Rehabilitation and Therapy Commons^™

Evolution Of Occupational Therapy Practice: Life History Of Christina Frank, Otr/L, Paige Mccullough, Mimi Yunker

Oral History Posters

The life history of Christina Frank is one of 30 life history interviews, which are a part of a larger project; Life Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) in North Dakota and Wyoming. The purpose of the project is to gather information about the history and evolution of occupational therapy (OT) practice in North Dakota and Wyoming through life histories of individuals who have been influential in developing OT in these two states. This study is intended to provide current and future generations of occupational therapists a view of the history and how occupational …

Evolution Of Occupational Therapy Practice: Life History Of Diane Norell, Msw, Otr/L, Caelin Hansen, Jessie Zimmer

Oral History Posters

This life history is one of 31 life history interviews which are part of a larger project, Life Histories of Individuals Who Have Been Influential In Developing Occupational Therapy (OT) In North Dakota and Wyoming. The purpose of the project is to gather information about the history and evolution of occupational therapy (OT) practice in North Dakota and Wyoming through life history of individuals who have been influential in developing OT in these two states. It is anticipated that the life history process will be a powerful way to gather this information. This study is intended to provide current and …

Evolution Of Occupational Therapy Practice: Life History Of Dr. Julie Grabanski, Phd, Otr/L, Sydney Gayton, Madisyn Rick

Oral History Posters

Purpose: Gather information about the history and evolution of occupational therapy (OT) practice in North Dakota and Wyoming through life histories of individuals who have been influential in developing OT in these states. Our participant was one of thirty-one participants for the larger study. The KawaModel was used to guide our data collection process and we implemented interview questions that reflected the model. The KawaModel was designed for cultures who value a collectivist mindset (Iwama, 2006). The water represents life flow, the river side walls and bottom represent the environment, rocks represent problematic life circumstances that disrupt water flow, and …

Evolution Of Occupational Therapy Practice: A Life History Of Jody Larson, Otr/L, Brianna Mcnelly, Nicholas Riveland

Oral History Posters

The purpose of this qualitative study was to examine the life history of occupational therapists (OT) and occupational therapy assistants (OTA) who were instrumental in developing occupational therapy practice in North Dakota or Wyoming. This is a continuation of the life history project at the University of North Dakota School of Medicine and Health Sciences (SMHS) started in 2017 as a repository of key individual’s lifetime contributions to the benefit of current and future occupational therapy practice and practitioners in the region.

Life History Of Jason Kjar, Mot, Otr/L, Alana Grabarkewitz, Alyana Simpron

Oral History Posters

The purpose of this project is to gather information about the history and evolution of occupational therapy (OT) practice in North Dakota and Wyoming through life histories of individuals who have been influential in developing OT in these two states and/or at the national level. It is anticipated that the life history interviews will be a valuable experience and an effective way to gather information about this individual. The study is intended to provide occupational therapy students and occupational therapists with a snap shot of the history of OT, and how OT practice as evolved over time in the North …

Evolution Of Occupational Therapy: Life History Of Lacey Konickson, Otr/L, Clt, Paige Melby, Hannah Merges

Oral History Posters

The life history of Lacey Konickson was one of 31 life history interviews conducted apart of a larger study of Life History of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) in North Dakota and Wyoming. The purpose of this study is to gather information about individuals, like Lacey Konickson, who have been influential in developing OT in North Dakota and Wyoming and their life histories. The findings of this study will be used to provide current and future occupational therapists with a overview of the life history and how OT practice has changed from its commencement to …

Evolution Of Occupational Therapy Practice: Life History Of Marylou Wittmann, Otr/L, Elizabeth Hauck, Kimberly Harmelink

Oral History Posters

This life history is one of 31 life history interviews which are a part of a larger project, Life Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) in North Dakota and Wyoming. The purpose of the project is to gather information about the history and evolution of OT practice in North Dakota and Wyoming through life histories of individuals who have been influential in developing OT in these two states. It is anticipated that the life history process will be a powerful way to gather this information. This study is intended to provide current and future …

Life History Of Zondra Thompson, Mot Otr/L, Brianna Johnson, Kylie Walthers

Oral History Posters

This study offers a glimpse into the life of Zondra Thompson from the time she graduated in 1972 from the Occupational Therapy Program at the University of North Dakota to the time she retired in 2007. This life history is one of the 31 life history interviews which are a part of a larger project, Life Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) in North Dakota and Wyoming. The purpose of the project is to gather information about the history and evolution of occupational therapy (OT) practice in North Dakota and Wyoming through life histories …

Exercise Therapy For Chronic Low Back Pain, Jeanmarie Dahl

Physician Assistant Scholarly Project Posters

Chronic low back pain (CLBP) is currently ranked as the 13th most frequent diagnosis in family practice (DynaMedPlus, 2017). The severe nature of the pain in this condition often leads providers to prescribe narcotics. While effective in the short term, opiates have significant side effects when used chronically. Other forms of management for CLBP need to be identified and utilized. The purpose of this review was to determine the role exercise therapy plays in the management of CLBP.

Four databases were searched in order to find high quality systematic reviews, meta-analyses, and randomized controlled trials (RCT) looking at exercise therapy …

The Effect Of Barefoot Running On Navicular Drop: A Randomized Controlled Trial, Corrie Fredericks, Alison Cygan, Robert Plemel

Physical Therapy Scholarly Projects

Background and Purpose: Gaining knowledge of the change in navicular drop/over-pronation of the foot in response to barefoot running training may allow sports medicine professionals, coaches, athletes, and others in the healthcare field to decrease the amount of injuries that may be caused by these motions. Effects of a running retraining program with conversion from a rearfoot strike pattern (RFSP) to forefoot strike pattern (FFSP) to determine impact on navicular drop is lacking in literature. Due to the increased correlation of over-pronation and lower extremity injuries, the purpose of this study was to determine if barefoot running training, with …

Treatment Post Total Knee Arthroplasty With Common Peroneal Nerve Palsy, Megan Berndt

Physical Therapy Scholarly Projects

Introduction. With more than 600,000 knee replacements performed each year in the United States, functional exercise is necessary post-surgery. Patients who undergo knee replacements often attend physical therapy after surgery, which has been found to have significant effects on functional outcomes. In rare cases, patients experience a post-surgical complication of common peroneal nerve palsy (CPNP), and interventions must be adjusted based on the patient's specific needs.

Purpose. This is a case report describing the interventions for a patient with a right total knee arthroplasty ([R] TKA), multiple co-morbidities, and a post-surgical complication of CPNP.

Methods. A 78-year-old …

The Combined Effects Of Physical Therapy And Music Therapy For An Older Adult With Chronic Left-Sided Hemiparesis: A Case Report, Nicholas Holkup, Scott Syverson

Physical Therapy Scholarly Projects

Background and Purpose: Stroke and other disorders that involve the neurological system can have adverse effects such as hemiparesis, spasticity, hypertonicity, and gait and balance deficits. Due to neurological disorders being so prevalent, proper rehabilitative treatments are necessary to return to a functional lifestyle. Multiple approaches across the therapy spectrum have been utilized, but rarely are these therapeutic approaches completed concurrently among different disciplines. The purpose of this case report is to address the interdisciplinary co-treatment by students of music therapy and physical therapy for a patient exhibiting chronic left-sided hemiparesis.

Case Description: This case report describes a …

Evolution Of Occupational Therapy Practice: Life History Of Christina Frank, Otr/L, Paige Mccullough, Mimi Yunker

Oral History Student Papers

The purpose of this project is to gather information about the history and evolution of occupational therapy(OT) practice through the life history of many influential individuals, including Christina Frank. The aim of this study is to provide more knowledge for current occupational therapists about the history of OT and how it has changed over time. Christina Frank was selected through purposive sampling. A semi-structured interview was conducted where OT students transcribed, coded, categorized, and created themes from the information from the interview. The OT students gathered a final assertion summarizing the findings: life as an occupational therapist for Christina Frank …

Evolution Of Occupational Therapy Practice: Life History Of Catherine (Catie) Sondrol, Mot, Otr/L, Molly Maudal, Lydia Swanson

Oral History Student Papers

This is a qualitative research study using a life history approach. It was one of 31 life histories conducted as part of a larger study.

Objective: To learn about the impact that an Arizona-based occupational therapist with ties to North Dakota has had on the profession.

Method: A video conference call was conducted to interview Catie Sondrol. Additional information was found in her curriculum vitae, which was shared by the participant.

Results: After transcribing and analyzing the data gathered during the interview, the researchers were able to place an emphasis on the following key aspects of Catie’s professional career: resiliency, …

Evolution Of Occupational Therapy Practice: Life History Of Diane Mccormack, Karen Jaspers, Alyssa Turner-Strong

Oral History Student Papers

The purpose of this study was to examine the life and legacy of occupational therapist Diane McCormack. The participant was selected through purposive sampling and was interviewed for an hour and a half via a semi-structured interview. Data was collected via a participant interview and document review. Data was analyzed via coding of the interview transcription. Interview questions were pre-formatted by the project directors. The student researchers had the freedom to edit or add interview questions as deemed necessary after gaining approval from the project directors. Through transcription coding, four categories emerged from initial codes: education, experiences, relationships, and career. …

Evolution Of Occupational Therapy Practice: Life History Of Sue Morrison, Ashton Hudspeth, Colton Peltier

Oral History Student Papers

This qualitative study gathered information regarding the evolution of occupational therapy in North Dakota and Wyoming. Its purpose was to provide a view of what practice looked like from the beginning of Sue Morrison’s occupational therapy career until now by uncovering her life history. She has played an influential role in pediatric occupational therapy in Wyoming. The goal of this study was to provide more knowledge for current occupational therapists about the history of occupational therapy and how it has changed over time. This was done by interviewing individuals who have impacted the occupational therapy profession in the states of …

Effectiveness Of Intermittent Mechanical Traction In Cervical Radiculopathy: A Systematic Review, Gilmour Gregory, James M. Mckivigan

College of Health & Human Services (TUN) Publications and Research

The aim of this review was to assess the effectiveness of intermittent mechanical traction (IMT) in treating cervical radiculopathy (CR). A literature search was conducted electronically, and the data were extracted from the available papers that evaluated IMT and its combination with other therapies. The risk of bias was assessed using the criteria recommended by the Cochrane Back Review Group. The quality of evidence was evaluated using the grading of recommendations, assessment, development, and evaluation method (GRADE). Nine of the articles met the inclusion criteria and were included in the review. Results showed that four studies with very low level …

Innovations In Occupational Therapy Education: The Centralized Service Learning Model, Lauren E. Milton, Robyn Otty

College of Health & Human Services (TUN) Publications and Research

Partnerships between community organizations and engaged university members creates realistic learning experiences for occupational therapy students while encouraging civic responsibility. The authors propose service learning as the core of an innovative course design framework using the Centralized Service Learning Model (CSLM). Three phases are described. Phase One provides a description of the CSLM using a generalizable model, with specific application within existing occupational therapy program coursework. Phase Two provides leadership opportunities for a subsequent cohort of students within the curriculum. Finally, Phase Three integrates faculty scholarship. To understand students’ knowledge-level awareness, a survey based on course objectives can be administered, …

Data Note: State Intellectual And Developmental Disability Agencies’ Service Trends, Agnes Zalewska, Jean Winsor, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

In FY2016, an estimated 638,568 individuals received day or employment supports from state IDD program agencies. This number grew from 455,824 in FY1999. The estimated number of individuals in integrated employment services increased from 108,227 in FY1999 to 120,244 in FY2016. Despite the trend to terminate facility-based services in some states, the overall state investment continues to emphasize non-work services, rather than integrated employment services. Figure 1 shows the trends in the percentage of people served in integrated employment and facility-based and non-work settings between FY2008 and FY2016.

Changing Attitudes: The Impact Of A Disability Awareness Class, Christine Ann Masci

Honors Theses and Capstones

Attitudes towards people with disabilities can be either positive or negative. A undergraduate college course about disability awareness followed a structure focusing on awareness, interaction with PWD, and education in order to make a positive impact on attitudes. The study compared the disability awareness class to a general education humanities class. While results indicated that there was not a significant change in pre and post scores when comparing the classes, there was a significant change in the disability awareness class upon further analysis of data. There are additional suggestions to further the impact of the class within the disability awareness …

The Impact Of Academic Self-Efficacy On The Occupation Of Education In College Athletes Who Experience Concussion, Samantha Colaw

Honors Theses and Capstones

An emerging area of inquiry for occupational therapists (OT) is consideration of the impact of concussion on a person’s ability to engage in and perform meaningful everyday activity. The perspective of student-athletes (SA) living with post-concussion symptoms has received limited attention in research and there is a lack of focused attention regarding the role of being a student. This research adds to the growing body of literature regarding the implications of concussion on academics, specifically academic self-efficacy (ASE) and their self-perceived roles. The purpose of this study is to investigate the differences in ASE between college athletes with and without …

Psychological Readiness Of Athletes To Return To Play Following Injury, Alyssa C. Monahan

College of Graduate Studies: Theses & Dissertations

Background: Returning an injured athlete to sport before they are both physically and psychologically ready can lead to increased psychological concerns. Traditionally, return to play decisions are based on physical outcomes and it is rare if an athlete is held back from returning to sport if he or she is not psychologically ready to return. Therefore, athletes may be returning to play before they are psychologically ready. Purpose: The purpose of the present study is to investigate the psychological readiness of the athlete to return to play following injury, and the degree to which psychological readiness was considered by the …

Caregiver Selection Of Treatments For Their Child With Autism, Amy Kurowski-Burt

Graduate Theses, Dissertations, and Problem Reports (ETD)

This project was completed to understand what treatments caregivers are selecting for their child with autism and why treatments were selected and discontinued. Caregivers of children with autism participated in a mixed methods study. An online survey was completed (N=127) to identify treatments used for their child. Interviews were completed (n=14) to understand why treatments were selected and discontinued. Selection of medical, dietary, therapeutic, complimentary/ alternative medicine, community-based, behavioral, and educational treatments were mostly influenced by recommendations of others. Caregivers reported discontinuing because relationships and professionalism were lacking between provider and family. Providers must consider all the variables that influence …

Mobility Boost: A Quality Improvement Project To Bridge A Gap In Care For Hospitalized Adults, Audrey M. Johnson

Theses and Dissertations--Rehabilitation Sciences

Early mobility quality improvement (QI) projects are leading the charge to shift the prevailing culture in acute care from a culture of immobility to a culture of mobility. Low mobility and hospital acquired functional decline is a persistent problem, especially for older adults, often leading to increased post acute care costs, increased risk of hospital readmission and increased mortality. Transition of care programs designed to improve care transitions and prevent hospital readmission exist but fail to include rehabilitation professionals or to adequately consider patient functional status during hospitalization. The goal of this research was to implement and evaluate an early …

The Assessment And Utilization Of Patients’ Self-Efficacy For Exercise During Rehabilitation, Kelsey J. Picha

Theses and Dissertations--Rehabilitation Sciences

Patient adherence to in-clinic rehabilitation is between 30-70% and even lower for home exercise programs (HEPs). Barriers to patient adherence have been identified and include but are not limited to anxiety, depression, lack of positive feedback, lack of social support, lack of time, low levels of physical activity at baseline, pain during exercise, and low self-efficacy. As clinicians prescribing rehabilitation may not be able to influence all of the identified barriers, they may positively influence others. Self-efficacy, or an individual’s belief in his/her ability to successfully complete a task, is a patient barrier that may be addressed by a clinician …

Readiness For Discharge After Total Knee Replacement: Exploring Patients’ Perceptions Of Discharge Preparation And Providers’ Descriptions Of Pre-Operative Education, Renee Causey-Upton

Theses and Dissertations--Rehabilitation Sciences

Discharge readiness following total knee replacement (TKR) has often been defined using quantitative factors, such as knee range of motion or walking a specified distance. These measurements fail to include other features that could impact readiness for discharge, such as social support or patient perceptions. Most patients have positive results following TKR surgery, however others experience negative outcomes such as falls, reduced functional performance, and hospital readmission. Readiness for returning home after TKR begins with pre-operative education to prepare patients for surgery and the post-operative phase. Health care providers must have a clear understanding of patients’ perceptions of readiness to …

Tissues And Trauma: Pain Neuroscience Education For Veterans With Post-Traumatic Stress And Low Back Pain, Timothy Mark Benedict

Theses and Dissertations--Rehabilitation Sciences

Low back pain (LBP) is the top reason for Soldiers to seek medical care and one of the top reasons to be medically discharged. Mental health problems and psychosocial stressors have been increasing in Soldiers and are also top causes for medical discharge. Dysregulated stress has contributed to many Soldiers and Veterans to develop chronic LBP as well as mental health disorders like post-traumatic stress disorder (PTSD). Research suggests that psychosocial characteristics, as opposed to physical factors or tissue health, contribute to chronic pain the most. Focusing entirely on tissues for individuals seeking care for LBP can increase disability and …

Can Women Live With More Symptoms Than Men?: Defining Gender Differences In The Patient Acceptable Symptom State (Pass) In Orthopaedic Foot And Ankle Surgery, Judith Baumhauer, Adolph Flemister, Irvin Oh, Benedict Digiovanni, Jeff Houck

Faculty Publications - College of Physical Therapy

Introduction/Purpose: Over the last few years an increasing focus has been directed to define cut-off points for important health improvement. Minimal clinically important difference (MCID) values have traditionally been used to determine if a statistical change translates to a clinical improvement to the patient. Although MCID is helpful, it may be even more important to identify if the current treatment is adequate or that the patient has achieved an acceptable symptom state (symptoms minimal enough to live with). The purpose of this study was to determine if gender influenced patient reported outcomes (patient acceptable symptom state (PASS) and PROMIS Physical …

Ability Of Patient-Reported Outcomes To Characterize Patient Acceptable Symptom State (Pass) After Attending A Primary Care Physical Therapist And Medical Doctor Collaborative Service: A Cross-Sectional Study, Jeff Houck, Daniel Kang, Tyler Cuddeford, Sarah Rahkola

Faculty Publications - College of Physical Therapy

Objectives: To determine if the Patient-Reported Outcome Measurement Information System (PROMIS) physical function, pain interference, self-efficacy, and global rating of normal function (GRNF) scales are able to accurately characterize a patient’s acceptable symptom state (PASS).

Design: A cross-sectional analysis, using receiver operator curves and chi-square analysis to explore criteria to determine thresholds (80% and 95% sensitivity/specificity) for PASS that are applicable to PROMIS and GRNF scales.

Setting: Phone survey after primary care. Participants: Patients (NZ94) attending primary care for musculoskeletal problems. Interventions: Not applicable. Main Outcomes Measures: Accuracy and proportion of patients classified as PASS Yes or No.

Results: Receiver …

Comparison Of Jump And Hop Test Measures Between Naia And Division Iii Male Collegiate Basketball Players, Jason Brumitt, Amy Engilis, Alma Mattocks, Natalie Ellis, Jordon Reyes

Faculty Publications - College of Physical Therapy

Purpose: To report normative data for two functional performance tests (FPTs) (the standing long jump [SLJ] and the single-leg hop [SLH]) in a population of male collegiate basketball players and to identify differences in measures between athletes based on level of competition, starter status, and position.

Methods: Eighty-six male collegiate basketball players from six teams were recruited for this study. Each athlete performed three SLJs and three SLHs (bilaterally).

Results: Mean (± SD) FPT measures (normalized to height) for all basketball players were: SLJ = 1.0 ± 0.1, right SLH = 0.84 ± 0.1, and left SLH = 0.85 ± …