Rehabilitation and Therapy Commons^™

A Community Needs Assessment For A Camp Activity Center For People With Disabilities, Jackie L. Main, Melissa A. Klenk, Samantha N. Vandriel

Community Based

This paper describes a needs assessment of a camp for individuals with disabilities. Utilizing a combination of focus groups and interviews, the needs assessment explores the benefits of additional space and services of an activity center and sensory room, the desire for additional equipment, the value of occupational therapy services, and the potential benefit these additions may have for the surrounding populations within the community. The participants include administrative staff, counselors, campers, and other key informants who maintain knowledge of the topics pertaining to the camp. The results revealed three major themes including marketing, staffing, and indoor space. It was …

Weight-Bearing Asymmetry In Individuals Post-Hip Fracture During The Sit To Stand Task, Janet A. Kneiss, Tiffany N. Hilton, Josh Tome, Jeff R. Houck

Faculty Publications - College of Physical Therapy

Background: Individuals post hip fracture decrease force on the involved limb during sit to stand tasks, creating an asymmetry in vertical ground reaction force. Joint specific differences that underlie asymmetry of the vertical ground reaction force are unknown. The purpose of this study was to compare differences in vertical ground reaction force variables and joint kinetics at the hip and knee in participants post-hip fracture, who were recently discharged from home care physical therapy to controls.

Methods: Forty-four community-dwelling older adults, 29 who had a hip fracture and 15 elderly control participant’s completed the sit to stand task on an …

Specific Sport Training Effect On Fms And Y Balance Scores, Phillip Anloague, Nicholas Herrin, John Malone, Cody Bond

University of Dayton Doctor of Physical Therapy Annual Research Symposium

The Functional Movement Screen (FMS) and Y-Balance Test (YBT) are functional measurement tools utilized for injury prevention, performance predictability, and as return to sport criteria. The FMS is comprised of 7 standardized tests of movement patterns that are rated from 0-3 and includes: Deep Squat, Hurdle Step, In-Line Lunge, Shoulder Mobility, Active Straight Leg Raise, Trunk Stability Push-Up, and Rotary Stability. The YBT is a measurement of single leg stance in the anterior, posteromedial, and posterolateral directions that is advocated for assessing dynamic balance. There lacks evidence that collegiate athletes in different sports that require specific training programs and physical …

Development And Initial Validation Of The Seated Posture Scale, Lelia Barks, Stephen L. Luther, Lisa M. Brown, Brian Schulz, Mary Elizabeth Bowen, Gail Powell-Cope

Public Health Sciences Faculty Publications

—Literature shows that some health outcomes (e.g., eating, breathing, and speaking) are directly related to posture. Evidence of outcomes mediated by wheelchair seated posture is limited to interface pressure, physical function, and wheelchair skills and safety. This study’s purpose was to develop and validate a rapid, low-burden, paper-pencil assessment of wheelchair seated posture for research use and to test feasibility of its use with a sample of older adults. We used a prospective design and a convenience sample of older adults who were receiving rehabilitation services in a community living center. Forty-nine older wheelchair users participated. Main measures were the …

Biomechanical Analysis Of Race Walking Compared To Normal Walking And Running Gait, Jaclyn D. Norberg

Theses and Dissertations--Kinesiology and Health Promotion

Human locomotion is phenomenon that is extraordinarily complex. It is evident that a complete description of locomotion involves consideration of kinematics, kinetics, and muscle activity of the extremities in all of their various movements. Race walking (RW) is a form of upright locomotion that differs from normal walking and running by its form dictated by the International Amateur Athletics Federation (IAAF). Despite the similarities to both normal walking (NW) and running (RU), RW has not been the subject of equally intensive investigations.

This study explores the comprehensive biomechanics of race walking and how it compares to NW and RU. A …

The Effects Of Spinal Manipulative Therapy On Isokinetic Strength And Postactivation Potentiation, Grant D. Sanders

Theses and Dissertations--Kinesiology and Health Promotion

Spinal manipulative therapy (SMT) is a therapeutic procedure employed by various healthcare practitioners for alleviating acute and chronic musculoskeletal complaints. This form of treatment is also delivered to enhance the performance and augment the rehabilitation of athletes. However, despite research findings alleging the strength-modulating effects of SMT alongside numerous professional athletes’ positive anecdotal claims concerning its results, the physiological processes to explain its effects remain largely unexplained. Therefore, the purpose of this work was to investigate the effects of SMT in a college-aged sample population with two experiments.

The first study examined the effect of SMT targeting the lumbosacral region …

Transitioning To Retirement: Useful Topics For A Wellness Program With Retired Older Adults, Katie Spitzmueller, Amy Feller

Occupational Therapy Capstones

Retirement has evolved from traditional stereotypes to an individualized plan. Transitioning into retirement can be a stressful time and it is generally accepted that pre-retirement attitudes impact post-retirement success (Marshall, Clarke & Ballantyne, 2001). A wellness program can make the transition into retirement less difficult by incorporating different dimensions of wellness: social, intellectual, occupational, physical, emotional, and spiritual (Strout & Howard, 2012). Currently there is very little research indicating the effectiveness of a wellness program that addresses these dimensions. The purpose of this phenomenological study was to gain insight into useful topics for a wellness program based on perspectives of …

A School-Based Reintegration Program For Children With Limb Loss: The Role Of Occupational Therapy, Allison Sussman, Samantha Hoy

Occupational Therapy Capstones

Purpose: The purpose of this scholarly project was to assist in treatment planning for school-based occupational therapists providing services to children who have suffered a traumatic limb loss. The goal of this scholarly project was to promote successful reintegration into the school setting as children with traumatic limb loss have been found to encounter difficulties returning to full participation in valued occupations including being a student and a friend (Michelsen, Van Wijk, & Ketelaar, 2010). There has been limited research conducted focusing on the role of occupational therapists when working with children in the school setting who have experienced traumatic …

A Protocol For Animal Assisted Therapy In A Midwestern Hospital, Alexie J. Traiser, Katie J. Huot

Occupational Therapy Capstones

Animal Assisted Therapy (AAT) has been shown to improve physiological, psychological, social, and physical aspects of clients (Miller & Ingram, 2000; Diefenbeck, Bouffard, Matukaitis, Hastings & Coble, 2010). AAT increases an individual’s strength, cognition, range of motion, and balance (Miller & Ingram, 2000). The use of animals within therapy also decreases anxiety, heart rate, blood pressure, and pain while also improving attention and social participation (Diefenbeck et al., 2010). The role of animals within AAT provides the therapist with a unique tool to utilize in various aspects of therapy. Depending on the treatment plan, the therapist can utilize the animal …

Evidence For Respiratory Neuromodulator Interdependence After Cholinergic Disruption In The Ventral Respiratory Column, Clarissa Muere, Suzanne Neumueller, Justin Robert Miller, Samantha Olesiak, Matthew Hodges, Lawrence Pan, Hubert Forster

Physical Therapy Faculty Research and Publications

Reverse dialysis of the muscarinic receptor antagonist, atropine (ATR, 50 mM), into the pre-Bötzinger Complex region of the ventral respiratory column (VRC) of awake and sleeping goats increases breathing frequency and serotonin (5-HT), substance P (SP), glycine, and GABA concentrations in the effluent dialysate. Herein, we report data from goats in which we reverse dialyzed 5 mM ATR or specific antagonists of M2 or M3 muscarinic receptors into the VRC. The effects on frequency of all three antagonists were not significantly different from time control studies. 5 mM ATR and the M3 antagonist increased SP sevenfold less than 50 mM …

Efficacy Of A Cognitive Training Program For Individuals With Moderate Cognitive Impairment: Evaluating Cognition, Erica Catherine Johnson

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of the current study was to evaluate the efficacy of a cognitive training program among those with moderate cognitive impairment. A total of 23 individuals participated in the study and were randomly assigned to a wait-list control group or a cognitive training program that consisted of 24 cognitive classes for a total of 12 weeks. The cognitive training classes aimed to activate the six primary cognitive domains impacted with dementia, reaction time, attention, memory, language, visual-spatial skills, and executive functioning. All participants were evaluated with a battery of neurocognitive assessments pre-and post-treatment. The findings tentatively support the use …

Inducible Depletion Of Satellite Cells In Adult, Sedentary Mice Impairs Muscle Regenerative Capacity Without Affecting Sarcopenia, Christopher S. Fry, Jonah D. Lee, Jyothi Mula, Tyler J. Kirby, Janna R. Jackson, Fujun Liu, Lin Yang, Christopher L. Mendias, Esther E. Dupont-Versteegden, John J. Mccarthy, Charlotte A. Peterson

Physical Therapy Faculty Publications

A key determinant of geriatric frailty is sarcopenia, the age-associated loss of skeletal muscle mass and strength. Although the etiology of sarcopenia is unknown, the correlation during aging between the loss of activity of satellite cells, which are endogenous muscle stem cells, and impaired muscle regenerative capacity has led to the hypothesis that the loss of satellite cell activity is also a cause of sarcopenia. We tested this hypothesis in male sedentary mice by experimentally depleting satellite cells in young adult animals to a degree sufficient to impair regeneration throughout the rest of their lives. A detailed analysis of multiple …

Exercise As Medicine For Diabetes: Prescribing Appropriate Activities And Avoiding Potential Pitfalls: Preface, Sheri R. Colberg

Human Movement Studies & Special Education Faculty Publications

(First Paragraph) In this issue, I have the pleasure of further reinforcing for you the benefits of engaging in regular exercise, along with the more expansive realm of appropriate physical activities for people with diabetes. Although physical activity is a cornerstone in the management of diabetes, and the health benefits of exercise are widely touted as "medicine" for diabetes, many individuals with this chronic disease fail to become or remain regularly active.

The Therapeutic Contributions Of Somatosensory Feedback During Exercise For Those With Parkinson's Disease, Matthew T. Lasswell

Theses and Dissertations (Comprehensive)

Previous research has proposed that the somatosensory feedback generated during exercise is a key component in regards to the mechanism underlying the therapeutic effects of exercise on the motor symptoms of Parkinson’s disease (PD). This thesis aimed to further examine the contributions of different forms of somatosensory feedback during exercise in PD in order to understand the mechanism for symptom improvements that certain exercise studies report.

This randomized, controlled exercise study consisted of three treadmill groups, with the RATE and MAGNITUDE groups serving as the experimental conditions, while the CONTROL condition was an active comparator treadmill walking group. The RATE …

Gaming: Occupation-Based Nbcot Exam Preparation, Ilse Coleman, Jamie Kauffman

Occupational Therapy Capstones

The purpose of this scholarly project was to create a novel, unique, and effective preparation tool for the National Board for Certification in Occupational Therapy (NBCOT) certification examination.

A literature review of 40 evidence-based journal articles addressed adult learning principles; guidelines for facilitating learning; types of, advantages, and disadvantages of using gaming in higher education; and preparation methods for high-stakes examinations. Information reviewed also included current preparation tools; exam blueprint; and domain, task, and knowledge statements ofthe NBCOT certification examination.

An Open Book: NBCOT Exam Prep Game is a board game that can be used as a supplementary preparation tool …

The Impact Of Multicultural Education Course On Therapist Cultural Competence, Gemma Cosky Saxon

Occupational Therapy Capstones

"The need for culturally skilled occupational therapists (OTs) has been documented for years" (Wittman & Velde, 2002). In 2009, Cherry, Kitchens, Nicholson, Soden, Tomkiewicz, Kedia & Shah found that 32.8% of their respondents did not know about the demand for culturally competent occupational therapy (OT) services and cultural factors that could influence a client's occupational performance. Of this group 55-85% rated themselves as having limited awareness.

The purpose of this proposed study was to assess the effectiveness of the University of North Dakota (UND) OT multicultural course in preparing graduates toward cultural competence. The assessment was then compared to the …

Experiential Learning And Its Impact On Critical Thinking, Vanessa Dvergsten, Alissa Haugen

Occupational Therapy Capstones

Background: In occupational therapy education, it is unclear what educational methods best facilitate the development of critical thinking. Therefore, this pilot study explored whether Level I fieldwork coupled with reflective learning opportunities impacts the development of critical thinking skills.

Methods: The researchers employed a pre and post-test design which measured both self-perception of critical thinking and actual performance of critical thinking. Specifically, the Health Science Reasoning Test (HSRT) and a reflective writing assignment graded with a rubric were utilized to measure actual performance. The Self-Assessment of Critical Reflection and Reasoning (SACRR) was used to measure self-perceived performance of critical thinking. …

Process To Incorporate A Therapy Service Dog In An Occupational Therapy Educational Program, Hanna Eickenbrock, Marlee Wheelhouse

Occupational Therapy Capstones

The purpose of the scholarly project is to incorporate a therapy/service dog within the occupational therapy department at the University of North Dakota (UND). The therapy/service dog will be utilized as a support system for student’s and faculty’s health and well-being and as an educational tool for enhancing student learning. The authors completed the process of implementation by progressing through the hierarchical process of UND gatekeepers. Through the development of a legality and safety protocol, loan agreement, and purpose proposal, the authors obtained official approval to implement a therapy/service dog in the UND Occupational Therapy program.

Facilitating Play Amongst Siblings When One Is Diagnosed With Asd: Guide, Anne Lee, Kasie Parker

Occupational Therapy Capstones

No abstract provided.

Social Participation: An Occupational Therapy Guide To Intervention For Youth With Depressive Disorders, Alexandra L. Marvel

Occupational Therapy Capstones

Purpose: The purpose of this scholarly project is to present an intervention guide for occupational therapists working with children and adolescents diagnosed with or experiencing depressive disorders. This guide will focus on the occupation of social participation.

Methods: An extensive literature review of evidence-based journal articles addressed the definition of depressive disorders in both adults and children and adolescents, the impact symptoms have on occupations and daily functioning, current treatment approaches, and the role of occupational therapy.

Results: The product of this scholarly project is an occupational therapy intervention guide to promote social participation for children and adolescents diagnosed with …

Fostering Reading, Writing, And Communication Skills Through Intergenerational Relationships: An After-School Program, Cynthia Nelson, Laurel Prusak

Occupational Therapy Capstones

Intergenerational programs are known to bring older adults together with children in order to promote social inclusion, and increased self-confidence and motivation for both age groups (Hatton-Yeo, 2010). Programs of this nature have proven to influence greater academic outcomes and school performance, decreased criminal behavior and greater personal adaptability in younger populations (Hatton-Yeo, 2010). Research with community dwelling seniors who participated in intergenerational programs indicated that older adults showed a decrease in depressive symptomology after participating in weekly programming (Kamei et. al., 2011). While the outcomes of these studies clearly identify the benefits of intergenerational programming on both youth and …

Occupational Therapists In Primary Care: Perceptions Of Incorporating New Interventions Into Practice, Roberta Reid, Allen Simpson

Occupational Therapy Capstones

Due to an increased focus on prevention in current United States health care policy, an increasing number of occupational therapists have been integrating into primary care teams. There is little to no research available demonstrating the perceptions of practicing occupational therapists regarding primary care; specifically what barriers and opportunities are hindering and helping, and if current practitioners are considering transitioning to primary care. The purpose of this independent study was to conduct a focus group with practicing therapists to explore OT perceptions regarding the potential role they might play in primary care and how/if they might begin this process in …

Occupation-Based Leisure Interventions For Individuals With Spinal Cord Injury, Jaclyn Swangstue, Whitney Josephson

Occupational Therapy Capstones

The purpose of this scholarly project was to provide occupational therapists with a practical guide for implementing occupation-based leisure interventions for individuals with spinal cord injury (SCI). In recent years, the occupational therapy (OT) profession has seen a shift from a biomechanically driven paradigm back to the occupation-centered practice from which OT is rooted. Though the definition and mission of OT involves the use of occupation-centered interventions, this vision is not always evident within current treatment plans for people with a SCI diagnosis. Research has indicated that leisure participation is essential for this population due to the physical benefits and …

Implications Of Huntington's Disease On Daily Living: An Educational Tool And Guide For Occupational Therapists Treating Individuals With Huntington's Disease, Jacquelin Jones, Megan Thompson

Occupational Therapy Capstones

Huntington’s disease (HD) is a neurodegenerative disease that can cause stress on the individual as well as their family members and caregivers. Due to the rareness of Huntington’s disease (HD), it is common that professionals are often at a loss when treating patients who have it. Dawson et al. (2004) discussed the need for individualized and client-centered care for those individuals diagnosed with HD, as well as providing practical supports for those diagnosed and their families. Furthermore, a major challenge to assessment and intervention is the complexity of the symptoms present with HD. Etchgary (2011) found in her study that …

An After-School Wellness Program For Children In Low Socioeconomic Neighborhoods, Sarah Faehnrich, Kalee Mccann

Occupational Therapy Capstones

The purpose of this scholarly project was to develop an interdisciplinary after-school program for fifth graders living in low socioeconomic neighborhoods. This program entitled Let’s Move, Cook, and Learn With Friends! is intended to reduce obesity through promoting healthy habits in children by increasing physical activity, consumption of healthy food, and positive interactions with peers. Childhood obesity is a worldwide epidemic that can result in lifelong health problems if not treated proactively (Vizcaino et al., 2008). Therefore, the goal of this scholarly project is to raise their knowledge about obesity and decrease the risk factors for childhood obesity.

A literature …

The Effect Of Multidisciplinary Rehabilitation On Brain Structure And Cognition In Huntington's Disease: An Exploratory Study, Travis M. Cruickshank, Jennifer A. Thompson, Juan F. Dominguez D, Alvaro P. Reyes, Mike Bynevelt, Nellie Georgiou-Karistianis, Roger A. Barker, Mel R. Ziman

Research outputs 2014 to 2021

Background: There is a wealth of evidence detailing gray matter degeneration and loss of cognitive function over time in individuals with Huntington's disease (HD). Efforts to attenuate disease-related brain and cognitive changes have been unsuccessful to date. Multidisciplinary rehabilitation, comprising motor and cognitive intervention, has been shown to positively impact on functional capacity, depression, quality of life and some aspects of cognition in individuals with HD. This exploratory study aimed to evaluate, for the first time, whether multidisciplinary rehabilitation can slow further deterioration of disease-related brain changes and related cognitive deficits in individuals with manifest HD. Methods: Fifteen participants who …

Friendships For High School Students: With Autism Spectrum Disorder And Without, Alanna Young

Honors Theses and Capstones

People with Autism Spectrum Disorder (ASD) experience deficits in social communication, having difficulty with carrying on conversations, abiding by social norms, and feeling empathy towards others. As social skills are important for successful interactions, these deficiencies can decrease the number of friendships experienced by teenagers with ASD. However, it is also possible that other social barriers are involved, such as stigma, assumed by peers of teenagers with ASD. The influence of deficits in social interaction and stigma was examined through semi-structured interviews and focus groups, comprised of groups with teenagers with ASD and groups with typically developing teenagers. It was …

Criterion-Related Validity Of The Children's Occupational Performance Questionnaire, Kelsey Zukowski

Honors Theses and Capstones

This study examined concurrent, criterion-related validity of a new measure of occupational performance for children, the Children’s Occupational Performance Questionnaire (COP-Q). The COP-Q is completed by caregivers of children to measure performance in five areas of occupation: Activities of Daily Living, Instrumental Activities of Daily Living, Social Participation, Play/Leisure, and Education/Work. Scores from a sample of children ranging in age from birth to 18 years were correlated with scores from the Vineland Adaptive Behavior Scales-II (VABS), a well-established assessment tool of adaptive behavior that measures similar functional areas as the COP-Q. The results indicated that the COP-Q correlates highly and …

Visual Voices Participant Recruitment Flyer, Collyn Baeder, Zoe Hull, Rebecca Masterjohn, Virginia Sedarski, Adrian Jung, Michaela A. Hoffman, Nicole O'Brien

Visual Voices: An Arts-Based Assessment of the Perceived Identity of Aging Maine Residents

Participant recruitment flyer for UNE student project Visual Voices: An Arts-Based Assessment Of The Perceived Identity Of Aging Maine Residents. This project was designed to investigate the topics of perception, identity, and aging. Between February and May 2015, over the course of twelve sessions, the UNE team met with six female residents of the Park Danforth senior living community in Portland to have conversations and create art about how the residents perceive themselves in contrast to how they feel perceived by important people in their lives, such as friends, family, and healthcare providers.

Addressing Vehicle Safety For Children With Additional Emotional And Behavioral Needs, Madeline Aandal, Bailey Stotts

Occupational Therapy Capstones

Purpose: More than 148,000 children were injured in motor vehicle crashes in 2011 (Center for Disease Control and Prevention, 2014). Currently, while it is understood that transporting children with special needs likely to affect behaviors (SNLAB) provide safety challenges (Yonkman, Lawler, Talty, O’Neil, & Bull, 2013), there is little information regarding how to evaluate and intervene for this significant aspect of daily life. The purpose of this project was to develop an occupational therapy protocol for evaluation and intervention for car safety to be used by occupational therapists working with children who have emotional and behavioral needs.

Methodology: An extensive …