Rehabilitation and Therapy Commons^™

Occupational Therapy For Adolescents: A Nature-Based Interventions Approach, Amanda Cruze, Myrtyce Remus

Occupational Therapy Capstones

PURPOSE: The first purpose of this scholarly project was to address current trends in relation to adolescents’ increased reliance on technology, decreased exposure to natural settings, and utilization of nature in adolescent occupational therapy care. The second purpose of the scholarly project was to provide occupational therapists with an interventions guide for nature-based activities to be used with the adolescent population.

METHOD: A literature review was conducted on adolescents, technology and nature using PubMed, CINAHL, AJOT, OT Search, MESH, Google Scholar, and textbooks.

RESULTS: A review of the literature indicated that the target population, Generation Z, had grown up with …

An Occupation-Based Protocol For Treatment Of Adults With Burn Injury, Lyndsey Felber, Megan Metelak

Occupational Therapy Capstones

People are occupational beings. Occupations build the structure of a client’s day. Thus, occupations give life it’s meaning (Hocking, 2001). Occupational therapists have a holistic viewpoint of clients that focuses on improving their quality of life through meaningful occupations. There is a lack of literature supporting the use of occupationbased intervention with adults with burn injuries. Throughout the literature preparatory and purposeful interventions are prominent for burn rehabilitation. (Holavanahalli et al. 2011, Fung et al., 2010, Parry et al., 2012). According to Richard et al. (2008), current techniques to treat burn injuries have remained unchanged for centuries. They suggest that …

An Occupational Therapy Guide To Assessment Of Executive Function Of Rural Agriculture Workers, Cayleigh Gerstner, Alyssa Lopez

Occupational Therapy Capstones

Purpose: Develop a guide for occupational therapists working with rural agricultural-based individuals’ experiencing cognitive deficits. Methodology: A comprehensive literature review was completed with major topics including the definition of executive functioning, common duties of ranch/farm workers, relationship between executive functioning and work, rural agriculture culture. The goal of the literature review was to gain an understanding of the influence of executive functioning skills on engagement within occupational duties and tasks of rural agriculture workers. Results: An occupational therapy guide was developed to provide a list of common tasks/duties of ranchers/framers and the associated executive functioning skills as well as client …

An Occupation Based Intervention Protocol For Carpometacarpal Joint Arthroplasty, Joshua A. Gillbertson, Christopher G. Johnson

Occupational Therapy Capstones

The carpometacarpal (CMC) joint is located at the base of thumb and, functionally, is the most important joint within the hand due to its extensive mobility and the importance it has on the dexterity of human prehension. Due to the hypermobility and high degrees of utilization of the CMC joint, it is a common area for increased pain, joint disease, and the development of arthritis. Arthritis can be a debilitating condition as it is associated with instability, deformities, and limited range of motion, which all impact engagement in activities of daily living and meaningful occupations. When conservative treatments and non-surgical …

Substance Abuse Post-Spinal Cord Injury: A Manual For Occupational Therapists, Janaye Hellman, Emilee Soper

Occupational Therapy Capstones

Purpose: The purpose of this scholarly project was to assist therapists in physical rehabilitation settings to begin addressing and treating substance abuse with patients post spinal cord injury (SCI). The project provides therapists with a resource guide to use for identifying specific screenings. occupational therapy assessments, intervention strategies, and discharge recommendations that may be useful during treatment sessions.

Methods: The literature review was conducted on the topics of substance abuse and SCIs. Research identified there is a lack of substance abuse recognition and treatment by healthcare professionals in a physical rehabilitation setting as many healthcare professionals such as occupational therapists …

Community Based Program For Young Adults With High Functioning Autism: Social Participation And Dating, Brook Dahle, Laura Hennes

Occupational Therapy Capstones

Purpose: In the United States, autism spectrum disorders affect 1 in 88 individuals (Centers for Disease Control and Prevention, 2012). Autism spectrum disorders affect individuals throughout their lifespan (Alexander, 2011). The most significant impairment in individuals with high functioning autism experience is qualitative impairment in social interaction (Sadock & Sadock, 2008). Services for individuals with autism spectrum disorders are available until the age of 21. Therefore, adults with autism spectrum disorders have limited access to intervention even though they continue to struggle (Shattuck, Wagner, Narendorf, Sterzinger, & Hansley, 2011). The focus of this project is young adults with high functioning …

Caregivers Of Children With Disabilities: An Exploratory Study Of Factors Influencing Occupational Therapy Home Programming Engagement, Sara E. Joersz, Rebecca I. Polansky

Occupational Therapy Capstones

Purpose: Home programming for children with disabilities is prescribed frequently by occupational therapists as an effective adjunct to practice-setting occupational therapy. The effectiveness of home programming is largely influenced by the degree to which caregivers (and children) adhere to the home programming parameters. Numerous factors are thought to promote or limit home programming adherence but there is a lack of quantitative research addressing the relationships between these factors and home programming adherence. The purpose of this quantitative, independent study was to explore the factors that are correlated with or influence caregivers’ adherence to their child’s occupational therapy home program. A …

Occupational Therapy In The Intensive Care Unit: A Quick Reference Guide, Susie Bonn, Megan Keidel

Occupational Therapy Capstones

Purpose: The purpose of this project was to create a quick reference guide for occupational therapists treating clients in the intensive care unit (ICU) in order to increase quality of care, decrease medical errors, and improve confidence.

Methods: A literature review was conducted to determine the needs of occupational therapists and other health professionals working in the ICU environment. It was discovered that occupational therapists do not receive specific education on treating clients in the ICU and that there are no specific resources for occupational therapists currently available. Rehabilitation is beginning sooner within the ICU in order to decrease client …

Occupational Therapy Screening Tool For School-Aged Children With Sleep Problems, Jenae Becker, Kathryne Kitchen

Occupational Therapy Capstones

The purpose of this scholarly project was to review the occupational therapy literature and develop a guide to instruct occupational therapists in screening children with sleep problems and associated occupational performance issues.

The primary method used for this project was the use of an extensive literature review of common sleep problems, co-morbidities of sleep problems, the impact of lack of sleep, sleep interventions, and the role of occupational therapy when addressing sleep problems in school-aged children. A number of search engines were utilized including PubMed, CINAHL, PsychInfo, OT Search, OT Seeker, and OT textbooks.

The literature indicated there was a …

Understanding Culturally Competent Care In Occupational Therapy School To Providing Clinical Practice, Tracy Lord

Occupational Therapy Capstones

Purpose: This purpose of this study is to determine if the knowledge that is gained in occupational therapy school about working with diverse cultures is continually developed and applied while practicing in the field of occupational therapy.

Methodology: Data was collected from 18 participants in a quantitative survey and 6 participants in a qualitative interview from four Southwestern states.

Results: Results of this study suggest that the therapists who have graduated within the last 20 years have a greater understanding of including a client’s culture to provide true client-centered care in the delivery of occupational therapy services. 50% of the …

Occupational Therapy In Oncology: A Guide For The Occupational Therapist Working On The Oncology Care Team, Kaitlyn Radi, Anna Schumacher

Occupational Therapy Capstones

No abstract provided.

An Exploratory Study Investigating The Quality Of Life In Parents Of Children With Disabilities, Jeffrey Crain, Rebecca Lang

Occupational Therapy Capstones

The purpose of the study is to investigate caregivers' of children with disabilities perceptions related to their quality of life through engagement in meaningful occupations. Researchers hope that data from this study will contribute to the growing body of literature on caregivers of children with disabilities. Quality of life is an outcome measure that occupational therapists utilize in their practice.

Throughout the course of the study data was collected through the use of a semi structured interview tool. Researchers developed this tool to allow participants to openly express their thoughts, emotions, and experiences related to having a child with a …

A Manual For Caregivers Of Infants And Young Children Who Are At Risk For Or Have Experienced A Tbi: Prevention And Education, Meghan Enabnit, Stephanie Gubbels

Occupational Therapy Capstones

The prevalence of infant TBI, 0 to 4 years of age, is one of the highest population groups to experience TBI (Faul, Xu, Wald, & Coronado, 2010). The age group between 0-4 years old has contributed to 251,546 emergency department visits, 15,239 hospital visits, and 998 deaths (Faul et aI., 2010). The purpose of this scholarly project is to increase awareness and knowledge of infant and young child traumatic brain injury across all contexts, to reduce incidence of traumatic brain injury and re-injury and to promote development for the vulnerable, at-risk, infant and young child population through the creation and …

Motivating The Unmotivated Child: Using Psychosocial Intervention Methods In The School, Kristi Fickes, Kelsey Hoffmann

Occupational Therapy Capstones

Problem: School-based occupational therapists have reported barriers to working with children with psychosocial needs including a limited knowledge of psychosocial methods (Barnes, Beck, Vogel, Grice, & Murphy, 2003; Case-Smith & Archer, 2008). These issues prevent children with motivational and behavioral issues from receiving the best care possible and, in some cases, from receiving therapy at all.

Methods: An extensive literature review was conducted to understand current utilization of psychosocial strategies in school-based occupational therapy practice, barriers therapists experience in applying these strategies, and effective psychosocial strategies for children with motivational issues. Findings of the literature suggested that continuing education was …

Exercise Medicine For Prostate Cancer, Robert U. Newton, Daniel A. Galvao

Research outputs 2013

Since initial reports in the mid-1980s, there has been increasing interest in the application of exercise as medicine for the prevention and management of cancer. A large number of high-quality, randomised, controlled trials with cancer survivors have confirmed both aerobic and resistance exercise to be highly beneficial for improving body composition, quality of life, mental health functional capacity and reducing risk of cancer recurrence and development of other chronic diseases. Such benefits have ultimately been realised in reduced cancer mortality between 30 and 60 % in large cohort retrospective studies. Treatments for prostate cancer are increasingly effective with quite high …

Creativity In An Online Community As A Response To The Chaos Of A Breast Cancer Diagnosis, Cynthia Witney, Lelia Green, Leesa Costello, Vanessa Bradshaw

Research outputs 2013

No abstract provided.

An Occupational Therapy Veteran Resource Guide, Paige Thiele, Miranda Vastag

Occupational Therapy Capstones

Currently, there are limited resources available to occupational therapists working with the veteran population. The Department of Veterans Affairs (VA) is often confusing and complex for many health care workers to understand. An extensive literature review was conducted and the research indicated there is a need for an occupational therapy resource guide which includes a working knowledge of military culture, The Department of Veterans Affairs eligibility requirements and access, military priority conditions as well as military specific assessments. Therefore, the purpose of this project is to develop a guide that allows occupational therapists working with the veteran population to gain …

Effect Of Traumatic Brain Injury Among U.S. Servicemembers With Amputation, Mitchell J. Rauh, Hilary J. Aralis, Ted Melcer, Caroline A. Macera, Pinata Sessoms, Jamie Bartlett, Michael R. Galarneau

Kinesiology & Sport Management Scholarship

Servicemembers with combat-related limb loss often require substantial rehabilitative care. The prevalence of traumatic brain injury (TBI), which may impair cognitive and functional abilities, among servicemembers has increased. The primary objectives of this study were to determine the frequency of TBI among servicemembers with traumatic amputation and examine whether TBI status was associated with discharge to civilian status and medical and rehabilitative service use postamputation. U.S. servicemembers who had a combat-related amputation while deployed in Iraq or Afghanistan between 2001 and 2006 were followed for 2 yr postamputation. Data collected includes injury mechanism; postinjury complications; Injury Severity Score (ISS); and …

Strain And Counterstrain For Structural Integrators, Caryn Pierce

Faculty Publications

Strain and counterstrain (SCS) is an indirect approach to manipulating fascia. In addition to its usefulness as an integration tool, knowledge of the reflexive mechanisms involved in SCS deepens our understanding of how fascia functions to protect vital structures from injury and how unbalanced posture and movement patterns develop after trauma.

Physiotherapists Have Accurate Expectations Of Their Patients’ Future Health-Related Quality Of Life After First Assessment In A Subacute Rehabilitation Setting, Steven M. Mcphail, Emily Nalder, Anne-Marie Hill, Terry P. Haines

Physiotherapy Papers and Journal Articles

Background.

Expectations held by health professionals and their patients are likely to affect treatment choices in subacute inpatient rehabilitation settings for older adults. There is a scarcity of empirical evidence evaluating whether health professionals expectations of the quality of their patients’ future health states are accurate.

Methods.

A prospective longitudinal cohort investigation was implemented to examine agreement (kappa coefficients, exact agreement, limits-of-agreement, and intraclass-correlation coefficients) between physiotherapists’ (n=23) prediction of patients’ discharge health-related quality of life (reported on the EQ-5D-3L) and the actual health-related quality of life self-reported by patients (n=272) at their discharge assessment (using the EQ-5D-3L). The mini-mental …

Cost Effectiveness Of Patient Education For The Prevention Of Falls In Hospital: Economic Evaluation From A Randomized Controlled Trial, Terry P. Haines, Anne-Marie Hill, Keith D. Hill, Sandra G. Brauer, Tammy Hoffmann, Christopher Etherton-Beer, Steven M. Mcphail

Physiotherapy Papers and Journal Articles

Background

Falls are one of the most frequently occurring adverse events that impact upon the recovery of older hospital inpatients. Falls can threaten both immediate and longer-term health and independence. There is need to identify cost-effective means for preventing falls in hospitals. Hospital-based falls prevention interventions tested in randomized trials have not yet been subjected to economic evaluation.

Methods

Incremental cost-effectiveness analysis was undertaken from the health service provider perspective, over the period of hospitalization (time horizon) using the Australian Dollar (A$) at 2008 values. Analyses were based on data from a randomized trial among n = 1,206 acute and …

Use Of Evidence-Based Practice Among Athletic Training Educators, Clinicians, And Students, Part 2: Attitudes, Beliefs, Accessibility, And Barriers, Cailee W. Mccarthy, Dorice A. Hankemeier, Jessica M. Walter, Eric J. Newton, Bonnie L. Van Lunen

Rehabilitation Sciences Faculty Publications

Context: Successful implementation of evidence-based practice (EBP) within athletic training is contingent upon understanding the attitudes and beliefs and perceived barriers toward EBP as well as the accessibility to EBP resources of athletic training educators, clinicians, and students.

Objective: To assess the attitudes, beliefs, and perceived barriers toward EBP and accessibility to EBP resources among athletic training educators, clinicians, and students.

Design: Cross-sectional study.

Setting: Online survey instrument.

Patients or Other Participants: A total of 1209 athletic trainers participated: professional athletic training education program directors (n = 132), clinical preceptors (n = 266), clinicians (n = 716), postprofessional athletic training …

Use Of Evidence-Based Practice Among Athletic Training Educators, Clinicians, And Students, Part 1: Perceived Importance, Knowledge, And Confidence, Dorice A. Hankemeier, Jessica M. Walter, Cailee W. Mccarty, Eric J. Newton, Stacy E. Walker, Shana L. Pribesh, Beth E. Jamali, Sarah A. Manspeaker, Bonnie L. Van Lunen

Rehabilitation Sciences Faculty Publications

Context:

Although evidence-based practice (EBP) has become more prevalent, athletic trainers' perceptions of importance and knowledge of these concepts and their confidence in EBP are largely unknown.

Objective:

To assess perceived importance and knowledge of and confidence in EBP concepts in athletic trainers in various roles and with different degree levels.

Design:

Cross-sectional study.

Setting:

Online survey instrument.

Patients or Other Participants:

The survey was sent to 6702 athletic training educators, clinicians, and postprofessional students. A total of 1209 completed the survey, for a response rate of 18.04%.

Main Outcome Measure(s):

Demographic information and perceived importance and knowledge of and …

Instruction And Jump-Landing Kinematics In College-Aged Female Athletes Over Time, Jena Etnoyer, Nelson Cortes, Stacie I. Ringleb, Bonnie L. Van Lunen, James A. Onate

Rehabilitation Sciences Faculty Publications

Context: Instruction can be used to alter the biomechanical movement patterns associated with anterior cruciate ligament (ACL) injuries.

Objective: To determine the effects of instruction through combination (self and expert) feedback or self-feedback on lower extremity kinematics during the box–drop-jump task, running–stop-jump task, and sidestep-cutting maneuver over time in college-aged female athletes.

Design: Randomized controlled clinical trial.

Setting: Laboratory.

Patients or Other Participants: Forty-three physically active women (age = 21.47 ± 1.55 years, height = 1.65 ± 0.08 m, mass = 63.78 ± 12.00 kg) with no history of ACL or lower extremity injuries or surgery in the 2 months …

Perceptions Of Approved Clinical Instructors: Barriers In The Implementation Of Evidence-Based Practice, Dorice A. Hankemeier, Bonnie L. Van Lunen

Rehabilitation Sciences Faculty Publications

Context: As evidence-based practice (EBP) becomes prevalent in athletic training education, the barriers that Approved Clinical Instructors (ACIs) experience in implementing it with students need to be understood.

Objective: To investigate barriers ACIs face when implementing EBP concepts in clinical practice and in teaching EBP to professional athletic training students and to investigate the educational emphases to improve the barriers.

Design: Qualitative study.

Setting: Telephone interviews.

Patients or Other Participants: Sixteen ACIs (11 men, 5 women; experience as an athletic trainer = 10 ± 4.7 years, experience as an ACI = 6.81 ± 3.9 years) were interviewed.

Data Collection and …

Test-Retest Reliability And Construct Validity Of The Tinetti Performance-Oriented Mobility Assessment In People With Stroke, Jennifer Canbek, George Fulk, John Echternach

Rehabilitation Sciences Faculty Publications

Background and Purpose: The Tinetti Performance-Oriented Mobility Assessment (POMA) is commonly used to measure balance ability in older adults. The purpose of this study was to determine the test-retest reliability and minimal detectable change (MDC) of the POMA and explore its cross-sectional and longitudinal construct validity for use in people early after stroke.

Methods: Participants were recruited if they had a first documented stroke and were receiving physical therapy during inpatient rehabilitation. The POMA, gait speed, and motor Functional Independence Measure (FIM) scores were collected at admission and at discharge from inpatient rehabilitation. A second trial of the POMA was …

Effectiveness Of Low-Level Laser Therapy Combined With An Exercise Program To Reduce Pain And Increase Function In Adults With Shoulder Pain: A Critically Appraised Topic, Aimee L. Thornton, Cailee W. Mccarty, Mollie-Jean Burgess

Rehabilitation Sciences Faculty Publications

Clinical Scenario: Shoulder pain is a common musculoskeletal condition that affects up to 25% of the general population. Shoulder pain can be caused by any number of underlying conditions including subacromial impingement syndrome, rotator-cuff tendinitis, and biceps tendinitis. Regardless of the specific pathology, pain is generally the number 1 symptom associated with shoulder injuries and can severely affect daily activities and quality of life of patients with these conditions. Two of the primary goals in the treatment of these conditions are reducing pain and increasing shoulder range of motion (ROM).(3) Conservative treatment has traditionally included a therapeutic exercise program targeted …

Improving Functional Outcomes For Children And Adolescents With Anxiety Related Disorders Through Occupational Thrapy : A Narrative Review ; Perceptions Of The Role Of Occupational Therapy In Community Child And Adolescent Mental Health Services (Camhs), Paula J. Anderson

Theses : Honours

Background/Aim: Children and adolescents experiencing anxiety find it challenging to maintain optimal occupational performance, thus the specific role of occupational therapy in the management of anxiety requires investigation. This narrative review examines the current available literature surrounding the use of occupational therapy approaches for children and adolescents experiencing anxiety.

Methods: Academic journals as well as a variety of sources were considered, due to the paucity of literature surrounding this topic. Articles were included if they discussed the occupational therapy role in treatment of children experiencing anxiety symptoms, including anxiety related disorders such as post traumatic stress disorder (PTSD) and obsessive …

What Keeps Us Well? Professional Quality Of Life And Career Sustaining Behaviors Of Music Therapy Professionals, Shane C. Swezey

Theses and Dissertations--Music

Self-care can be seen as not only critical for individual professionals, but also for the growth of the helping professions and the quality of care which clients receive. The purpose of this study was to investigate use of career-sustaining behaviors and the levels of professional quality of life in music therapy professionals. This study investigated research questions regarding use of career sustaining behaviors and levels of professional quality of life, the relationship between these variables, the differences in the use of career sustaining behavior by demographics, and the use of music as a self-care strategy.

An online survey was sent …

Is Yoga Effective In Improving Functional Disability In Adults With Chronic Low Back Pain?, Alicia Kilpatrick

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether or not yoga is effective in improving functional disability in adults with chronic low back pain.

STUDY DESIGN: This review consists of two randomized controlled trials published in 2009 and 2011 and one pilot randomized controlled trial published in 2010.

DATA SOURCES: Data sources were articles published in peer reviewed journals comparing yoga for the treatment of chronic low back pain compared to standard medical care found in PubMed and MEDLINE.

OUTCOMES MEASURED: Each of the three articles analyzed the effects of yoga therapy on improving …