Rehabilitation and Therapy Commons^™

Book Review: The Path To Private Practice, Mary K. Thelander

Journal of Occupational Therapy Education

The Path to Private Practice: A Roadmap for Speech-Language Pathologists and Occupational Therapists Considering Private Practice (Castro-Casbon, 2023) invites clinicians to consider the benefits of entrepreneurship. The book discusses concerns in the medical and educational systems that may cause occupational therapists (OTs) and speech and language pathologists (SLPs) to experience burnout. The text encourages the reader to consider entering into part-time private practice. Though the book is authored by a SLP, the concerns and strategies discussed in the book are easily compatible with the OT profession. This review details the content of the individual chapters and offers a critical analysis …

Perceived Effectiveness Of Student Assessment Methods In Occupational Therapy Education, Breanna Adkins, Josh Bernstein

Journal of Occupational Therapy Education

The supporting evidence for student-centered assessment practices is well-documented in the literature for higher education, but not in the field of occupational therapy (OT) education. There is no agreed-upon best practice for student assessment in OT education from any professional OT governing body, nor is there current OT education research evaluating the relationship between types of assessment methods and their effectiveness. The purpose of the study was to determine OT educators’ perceived effectiveness of student assessment methods they used to measure student competency. A correlational design determined the strength of the relationship between these variables. Differences between OT Doctorate (OTD) …

Enhancing Student Perceptions Of The Role Of Occupational Therapy In The Intensive Care Unit: An Interprofessional Simulation, Elizabeth Yost, Julie Jacob, Denise Campbell, Nicholas Prush, Leslie M. Smith

Journal of Occupational Therapy Education

Early mobility in the Intensive Care Unit (ICU) can improve a multitude of patient outcomes, and occupational therapists (OTs) play a valuable role as part of the interprofessional team, with the ability to address activities of daily living, functional cognition, psychological and communication needs, and more. In 2022, the first iteration of an ICU interprofessional education simulation (Sim-IPE) yielded poor outcomes for OT students. This study aimed to modify existing pre-learning activities in the Sim-IPE’s second iteration to improve OT students’ perceptions and professional role awareness in interprofessional ICU care. Students from Doctor of OT, Bachelor of Science Nursing, Doctor …

The Student Occupational Therapist Experience Of Bullying On Fieldwork Placement: An Exploratory Study, Jeffrey D. Boniface, Donna Drynan

Journal of Occupational Therapy Education

Bullying is a widespread issue in higher education, notably in healthcare disciplines like nursing, medicine, and physical therapy. However, there is a paucity of research addressing bullying within occupational therapy, which is a relational healthcare discipline emphasizing meaningful relationships, mutual trust, and respect. This study investigated the experiences of student occupational therapists in Canada regarding bullying during their fieldwork placements through exploratory phenomenology. Data from nine former occupational therapy students were collected via focus groups and interviews. Thematic analysis unveiled common experiences including passive aggression, demeaning comments, and a lack of support. Three key themes emerged: the impact of power …

Occupational Therapy Practitioners' Expectations Of Entry-Level Doctorate Versus Master's Graduates, Monique C. Chabot, Sara K. Frye, Nakia Lynn, Kristy Meyer, Laronda Lockhart-Keene, Lydia Navarro-Walker, Sue Persia, Wendy Watcher-Schutz, Kevin Wegner, Michelle Gorenberg, Catherine Goodman

Journal of Occupational Therapy Education

The dual-entry nature of occupational therapy has been a point of discussion for many years with explorations into the profession’s support for the different degree programs and definitions of entry-level practice being the primary foci in the literature. There has been no comparison of the expectations of occupational therapy educators and practitioners of entry-level doctorate and master’s students upon graduation despite differences in curricula and emphasis on advanced skills. This study utilized a descriptive quantitative survey to ask current educators and practitioners (n=124) to indicate their level of expectations of the two types of graduates for sixteen different clinical and …

Book Review: Documentation Manual For Occupational Therapy, Mary K. Thelander, Geneva L. Nolan

Journal of Occupational Therapy Education

The updated fifth edition of Documentation Manual for Occupational Therapy (Gateley, 2024) offers instructors of occupational therapy (OT) and occupational therapy assistant (OTA) students familiar tools and updated content. Clear examples of every section of a SOAP (Subjective, Objective, Assessment and Plan) note as well as steps to reach the composition of the note, such as skilled-problem statements and COAST (client, occupation, assist levels, specific condition and timeline) goals are tools that hold the client-centered and occupation focus clear. Worksheets within the chapters offer formative assessment of understanding of concepts. Specific updates to the fifth edition include expanded content on …

Life Balance, Stress, And Occupational Burnout In Occupational Therapy Assistant Students: An Exploratory Study, Olivia Hammond, Pamela Talero Cabrejo, Laura Cruz, Linda Lilly

Journal of Occupational Therapy Education

Research indicates that United States healthcare workers face significant burnout. College is a crucial period for preparing occupational therapy assistant (OTA) students to manage life balance, stress, and burnout as they transition into the workforce. However, there is limited understanding of these factors within this population. This study examined the relationship between OTA students' life balance and their perceived stress and occupational burnout, considering variables such as employment status, residential status, years of study, and age. A cross-sectional Qualtrics e-survey was administered to OTA students aged 18 and older, comprising a demographic survey, Life Balance Inventory (LBI), Perceived Stress Scale-Short …

Trauma-Informed Pedagogy: The Prevalence Of Trauma Among Students In A Master Of Science Program In Occupational Therapy, Amelia Wilson, Ruth Chen, Michelle P. Phoenix, Sarah Wojkowski, Sandra Vanderkaay

Journal of Occupational Therapy Education

Trauma impacts learning at all stages of education and can be particularly problematic at post-secondary levels and for people from equity-deserving groups. Understanding trauma can support effective teaching and learning. Research suggests that students who have experienced trauma may be more likely to enter healthcare professional programs. Research specific to occupational therapy (OT) students who have experienced trauma is limited. The purpose of this study was to explore the prevalence of trauma among Master of Science (MSc) OT students at a Canadian university. The Childhood Trauma Questionnaire (CTQ) was selected for data collection. CTQ is a validated retrospective, self-report tool …

The Potential Of Learner-Generated Podcasts For Reading In Occupational Therapy Education, Claire Giefer, Whitney Henderson

Journal of Occupational Therapy Education

Research suggests that reading compliance among higher education students is low, warranting enhancement of educational practices to support reading, especially for students enrolled in health professional programs. Researchers used a cross-sectional study design to explore the effects of a learner-generated podcast assignment as a reading supplement in occupational therapy education using two different survey instruments assessing student perceptions and learning styles. Forty-three Occupational Therapy Doctorate (OTD) students participated in this study. Descriptive statistics indicated positive attitudes towards creating and preparing the podcasts but remained mostly neutral towards listening and watching podcasts. Tukey’s HSD test for multiple comparisons detected tactile learners …

The Pet Principle: An Innovative Teaching Strategy To Provide Real-Time Critical Thinking Skills And Improve Self-Efficacy, Adam M. Story, Melinda Delbridge, Brandi Fulwider, Sue Dahl-Popolizio

Journal of Occupational Therapy Education

The person, environment, and therapist (PET) Principle is an innovative teaching strategy designed to improve recall of foundational information, facilitate critical thinking, and improve self-efficacy of student and novice therapists. Specifically, the PET Principle is a microlearning strategy that helps students and novice therapists break down segments of a treatment session using an acronym to promote a "just-in-time” thinking process. Therefore, they learn to consider all aspects of the person, environment, and therapist before, during, and after therapy sessions. To evaluate the effectiveness of the PET Principle and self-efficacy after learning the PET Principle, an 11-item survey containing nine forced-choice …

The Capstone Fair For Promoting Initial Generation Of Occupational Therapy Doctoral Capstone Ideas, Laurie D. Stelter, Sandra M. Whisner, Cynthia Tiongco, Laura Alexander

Journal of Occupational Therapy Education

Entry-level occupational therapy doctorate (OTD) programs across the United States navigate the challenge of designing doctoral capstone (DC) processes to provide students with adequate scaffolding to plan, implement, evaluate, and disseminate their capstone projects. The DC process starts with the daunting tasks of student generation of capstone interests and connecting with mentors for collaborative guidance. The purpose of this program evaluation project was to assess a comprehensive process, known as the Capstone Fair, for effectively and efficiently facilitating students’ initial generation of capstone ideas and the match between student and Faculty Capstone Mentor. A fixed convergent, parallel mixed methods design …

A Survey Of Occupational Therapy Program Leaders: Perceptions Of The Essential Elements For Early Career Faculty, Kathleen Cummer, Angela Maccabe, Kurt Hubbard, Tracy Jirikowic

Journal of Occupational Therapy Education

The rapid growth of academic occupational therapy programs in the United States, combined with an increase in senior faculty retirement, requires a new, growing, robust and well-prepared faculty workforce. In addition to the growth of programs, faculty shortages necessitate proactive strategies for preparing transitioning clinicians for successful academic careers. Faculty development training should be a part of preparation to ensure success of early career faculty. However, it is unknown what the perceptions of occupational therapy leaders are towards faculty development training, what components should be included in training, and the importance of these components. Through this survey research, key findings …

Investigating The Use Of Serious Games For Cancer Control Among Children And Adolescents: Scoping Review, Sunghak Kim, Ebling Library, Olufunmilola Abraham

Pharmacy Practice and Science Faculty Publications

Background: Effective health care services that meet the diverse needs of children and adolescents with cancer are required to alleviate their physical, psychological, and social challenges and improve their quality of life. Previous studies showed that serious games help promote people’s health. However, the potential for serious games to be used for successful cancer control for children and adolescents has received less attention.

Objective: This scoping review aimed to map the use of serious games in cancer prevention and cancer care for children and adolescents, and provide future directions for serious games’ development and implementation within the context of cancer …

Quality Improvement Project Regarding Concomitant Administration Of Promethazine And Opioids In Hospitalized Patients Chronic Pain, Alexey Minevskiy, Wade Wyckoff, Corey Stone, Romil Patel, Shrikanth Parthasarathy, Denis Parinov

North Florida Division GME Research Day 2024

No abstract provided.

Falls Quality Initiative Project, Sean O'Leary, Himat Gill, Steven Tran, Zeeshan Haque, Christopher Burton

North Florida Division GME Research Day 2024

No abstract provided.

40-Day Fit, A Journey For Heroes, Michael B. O'Neill

Doctor of Leadership

This project is a collective portfolio of discovery and development that explores the intersection of societal health and the vitality of the church, recognizing a state of decline in both areas. This critical, yet often overlooked issue, is the foundation of this research-driven initiative. It is a practical process of diagnosis and treatment of a problem or an opportunity, in context, leading to application. The portfolio project represents a journey of discovery and reframing, where research methods, strategic objectives, and project milestones guide the identification of needs, problems, and opportunities. These elements serve as the driving forces behind crafting solutions …

An Evaluation Of The Rural Gobabygo Program At West Virginia University, Shayna Rexrode, Alexa Morgan, Haleigh Parsons, Holly Raines

Graduate Student Scholarship

The GoBabyGo program is a powered mobility program for young children with mobility and/or cognitive deficits that aims to increase their social participation, environmental exploration, and overall play abilities. This study aims to evaluate the rural GoBabyGo program at West Virginia University through caregiver and therapist perceptions. Traditionally, the GoBabyGo program process occurs primarily in person and includes consultation, builds, modifications, and delivery. Due to the rural nature of West Virginia, environmental barriers have led to the use of virtual services with the GoBabyGo program at West Virginia University. Evaluating these novel services is essential to successfully continuing the GoBabyGo …

Supporting Clients And Caregivers Of Full-Time Wheelchair Users At Risk For Pressure Injuries, Jessica Lynn Wetzel

Occupational Therapy Capstones

Title: Supporting Clients and Caregivers of Full-Time Wheelchair Users at Risk for Pressure Injuries

Purpose: Wheelchair users are classified as a population at a great risk for developing pressure injuries due to their decreased sensation and extensive time seated on bony prominences (Mervis & Phillips, 2023). Affecting around three million adults each year in the United States alone, the number of pressure injuries is a cause for concern (Mervis & Phillips, 2023). More severe pressure injuries can cause sedentary lifestyles, further leading to occupational deprivation of the individual experiencing them. Although there are many strategies to prevent pressure injury formation, …

Increasing Quality Of Life And Well-Being Among Older Adults Living In An Assisted Living Facility Through Engaging In A Wellness Program., Hannah Steckler

Occupational Therapy Capstones

Purpose: The focus of this scholarly project was to create a group protocol to increase the quality of life and well-being of older adults living in an assisted living facility (ALF). Furthermore, it promotes increased engagement in meaningful activities to combat health disparities and provide education on various areas of wellness. Older adults' quality of life and well-being are impacted when residing in an ALF due to decreased engagement in wellness activities (Bartley et al., 2018; Morgan et al., 2016). Furthermore, risk factors and health disparities increase among the older adult population, which causes a negative impact on everyday routines …

Addressing Burn Scarring And Contractures While Measuring Range Of Motion, Josie F. Sylte

Occupational Therapy Capstones

Purpose: In the community of healthcare professionals that work with individuals who have survived a burn injury there has been a shift in the way that range of motion (ROM) is being measured taking into consideration the use of cutaneous functional units (CFUs), multi joint movements, and burn scarring and contractures (Parry et al., 2019). Working with a burn intensive care unit therapy team a need was identified to address therapist education and the integration of revised positioning for measuring ROM following a burn injury and throughout the rehabilitation process.

Method: To determine the needs of the burn facility a …

Navigating The Wheelchair Recommendation Process: A Preventative Approach For Rural Providers, Kelsey M. Rajewsky

Occupational Therapy Capstones

Title: Navigating the Wheelchair Recommendation Process: A Preventative Approach for Rural Providers

Background: Wheelchair procurement is a complex process that begins with patients seeing their physician for a prescription and guidance on where to go for step two. It is this critical second step that can make the difference for someone receiving a basic wheelchair meant for short-term use, or a referral to a practitioner specializing in seating and wheeled mobility. While getting to a physician's office can be challenging for all wheelchair users, a rural wheelchair user experiences additional barriers such as limited resources available locally, culture, and difficulties …

Engage As You Age: An Interprofessional Toolkit To Increase Meaningful Activity In Long-Term Care Facilities, Annah Greenmyer

Occupational Therapy Capstones

Title: Engage as You Age: An Interprofessional Toolkit to Increase Meaningful Activity in long-term care Facilities

Background: When making the major life transition of moving into a long-term care facility, older adults have an increased chance of experiencing negative mental health symptoms. During this life transition, older adults may experience loss of self-efficacy, because of the shift from their preferred roles and activities. When older adults do not engage in their preferred activities and/or roles, they may experience loss of motivation or energy which can eventually lead to feelings of depression and anxiety. For residents in rural long-term care facilities, …

Supporting Occupational Performance For Children With Cancer, Rachel Elise Koenig

Occupational Therapy Capstones

Purpose: The purpose of this doctoral experience was divided into two categories: a) advanced clinical practice and b) needs assessment and completion of project. The advanced clinical practice objectives were to implement evidence-based evaluations and interventions to children with cancer, collaborate with parents and interprofessional team members, and adhere to safety precautions for children with cancer. The project-based objectives focus was to translate knowledge to practice by aiding in the transition process of children with cancer when leaving the hospital.

Method: The primary author completed a literature review of best practices for children with cancer prior to their arrival on-site. …

Epidemiologic Profile And Treatment Analysis Of Cervicalgia In Patients With Migraine Vs. Tension-Type Headaches From A Multicenter Electronic Medical Record Database (Trinetx), Ethan J. Le, Victor S. Wang, Md, Hsiangkuo Yuan, Md, Phd

Alpha Omega Alpha Research Symposium Posters

BACKGROUND

• Cervicalgia, or chronic neck pain, remains an understudied and undertreated comorbid condition in patients with headache disorders that benefits from both pharmacologic and non-pharmacologic treatment profiles.

• Cervicogenic headaches present a significant global healthcare burden, with estimates projecting up to 4.1% of the global population and 20% of headache complaints are attributed to cervicalgia (Fernandez et al. 2020).

• What is the global demographic, treatment, and migraine preventive profile of cervicalgia in patients with either concurrent migraine (CM) or tension-type (CT) headaches?

Longitudinal Monitoring Of Gait Parameters For Lower Limb Prosthetic Users With Physical Therapy Using Video-Based Gait Analysis, Alisha Agarwal, Bs, Anthony Cimorelli, Cpo, R. James Cotton, Md, Phd

Alpha Omega Alpha Research Symposium Posters

Introduction

Gait training in physical therapy is a common standard of practice for new lower limb prosthetic users. Progress is typically assessed through functional outcome measures such as the 10-meter or 6-minute walk tests1. While these tests measure walking speed and endurance, they fall short of capturing gait quality or quantifying gait parameters which literature shows to be of therapeutic value 2,3. Routine access to quantitative gait assessment could provide clinicians with benchmarks to optimize treatment interventions. Traditional gait analysis systems require specialized equipment making them very resource-intensive and inconvenient to operate. Using human pose estimation techniques, we have developed …

Covid-19 Pandemic’S Effect On Occupational Therapy Students’ Time-Use And Occupational Engagement On Returning To In-Person Learning, Jhannell Hannah D. Ocampo, Susan Macdermott, Karen Mccarthy

Occupational Therapy | Faculty Scholarship

The COVID-19 pandemic emotionally and physically impacted students in occupational therapy and occupational therapy assistant programs. College students lost autonomy and access to meaningful occupations and environments. As students returned to campus, they struggled to navigate and adapt to in-person occupations and how they use their time. This study uses a mixed method descriptive research design to understand how the pandemic affected occupational therapy students' time-use and occupational engagement during the transition to in-person learning. Seventy-three students completed an online survey, while 12 of those students additionally participated in a follow-up time-use diary and interview. Eighty-three percent of the participants …

Motoneuron Persistent Inward Current Contribution To Increased Torque Responses To Wide-Pulse High-Frequency Neuromuscular Electrical Stimulation, Timothée Popesco, Lucas Bet Da Rosa Orssatto, François Hug, Anthony John Blazevich, Gabriel Siqueira Trajano, Nicolas Place

Research outputs 2022 to 2026

Purpose: To assess the effect of a remote handgrip contraction during wide-pulse high-frequency (WPHF) neuromuscular electrical stimulation (NMES) on the magnitude of extra torque, progressive increase in torque during stimulation, and estimates of the persistent inward current (PIC) contribution to motoneuron firing in the plantar flexors. Methods: Ten participants performed triangular shaped contractions to 20% of maximal plantar flexion torque before and after WPHF NMES with and without a handgrip contraction, and control conditions. Extra torque, the relative difference between the initial and final torque during stimulation, and sustained electromyographic (EMG) activity were assessed. High-density EMG was recorded during triangular …

Criteria And Indicators For Centers Of Clinical Excellence In Stroke Recovery And Rehabilitation: A Global Consensus Facilitated By Isrra, Rachel C. Stockley, Marion F. Walker, Margit A. Murphy, Noor A. A. Aziz, Philemon Amooba, Leonid Churliov, Amanda Farrin, Natalie A. Fini, Emma Ghaziani, Erin Godecke, Tania Gutierrez-Panchana, Jie Jia, Thoshenthri Kandasamy, Patrice Lindsay, John Solomon, Vincent Thijs, Tierney Tindall, Donna C. Tippett, Caroline Watkins, Elizabeth Lynch

Research outputs 2022 to 2026

Background: The aim of the International Stroke Recovery and Rehabilitation Alliance is to create a world where worldwide collaboration brings major breakthroughs for the millions of people living with stroke. A key pillar of this work is to define globally relevant criteria for centers that aspire to deliver excellent clinical rehabilitation and generate exceptional outcomes for patients. Objectives: This paper presents consensus work conducted with an international group of expert stroke recovery and rehabilitation researchers, clinicians, and people living with stroke to identify and define criteria and measurable indicators for Centers of Clinical Excellence (CoCE) in stroke recovery and rehabilitation. …

The Effects Of External Load Type And Eccentric Tempo On Hamstring Electromygraphy During Unilateral And Bilateral Prone Hamstring Exercise, Toraya Hughes

College of Graduate Studies: Theses & Dissertations

Isotonic hamstring exercises are employed to mitigate the risk of a future hamstring strain and after strain, incorporated into return-to-play protocols. However, research has negated leg dominance's influence on muscle recruitment and exercise form. Therefore, the purpose of this study was to compare muscle recruitment between the dominant (DOM) and non-dominant (nonDOM) during prone hamstring exercise (PHSE) variations. METHODS: Twenty trained participants aged 18 – 33 (M = 23 years, SD = 3 years) completed familiarization and experimental protocols > 72 hours apart. Participants underwent four PHSE variations that differed by load type (barbell vs. dumbbell), exercise strategy (bilateral …

Comparisons Of Unilateral And Limb Symmetry Indexes Between Fixed Dynamometry Testing Modes, Emily E. Frizzell

Honors College Theses

Hamstring muscles strains are extremely common and can vary in severity. The biarticular structure of the hamstring groups is one reason that they are more susceptible to injuries. The recurrence of these injuries is also common even after they have been through a rehabilitation phase in their recovery. This project aims to compare and associate knee flexion and extension muscle performance characteristics between isometric, isotonic, and isokinetic assessment modes. These different modes of assessment will test analyze muscle performance under varying muscle lengths, movement velocities and biomechanical load modes. The data collected from this testing will be analyzed to see …