Rehabilitation and Therapy Commons^™

Late Onset Paradoxical Effect Of Zolpidem After Anoxic Brain Injury: A Pediatric Case Report, Amanda Lindenberg, Sathya Vadivelu

Posters

Case Diagnosis Acquired brain injury (ABI) is a common cause of disability. It is defined as an insult to the brain that subsequently results in impairments of communication, cognition, sensorimotor function and behavior. Anoxic brain injuries can be particularly disabling. A common cause of a anoxic injury in children is cardiopulmonary arrest. The revised coma recovery scale (CRS-R) is a standardized assessment for level of arousal after brain injury. Case Description A 16 year old healthy boy was admitted after an unwitnessed pulseless cardiopulmonary arrest requiring 3 defibrillations and 2mg of epinephrine. His cardiac and genetic workup was negative. His …

Addressing Barriers To Patient Mobilization Using An Educational Intervention In A Hospital Setting, Elena Crooks, Emily Carlson, Tyler Powell, Carly Ruggles, Abel Sawa, Teresa Bigand, Tiffanie Rampley, Rylee Price, Crystal Billings, Danell Stengem, Jennifer Hoople

Articles, Abstracts, and Reports

No abstract provided.

Barriers To Early Patient Mobilization Among Acute Care Nurses, Occupational Therapists, And Physical Therapists, Elena Crooks, Carly Ruggles, Emily Carlson, Tyler Powell, Teresa Bigand, Tiffanie Rampley, Crystal Billings, Danell Stengem, Jennifer Hoople, Rylee Price

Articles, Abstracts, and Reports

No abstract provided.

Randomized Controlled Trial Of The Behavioral Intervention For Increasing Physical Activity In Multiple Sclerosis Project: Secondary, Patient-Reported Outcomes, Robert W. Motl, Brian M. Sandroff, Lara A. Pilutti, Gary R. Cutter, Roberto Aldunate, Ariel Kidwell, Rachel E. Bollaert

Exercise Science Faculty Research and Publications

Background

We undertook a randomized controlled trial (RCT) that investigated the effectiveness of a theory-based, Internet-delivered, behavioral intervention focusing on physical activity promotion for immediate and sustained improvements in secondary, patient-reported outcomes (PROs) of function, symptoms, and quality of life (QOL) in multiple sclerosis (MS).

Method

Persons with MS (N = 318) were recruited from throughout the United States and randomized into behavioral intervention (n = 159) or attention/social contact control (n = 159) conditions. The conditions were administered over a 6-month period by persons who were uninvolved in screening, recruitment, random assignment, and outcome assessment. There …

Inflation-Adjusted Medicare Reimbursement For Hip Arthroscopy Fell By 211% On Average Between 2011 And 2022, Allison Y Kufta, David R Maldonado, Cammille C Go, Andrew J Curley, Paulo Padilla, Benjamin G Domb

Faculty, Staff and Student Publications

PURPOSE: To examine Medicare reimbursement for hip arthroscopy from 2011 to 2022.

METHODS: The seven most common procedures performed with hip arthroscopy by a single surgeon were gathered. The Physician Fee Schedule Look-Up Tool was utilized to access financial data of the associated Current Procedural Terminology (CPT) codes. The reimbursement data for each CPT were gathered from the Physician Fee Schedule Look-Up Tool. With the consumer price index database and inflation calculator, reimbursement values were adjusted for inflation to 2022 U.S. dollars.

RESULTS: Following an adjustment for inflation, it was found that reimbursement rate for hip arthroscopy procedures on average …

Monoclonal Antibody For The Prevention Of Respiratory Syncytial Virus In Infants And Children: A Systematic Review And Network Meta-Analysis, Mingyao Sun, Honghao Lai, Feiyang Na, Sheng Li, Xia Qiu, Jinhui Tian, Zhigang Zhang, Long Ge

Faculty, Staff and Student Publications

IMPORTANCE: Respiratory syncytial virus (RSV) is the leading cause of acute lower respiratory infection in children younger than 5 years; effective prevention strategies are urgently needed.

OBJECTIVE: To compare the efficacy and safety of monoclonal antibodies for the prevention of RSV infection in infants and children.

DATA SOURCES: In this systematic review and network meta-analysis, PubMed, Embase, CENTRAL, and ClinicalTrials.gov were searched from database inception to March 2022.

STUDY SELECTION: Randomized clinical trials that enrolled infants at high risk of RSV infection to receive a monoclonal antibody or placebo were included. Keywords and extensive vocabulary related to monoclonal antibodies, RSV, …

Depression, Anxiety, And Physical Activity In Older Adults With Multiple Sclerosis, Rachel E. Bollaert, C. Danielle Jones, Petra Silic, Robert W. Motl

Exercise Science Faculty Research and Publications

This study examined levels of depression and anxiety symptoms (Hospital Anxiety and Depression Scale scores), and self-reported (Godin Leisure-Time Exercise Questionnaire), and accelerometer-measured physical activity in older adults with multiple sclerosis (n = 40) compared with age- and sex-matched healthy controls (n = 40). We observed differences in depression, anxiety, and physical activity between groups and further observed that minutes/day of moderate to vigorous physical activity partially accounted for group differences in depression scores. We provide preliminary support for research examining approaches for increasing moderate to vigorous physical activity and possibly reducing depression symptoms in older adults with …

Telemedicine Use Among Physiatrists During The Early Phase Of The Covid-19 Pandemic And Potential For Future Use, Sameer Siddiqui, Ellen Farr, Nathaniel Dusto, Liqi Chen, Masha Kocherginsky, Felicia Skelton, Monica Verduzco-Gutierrez, Sujin Lee

Faculty, Staff and Students Publications

No abstract provided.

The Behavioral Assessment Screening Tool For Mobile Health (Bastmhealth): Development And Compliance In Two Weeks Of Daily Reporting In Chronic Traumatic Brain Injury, Shannon B Juengst, Brittany Wright, Angelle M Sander, Samuel Preminger, Andrew Nabasny, Lauren Terhorst

Faculty, Staff and Students Publications

Objectives:

To develop and evaluate the feasibility of a short form of the Behavioral Assessment Screening Tool (BAST_mHealth) for high frequency in situ self-reported assessment of neurobehavioral symptoms using mobile health technology for community-dwelling adults with traumatic brain injury (TBI).

Design:

Prospective, repeated measures study of mHealth assessment of self-reported neurobehavioral symptoms in adults with and without a lifetime history of TBI over a two-week period.

Setting:

Community

Participants:

Community-dwelling adults with (n=52) and without (n=12) a lifetime TBI history consented to the study.

Interventions:

Not applicable

Main Outcome Measures:

BAST_mHealth subscales (2-items each): Negative Affect, Fatigue, …

Homeschool Educators’ Perspectives About Student Needs Within Occupational Therapy Scope Of Practice: A Pilot Study, Susan L. Iliff, Mary T. Hill, Rose White, Aubrey Alexander

Pediatrics Research and Scholarship

Homeschool educators (n = 31) were recruited to complete an electronic survey describing their perspectives. Findings indicated that many students had medical/academic needs, and accessed additional services such as occupational therapy (OT). Data analysis of open-ended questions revealed common categories: (a) curricula met or did not meet student needs (b) participants had experience-based, general or no knowledge of OT and (c) most felt homeschooling was a positive experience and expressed that limited resources were available. Further research is warranted to investigate available resources, specific needs, and how to best support students who homeschool.

Association Between Balance Confidence And Basic Walking Abilities In People With Unilateral Transtibial Lower-Limb Amputations: A Cross-Sectional Study, Humberto Omaña, Courtney Frengopoulos, Manuel Montero-Odasso, Michael W. Payne, Ricardo Viana, Susan W. Hunter

Physical Therapy Publications

INTRODUCTION: Falls are common for people with lower-limb amputations (PLLA). Low balance confidence is also prevalent, is worse in PLLA not reporting walking automaticity, and is known to negatively affect prosthesis use, social engagement, and quality of life. Moreover, walking with a prosthesis requires continuous attention. Low balance confidence may act as a distractor imposing an additional cognitive load on the already cognitively demanding task of walking with a prosthesis.

METHODS: Adults with unilateral, transtibial amputations were recruited. The Activities-specific Balance Confidence (ABC) scale quantified balance confidence. The L Test assessed basic walking abilities under single-task (ST) (usual) and dual-task …

The Effect Of Spinal Muscle Fatigue And Psychosocial Factors On Pressure-Pain Threshold In Healthy Adults, Susan Mais, Jo Armour Smith

Physical Therapy Faculty Articles and Research

Objective. Pain sensitivity decreases following isometric exercise. It is not clear whether this exercise-induced hypoalgesia (EIH) occurs to the same extent in men and women. It is also unclear if the effect is systemic or local to the exercised musculature. The aim of our study was to investigate whether fatiguing isometric exercise of the spinal and hip extensors would result in increased pressure pain threshold (PPT) at sites local to and remote from the exercised muscles in healthy men and women and whether there is a relationship between central sensitization, psychosocial factors, and PPT. Subjects. 35 healthy adults …

Effects Of Positive Social Comparative Feedback On Motor Sequence Learning And Performance Expectancies, Allison F. Lewis, Rachel Bohnenkamp, Lynn Johnson, Dirk B. Den Ouden, Sarah Wilcox Phd, Stacy L. Fritz, Jill Campbell Stewart Pt,Phd

Faculty Publications

Introduction: Positive social comparative feedback indicates to the learner that they are performing better than others. While this type feedback supports motor skill learning in some tasks, the effect of social comparative feedback on implicit motor sequence learning remains unknown. The aim of this study was to determine the effect of positive social comparative feedback on the learning of and expectancies for a motor sequence task. Methods: Forty-eight individuals practiced a joystick-based sequence task and were divided into three feedback groups: CONTROL (no performance feedback), RT ONLY (response time only feedback), and RT+POS (response time plus positive social comparison). Participants …

Cost-Effectiveness Analysis Of Overground Robotic Training Versus Conventional Locomotor Training In People With Spinal Cord Injury, Daniel Pinto, Allen W Heinemann, Shuo-Hsiu Chang, Susan Charlifue, Edelle C Field-Fote, Catherine L Furbish, Arun Jayaraman, Candace Tefertiller, Heather B Taylor, Dustin D French

Faculty, Staff and Student Publications

BACKGROUND: Few, if any estimates of cost-effectiveness for locomotor training strategies following spinal cord injury (SCI) are available. The purpose of this study was to estimate the cost-effectiveness of locomotor training strategies following spinal cord injury (overground robotic locomotor training versus conventional locomotor training) by injury status (complete versus incomplete) using a practice-based cohort.

METHODS: A probabilistic cost-effectiveness analysis was conducted using a prospective, practice-based cohort from four participating Spinal Cord Injury Model System sites. Conventional locomotor training strategies (conventional training) were compared to overground robotic locomotor training (overground robotic training). Conventional locomotor training included treadmill-based training with body weight …

Biomechanically-Consistent Skin Stretch As An Intuitive Mechanism For Sensory Feedback: A Preliminary Investigation In The Lower Limb, Jenny A. Kent

Physical Therapy Faculty Research

The proprioceptive loss accompanied by lower limb amputation can impair function and mobility. We explore a simple, mechanical skin-stretch array configured to generate superficial tissue behaviour that might occur with movement about an intact joint. Four adhesive pads attached around the circumference of the lower leg were connected via cords to a remote “foot” mounted on a ball joint attached to the underside of a fracture boot, such that “foot” reorientation would result in skin stretch. In two discrimination experiments performed with and without the connection, with no view of the mechanism, and with minimal training, unimpaired adults (i) estimated …

Delivering Occupation-Based Practice In Stroke Rehabilitation Of Hospital Settings: Thai Occupational Therapists’ Experiences, Anuchart Kaunnil, Veerawat Sansri, Surachart Thongchoomsin, Kannika Permpoonputtana, Sutinun Juntorn, Kathryn Jarvis, Cristina Reyes Smith, Michael Palapal Sy, Jiranan Griffiths, Chutikorn Nopparat, Peeradech Thichanpiang

The Qualitative Report

Occupation-based practice (OBP) is central to the practice of occupational therapists where occupations or meaningful activities become the focus of the assessment, intervention, and outcomes measurement process. Although occupational therapists practising in Thailand claim that they engage in OBP, this claim warrants empirical investigation. This study aimed to investigate the experiences and perceptions of hospital-based occupational therapists of OBP within stroke rehabilitation. Utilizing a qualitative design, fourteen occupational therapists were recruited through purposive sampling. Data were collected through semi-structured interviews until data saturation was reached. Each interview was recorded and transcribed verbatim, and data were analyzed using thematic analysis. Five …

Ultrasound Assessment Of Spastic Muscles In Ambulatory Chronic Stroke Survivors Reveals Function-Dependent Changes, Javier González-Buonomo, Alexander H Pham, Jaskiran Ghuman, Aila Malik, Nuray Yozbatiran, Gerard E Francisco, Walter R Frontera, Sheng Li

Faculty, Staff and Student Publications

OBJECTIVE: To correlate ultrasound characteristics of spastic muscles with clinical and functional measurements in chronic stroke survivors.

METHODS: Ultrasound assessment and clinical and functional assessments were performed in 28 ambulatory stroke survivors (12 females, mean age 57.8 ± 11.8 years, 76 ± 45 months after stroke).

RESULTS: Muscle thickness in the affected side was decreased compared with the contralateral side (p < 0.001). The decrease was more evident in the upper limb muscles. On the affected side, the modified Heckmatt scale score was lowest (closer to normal) in the rectus femoris (RF) muscle compared with other muscles (biceps brachii (BB), flexor carpi ulnaris (FCU) and medial gastrocnemius (MG)). Muscle thickness and echogenicity of spastic muscles did not correlate with spasticity, as measured with the modified Ashworth scale (MAS), Fugl-Meyer motor assessment scores, age, or time since stroke. There was a significant negative correlation between grip strength and percentage decrease in muscle thickness for the spastic FCU muscle (r = -0.49, p = 0.008). RF muscle thickness correlated with ambulatory function (Timed Up and Go test (r = 0.44, p = 0.021) and 6-metre walk test (r = 0.41, p = 0.032)). There was no significant correlation between echogenicity and functional assessments Conclusion: Ambulatory chronic stroke survivors had function-dependent changes in muscle thickness on the affected side. Muscle thickness and echogenicity of spastic muscles did not correlate with spasticity, Fugl-Meyer motor assessment scores, age, or time since stroke.

Optimizing Your Capstone Experience: A Guidebook For Allied Health Professionals, Virginia E. Koenig

Open Touro Created

2023

This guidebook is designed for allied health professional students. Each chapter in this guidebook provides students with useful information, tools, and examples that will support them before, during, and after their capstone journey. This is a one of a kind resource that can be used in a variety of professional academic settings. The primary goal of this guidebook is to support students throughout their capstone experience and to help them understand how the capstone process will enrich both their personal and professional advancement.

Student Perceptions Of Distance Learning Using Synchronous Videoconferencing In A Campus-Based Physical Therapist Education Program, Evan V. Papa, Derek Gerber, Deanna Dye, Joachim Agamba

Health Professions Education

Purpose: The embrace of technology-mediated learning environments for physical therapist education has perpetuated a natural shift toward blended online and hybrid learning environments. Yet understanding how students in graduate level physical therapy programs perceive distance learning remains unexamined. The purpose of this study was to examine students’ perspectives of a distance learning (DL) course delivered via synchronous videoconferencing within a traditional campus-based doctor of physical therapy (DPT) program. Method: A convenience sample of 150 first year DPT students was collected. All students were present on-campus in Pocatello, and Meridian, Idaho. The instructor was located on-campus in Meridian. Student perceptions were …

Characterizing Pediatric Unilateral Brain Damage: Unilateral Spatial Neglect, Balance, And More, Emerson Hart

MUSC Theses and Dissertations

Pediatric unilateral brain damage is a costly, impactful condition. There are many subsequent impairments that children experience after pediatric unilateral brain damage, two of which are unilateral spatial neglect (USN) and balance impairments. This project aims to compile the existing literature regarding USN in children, analyze insurance billing data to characterize the population, and evaluate balance and USN in a small case-control cohort of children with and without unilateral brain damage. The literature search elucidated the scant literature available addressing USN, including a lack of quality assessments to definitively identify USN. Insurance billing analyses showed an incredibly heterogeneous group, very …

‘Can You See What I See?’: An Art Project Promoting Living Well With Dementia, Jennifer K. Fortuna

The Open Journal of Occupational Therapy

Caroline Hyland, an illustrator and former occupational therapist based in Dublin, Ireland, provided the cover art for the Winter 2023 edition of The Open Journal of Occupational Therapy (OJOT). “Can You See What I See?” is an acrylic painting on black textured paper. The piece was inspired by Caroline’s grandmother Kathleen Duhig, her love of flowers, and the song “The Dutchman.” Kathleen and three of her sisters lived with dementia. This painting, and several others, are featured in a book Caroline wrote to support living well with dementia. By combining her artistic talents and training as an occupational therapist, Caroline …

If Reasoning, Reflection, And Evidence-Based Practice Are Essential To Practice, We Must Define Them, Hannah K. Burke, Anita C. Bundy, Shelly J. Lane

The Open Journal of Occupational Therapy

Reasoning, reflection, and evidence-based practice are considered essential to the delivery of high-quality occupational therapy services. These skills are highlighted in occupational therapy practice acts and educational standards. Unfortunately, although clearly integral to practice, reasoning, reflection, and evidence-based practice are rarely and inconsistently defined in the profession of occupational therapy. Because the terms reasoning, reflection, and evidence-based practice are used so frequently, and so often their definitions are assumed, occupational therapy students may be unclear on how they will be evaluated and, ultimately, what they will be expected to do in practice in relation to these skills. Through a review …

Job Demands Of Occupational Therapy Clinical Placements: A Descriptive Study Using The Practicum Demands Measure©, Behdin Nowrouzi-Kia, Donna Barker, Jill Stier, Joyce Lo

The Open Journal of Occupational Therapy

The purpose of this study was to group and analyze the Practicum Demands Measure^© (PDM) data collected over 2 academic years and create a general profile of demands across practicum settings. The data will be used to guide faculty in the most suitable placement of students requiring accommodations for a disability. The study used a secondary analysis design to analyze the 538 participant PDM data collected over the 2017/2018 and 2018/2019 academic years. Most of the sampled students were in fieldwork Level I and worked in mental health settings. The students reported physical demands, such as lifting more …

Implementation Of A Human Trafficking Educational Module For College Students: Pre/Post Design, Kristen Hill, Patti T. Calk, Erin Bradley, Ross E. Hunt, Maria C. Lauer, Danielle R. Lee, Casi E. Martin, Christy M. Stillwell

The Open Journal of Occupational Therapy

This research study aimed to implement an educational module and to determine the effectiveness of that module on increasing the awareness of human trafficking and risk factors for incoming freshman students at a medium-size, Southern university from September 2021 through November 2021. Two hundred students consented and participated in the study by completing the pretest and posttest to indicate their knowledge of human trafficking before and after being presented an online educational module. The pre and posttest included 10 questions with 24 possible responses. An average of 12.34 correct responses were provided on the pretest and 19.13 were correct responses …

A Narrative Review Of Student Evaluations Of Teaching In Decolonial Praxis: Implications For Occupational Therapy Higher Education, Fatima Hendricks, Michaele Singleton, Asia Clark, Marina Mishin, Marissa Epps

The Open Journal of Occupational Therapy

Student evaluations of teaching (SETs) are the primary source for evaluating teaching effectiveness and are used for deciding tenure and promotion. However, as efforts to engage in a decolonial critique of higher education amplify, the use of SETs in teaching and learning requires scrutiny. A narrative review was used to address the research question of SET biases in decolonial praxis and what insights may be useful for OT decolonial praxis. We identify and describe two content areas: (a) SET biases and (b) recommendations for alternatives promoting OT decolonial praxis. A total of 92 articles were sourced from five databases. Of …

A Scoping Review Of Occupation-Based Interventions For Women With Breast Cancer, Whitney Lucas Molitor, Erika Clark, Brittney Moser

The Open Journal of Occupational Therapy

Background: Globally, breast cancer is the most commonly diagnosed cancer. Women diagnosed with breast cancer often experience physical and psychosocial changes influencing occupational participation and quality of life. Limited evidence exists that reports outcomes of occupation-based occupational therapy interventions for women with breast cancer.

Method: In this scoping review, we map occupation-based occupational therapy interventions conducted by occupational therapy professionals for women undergoing rehabilitation for breast cancer. The Joanna Briggs Institute Guidelines provided a structure for the review.

Results: Six articles met the inclusion criteria. Interventions included health management, leisure, and social participation occupations.

Conclusion: Occupational …

Rest And Sleep Patterns And Activities Of Residents In Long-Term Care Facilities: A Descriptive Study, Pei-Fen Chang, Kai-Lai Tsai, Clarissa Richard, Harriett A. Davidson, Gayle Hersch

The Open Journal of Occupational Therapy

Background:To facilitate healthy occupational participation and highlight the significance of rest and sleep for older adults, this study aimed to provide a description of rest and sleep patterns and activities of residents in long-term care facilities (LTCFs).

Method: Secondary analysis of rest and sleep data collected from a funded R21 study was conducted. Twenty-nine residents were interviewed using the Yesterday Interview (YI) to describe their time and daily activities, including rest and sleep patterns and activities.

Results: Average time spent sleeping was 10.22 (±1.77) hr and resting was 4.77 (±3.3) hr. Data were also collected on …

Patient-Reported Outcome Measures Of Function And Quality Of Life In Individuals With Lower Extremity Lymphedema: A Scoping Review, Rachel A. Dratnol, Laura H. Vanpuymbrouck

The Open Journal of Occupational Therapy

Background: Lower extremity lymphedema (LEL) is more prevalent than lymphedema in other body parts. Assessing lymphedema severity and impact on occupational functioning and quality of life (QOL) is essential to client-centered care in occupational therapy. The purpose of this study was to identify and compare the patient-reported outcome measures (PROMs) available to assess QOL and/or level of functioning in individuals with LEL and studies using such assessments.

Method: A search of two online databases (PubMed and CINAHL) yielded 15 studies. A scoping review was completed.

Results: Numerous PROMs were identified in the development and/or validation studies or …

A Survey Of Universal Design At Museums: Current Industry Practice And Perceptions, Jennifer K. Fortuna, Kayleigh Thomas, Jenna Asper, Laura Matney, Kyra Chase, Stephanie Ogren, Julia Vandermolen

The Open Journal of Occupational Therapy

Background: Museums are key educational and cultural resources in the community, yet many are not accessible to visitors with disabilities. Universal design promotes products and environments usable to the greatest extent possible by all people, regardless of ability. This study explores current industry practice and perceptions of accessibility and universal design in a small sample of American museums. Suggestions for how occupational therapists can help museums go above and beyond ADA guidelines are provided.

Method: An 17-item cross-sectional survey was used to collect data. Twenty-five museum associations assisted with recruitment. A descriptive numerical summary and qualitative analysis were …

The Impact Of A Two-Visit Occupational Therapy Home Modification Model On Low-Income Older Adults, Anna Y. Grasso, Annmarie Murphy, Cynthia Abbott-Gaffney

The Open Journal of Occupational Therapy

Background: Various studies support the benefit of occupational therapist-led home modification to support successful aging in place for older adults. However, methodological differences limit generalizability. This study aimed to determine the impact of a replicable two-visit occupational therapy home modification program on occupational performance of low-income, community-dwelling older adults.

Method: The researcher used a quasi-experimental one group pretest-posttest design. The participants were low-income homeowners, age 55 years and older, with decreased performance and/or satisfaction in one or more ADLs and IADLs as determined by the COPM. An occupational therapist provided the participants with a home safety assessment using …