Rehabilitation and Therapy Commons^™

Standing Balance And Spatiotemporal Aspects Of Gait Are Impaired Upon Nocturnal Awakening In Healthy Late Middle-Aged And Older Adults, Amanda L. Mcbean, Raymond P. Najjar, Ronald A. Schuchard, Courtney D. Hall, Cheng-Ann Wang, Ban Ku, Joseph M. Furman

ETSU Faculty Works

Study Objectives: Nocturnal awakenings may constitute a unique risk for falls among older adults. We describe differences in gait and balance between presleep and midsleep testing, and whether changes in the lighting environment during the midsleep testing further affect gait and balance.

Methods: Twenty-one healthy, late middle-aged and older (64.7 ± 8.0 y) adults participated in this repeated-measures design consisting of four overnight laboratory stays. Each night, participants completed baseline visual acuity, gait, and balance testing. After a 2-h sleep opportunity, they were awakened for 13 min into one of four lighting conditions: very dim white light (< 0.5 lux); dim white light (∼28.0 lux); dim orange light (∼28.0 lux); and white room-level light (∼200 lux). During this awakening, participants completed the same sequence of testing as at baseline.

Results: Low-contrast …

Occupational Therapy Services And Clinical Decision Making In Oncology Care: A Mixed Methods Approach, Sheila M. Longpre'

Occupational Therapy Program Student Theses, Dissertations and Capstones

The purpose of this study was to explore the types and patterns of occupational therapy services implemented with clients who are cancer survivors, which utilized a mixed methods approach, specifically an explanatory sequential design. The Occupational Therapy Practice Inventory (OTPI) was used to gather information regarding the type and patterns of occupational therapy services provided for clients receiving oncology care. The results of the OTPI were analyzed and used to further develop semi-structured questions for exploring the perspectives of occupational therapy practitioners who practice in the area of oncology in the United States. The data were analyzed to generate a …

Assets And Barriers To Osteoarthritis, Allison K. Wiles

Scholars Week

Osteoarthritis has remained a prevailing health concern in our society for many years. OA is most commonly seen in middle aged men and women suffering from pain and stiffness in the hip, knee, and thumb areas. Risk factors for OA include age, obesity, previous joint injuries, overuse of joint areas, and weak muscles. If not treated, OA could lead to permanent discomfort and pain, and potentially develop into depression, lowered quality of life, or a need for long-term home health care.

By providing photo footage of every day health care issues, Photo voice persuades community members to change habits and …

Mind And Body Training To Improve Functioning And Coping With Chronic Pain: A Pilot Study, Olga Valieva, Leah M. Welsh, Betty Amuzu, Niraj Nijhawan, Jessica J.F. Kram

Journal of Patient-Centered Research and Reviews

Background: Patients with chronic pain are often crippled by psychological distress, depression and fear. These patients also can develop altered pain perception, with enhanced brain activity in pain-responsive regions and those associated with anxiety/depression. Exercise and meditation can impact pain-reducing brain areas and positively influence pain characteristics.

Purpose: To alter pain center activity by reducing the activation of the higher brain and deactivation of the lower brain with somatocognitive and meditative practices, with secondary aim of reducing anxiety/depression and improve overall quality of life.

Methods: We conducted a pilot study on mentally competent adult women with stable chronic pain who …

Wearable Imu For Shoulder Injury Prevention In Overhead Sports, Samir A. Rawashdeh, Derek A. Rafeldt, Timothy L. Uhl

Physical Therapy Faculty Publications

Body-worn inertial sensors have enabled motion capture outside of the laboratory setting. In this work, an inertial measurement unit was attached to the upper arm to track and discriminate between shoulder motion gestures in order to help prevent shoulder over-use injuries in athletics through real-time preventative feedback. We present a detection and classification approach that can be used to count the number of times certain motion gestures occur. The application presented involves tracking baseball throws and volleyball serves, which are common overhead movements that can lead to shoulder and elbow overuse injuries. Eleven subjects are recruited to collect training, testing, …

Predicting Walking Ability And Prosthetic Candidacy Following Lower Extremity Amputation: Systematic Review, Treatment Pathway And Algorithm, Scott Love

Student Dissertations

Purpose: The purpose of this study is a systematic review (SR) of existing literature to examine characteristics of persons with amputation which predict walking ability and prosthetic candidacy following lower extremity amputation (LEA). The identification, synthesis and summary of this evidence could assist in developing clinical practice guidelines, including a physical rehabilitation treatment pathway and a clinical algorithm. The importance of this project is the establishment to further develop evidence based LEA clinical practice guidelines. This evidence will assist the healthcare team in decision making, specifically considering evidence and patient-centric predictive characteristics.

Background: Currently, there is no multi-disciplinary physical …

Differential Item Functioning In The Patient Reported Outcomes Measurement Information System Pediatric Short Forms In A Sample Of Children And Adolescents With Cerebral Palsy., Wendy J. Coster, Pengsheng Ni, Mary D. Slavin, Pamela A. Kisala, Ratna Nandakumar, Mary Jane Mulcahey, David S. Tulsky, Alan M. Jette

Department of Occupational Therapy Faculty Papers

AIM: The present study examined the Patient Reported Outcomes Measurement Information System (PROMIS) Mobility, Fatigue, and Pain Interference Short Forms (SFs) in children and adolescents with cerebral palsy (CP) for the presence of differential item functioning (DIF) relative to the original calibration sample.

METHOD: Using the Graded Response Model we compared item parameter estimates generated from a sample of 303 children and adolescents with CP (175 males, 128 females; mean age 15y 5mo) to parameter estimates from the PROMIS calibration sample, which served as the reference group. DIF was assessed in a two-step process using the item response theory-likelihood ratio-differential …

The Short-Term And Long-Term Effects Of Biofeedback-Assisted Relaxation Therapy In Patients With Heart Failure: A Randomized Control Study, Tsuey-Yuan Huang, Debra K. Moser, Shiow-Li Hwang

Nursing Faculty Publications

Background: Relaxation techniques can reduce sympathetic nervous system activation and stress, potentially improving heart failure patients’ physical and psychological outcomes.

Purpose: To examine the effects of biofeedback-assisted relaxation (BFAR) therapy in patients with heart failure.

Methods: A prospective randomized control study was conducted. Participants in the treatment group received BFAR therapy, while participants in the control group received standard of care. Short-term outcomes were physical symptoms and psychosocial variables measured at baseline and 3 months; long-term outcomes were cardiac events and mortality assessed at 12 months.

Results: Fifty-two heart failure patients participated in the study: 23 (mean age 60.0 ± …

Mind Mapping: A Strategy To Promote Interprofessional Collaboration Among Health Science Students, Catherine Maher, Pt, Dpt, Genevieve Pinto Zippo, Pt, Edd

JCIPE Conference

Purpose/Background:

This presentation will provide participants with an understanding of what mind mapping is and engage participants in a discussion and hands on experience of how mind mapping can be used to prepare students for interprofessional collaborative practice and integrate patient centered models of care. Managing a patient’s plan of care requires health care practitioners to share and integrate data in order to formulate a plan of care. How to engage with other disciplines is often developed during student’s clinical educational experiences. Assisting and engaging students during the academic portion are essential to prepare them for interprofessional collaborative practice. Mind …

The Dip: Orchestrating A Clinical Immersion Experience In Interprofessional Education, Karen M. Sames, Otd, Otr/L, Faota, Rebecca L. Mcgill, Edd, Rn

JCIPE Conference

Research Question:

Do health professions students who participate in an interprofessional education experience report improved teamwork skills?

Exploring The Critical Thinking Skills Of Respiratory Care Students And Faculty, Bshayer Ramadan Alhamad

Seton Hall University Dissertations and Theses (ETDs)

Introduction: Today, with the increased demands in health care, working as a competentrespiratory therapist requires being a highly skilled, critically thinking professional. Although students are expected to learn how to think critically mostly in the academic environment from their faculty, only a paucity of studies has assessed the critical thinking of respiratory care students, with none, to our knowledge, assessing that of faculty. Therefore, the purpose of this mixed method study was to (1) assess the overall critical thinking skill levels of both respiratory care students and faculty, (2) investigate whether respiratory care faculty have stronger overall critical thinking skills …

The Benefits Of Alternative And Augmentative Communication: A Quality Of Life Issue, Richard Dressler, Lauren Bland, Meghan Baumgartner

Internet Journal of Allied Health Sciences and Practice

This article summarizes the need for alternate forms of communication for those who are unable to use verbal speech. The importance of allied health professionals in understanding alternative communication is critical in patient care. The authors describe the various forms of augmentative and alternate communication devices that can be used to help a non-verbal individual communicate their wants, needs, and thoughts. Financial and social consequences for using these devices is discussed.

Multiple-Modality Exercise And Mind-Motor Training To Improve Cardiovascular Health And Fitness In Older Adults At Risk For Cognitive Impairment: A Randomized Controlled Trial, Narlon Cassio Boa Sorte Silva, Micheal A. Gregory, Dawn P. Gill, Robert Petrella

Lifestyle Research Team

Background:The effects of multiple-modality exercise on arterial stiffening and cardiovascular fitness has not been fully explored. Objectives: To explore the influence of a 24-week multiple-modality exercise program associated with a mind-motor training in cardiovascular health and fitness in community-dwelling older adults, compared to multiple-modality exercise (M2) alone.

Methods: Participants (n=127, aged 67.5 [7.3] years, 71% females) were randomized to either M4 or M2 groups. Both groups received multiple-modality exercise intervention (60 min/day, 3 days/week for 24-weeks); however, the M4 group underwent additional 15 min of mind-motor training, whereas the M2 group received 15 min of balance training. Participants …

Do Scapular Kinematics Alter During The Performance Of The Scapular Assistance Test And Scapular Retraction Test: A Pilot Study, W. Ben Kibler, Thomas J. Cunningham, Natalie L. Myers, Timothy L. Uhl

Physical Therapy Faculty Publications

Objective: To describe to what degree and in what plane biomechanical alterations occur during the performance of the Scapular Retraction test (SRT) and Scapular Assistance Test (SAT).

Design: Laboratory Pilot Study

Participants: Eight symptomatic and 7 asymptomatic subjects were instrumented with electromagnetic sensors.

Main Outcome Measures: The SRT and SAT were performed with the scapula stabilized and unstabilized. The scapular kinematic variables of posterior tilt, internal rotation, upward rotation, protraction, and elevation were measured during both tests.

Results: Descriptive analysis of scapular kinematics suggested that posterior tilt was primarily increased during both clinical tests in both groups. Both groups decreased …

The Effect Of Exercise On Cognitive Function As Measured By Impact Protocol: Aerobic Vs. Anaerobic, John Brutvan Ma, Atc, Kimberly S. Peer Edd, Atc, Fnata, Jacob E. Barkley Phd, Jay Jonas Ms, Atc

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Background: Exercise has long played a critical role in the recovery from athletic injuries. Of recent, concussion research has escalated creating new insights into the treatment of and rehabilitation from concussion syndromes. As part of the concussion research, multiple uses of the ImPACT tool have evolved to measure cognitive function. However, combining the variables of cognitive improvement as measured by the ImPACT protocol with aerobic and anaerobic exercise has not been investigated. Purpose: The purpose of this investigation was to assess the influence of acute bouts of aerobic versus resistance exercise on cognitive function of college-aged participants as measured …

Puzzleart Therapy: Connecting The Pieces In Search Of Answers, Jennifer Fortuna

Open Journal of Occupational Therapy: Occupation and the Artist

Alli Berman has been an artist, educator, author, and lecturer for more than 25 years. Her art can be found in private, corporate, and nonprofit collections around the world. Berman is the creator of PuzzleArt, a series of small abstract paintings that combine to form a modular puzzle. When a stroke impacted Berman’s quality of life, she turned to art for answers. Engagement in a meaningful activity, such as painting, provided her motivation and strength for continued physical and psychological healing. The PuzzleArt concept evolved from a simple exercise that helped Berman to fit all of the missing pieces back …

Puzzleart Therapy: Connecting The Pieces In Search Of Answers, Jennifer Fortuna

The Open Journal of Occupational Therapy

Alli Berman, a New York based artist, provided the cover art for the Fall 2016 issue of The Open Journal of Occupational Therapy (OJOT). “Sunlight Underwater” is a 12 piece PuzzleArt painting made from acrylic on American maple that measures 22x30. The PuzzleArt concept began as a simple exercise that evolved into a therapeutic modality. When a sudden stroke impacted Berman’s well-being and quality of life, it was art that helped her to make connections during recovery.

Reclaiming And Proclaiming The Use Of Crafts In Occupational Therapy, Emily Leenerts, Cynthia Evetts, Emily Miller

The Open Journal of Occupational Therapy

No abstract provided.

What's In The Fridge? Unique Competencies Of Community-Based Occupational Therapists, Sunny R. Winstead

The Open Journal of Occupational Therapy

No abstract provided.

Perceptions Of Academic Fieldwork Coordinators Regarding The Value Of Fieldwork In Emerging Areas Of Practice, Victoria G. Wilburn, Kate E. Decleene Huber, Julie Gahimer, Candace Beitman, Elizabeth S. Moore

The Open Journal of Occupational Therapy

This study investigated the perceptions of academic fieldwork coordinators (AFWCs) regarding emerging areas of practice as fieldwork experiences for entry-level occupational therapy (OT) students. Further, this study explored several aspects of fieldwork experiences in emerging areas of practice on student personal and professional development, academic curriculum, partnering community agencies, and the profession at large. A survey designed through Qualtrics®, an electronic survey system, was sent to 163 AFWCs of fully accredited master’s and doctoral entry-level OT programs. Forty-four participants (27%) completed the 16-question survey. Significance at p < .05 was found in higher levels of Bloom’s taxonomy student performance when compared to traditional areas of practice. Common perceptions found among the AFWCs related to emerging areas of practice fieldwork experiences included: improved student professional and personal skills, increased connections and collaborations across and in health care disciplines, an enhanced ability to define and understand OT. Continued opportunities for fieldwork in emerging areas of practice are essential as the profession contemplates new markets and avenues in a changing health care environment.

Ot Practitioners’ And Ot Students’ Perceptions Of Entry-Level Competency For Occupational Therapy Practice, Minetta Wallingford, Lisa J. Knecht-Sabres, Michelle M. Lee, Lavonne Ellen St.Amand

The Open Journal of Occupational Therapy

This study examined occupational therapy (OT) practitioners’ and OT students’ perceptions of the importance of 12 specific OT-related entry-level competency skills and the number of weeks required to consistently demonstrate skills for entry-level competency. The results indicated that, on average, practitioners (n = 39) and students (n = 38) agreed that all of the items were important. However, the students had significantly higher ratings regarding the importance of communication, occupation and client-centered goals, time management, interventions, and use of theory and evidence. They also rated a higher number of minimum weeks required to consistently demonstrate entry-level competency. The …

High-Fidelity Simulation In Occupational Therapy Curriculum: Impact On Level Ii Fieldwork Performance, Rebecca Ozelie, Catherine Both, Emma Fricke, Carolyn Maddock

The Open Journal of Occupational Therapy

Simulation experiences provide experiential learning opportunities during artificially produced real-life medical situations in a safe environment. Evidence supports using simulation in health care education yet limited quantitative evidence exists in occupational therapy. This study aimed to evaluate the differences in scores on the AOTA Fieldwork Performance Evaluation for the Occupational Therapy Student of Level II occupational therapy students who received high-fidelity simulation training and students who did not. A retrospective analysis of 180 students from a private university was used. Independent samples nonparametric t tests examined mean differences between Fieldwork Performance Evaluation scores of those who did and did not …

Knowledge Translation And Occupational Therapy: A Survey Of Canadian University Programs, Heidi Cramm, Blair Short, Catherine A. Donnelly

The Open Journal of Occupational Therapy

While Canadian occupational therapy recognizes knowledge translation (KT) as essential to clinical interactions, there has been little attention paid to KT activity in education and research. The objective of this study was to identify the nature of KT activities in which Canadian occupational therapy faculty engage. An electronic survey was sent to faculty at 14 Canadian occupational therapy programs to explore the nature of KT activities, including research, education, strategies, evaluation, and barriers and facilitators. Descriptive statistics were used to analyze the data. Results show that faculty engage in a range of KT activities, with conferences and peer-reviewed publications being …

Up Bloom’S Pyramid With Slices Of Fink’S Pie: Mapping An Occupational Therapy Curriculum, Susan C. Burwash, Roberta Snover, Robert Krueger

The Open Journal of Occupational Therapy

Curriculum design is a complex task. One tool used in the design process is curriculum mapping. A mandated transition from a quarter to a semester academic calendar, alongside preparation of accreditation self-study materials, provided an opportunity for faculty teaching in an entry-level occupational therapy program to review the underlying basis of the curriculum. Two taxonomies of learning (Bloom’s cognitive domain and Fink’s taxonomy of significant learning experiences) were used to examine existing courses and to consider how learning outcomes and experiences varied over the sequence of courses in the curriculum. This led to the creation of a series of course …

Bangladesh Norms For A Gender-Specific Functional Fine Dexterity Test (Ffdt), Debra K. Lindstrom-Hazel, Umme Aeyman, Md. Julker Nayan, Syed Shakawat Hossain

The Open Journal of Occupational Therapy

Background: Good psychometrics and cultural relevance are needed for evidence-based practice. Occupational therapy (OT) assessment tools in Bangladesh have been developed outside of Bangladesh and have not been validated or normed for Bangladeshis. This normative and psychometric study was to provide culturally relevant norms for in Bangladesh for bilateral fine motor.

Method: The Functional Fine Dexterity Test (FFDT) consists of two functional/self-care gender-specific task instruments: a shirt with five buttons for males and a pinning board for females. Raters were trained in timing these tasks.

Results: Intra-Class Correlation (ICC) scores were > .85 for all rater teams. Participants …

Goals And Expectations Of Continuation High School Students Transitioning To Postsecondary Education, Chi-Kwan Shea, Gordon Muir Giles

The Open Journal of Occupational Therapy

Background: Students at a continuation high school (CHS) attended an occupational therapy program to acquire life skills in preparation for their transition from secondary education. Most of the students who participated in the OT program planned to pursue a postsecondary education (PSE), but the CHS students encountered many barriers in negotiating the requirements of PSE. Discernment of these barriers encountered by the CHS students may enable the occupational therapy practitioners to better prepare the students for PSE.

Method: This was a qualitative phenomenological study based on analyses of interview data. Semi-structured one-on-one interviews were conducted with eight CHS senior students …

Fitness-To-Drive Screening Measure©: Patterns And Trends For Canadian Users, Sherrilene Classen, Shabnam Medhizadah, Liliana Alvarez

The Open Journal of Occupational Therapy

Background: The Fitness-to-Drive Screening Measure^© (FTDS) is an online screening tool that enables proxy raters (caregivers, family members, and friends) to identify at-risk older adult drivers via 54 driving-related items. This study aimed to identify areas in need of improvement for the FTDS by identifying the patterns and trends of Canadian users and providing recommendations to increase the usage, reach, and potential impact of the FTDS as a health promotion tool.

Methods: We used monthly Google Analytics reports to calculate descriptive statistics for web page and session specific variables. Variables were separated into Year 1 and Year 2 …

Perceived Benefits Of Kinesio Tape® Compared To Non-Kinesiology Tape And No Tape In Healthy Collegiate Athletes, Gregory Chown, Jennifer Innamorato, Marlee Mcnerney, Jennifer Petrilla, Hillary Prozzillo

The Open Journal of Occupational Therapy

Background: Sports participation is considered a meaningful occupation for people of all ages. Multiple disciplines use Kinesio Tape® during treatment (Kinesio Taping® Association International, 2013e) for sports-related injuries. While the use of Kinesio Tape® is becoming increasingly popular in sports, there is a lack of evidence supporting its effectiveness. The purpose of this study was to address the following question: Is there a perceived sports performance benefit of using Kinesio Tape® compared to non-kinesiology tape or no tape in healthy collegiate athletes?

Method: This quantitative pilot study used a convenience sampling method. The participants included eighteen healthy men’s …

Perspectives Of Individuals Who Experienced Bullying During Childhood, Olivia Byjos, Jackie Dusing, Callyn Zartman, Susan M. Cahill

The Open Journal of Occupational Therapy

Background: The objective of the qualitative study was to describe the perspectives of adults who experienced bullying at school during childhood or adolescence.

Method: Data was collected through semi-structured interviews (n = 8) and analyzed using the constant comparative method.

Results: Three major themes emerged: (a) the school should have done something, (b) it still affects me, and (c) there needs to be prevention.

Conclusion: Based on their unique expertise, occupational therapy practitioners may be able to collaborate with interprofessional teams to address the needs of individuals who bully and those who are being bullied at school.

Why The Veracity Of Data Matters In Health Care Research, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.