Rehabilitation and Therapy Commons^™

An Occupational Therapy Perspective Of A School-Based Suicide Prevention Program With A Peer-Mentorship Emphasis, Maddie Bjornstad, Karyssa Kimery

Occupational Therapy Capstones

Suicide is one of the leading causes of death in adolescents today (Pisani et al., 2012; Katz et al., 2013). Zalsman et al. (2016), reported the recognition of suicide prevention as a public health priority has helped to encourage research, detection, treatment, and management of individuals at risk for suicide, however the implementation of proven, evidence-based, and cost-effective strategies are the duty of public health policy makers and healthcare providers. Occupational therapists are trained to help individuals determine what occupations are meaningful and completed in order to feel a sense of self-efficacy, therefore occupational therapy can play a critical role …

Occupational Deprivation In Adolescents From Low-Income And Food Insecure Homes: A Screening Tool And After School Program, Claire Eidenschink

Occupational Therapy Capstones

Adolescents who experience food insecurity are exposed to an increased risk of health disparities related to cognitive, psychosocial, and physical functioning (Cook & Frank, 2007). Each of these domains of functioning impacts occupational performance in all roles that an adolescent assumes. Of note, the role of a student is drastically impacted. Therefore, a program to address strategies for meeting basic needs within a familiar setting, such as a school, is relevant and necessary for this population. Such a program would offer an opportunity to close the gap in disparities and increase health outcomes of adolescents who experience food insecurity as …

Role Transition From Student To Occupational Therapist In An Acute Care Physical Dysfunction Setting, Tyler Giegerich, Juan Rosales Jr.

Occupational Therapy Capstones

Purpose: There are limited tools to assist new graduates and novice occupational therapist as they navigate their job responsibilities within acute physical dysfunction settings. The purpose of this scholarly project was to create a resource to address the challenges faced when transitioning to an acute physical dysfunction setting.

Methods: An extensive literature review was conducted on topics relating to: occupational therapy, role transitioning, job responsibilities in an acute setting, environment of acute setting, readiness skills of occupational therapists, challenges faced in an acute setting, and current tools utilized to assist novice therapists in their work transition. The search …

A Review Of Community Aging In Place Programs To Minimize Social Isolation In Older Adults, Heather J. Goodwater, Joanna M. Yutrzenka

Occupational Therapy Capstones

The aging baby boomer population calls for new solutions to enable older Americans to age in place in their communities of choice. Nine out of ten adults age 50 and older prefer to remain in their homes indefinitely as they age, or as long as they possibly can (Gonyea, & Burnes, 2013). However, program funding that supports aging in place does not come close to keeping pace with the rapid growth of the 65 and older population (American Institutes for Research, 2016). There are a limited number of programs in place to address socialization in community-dwelling older adults. The prevalence …

Occupational Therapy's Involvement With The Ymca In Developing A Program To Address Activities Of Daily Living In Those With Parkinson's Disease, Michaela Johnson, Emilea Berhow

Occupational Therapy Capstones

The purpose of Occupational Therapy’s involvement with the YMCA in Developing a Program to Address Activities of Daily Living in Those with Parkinson’s Disease was to create a protocol that addresses the needs of those with Parkinson’s Disease (PD), specifically focusing on the area of activities of daily living (ADL). Through the use of occupational therapy perspectives and techniques, this program focuses on increasing and/or maintaining independence and safety during daily tasks in those with PD.

This program was influenced by the Person-Environment-Occupation model due to the transactional approach towards occupational performance. This model focuses on finding the best “fit” …

Generationactive: Creating Healthier Communities Two Generations At A Time, Jerrica Thiel, Mallory Manecke

Occupational Therapy Capstones

Obesity has become an epidemic across all ages, as the prevalence of obesity has nearly tripled over the last 40 years (World Health Organization, 2017-a). Obesity can have a detrimental impact on the health and future of Americans, as many diseases are correlated with obesity. Diabetes, which often occurs secondary to obesity and is the 7th leading cause of death in America, is similarly on the rise (CDC, 2012). To combat these issues, there is a great need for a health promotion initiative that provides individuals of all ages an opportunity to learn about health and wellness, to take steps …

Evolution Of Occupational Therapy Practice: Life History Of Lavonne Fox, Ph.D., Otr/L, Drew Mapes, Hannah Halbakken

Oral History Student Papers

The purpose of this qualitative life history study was 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. The individual chosen for this study was Lavonne Fox. A purposive sampling method was used to select the participant for the study. A semi-structured interview was done with Lavonne Fox at the University of North Dakota School of Medicine and Health Sciences. The researchers transcribed the interview data verbatim. From this data, codes, categories, themes, and assertions …

Life History Of Maggie Butler, Cota/L, Justine Flattum, Katie Stewart

Oral History Posters

The life history of Maggie Butler was one of 31 life history interviews conducted as a part of a larger project of Life Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) in North Dakota and Wyoming. The purpose of the Life History is to gather information about the history and evolution of the OT practice from individuals like Maggie Butler who have been influential in developing OT in these two states. A life history is a powerful way to provide current and future generations of occupational therapists a view of the history of how OT practice …

Evolution Of Occupational Therapy Practice: Life History Of Anne Haskins, Phd, Otr/L, Dayton Bender, Shaina Simonson

Oral History Posters

This life history is one of 31 life history interviews which contribute to a larger project, Life Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT), in North Dakota and Wyoming. The purpose of this life history study is to gather information about the history and evolution of occupational therapy practice (OT) 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 therapy practitioners a view of history and OT practice has evolved from …

Life History Of Michael Nelson Mot, Otr/L, Krista Steinbeisser, Mackenzie Meidinger

Oral History Posters

Purpose: This life history report is one of 31 life history interviews, which are a part of a larger project, Life History of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) in North Dakota and Wyoming. The purpose of this project is to gather information through life histories of individuals who have been influential in developing practice. 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 generations of occupation therapists a view of history and how occupational therapy practice has evolved …

The Effects Of Cultural Dissimilarity On Employee Job Attitudes And Productivity, Sherrice Olithia Lyons

Walden Dissertations and Doctoral Studies

Organizations in Jamaica have been impacted by globalization and the opportunities and challenges of cultural incompatibilities. Most previous studies on cultural incompatibilities have focused on the impact on expatriates leaving a gap in the literature with respect to the implications for host country nationals, and specifically Jamaicans. This quantitative study focused on employees of 2 companies in Jamaica, an energy company and a hospitality company. It examined cultural dissimilarity with respect to host country nationals and expatriates, and its effect on the productivity, job satisfaction, affective commitment, and normative commitment of these employees (N = 110). In addition to the …

Changes In Reach To Eat Movement Control After Intensive Training For Children With Unilateral Cerebral Palsy, Yaching Hung, Aryeh D. Spingarn

Publications and Research

Ya Ching Hung EdD. and Aryeh Spingarn EP-C, CSCS, EIM-Level 2 Queens College, City University of New York Department of Family, Nutrition, and Exercise Sciences, Changes in Reach to Eat Movement Control After Intensive Training for Children with Unilateral Cerebral Palsy. Purpose: The current study compares the effects of an intervention on children with Congenital Hemiplegia during a simple eating task using kinematic analyses. Previous studies looked at simple bimanual tasks such as opening a drawer; no studies examined the effects of intensive training on unimanual reach, grasp, and eat movement control. Methods: 20 children with Unilateral Spastic Cerebral Palsy …

Grip And Muscle Strength Dynamometry In Acute Burn Injury: Evaluation Of An Updated Assessment Protocol, Paul M. Gittings, Dana A. Hince, Benedict M. Wand, Fiona M. Wood, Dale W. Edgar

Physiotherapy Papers and Journal Articles

External stabilization is reported to improve reliability of hand held dynamometry, yet this has not been tested in burns. We aimed to assess the reliability of dynamometry using an external system of stabilization in people with moderate burn injury and explore construct validity of strength assessment using dynamometry.

Participants were assessed on muscle and grip strength three times on each side. Assessment occurred three times per week for up to four weeks. Within session reliability was assessed using intraclass correlations calculated for within session data grouped prior to surgery, immediately after surgery and in the sub-acute phase of injury. Minimum …

Non-Invasive Brain Stimulation Techniques For Chronic Pain, Neil E. O'Connell, Louise Marston, Sally Spencer, Lorraine H. Desouza, Benedict M. Wand

Physiotherapy Papers and Journal Articles

Stimulating the brain without surgery in the management of chronic pain in adults

Bottom line: There is a lack of high-quality evidence to support or refute the effectiveness of non-invasive brain stimulation techniques for chronic pain.

Background: Electrical stimulation of the brain has been used to address a variety of painful conditions. Various devices are available that can electrically stimulate the brain without the need for surgery or any invasive treatment. There are five main treatment types: repetitive transcranial magnetic stimulation (rTMS) in which the brain is stimulated by a coil applied to the scalp, cranial electrotherapy stimulation (CES) in …

Visually-Induced Analgesia In A Deep Tissue Experimental Pain Model: A Randomised Cross-Over Experiment, Megan Van Selm, William Gibson, Mervyn Travers, Lorimer Moseley, Dana A. Hince, Benedict Wand

Physiotherapy Papers and Journal Articles

Background: Visualizing one’s own painful body part appears to have an effect on reported pain intensity. Furthermore, it seems that manipulating the size of the viewed image can determine the direction and extent of this phenomenon. When visual distortion has been applied to clinical populations the analgesic effects have been in opposition to those observed in some experimental pain models. To help resolve this problem we explored the effect of visualisation and magnification of the visual image on reported pain using a delayed onset muscle soreness (DOMS) pain model.

Methods: We induced DOMS in the quadriceps of 20 healthy volunteers. …

Is Heavy Eccentric Calf Training Superior To Wait-And-See, Sham Rehabilitation, Traditional Physiotherapy And Other Exercise Interventions For Pain And Function In Mid-Portion Achilles Tendinopathy?, Myles Murphy, Mervyn Travers, William Gibson

Physiotherapy Papers and Journal Articles

Background: Mid-portion Achilles tendinopathy (AT) is prevalent amongst athletic and non-athletic populations with pain, stiffness and impaired function typically reported. While different management options exist, loading protocols remain the best available intervention and have been shown to be effective in the management of AT. Trials investigating loading in AT have used a variety of different protocols, and recent narrative reviews suggest that no protocol is superior to another when comparing outcomes in pain and function. However, there has been no systematic review or meta-analysis completed to determine this. Furthermore, the narrative review did not consider wait-and-see or sham interventions, thus …

An Objective Measure For The Assessment And Management Of Fluid Shifts In Acute Major Burns, Pippa Kenworthy, Michael Phillips, Tiffany L. Grisbrook, William Gibson, Fiona M. Wood, Dale W. Edgar

Physiotherapy Papers and Journal Articles

Background: Major burns are life threatening. Fluid resuscitation is required for survival to maintain intravascular volumes and prevent hypovolemic shock. Bioimpedance spectroscopy (BIS) has been recognised as a potential method of monitoring fluid shifts after burn and in other disease states. The aims of this study were to examine the reliability of BIS across different dressing conditions and electrode positions, establish the influence of Acticoat™ on BIS variable measures and determine the validity of whole-body BIS to assess net fluid shift in the presence of moderate to major burns.

Methods: An observational longitudinal cohort study was conducted from December 2014 …

Critically Appraised Paper: Preoperative Physiotherapy Education Halved Postoperative Pulmonary Complications In Patients After Upper Abdominal Surgery [Commentary], Shane Patman

Physiotherapy Papers and Journal Articles

No abstract available for this paper.

Reducing Falls In Older Adults Recently Discharged From Hospital: A Systematic Review And Meta-Analysis, Chiara Naseri, Terry P. Haines, Christopher Etherton-Beer, Steven Mcphail, Meg E. Morris, Leon Flicker, Julie Netto, Jacqueline Francis-Coad, Den-Ching A. Lee, Ronald Shorr, Anne-Marie Hill

Physiotherapy Papers and Journal Articles

Background: Older adults are known to have increased falls rates and functional decline following hospital discharge, with substantial economic healthcare costs. This systematic review aimed to synthesise the evidence for effective falls prevention interventions in older adults recently discharged from hospital.

Methods: Literature searches of six databases of quantitative studies conducted from 1990 to June 2017, reporting falls outcomes of falls prevention interventions for community-dwelling older adults discharged from hospital were included. Study quality was assessed using a standardised JBI critical appraisal tool (MAStARI) and data pooled using Rev-Man Review Manager®

Results: Sixteen studies (total sample size N= 3,290, from …

Evaluation Of Older People's Knowledge, Awareness, Motivation And Perceptions About Falls And Falls Prevention In Residential Aged Care Homes: A Tale Of Two Cities, Jacqueline Francis-Coad, Tessa Watts, Christopher Etherton-Beer, Gerwyn Panes, Howard Griffiths, Michelle Anderson, Tracy Williams, Beth Griffiths, Debbie Nobre, Anne-Marie Hill

Physiotherapy Papers and Journal Articles

Falls prevention strategies can only be effective in reducing falls amongst older people if they are adopted and enacted in their daily lives. There is limited evidence identifying what older people in residential aged care (RAC) homes understand about falls and falls prevention, or what may limit or enable their adoption of strategies. This study was conducted in two countries and explored older people’s knowledge and awareness of falls and their preferences, opportunities and motivation to undertake falls prevention strategies. A cross-sectional survey was administered to participants (N = 70) aged 65 years and over, living in six RAC homes …

Impact Of Tailored Falls Prevention Education For Older Adults At Hospital Discharge On Engagement In Falls Prevention Strategies Postdischarge: Protocol For A Process Evaluation, Chiara Naseri, Steven M. Mcphail, Julie Netto, Terrence P. Haines, Meg E. Morris, Christopher Etherton-Beer, Leon Flicker, Den-Ching A. Lee, Jacqueline Francis-Coad, Anne-Marie Hill

Physiotherapy Papers and Journal Articles

Introduction: Older adults recently discharged from hospital have greater incidence of adverse events, functional decline, falls and subsequent readmission. Providing education to hospitalised patients on how to prevent falls at home could reduce postdischarge falls. There has been limited research investigating how older adults respond to tailored falls prevention education provided at hospital discharge. The aim of this study is to evaluate how providing tailored falls prevention education to older patients at the point of, and immediately after hospital discharge in addition to usual care, affects engagement in falls prevention strategies in the 6-months postdischarge period, including their capability and …

The Translation, Validity And Reliability Of The German Version Of The Fremantle Back Awareness Questionnaire, Katja Ehrenbrusthoff, Cormac G. Ryan, Christian Gruneberg, Benedict Wand, Denis J. Martin

Physiotherapy Papers and Journal Articles

Background: The Fremantle Back Awareness Questionnaire (FreBAQ) claims to assess disrupted self-perception of the back. The aim of this study was to develop a German version of the Fre-BAQ (FreBAQ-G) and assess its test-retest reliability, its known-groups validity and its convergent validity with another purported measure of back perception.

Methods: The FreBaQ-G was translated following international guidelines for the transcultural adaptation of questionnaires. Thirty-five patients with non-specific CLBP and 48 healthy participants were recruited. Assessor one administered the FreBAQ-G to each patient with CLBP on two separate days to quantify intra-observer reliability. Assessor two administered the FreBaQ-G to each patient …

Mental Wellbeing In Non-Ambulant Youth With Neuromuscular Disorders: What Makes The Difference?, Vivienne Travlos, Jenny Downs, Andrew Wilson, Dana Hince, Shane Patman

Physiotherapy Papers and Journal Articles

The physical and social challenges associated with neuromuscular disorders may impact mental wellbeing in non-ambulant youth during the more vulnerable period of adolescence. This cross-sectional survey investigated non-ambulant youths’ mental wellbeing and relationships with physical health, participation and social factors. The conceptual model was the International Classification of Functioning, Disability and Health (ICF). Thirty-seven youth aged 13 – 22 years old (mean age 17.4 years; n = 30 male; n = 24 Duchenne Muscular Dystrophy) and their parents provided biopsychosocial data through a comprehensive self-report questionnaire. The primary outcome measure was the Warwick Edinburgh Mental Wellbeing Scale (WEMWBS). Relationships between …

8890: Athletic Training Student Application Of Patient-Centered Care During Clinical Education: A Report From The Athletic Training Clinical Education Network, J. M. Cavallario, C. E. Welch Bacon, S. E. Walker, R. C. Bay, B. L. Van Lunen

Rehabilitation Sciences Faculty Publications

Context: Patient-centered care (PCC) is the most frequently implemented core competency by students in health care education programs, and is more likely to be included when students and preceptors are jointly treating patients during clinical education. However, past research has examined only self-identification of implementation, not the inclusion of components of the competency during patient encounters (PEs).

Objective: To assess whether athletic training students (ATSs) are integrating concepts of PCC during PEs as a part of their clinical education experiences.

Design: Multisite, panel design.

Setting: Three Commission on Accreditation of Athletic Training Education-accredited professional athletic training programs (2 baccalaureate, 1 …

8902: Athletic Training Student Application Of Evidence-Based Practice During Clinical Education: A Report From The Athletic Training Clinical Education Network, B. L. Van Lunen, J. M. Cavallario, S. E. Walker, R. C. Bay, C. E. Welch Bacon

Rehabilitation Sciences Faculty Publications

Context: Previous research has demonstrated that the translation of evidence-based practice (EBP) from didactic environments to clinical practice can be difficult. The level to which athletic training students (ATSs) incorporate EBP during clinical experiences is still largely unknown. Objective: To assess whether ATSs are integrating concepts of EBP during patient encounters (PEs) as a part of their clinical experiences. Design: Multisite, panel design. Setting: Three Commission on Accreditation of Athletic Training Education-accredited professional athletic training programs (2 baccalaureate, 1 postbaccalaureate). Patients or Other Participants: One thousand three hundred nineteen PEs (539 pediatric patients, 775 adult patients, 5 missing) were entered …

8892: Athletic Training Student Application Of Interprofessional Education During Clinical Education: A Report From The Athletic Training Clinical Education Network, S. E. Walker, J. M. Cavallario, C. E. Welch Bacon, R. C. Bay, B. L. Van Lunen

Rehabilitation Sciences Faculty Publications

Context: Past research has identified interprofessional education (IPE) as a challenging core competency to incorporate into health care education, and suggested that the lack of IPE is a barrier to students' ability to provide patient-centered care. The extent to which IPE is being incorporated into athletic training clinical experiences for athletic training students (ATSs) is still largely unknown. Objective: To assess whether ATSs are integrating concepts of IPE during patient encounters (PEs) during their clinical education. Design: Multisite, panel design. Setting: Three Commission on Accreditation of Athletic Training Education-accredited professional athletic training programs (2 baccalaureate, 1 postbaccalaureate) via convenience sampling. …

Athletic Training Student Core Competency Implementation During Patient Encounters, Julie M. Cavallario, Bonnie L. Van Lunen, Johanna M. Hoch, Matthew Hoch, Sarah A. Manspeaker, Shana L. Pribesh

Rehabilitation Sciences Faculty Publications

Context: Health care research evidence suggests that early patient encounters (PEs), as well as the purposeful implementation of professional core competencies (CCs), for athletic training students (ATSs) may be beneficial to their ability to provide care. However, no investigators have related facets of the clinical education experience with CC implementation as a form of summative assessment of the clinical experience.

Objective: To determine the relationship between the frequency and length of PEs, as well as the student's role and clinical site during PEs, and the students' perceived CC implementation during these encounters.

Design: Cross-sectional study.

Setting: Professional athletic training program, …

Grip Force Control Using Prosthetic And Anatomical Limbs, Michael S. Trujillo, Daniel M. Russell, David I. Anderson, Marilyn Mitchell

Rehabilitation Sciences Faculty Publications

Introduction

Skillful object manipulation in various activities of daily living requires accurate and economical modulation of grip force, yet experimental studies investigating grip force using a prosthesis are lacking. The purpose of this study was to compare grip force output between two types of upper-limb prosthetic prehensors. We hypothesized a relationship between grip force output and the muscular tension needed to control the prehensor.

Materials and Methods

Ten able-bodied participants attempted to produce a static target grip force using a voluntary opening and voluntary closing prosthetic simulator and their anatomical hand. The target forces were 0.49 N, 4 N, and …

Assessment Of Medical Screening And Clinical Reasoning Skills By Physical Therapy Students In A Simulated Patient Encounter, Therese E. Johnston

Internet Journal of Allied Health Sciences and Practice

Purpose: Physical therapists (PTs) screen their patients for medical issues that may present as musculoskeletal conditions. In physical therapy education, learning activities followed by assessment of skills and clinical reasoning is important. The purposes of this study are to 1) demonstrate the feasibility of the use of standardized patients (SPs) and standardized physicians (SPhs) during a practical examination focused on medical screening, and 2) report outcomes related to the students’ abilities to screen for medical issues and make clinical decisions about referral to a physician.

Methods: Students evaluated a standardized patient in an outpatient setting model. After receiving …

The Effect Of Yoga In Reducing Pain Related To Arthritis: An Integrative Review Of The Literature, Meredith Collins, Corinne Reed

Williams Honors College, Honors Research Projects

Research shows that arthritis is the most common cause of disability in the United States (Middleton et al., 2013). The PICOT question for this systematic review of literature is “In adults over the age of 40 years, how do yoga interventions, compared to pharmacological pain relief methods alone, affect arthritic pain intensity and frequency?” This systematic review will discuss the possible benefits of using yoga as treatment for both rheumatoid arthritis and osteoarthritis. The methods for this review included a comprehensive search yielding nineteen credible studies using the databases Search-A-Roo, Google Scholar, and CINAHL Plus for full-text academic journal articles …