Rehabilitation and Therapy Commons^™

Ot Cht Treatment And Intervention For Adult Clients After A Nerve Transfer Surgery: A Pilot Survey, Katheryn Fister

Occupational Therapy Doctorate Capstone Projects

Background: This study used a pilot survey to collect data regarding how current occupational therapists who are also certified hand therapists are working with adult clients after a nerve trans- fer surgery. The pilot survey was conducted virtually via email and created using Qualtrics software.

Purpose: The purpose of this research was to create a survey tool and obtain data to describe current occupational therapy practice trends, outcomes, and education for clients after a nerve transfer surgery. The research sought to determine what interventions are commonly incorporated, what are common outcomes, what education is being provided, what is included …

The Impact Of Robotic-Assisted Ambulation On The Cardiopulmonary System: A Systematic Review, Alexandrea Steele, Zachary Johnson, Alanna O'Malley, Laurie Brogan, Nicole Evanosky

Student Research Poster Presentations 2024

No abstract provided.

A 3d Dlt View Correction Tool For Manual Digitizing: A Cross-Platform Application For Correcting Shifted Image Coordinates Prior To Object Coordinate Reconstruction, William Moynihan

Theses, Dissertations and Capstones

While 3D direct linear transformation is a versatile motion capture method, care must be taken so that the cameras are not bumped or adjusted between the object space calibration phase and the end of video recording. Disturbing the cameras during this time will misalign the view, making the movement data invalid for the associated calibration. The purpose of this study was to design and validate a cross-platform software application for transforming image coordinates from a bumped camera to be compatible with the object space calibration and to determine the relationship between reconstruction error and changes to bumped camera views.

For …

Effects Of Core And Pelvic Floor Strength On Speed And Agility: A Systematic Review, Zackary Jayne, Thomas Vaccaro

Student Research Poster Presentations 2024

No abstract provided.

The Effect Of An 8-Week Core Training Program On 1 Mile And 100-Meter Dash Indoor Running Times In College-Aged Students, John Kelley, Dane Frantz, Spencer Sundeberg, Jarod Cipriano, Tyler German

Student Research Poster Presentations 2024

The Effect of an 8-week Core Training Program on 1 Mile and 100-M Dash Indoor Running Times in College-Aged Students

Background:

The core provides proximal stability of the trunk which enhances power production and strength with distal limb movement. Available literature has studied the correlation between increasing core strength and the augmentation of balance and stability, power generation, core endurance, neuromuscular control and injury prevention.

Objective:

The objective of this study is to investigate the impact of an 8-week core training program on the running performance of college-aged students, specifically their 1 mile and 100-meter dash times. The study aims …

The Effects Of A Walking Program On Physical Activity And Quality Of Life In An Underserved Community, Alexa Wagner, Audrey Campbell

Student Research Poster Presentations 2024

Background: In line with the American Physical Therapy Association’s (APTA) vision statement and recently published research statements, this study was devised to understand if it is possible to develop a population health program in collaboration with a local university’s Doctor of Physical Therapy program, local housing department, and health department.

Objective: The purpose of this study was to implement and investigate the effects of the Walk With a Doc (WWAD) program on the physical activity level and quality of life in an underserved community. The secondary aims of this study were to measure and describe the number of steps and …

Clinical Effectiveness Of An Aquatic Exercise Program On Strength, Balance, Quality Of Life And Emotional Well-Being In Those With Visual Impairments, Michaela Fasolino, Samantha Lubin, Zoee Farr, Jillian Rogers, Maureen Rinehimer

Student Research Poster Presentations 2024

Background Information Numerous disabilities have been shown to benefit with aquatic exercise by research. There is a dearth of research on the health effects of aquatic exercise for individuals with visual impairments. Adults with visual impairments generally have a lower health-related quality of life (HRQoL) than their peers without visual impairments. Additionally, living a sedentary lifestyle increases the chance of developing diseases like diabetes, cardiovascular disease, hypertension, osteoporosis, and sarcopenic obesity. After reading about the positive and long-lasting effects of aquatic exercise in previous studies, these researchers investigated the effects of an aquatic fitness program for individuals with visual impairments. …

Effects Of Virtual Reality Training And Constraint-Induced Therapy On Fine Motor Control In An Adolescent With Hemiparesis: Protocol For A Case-Comparison, Sean Burg

Student Research Poster Presentations 2024

This study designs a protocol for a case-comparison between constraint-induced therapy and virtual reality therapy in order to determine the efficacy of virtual reality therapy in comparison to a widely accepted treatment in constraint-induced therapy.

Effect Of Acute Care Discharge Delays On Inpatient Rehabilitation Facility (Irf) Utilization, Eric Garrard

Student Dissertations

Discharge delays present hospitals with challenges in managing costs for Medicare admissions. Meanwhile, Inpatient Rehabilitation Facilities (IRF) are subject to strict pre-admission requirements that can complicate efficient transitions of care for patients with intensive rehabilitation needs. The purpose of this retrospective quantitative correlational study was to examine any relationship between acute care discharge delays and IRF utilization. This study investigated whether length of stay (LOS) and Medicare Advantage prior authorization requirements impact IRF referrals by reviewing 3,747 medical records of acute stroke patients aged 65 years and older at a regionally integrated healthcare system over a 3-year period (2020- 2022). …

Implementing A Mobility Program With A Complex Patient In An Acute Care Setting: A Case Report, Marisa Carbone, Miguel Vidal, Emma Jones, Haley Yarber, Samantha Strout, Akua Obeng, Elizabeth Cyr

Case Report Papers

Background and Purpose: Maintaining functional mobility in an acute care setting helps prevent physiologic deconditioning and prolonged hospital stays. However, not all patients qualify for skilled physical therapy (PT). This case report explores the application of a mobility program before and after a unique gastrointestinal (GI) surgery.

Case Description: A 52-year-old man required PT services on day one following surgery. He experienced severe pain post-operatively and required complex pain management. PT interventions were implemented once per day for two weeks including strength, balance, functional mobility, endurance, pain management, and safety training. Following the termination of skilled PT services, he was …

Is Sway-Referenced Haptic Assistance Sensitive To Perceptual Context, Andrew Meszaros, Robin Dorociack, Peter Jang, Tanner Lehr, Bayli Mohl

Student-Faculty Research - College of Physical Therapy

Falls account for >$50 billion of medical spending in 2015 (CDC). Real-time haptic feedback shows promise at reducing static standing COM sway (Meszaros, 2019). Pilot data variability suggests that some haptic-wearers ‘over-correct’ (unnecessarily reducing available degrees of freedom), when haptic correction is perceived as ‘a mistake. Does over-correction reduce multi-segment control and impair sway stability (Hsu, Scholz, et al. 2007)?

Factors Affecting Peak Effort In Max Effort Tests, Amanda Pardue, Michael Forster, Taylor Kopecky, Zoralei Dayley, Jeff Houck, Rebecca Dobler

Student-Faculty Research - College of Physical Therapy

Challenging older adults to execute peak effort functional tests is not common. A peak effort test pushes patients to the point of not sustaining the task. The Wingate test is a peak effort test that measures the amount of revolutions per second a participant can perform over 30s. Older adults with knee osteoarthritis (OA) may regulate their effort during the Wingate. Alternatively, high exertion during the Wingate test may yield high value in influencing attitudes related to pain and aging. The purpose of this study was to develop themes of what influences peak effort during the Wingate test in participants …

Associations Of Sex And Sport Contact‑Level With Recovery Timelines Among Collegiate Athletes With Sport‑Related Concussion, Bernadette A. D'Alonzo, Andrea L. C. Schneider, Ian J. Barnett, Christina L. Master, Abigail C. Bretzin, Douglas J. Wiebe, Ivy League-Big Ten Epidemiology Of Concussion Study Investigators

Center for Brain, Biology, and Behavior: Faculty Publications

Background

Growing interest has motivated recent studies to examine differences in recovery after sportrelated concussion (SRC) by sex. However, heterogeneity in study design, participants, and recovery outcomes has led to mixed findings. Further work is needed to evaluate potential differences by sex and to investigate the role of related characteristics, such as sport contact-level, in recovery timelines. This study aimed to investigate whether concussion recovery trajectories differ by sex, considering a priori clinical and demographic covariates, and accounting for the sequence of recovery outcomes. Our secondary question was whether sport contact-level modifies the relationship between sex and time to outcomes. …

The Impact Of Mobile Technology Interventions With Older Adults Diagnosed With A Cognitive Deficit, Emily Funk, Adam Nadeau, Savannah Ullyott

Critically Appraised Topics

This critically appraised topic (CAT) paper focuses on the impact of technology-based interventions in occupational therapy in daily functioning within older adults with cognitive deficits. When considering the components of this CAT, the theoretical framework was described, then a description of the population paired with a description of cognition and its components, followed by the types and use of technology-based interventions with adults, and the impact cognitive conditions and symptoms have on occupational performance.

Rural First-Time Mothers And Their Emotional Engagement With Newborns: Occupational Therapy, Hannah Ibach, Elise Ramberg, Ashley Schindele

Critically Appraised Topics

This paper focuses on resources affecting occupational therapy (OT) mental health services that are provided to first-time moms within a rural-dwelling population in the U.S. The main factors to consider in this scenario are the population of first-time moms in rural areas, mental health services provided in rural areas, and best OT practices for mental health services. Quality of life is an important factor when considering maternal mental health. Quality of life is defined as a person’s life satisfaction, hope, sense of self, health, function, and socioeconomic status (American Occupational Therapy Association, 2020). The main focus for this critically appraised …

The Impact Of Hormonal Contraceptives On Cardiovascular Health And Vo2max: A Systematic Review, Tara Sweeney, Jason Winters

Student Research Poster Presentations 2024

No abstract provided.

Occupational Therapy Using Pipj Block Orthosis For Conservative Treatment Of Trigger Finger: A Retrospective Study, Jee Yoon (Kelly) Chong

Occupational Therapy Doctorate Capstone Projects

Background: Trigger finger (TF) is a common hand condition with a prevalence rate of 2.6% in the general population (Merry et al., 2020). With clinical symptoms of pain, swelling, and clicking or locking of a digit, TF can cause functional limitations in using the involved hand during daily activities, affecting quality of life and activity participation.

Purpose: The primary objective of this study is to examine the effectiveness of occupational therapy with the use of PIPJ block orthosis in reducing pain and triggering symptoms and improving function for individuals with trigger fingers in the setting of outpatient OT therapy clinics. …

Resilience As A State, "A Learned Trait," Among The Brain Injury Population: A Narrative Analysis, Bailey Gifford

Occupational Therapy Doctorate Capstone Projects

Background: Traumatic brain injuries (TBI) are acquired injuries resulting from an external trauma to the head (Brain Injury Association of America, 2019). The impact of a TBI is significant with those affected experiencing cognitive decline, decreased mobility, communication barriers, reduced social participation and impairments with engagement in valued occupations.

Purpose: The purpose of this study is to explore the existing literature regarding state resilience for persons who have experienced TBI.

Theoretical Framework: Occupational Adaptation Model promotes occupational performance in meaningful activities through adaptation, which is a continual process based on fluctuating changes in adversity.

Methods: This project design was a …

Administrators' Perspectives On Successful Implementation Of Occupational Therapy Services In The School-Based Setting, Suanne M. Waldron

Occupational Therapy Doctorate Capstone Projects

Background: Best practice for school-based occupational therapy (SBOT) alludes to collaboration, consultation, and in-context services in utilizing occupational therapy’s expanded roles to best meet the needs of students. Research supports the workload model as an effective means of maximizing student outcomes and addressing the needs of all students. Many studies explore teacher and occupational therapist perspectives on collaboration, barriers, and facilitators to implementing best practice and a workload model. However, little is reported regarding administrators' perspectives in these areas.

Purpose: This capstone study focused on identifying administrators' perceptions of valued, effective, and successful occupational therapy (OT) services in their districts. …

Equipping Early Childhood Educators To Identify And Support Students With Sensory Processing Disorder: Recommendations From Occupational Therapists, Linda Schueler

Teaching and Learning (MA) Theses

The prevalence of sensory processing disorder among children, its negative effect on learning, and the benefits of early identification and intervention require action on the part of early childhood educators. Prompt identification of students with sensory processing issues and implementation of occupational therapy strategies to support these students within the school setting will optimize their learning potential. Using an iterative approach, this qualitative study collected data from semi-structured, respondent interviews with five qualified occupational therapists who practice sensory integration therapy with children who experience sensory processing disorder. The information gained answered the research question, “What assessment tool and therapeutic strategies …

Beyond The Bump: A Case Report Exploring The Vitality Of Pelvic Physical Therapy For Diastasis Recti Abdominis In The Postpartum Period, Alexis Donald

TriStar Division GME Research Day 2024

No abstract provided.

Role Of Occupational Therapy Assessment And Office Ergonomics To Support Students With Accommodations In Higher Learning: A Narrative Review, Behdin Nowrouzi-Kia, Christi Tam, Raabia Khan, Bushra Alam, Sujatha Alla

Engineering Management & Systems Engineering Faculty Publications

Postsecondary students with disabilities (SWDs) face significant challenges to their academic and personal well-being. There is a demand for more supportive strategies to facilitate fulfilling and equitable academic experiences for SWDs. This review aimed to (1) determine the effectiveness of various interventions, programs, and accommodations for enhancing the overall well-being of postsecondary SWDs and (2) evaluate the implications of these support strategies for disability service providers at postsecondary institutions. A narrative review was conducted, examining 13 studies aimed at enhancing the well-being of postsecondary SWDs. Studies were classified using the International Classification of Functioning, Disability and Health (ICF) Model. Ergonomics, …

Relationships Between Cognitive And Physical Performance And Readiness In Military Populations, Lina Ochoa

Theses and Dissertations--Rehabilitation Sciences

Military missions and operations expose warfighters to stressful and demanding situations and dynamic environments. These situations and environments require that warfighters have optimal performance in several dimensions of human performance, such as cognitive and physical performance. Military readiness is the potential these military units or personnel have to successfully deploy and sustain assigned operational missions worldwide. Military readiness is essential for increased physical and cognitive performance, ensuring augmented individual and unit effectiveness, lethality, and national security. The primary challenge is understanding and finding ways to measure and assess the cognitive, behavioral, and physical performance effects of complex and challenging environments …

Outcomes Of The Nurosleeve And Occupational Ther E And Occupational Therapy On Upper Y On Upper Limb Function Of An Individual With Chronic Hemiparesis Following A Stroke: A Case Report, Nicole M. Gerhardt, Jeremy P. Armstrong, Mijail D. Serruya, Mj Mulcahey

Department of Occupational Therapy Faculty Papers

Background: Upper limb neuromuscular impairments can adversely impact function. This case report investigates the process and outcomes of occupational therapy (OT) for training in the use of the NuroSleeve, a novel research-grade exoskeletal powered orthosis, with a participant with chronic right hemiparesis following a stroke.

Method: The participant engaged in 24 OT sessions using the NuroSleeve over 10 weeks. Therapeutic interventions included neuromuscular reeducation, device management, and engagement in occupationbased activities with training to use the NuroSleeve. The Canadian Occupational Performance Measure (COPM), ABILHAND, Patient Reported Outcomes Measurement Information System Upper Extremity Short Form 7a (PROMIS UE SF), Action Research …

Exploring Factors That Influence Prosthetic Attention In Upper And Lower Limb Prosthesis Users, Tanu Bhargava, Cody L. Mcdonald, Elizabeth G. Halsne, Brian J. Hafner, Benjamin J. Darter

Graduate Research Posters

Background: Prosthetic limbs often lack the innate control and sensory feedback capabilities of natural limbs, requiring more cognitive effort or attention during motor tasks. While a conceptual model of prosthetic attention exists for lower limb (LL) users, its applicability to upper limb (UL) remains unclear. This study aimed to explore how LL and UL users experience prosthetic attention, and explore factors that influence the existing model.

Methods: Twenty five UL users and thirty LL users with at or above wrist or ankle-level limb loss participated. Focus groups (FG), guided by open-ended questions, delved into user’s lived experiences with prosthetic attention. …

Exploring The Experience And Identity Of Associated Faculty Teaching In A Doctor Of Physical Therapy Program, Catherine A Bilyeu

Dissertations and Theses

Doctor of Physical Therapy (DPT) program faculty often enter academia as expert clinicians or researchers, but rarely as expert educators. Recommendations for faculty development exist, yet many physical therapy faculty still enter academia with little or no formal preparation for teaching and limited understanding of academe. This lack of preparation can impact faculty performance and identity, which ultimately can influence student outcomes. This is particularly true for associated faculty, who have very limited access to development opportunities due to the nature of their academic positions. Framed in social constructivism and transition theory, this study explored the experience and identity of …

The Effects Of Neuromuscular Training On Injury Prevention In Youth Athletes: A Systematic Review, Eric Jeffries, Brianna Mcpeak, Andrea Carlson, Kaylee Strauns, Jacqueline Stack

Student Research Poster Presentations 2024

No abstract provided.

The Impact Of Robotic-Assisted Ambulation On The Cardiopulmonary System: A Systematic Review, Alexandrea Steele

Student Research Poster Presentations 2024

No abstract provided.

Comparative Analysis Of Inpatient And Outpatient Total Hip Arthroplasty: Cost, Rehabilitation, And Complexity, Kam Maghazehe

MUSC Theses and Dissertations

Background: Osteoarthritis in the hip joint leads to worn or damaged cartilage, resulting in bones scraping against each other. This scraping creates rough surfaces, causing significant pain and limiting mobility in daily activities. THA becomes necessary when other less invasive options fail to alleviate symptoms such as pain, stiffness, swelling, and reduced range of motion. Due to high out-of-pocket costs and the rapid spread of COVID-19, CMS took a substantial stride in healthcare policy by introducing the CMS-1736-FC ruling in December 2020. This ruling, effective from January 2021, facilitated the reclassification of eleven procedures, including Total Hip Arthroplasties (THAs), from …

Residual Effects Of Same Day Lower Extremity Strength Training On Countermovement Jump Performance In Collegiate Women Athletes, Bryan L. Riemann, Matthew J. Johnson, George J. Davies, Andrew A. Flatt

Physical Therapy Faculty Publications

alancing of strength programming intensity with sport demands is necessary to avoid excessive workloads that could inhibit performance. To expand previous jump height focused literature, this study evaluated whether countermovement jump (CMJ) movement strategies, including eccentric characteristics, might reveal CMJ execution strategy shifts to achieve similar afternoon CMJ height following a morning resistance training session (RTS). Fifteen collegiate women’s soccer and volleyball athletes (18–24 years, 73.6 ± 8.4 kg, 1.74 ± 0.19 m) participating in an offseason RTS completed five CMJs during two afternoon sessions (48 h apart), one 4–6 h post morning RTS, and one on a rest day. …