Rehabilitation and Therapy Commons^™

Sensory Toolkit For Childcare Providers And Parents Of Children In The Daycare Setting, Cierra Marie Jacobson

Occupational Therapy Capstones

Title: Sensory Toolkit for Childcare Providers and Parents of Children in the Daycare Setting

Purpose: Around 62% of children in the United States receive care from care-based centers (U.S Department of Education, National Center for Education Statistic [NCES], (2021). Of the children in daycare, about 41% attend for 35 or more hours a week (Capizzano & Adams, 2000). The children’s environment within a daycare provides several sensory experiences that can both support and hinder their success in their daily occupations. When sensory needs are unmet, undesired behaviors can occur and impact their performance in daily occupations (Bodison & Parham, 2017). …

An Intergenerational Program Approach To Support Successful Aging And Decrease Social Isolation In Nursing Home Residents, Mariah Herring

Occupational Therapy Capstones

Purpose As older adults transition to nursing facilities, their involvement in community activities diminishes, impacting their physical health, cognitive abilities, and social engagement (Lowry et al., 2012; Serrat-Graboleda et al., 2010). Evidence suggests that utilizing intergenerational programs in nursing facilities can effectively reduce social isolation, enhance quality of life for residents, and support academics and social skills in preschool students (Gustavsson, 2015; Lowry et al., 2012; Mondaca et al., 2018; Pillemer et al., 2022; Tak et al., 2015). This scholarly project aims to support successful aging and decrease social isolation in nursing facilities through the development of occupation-based psychomotor activities …

Primary Reflex Testing And Integration Guide For Parents And Providers, Abby Jessen

Occupational Therapy Capstones

Purpose: Parents are often unaware of the signs and characteristics of retained reflexes making it difficult to identify if there is a problem (Grigg et al., 2018). Once a problem is identified parents are frequently uninformed of the effects primary reflexes can have on a child’s development and how to foster integration (Grigg et al., 2018). Therefore, demonstrating a need for parent and provider education to support reflex integration amongst the pediatric population. The purpose of this project was to educate parents and providers on retained primary reflexes in children ages four to 11.

Methods: Prior to the start of …

Stroke Rehabilitation Through The Continuum Of Care: Integrating Evidence And Occupation-Based Practice, Emily L. Geissler

Occupational Therapy Capstones

Purpose: The purpose of this scholarly project was to provide patients with knowledge on the rehabilitation process and practitioners with a resource to assist in implementing occupation and evidence-based practice in stroke rehabilitation throughout the continuum of care.

Methodology: A literature review was conducted using articles, textbooks, and expert opinions regarding evidence-based and occupation-based interventions within stroke rehabilitation. The author partnered with a midwestern healthcare agency to experience stroke rehabilitation as an occupational therapy practitioner across the continuum of care. Through a needs assessment, it was found patients lack knowledge regarding the rehabilitation process and that practitioners lack knowledge of …

Implementation Of A Recreational Program For Those With Visual Impairments, Caitllyn Fussy

Occupational Therapy Capstones

Purpose: Quality of life can be found through participation in meaningful and rewarding occupations (Cote-Letlerc, 2017). Studies have shown that individuals with visual impairments have impacted occupational performance and engagement in occupations leading to a loss of independence, changes to identity, and lowered self-esteem (Duquette, et. al., 2019; Kumar, et. al., 2022). Some barriers these individuals face that impact their ability to participate in meaningful occupations include having fewer opportunities available, difficulty navigating, having impaired proprioception, accessibility, and physical or cognitive impairments (Diaz, 2019; Hill, 2023). Opportunities to engage in recreational activities presented as a clear need for this scholarly …

Inclusive Physical Education And Its Impact On Adolescents With Disabilities In A School Setting, Ashley Renee Freund

Occupational Therapy Capstones

Background: Adolescents with disabilities frequently encounter barriers preventing participation in physical education alongside their peers. The absence of inclusive practices and adaptations tailored to students with disabilities poses challenges that impact students' physical health and mental well-being (Carbone et al., 2021). Fostering improved mental and physical health for adolescents with and without disabilities is related to group-based programming as well as instructor leadership and knowledge regarding disability and activity modification (Shirazipour et al., 2020). By integrating these elements, physical education teachers can optimize the benefits of participation in physical education, including enhanced mental health, increased physical participation and engagement, and …

Addressing Occupational Deprivation And Alienation In Rural Skilled Nursing Facilities Through An Activities Resource Guide, Stephanie Dullum

Occupational Therapy Capstones

Purpose: The purpose of this product was to collaborate with residents and the activities department in a rural skilled nursing facility (SNF) to create leisure activities to address common chronic conditions and the needs or wants of the residents. With aging comes more chronic conditions and less physical activity, socialization, and time engaged in activities, affecting quality of life (QOL) and well-being (Causey-Upton,2015; Cudjoe et al., 2020; Nedjeljeko et al., 2021; Portillo et al., 2023; Sen et al., 2022; Smallfield & Molitor, 2018; World Health Organization [WHO], 2022). Providing residents with more meaningful leisure activities will assist the SNF staff …

A Holistic Approach To Occupational Therapy Intervention: Addressing Psychosocial Factors And Upper Extremity Injuries, Aleece N. Durbin

Occupational Therapy Capstones

Purpose: Occupational therapy practitioners (OTPs) working in a hand therapy setting primarily focus on neuromusculoskeletal injuries of the upper extremity (UE) (Kurrus et al., 2023). However, clients who experience UE injuries can also experience adverse psychosocial factors limiting their performance in daily activities (Kurrus et al., 2023). Psychosocial factors are rarely addressed in the practice setting due to institutional barriers and a lack of confidence in OTPs (Kurrus et al., 2023). This project aims to provide OTPs with resources to provide occupational therapy intervention to address psychosocial factors despite the barriers present within the practice setting of hand therapy.

Methods: …

Making Strides: An Occupational Therapy Program Developing Work Readiness Skills In Adolescents With Aces, Using Equine And Barn Tasks., Lauren Alexis Fischer

Occupational Therapy Capstones

Background: The Center of Disease Control and Prevention (CDC, 2022) defines adverse childhood experiences (ACEs) as any traumatic event that occurs from birth to 18 years. ACEs can lead to various issues in the child's future, such as health problems, mental illness, substance abuse, and challenges with education and employment (CDC, 2022). Associated barriers that inhibit at-risk youth when transitioning into the workforce include lack of work skills, habits, knowledge about labor rights, realistic job opportunities, and how to pursue employment (Ivzori et al., 2020). Increasing support in their pre-vocational skills can increase their success in employment. Rhew et al. …

A Resource Guide For Improving Participation In The Pediatric Casper Community, Rylie Garner

Occupational Therapy Capstones

Title: A Resource Guide for Improving Participation in the Pediatric Casper

Community Background and Problem: Regardless of ability level, all children should have the same rights, access, and opportunities to participate in leisure, social, physical, and recreational activities. Research shows that typically developing children participate more in social, physical, and recreational activities than children with disabilities (Solish et al., 2010). Identified barriers that can decrease participation for children with disabilities include the child’s functional limitations, high costs, accessibility, and lack of known nearby facilities, programs, and sports (Murphy & Carbone, 2018; Aytur et al., 2018). Participation in leisure, social, physical, …

Occupational Therapy Intervention To Promote Rest And Its Role In Inpatient Rehabilitation Recovery, Kjerstin Drugan

Occupational Therapy Capstones

Background: Insufficient sleep is a public health epidemic that affects 10-30% of the population, impacts brain functioning, mood, attention, memory, and healing (CDC, 2015) and increases the likelihood of serious medical conditions such as diabetes, high blood pressure, and heart disease (Ho & Sui, 2018). The rate of sleep difficulties increases to 47-67% in the hospitalized population (Miller et al., 2019). According to Poole et al. (2022), 98% of occupational therapists reported believing that sleep assessment and intervention are important in rehabilitation, but less than 25% implemented any intervention. The physical effects and stress of illness and the inpatient rehabilitation …

Nature-Based Therapy Supporting Veterans With Mental Health Difficulties, Kaitlyne Dittberner

Occupational Therapy Capstones

Background: Using nature has been linked to improvements in well-being for individuals with depression, anxiety, and post-traumatic stress disorder (Bettmann et al., 2019). Combining nature with physical activity can increase feelings of revitalization, positive engagement, and energy with decreased feelings of tension, confusion, anger, and depression (Coon et al., 2011). Group-based activities for veterans can assist with the reintegration process back into the community as combat veterans value connections with like peers (Hawkins et al., 2016). Occupational therapy practitioners have the skills to analyze activities to make accommodations to allow veterans to be successful in the occupations in the nature-based …

Supporting Community Integration For Veterans With Mental Health Conditions Through The Lens Of Recovery: Rise-Ing Together, Erin Marie Ferebee

Occupational Therapy Capstones

Title: Supporting Community Integration for Veterans with Mental Health Conditions Through the Lens of Recovery: RISE-ing Together

Introduction: This paper delves into the VA's commitment, aligned with AOTA guidelines, to enhance Veterans' well-being through the PEO model in occupational therapy during community reintegration. Highlighting recovery as a transformative process, it addresses mental health challenges, including PTSD, depression, anxiety, bipolar disorder, and schizophrenia, underscoring the central role of occupational therapy practitioners in providing tailored care. Shifting focus to the environment, drawing on studies (Pedersen & Wiser, 2021; Phelan et al., 2018; Sayer et al., 2021), the paper accentuates challenges and opportunities, …

Physical And Psychosocial Wellness For Individuals With Neurological Impairments, Emmalee Burtsfield

Occupational Therapy Capstones

Purpose: Neurological impairments have been identified as the first leading cause of disability across the world and the second leading cause of death globally. There is a substantial financial impact associated with neurological conditions. Therefore, it is essential to consider how effective use of best therapy practices can help to reduce costs accompanying neurological impairments and promote quality of life amongst patients. The goal of this scholarly project was to promote physical and psychosocial wellness for individuals with neurological impairments. The project serves as a resource that can be utilized by patients and caregivers alike. The materials in this resource …

Peer To Peer: Implementing An Inclusive Program At A Midwestern School, Kaitlyn Rose Ekre

Occupational Therapy Capstones

Purpose: Transitioning to and between school settings (i.e., home to elementary, elementary to middle school, middle school to high school) can be a challenging experience for everyone. In middle school, there is an increase in academic, behavioral, and social demands (Chen et al., 2020; Fontil et al., 2020). While most students are able to navigate the different demands of middle school, students with disabilities struggle with building relationships and interacting with their peers along with academics leading to low involvement in extracurricular activities, inconsistent access to the general education classroom, and an absence of peer interactions throughout the day (Biggs …

Developing A Sensory Room For Children With Autism Living On The Navajo Reservation, Rudessa Bedonie

Occupational Therapy Capstones

Background: Autism spectrum disorder (ASD) is a developmental disability characterized by challenges in social interaction, communication, and restrictive or repetitive behaviors (Hirota & King, 2023). Children with autism demonstrate sensory challenges impacting their participation in activities of daily living and social engagement (Schaaf et al., 2014 & Travers et al., 2022). Occupational therapists often employ techniques and settings to enrich sensory experiences when working with children diagnosed with autism. Accessibility and awareness of occupational therapy services on the Navajo reservation are also restricted (Casimir, 2023). People on the Navajo reservation may experience cultural and language barriers with others, and limited …

The Wyld Outdoors: A Community Based Occupational Therapy Program To Address Mental Health Strategies In Rural Wyoming, Emily Ray

Occupational Therapy Capstones

Title: The WYld Outdoors: A Community-Based Occupational Therapy Program to Address Mental Health Strategies in Rural Wyoming

Background: Globally, there is an expressed need to address mental health promotion and prevention strategies in community-based settings (World Health Organization [WHO], 2022). To work toward meeting these needs it is important to start at a local level. Statewide initiatives in Wyoming have risen in recent years with goals to expand upon mental and behavioral health, but culture and lack of environmental means significantly impact accessibility to these resources (State of Wyoming [SOW], 2023). Based on literature findings there are even fewer local …

Helping Hands: Self-Managing Chronic Upper Extremity Pain, Kaylee Mae Athmann

Occupational Therapy Capstones

Background: This scholarly project aims to provide education on self-management techniques for chronic upper extremity (UE) pain. There are currently limited resources that properly educate clients on self-management techniques for chronic (UE) pain. Nevertheless, there is a need for a chronic UE pain self-management program because chronic pain affects individuals’ performance of all their occupations and has the potential to lead to social limitations, a decline in work ability and productivity and a decrease in quality of life. Furthermore, it is currently the leading cause of disability worldwide. Occupational therapy practitioners who focus on the UE are known as hand …

Effect Of Perturbation-Based Balance Training On Fall Risk And Fear Of Falls In Community-Dwelling Older Adults – A Pilot Study, Lindsey Kelly, Casey Kostecki, Garrett Markham, Conner Morris, Trevor Strem, Lyndsay Stutzenberger, Gabe Haberly

Student-Faculty Research - College of Physical Therapy

Falls are a major health concern among adults ≥65 years as it is the leading cause of injury and injury related death in the United States. Perturbation-based training (PBT) has been shown to reduce rate of falls by 50% and 24 slips has been shown to be optimal. It is unknown whether falls reduction would be greater with one session or spread out over multiple sessions. The purpose of this study was to determine the effects of PBT dosage (12 slips over 2 sessions vs. 24 slips in one session) on falls incidence, fear of falling, and reactive stepping in …

The Effects Of Static Versus Dynamic Stretching On Lower Extremity Power Output And Flexibility In Dancers, Meloney George

Williams Honors College, Honors Research Projects

Collegiate dancers require a large range of motion throughout all joints for performance success. Previous research has shown static (STA) stretching to be most effective at improving flexibility (Chaabene et al. 2019), due to this factor, warmups for dance are primarily based on STA stretching to allow dancers to reach their maximum flexibility. Previous research has also shown that STA stretching before activity can have negative effects on an athlete’s power output, and a large amount of power is essential for dance. PURPOSE: Determine the effect of STA and dynamic (DYN) stretching on lower extremity power and flexibility in collegiate …

Evidence Synthesis Methodology: Promoting Reproducible Methodology Through Modified Assignments, Laura Lipke, Neyda Gilman

Library Created Resources

Initially, systematic reviews in healthcare served to synthesize findings from clinical studies, aiding comprehensive access to the most effective treatments within evidence-based practice. Over time, their scope has broadened beyond treatment effectiveness, leading to a surge in publication. Consequently, many health science faculty now assign systematic reviews in classrooms without a full grasp of the standardized process, leaving students ill-equipped due to insufficient guidance and resources.

While mastering systematic review techniques is crucial for evidence-based practice, faculty can opt for modified assignments to foster a deeper understanding of the review process. These modified tasks, can be completed within a semester, …

A Conservative Treatment Protocol For Thumb Carpometacarpal Osteoarthritis, Adam Waggener

Occupational Therapy Doctorate Capstone Posters

This capstone project sought to construct a written conservative treatment protocol for thumb CMC OA, emphasizing evidence-based practices. As a hopeful hand therapist, clinical observations led me to realize thumb CMC OA was a common condition present in many cases. A written protocol would be beneficial to both client and practitioner to increase knowledge and awareness of best practice while educating clients as they seek treatment. Initial development of the protocol included communication with current hand therapists to better understand needs of both client and practitioner. Following this, a thorough analysis of current literature was completed for best evidence based …

Aging At Home, Breanna Putnam

Occupational Therapy Doctorate Capstone Posters

This capstone project, "Aging at Home," explores the role of occupational therapy (OT) in facilitating aging-in-place. Motivated by the challenges a 95-year-old family member faces, the project aimed to equip aging adults with OT resources to support their desire to remain in their homes. The project was conducted primarily at the Lexington Senior Center and involved two key phases: Leadership through Inquisition and Program Development and Education. The first phase included meetings, workshops, and experiences with senior living organizations to understand the needs and concerns of aging adults. The second phase focused on developing and delivering the "Aging at Home" …

Prenatal And Postnatal Experience Focusing On Women’S Mental And Physical Health, Ebony Sivils

Occupational Therapy Doctorate Capstone Posters

Women’s mental and physical health concerns prenatally and postnatally is a common concern within the United States. According to the National Library of Medicine (NIH), postpartum depression commonly occurs six weeks after childbirth, affecting 6.5 percent to 20 percent of women (2022). Pregnancy related physical concerns are also a common concern with prenatal/postnatal mothers with difficulties such as back pain, pelvic floor dysfunction, hip/knee pain, cesarean section (c-section) issues, and several other concerns. Physical concerns have been shown to affect mothers ability to walk, work, sleep, and participate within everyday routine potentially leading to depression (O’Connor, et.al, 2013). It is …

Prenatal And Postnatal Experience Focusing On Women’S Mental And Physical Health, Karen Stamper

Occupational Therapy Doctorate Capstone Posters

This capstone experience was about creating an activity enrichment program for the hospital's swing bed program. This program can easily be transferred to other areas as need be but for this experience it was directed towards an inpatient rehab swing bed program. For the creation of the program data collection was used, a total of three assessments were utilized, the SLUMS a cognitive assessment, the geriatric depression scale to measure depression levels, and an activity interest checklist was used to gather information on meaningful activities that those participating enjoyed. Once data collection was finished, a continued literature search was conducted …

Workplace Analysis And Body Mechanics Education Program For Radiologic Technologists In Acute Care, Katelyn Richards

Occupational Therapy Doctorate Capstone Posters

My capstone project focused on Workplace Analysis and Body Mechanics Education for Radiologic Technologists in Acute Care. I collaborated with the radiology department at the University of Kentucky Chandler Hospital to determine current body mechanic practice and education to identify any needs for improvement to address reported injuries within the radiology department. I began my project by completing observations of current x-ray procedures and determining where there was a need for adjustments. This information allowed me to efficiently develop an educational training module and multiple reference guides for safe patient handling and proper body mechanics that can be used to …

Literacy And Language Barriers In Healthcare, Kaylee Cloud

Occupational Therapy Doctorate Capstone Posters

My name is Kaylee Cloud and I am an entry-level Occupational Therapy Doctoral student at EKU. I completed my Capstone project with a focus on health literacy and language barriers in healthcare. I completed my project at CHI St. Joseph Hospital in Berea, KY. This hospital is a Critical Access Hospital, meaning it is located in a rural area where patients have difficulty accessing healthcare. I began my project by assessing organizational health literacy and personal health literacy of patients, providers, and resources at the hospital to determine the needs of the hospital. I then worked to create resources and …

Enhancing Pelvic Floor Rehabilitation Referral Through Accessible Education For Clinicians And Patients, Madelyn Murphy

Occupational Therapy Doctorate Capstone Posters

Pelvic floor dysfunction has been identified as a significant public health issue and is estimated to affect around 50% of women. Still, less than 25% seek medical help and only 12% receive subspecialty care (Yohay et al., 2022). Studies show a lack of knowledge among women and their providers and that education programs are necessary to fill this gap (Yohay et al., 2022). After surveying both doctors and patients at Med Center Health, this project aimed to fill this educational gap by developing an educational video program. This program targeted both doctors and patients, aiming to increase awareness about pelvic …

Program Development Of Pediatric Therapy Clinic For Rural Hospital, Mauri Rhodes

Occupational Therapy Doctorate Capstone Posters

This capstone project focuses on addressing the critical need for pediatric occupational therapy services in rural western Kentucky. The purpose of this project and experience was to assist in program development of a comprehensive resource for Livingston Hospital to guide the establishment of a pediatric therapy gym including clinic design, equipment suggestions, and various marketing and survey components. The main goals that were completed throughout this experience included: design/develop an outpatient pediatric therapy gym, examine current outpatient pediatric clinics’ practices and procedures, inspect current pediatric therapy clients’ parents and current hospital workers feelings/thoughts/ideas on rural outpatient pediatric therapy, and design …

Implementing Nature-Based Occupational Therapy In School-Based Settings, Megan Evans

Occupational Therapy Doctorate Capstone Posters

In school-based settings, Occupational Therapists work with students on various areas related to a student's Individualized Learning Plan (IEP). As technology use increases in academic settings for young students and time spent outdoors decreases, the exploration of a potential solution to this relationship was discovered. Nature-Based Occupational Therapy is an emerging practice area focused on incorporating outdoor play and materials from the outdoors into treatment sessions while still addressing areas of concern to increase a child’s independence in daily occupations.

This capstone project focused on four objectives:

1. Design a nature-based activity guide for students in the school system setting that …