportive behaviors

Embedding Mindfulness Practice In Entry-Level Occupational Therapy Education Program: Experiences And Outcomes, Mary Muhlenhaupt, Otd, Otr/L, Faota, Shelly Wallock, Dr.P.H., Otr/L

Department of Occupational Therapy Posters and Presentations

Objective:

To embed mindfulness practice into an entry-level occupational therapy curriculum and assess outcomes to reduce student stress and promote well-being.

An Interprofessional, Tailored Behavioral Intervention For Sleep Problems In Autism: Use Of Sensory Data To Inform Intervention, Rebecca Sinko, Ms, Otr/L, Sarah E. Kauper, Bs, Ots, Phoi Truong, Bs, Ots, Rachel L. Dumont, Bs, Ots, Amy L. Miller, Bs, Ots, Roseann C. Schaaf, Phd, Otr/L, Faota, Margaret Souders, Phd, Crnp, Eric D. Bull, Ots, Denise G. Doria, Ots, Jamie A. Frank, Ots, Jenna R. Grady, Ots

Department of Occupational Therapy Posters and Presentations

Purpose:

The purpose of this poster is to demonstrate how Sensory Profile data informed occupational therapy sleep interventions for two participants as part of an Interprofessional Tailored Behavioral Intervention study.

Occupational Therapy And Family Caregiver Training: The Key To Successful Dementia Care, Catherine V. Piersol, Phd, Otr/L, Ann O'Sullivan, Otr/L, Lsw, Faota

Department of Occupational Therapy Posters and Presentations

Most people with Alzheimer’s disease and related disorders live in the community and are cared for by family caregivers who have not received formal training. Evidence has shown that caregiving can have profound negative effects on a caregiver’s own physical and psychological health, including increasing social isolation and decreasing quality of life and wellbeing. If the demands of care exceed the caregiver’s capacity, the person with dementia can also be negatively affected. Research supports the effectiveness of teaching caregivers approaches that match the skills and interests of the person with dementia, use appropriate cues, identify and modify behavioral triggers, and …

Parents' Goals: An Analysis Of Therapist Reasoning, Amy L. Miller, Ots, Rachel L. Dumont, Ots, Janice P. Burke, Phd, Otr/L, Faota, Ellen S. Cohn, Scd, Otr/L, Faota, Sarah E. Kauper, Ots, Roseann C. Schaaf, Phd, Otr/L, Faota, Eric D. Bull, Ots, Denise G. Doria, Ots, Jamie A. Frank, Ots, Jenna R. Grady, Ots, Phoi Truong, Ots

Department of Occupational Therapy Posters and Presentations

Purpose:

Illustrate the use of DDDM to develop parent-identified goals for occupational therapy and to identify underlying sensory integration factors hypothesized to be impacting participation.

Primary Care In Geriatrics: Context, Opportunities, And Resources For Occupational Therapy, Catherine V. Piersol, Phd, Otr/L

Department of Occupational Therapy Posters and Presentations

Learning Objectives:

1. Discuss health care delivery trends and system changes that offer opportunities for occupational therapy in primary care for older adults in the community.

2. Describe the contributions of occupational therapy on the interprofessional primary care team.

3. Utilize current resources and evidence that support the role of occupational therapy in geriatric primary care.

Agenda:

1. Overview of primary care.

2. Health trends and reform initiatives that open doors for occupational therapy.

3. Opportunities (and barriers) for occupational therapy in primary care

4. Current NIH funded study testing a primary care occupational therapy intervention.

5. Resources and Discussion. …

Screen Time Overtime: Should A “Screen Time Diet” Be Part Of Healthy Everyday Activities And Routines For Families And Their Young Children?, Sarah Jamieson, Ots, Mary Muhlenhaupt, Otd, Otr/L, Faota

Department of Occupational Therapy Posters and Presentations

Introduction:

Though television is still the primary form of media for children, almost one-third of TV programming is accessed through smart phones, tablets, and computers (Strasburger et al., 2013).

•Families do not adhere to AAP’s guidelines (Brown, 2011)

•Research suggests detrimental effect on young children

OT’s are an integral resource to help families design healthy recreational “screen time diets.”

Lessons Learned Through Leadership, John L. Melvin, Md, Mmsc

Department of Rehabilitation Medicine Faculty Papers

This paper identifies a number of principles I have adopted when assuming leadership roles. They evolved from experiences that suggested they would help me be more effective in these roles. I have found through using them that they are indeed helpful to me as a leader and to the organizations I lead. When comparing notes with other leaders, I find they seem to apply to others as well.

Systematic Review: Occupational Therapy And Chronic Conditions In Primary Care, John Flood, Jillian Petty, Noreen Reidy, Shannon Whyte

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

Learning Objectives:

• Define occupational therapy’s role in the primary care setting with a focus on those with chronic conditions using Occupational Therapy Practice Framework terminology.
• Describe the current evidence on occupational performance related to occupational therapy services in primary care.
• Discuss the future implications for occupational therapists working in primary care.

Integrating The Classroom, Clinic, And Use Of Simulation To Prepare Students For Working With Individuals With Sci, Audrey Zapletal, Ms, Otr/L, Rob Hargraves, Ba, Gina Cooke, Ms, Otr/L

Department of Occupational Therapy Posters and Presentations

Background Information

• Students learn best through active engagement. Although experiences vary, practicing skills in clinical situations have proven to be an effective method.
• Practicing skills in a simulated controlled environment provides opportunities for students to receive feedback on their skills.
• Standardized patient experiences provide students a safe environment to practice clinical skills in challenging situations. These experiences have been shown to have a positive impact on learning.