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Full-Text Articles in Rehabilitation and Therapy

Effects Of A Game On A Smartphone (“Pilotgold”)To Prevent Non-Specific Neck Pain Among Office Workers:A 6-Month Cluster-Randomised Controlled Trial, Natchanon Intipanya Jan 2023

Effects Of A Game On A Smartphone (“Pilotgold”)To Prevent Non-Specific Neck Pain Among Office Workers:A 6-Month Cluster-Randomised Controlled Trial, Natchanon Intipanya

Chulalongkorn University Theses and Dissertations (Chula ETD)

Objectives: To evaluate the effects of a smartphone game for active neck movement exercise on perceived neck discomfort, new onset neck pain, and active cervical range of motion (ROM) among high-risk office workers. Methods: A 6-month prospective cluster-randomized controlled trial was conducted involving 100 healthy but high-risk office workers from nine organizations. They were randomly assigned at the cluster level into either the intervention group (n = 50), who received a smartphone game to play twice a day on workdays for 6 months, or the control group (n = 50), who received a placebo seat pad to use while sitting. …


Comparison Of The Effects Of Dynamic Seat Cushion At Low Back And Buttocks On The Number Of Postural Shifts And Body Perceived Discomfort In Office Workers, Narumon Roynarin Jan 2023

Comparison Of The Effects Of Dynamic Seat Cushion At Low Back And Buttocks On The Number Of Postural Shifts And Body Perceived Discomfort In Office Workers, Narumon Roynarin

Chulalongkorn University Theses and Dissertations (Chula ETD)

This study compared the number of postural shifts and body perceived discomfort while leaning and sitting on air-filled seat cushion for 1-hour in healthy office workers. Sixty office workers typed a standard text at a computer workstation for an hour in three sitting conditions: leaning on a seat cushion placing behind the low back, sitting on a seat cushion placing under the buttocks, and sitting without a seat cushion (a control condition). The number of postural shifts, average pressure (AP), peak pressure (PP), and frequency of sitting posture were collected using a seat pressure mat device. Body perceived discomfort at …


Moving Toward And Accessing Adult-Oriented Rehabilitation Therapy Services For Adults With Lifelong Disabilities: A Tale Of Three Studies, Catherine Gohrband Jan 2023

Moving Toward And Accessing Adult-Oriented Rehabilitation Therapy Services For Adults With Lifelong Disabilities: A Tale Of Three Studies, Catherine Gohrband

Theses and Dissertations--Rehabilitation Sciences

The aim of this dissertation was to explore how adults with a Lifelong Disability (LLD) access and experience rehabilitation therapy services across their lives. Many LLD diagnoses such as cerebral palsy and spina bifida are considered non-progressive; however, there are common challenges that occur as people with LLD become adults, including increased pain, fatigue, and functional loss. Literature addressing the needs of people with LLD to access adult-oriented medical providers has focused primarily on medical transitions, which have described the processes for pediatric patients moving to adult-oriented settings from pediatric settings. Few studies have addressed the rehabilitation therapy needs of …


Blood Flow Restrictive Training Following Medial Patellofemoral Ligament And Anterior Cruciate Ligament Reconstruction Rehabilitation, Richard Watson Jan 2023

Blood Flow Restrictive Training Following Medial Patellofemoral Ligament And Anterior Cruciate Ligament Reconstruction Rehabilitation, Richard Watson

Theses and Dissertations--Rehabilitation Sciences

Both patellofemoral dislocation and anterior cruciate ligament (ACL) ruptures have a significant impact on an athlete’s ability to regain function and return to play. Surgical repair of the medial patellofemoral ligament (MPFL) and ACL ligament reconstructions result in a sequala of quadriceps weakness. Persistent quadriceps weakness following reconstruction can create a cascade effect of muscular atrophy and weakness resulting in significant knee and leg impairments. An abundance of research has shown that blood flow restrictive training (BFRT) has demonstrated significant results in post-surgical rehabilitation by increasing muscular strength and improving function. What is unclear is the effect of deflating or …


Developing Ecologically Valid Clinical Tools For Persons With Tbi: Understanding The Role And Impact Of Distractions, Deanna Pinnow Jan 2023

Developing Ecologically Valid Clinical Tools For Persons With Tbi: Understanding The Role And Impact Of Distractions, Deanna Pinnow

Theses and Dissertations--Rehabilitation Sciences

There is a critical need for the development of ecologically valid clinical tools to assess real-life cognitive functioning in persons impacted by traumatic brain injury (TBI). Chronic cognitive impairments that are exacerbated by distractions are one of the core factors contributing to poor home and community re-integration post injury. Simulation-based digital platforms (i.e., virtual reality, augmented reality, and mixed reality) have become potential solutions for eliciting real-world cognitive performance in clinical settings. Yet, there is a paucity of research investigating the role and impact of distractions on cognition. As a result, there is no clear framework of measuring distractions to …


Development Of Wellness And Nutrition Through The Use Of Gardening, Josie Anhorn Jan 2023

Development Of Wellness And Nutrition Through The Use Of Gardening, Josie Anhorn

Occupational Therapy Capstones

The population of older adults has been rising exponentially in recent years (Duffin, 2022), leading to an influx in people moving into retirement or independent living communities. This transition may cause many changes in the new residents’ occupational participation and overall well-being. Research has shown specific areas of concern in socialization, nutrition, self-esteem, physical abilities, and continued participation in meaningful occupations (Holland et al., 2017; Knecht-Sabres et al., 2020; Smith, 2015; Sommerfeld et al., 2018; Swann, 2006; Swann, 2010). Gardening has been shown to positively impact these areas of health and well-being and ease some of the negative symptoms (Thompson, …


Let’S Groove: A Dance Program Designed For Children With Disabilities, Michayla Burckhard Jan 2023

Let’S Groove: A Dance Program Designed For Children With Disabilities, Michayla Burckhard

Occupational Therapy Capstones

Children with disabilities face limited opportunities to participate in the occupation of dance when compared to opportunities available for their non-disabled peers. Barriers to their participation include lack of class opportunities, cost, and knowledge about programs (Carrion et al., 2018). Many dance studios offer integrated or non-specialized classes, but participation by a child with a disability in this type of class is sometimes limited by parental or child fears, or other barriers such as lack of accommodations (Lucas, 2017).


A Holistic Approach To Promoting Sleep For People Emerging From Homelessness: A Good Night’S Rest In Your Nest Sleep Toolkit, Anna Frances Burggraf Jan 2023

A Holistic Approach To Promoting Sleep For People Emerging From Homelessness: A Good Night’S Rest In Your Nest Sleep Toolkit, Anna Frances Burggraf

Occupational Therapy Capstones

Sleep deprivation has been directly linked to chronic health issues, decreased physical and cognitive functioning, and overall decreased quality of life, which limits the ability to engage in desired tasks and occupations (Gonzalez & Tyminski, 2020). Individuals who have experienced homelessness consistently demonstrate higher rates of sleep inadequacies compared to the general public, which highlights the need for service providers to address the quality of sleep participation for this population (Gonzalez & Tyminski, 2020).


Increasing Parent Confidence And Involvement In The Nicu: An Occupational Therapy Educational Guide, Megan D. Berginski Jan 2023

Increasing Parent Confidence And Involvement In The Nicu: An Occupational Therapy Educational Guide, Megan D. Berginski

Occupational Therapy Capstones

Research shows that 40% of mothers with preterm infants in the neonatal intensive care unit (NICU) reported feelings of depression, and 23% reported experiencing post-traumatic stress symptoms, with that number increasing to 40% after discharge (Harris et al., 2018). Factors that contributed to this included a lack of social support, a lack of empowerment, perceived less capability in their new roles, and the stressful experiences that can happen in this setting (Matricardi et al., 2013; Sabnis et al., 2019). A similar study found that at discharge, 69.8% of parents reported that they were not confident in providing the necessary care …


Transitioning A Hand Therapy Clinic From Traditional Paper Home Programs To An Electronic Platform: A Quality Improvement Project, Megan Raissa Fuka Jan 2023

Transitioning A Hand Therapy Clinic From Traditional Paper Home Programs To An Electronic Platform: A Quality Improvement Project, Megan Raissa Fuka

Occupational Therapy Capstones

Individuals with upper extremity conditions who receive occupational therapy within the hand therapy context are often provided with paper or electronic home programs (HPs) as part of their rehabilitation protocol. Electronic HPs may promote greater adherence and functional improvements than paper handouts, as they can accommodate various learning styles and address patient barriers (Chung et al., 2020; Harte & Law, 2019; Lambert et al., 2017; Nussbaum et al., 2019; Toci et al., 2021; Valdes et al., in press). Despite evidence showing positive patient satisfaction and outcomes as a result of using electronic HPs, some occupational therapy practitioners (OTPs) may be …


The Effects Of Sensory Exposures On Pre-Term Infants Within The Neonatal Intensive Care Unit, Isabell Grace Fetsch Jan 2023

The Effects Of Sensory Exposures On Pre-Term Infants Within The Neonatal Intensive Care Unit, Isabell Grace Fetsch

Occupational Therapy Capstones

The neonatal intensive care unit (NICU) setting is a very dynamic, complex environment that can greatly affect the well-being and physical development of pre-term infants. Pre-term infants are defined as infants born earlier than 37 weeks’ gestation (CDC, 2021). AOTA (2018) researchers stated that a pre-term infant does not have the self-regulatory tools to adapt to the complex and highly stressful NICU environment. Pineda et al. (2017) explained that the environment within the NICU presents many adverse sensory stimuli such as bright lights, loud noises, and stressful human touches. When infants are unable to manage environmental sensory exposures appropriately due …


Social Skills Development: A Program For Pediatric Occupational Therapy Group Sessions, Kenadee Eyre Jan 2023

Social Skills Development: A Program For Pediatric Occupational Therapy Group Sessions, Kenadee Eyre

Occupational Therapy Capstones

Children with a neurological disorder often demonstrate delays in social skills development (Glenn et al., 2020; Goldingay et al. 2020; & Tanta & Kuhaneck, 2020). This delay in development impacts their participation in meaningful occupations as optimal performance range includes an element of social interaction. The purpose of this product is to provide pediatric occupational therapists with the resources necessary to build social skills groups following a hierarchy of social skills development.


Addressing Adherence To Home Exercise Programs In A Hand Therapy Setting, Austin B. Ellis Jan 2023

Addressing Adherence To Home Exercise Programs In A Hand Therapy Setting, Austin B. Ellis

Occupational Therapy Capstones

Roughly 1,100 per 100,000 persons experience an upper-extremity injury per year including burns, fractures, or amputations (Ootes et al., 2012). These upper-extremity injuries can impact a person’s physical function, activities of daily living (ADL), social, psychological, and financial aspects in life (Che Daud et al., 2016b). These statistics warrant the need for occupational therapy practitioners specializing in hand therapy, and other hand therapists to address these areas of client’s lives that have been affected by their upper extremity injury.


Supporting Caregivers Of Children With Complex Health Needs, Anne Louise Domanus Jan 2023

Supporting Caregivers Of Children With Complex Health Needs, Anne Louise Domanus

Occupational Therapy Capstones

The purpose of this scholarly project is to develop and implement programming that provides support and meets the needs of caregivers of children with complex health needs. This was done by providing a resource guide of local community resources to caregivers to increase engagement in leisure occupations.


Life Skills Training Resource For Individuals Aging Out Of The Foster System, Stephanie Coauette Jan 2023

Life Skills Training Resource For Individuals Aging Out Of The Foster System, Stephanie Coauette

Occupational Therapy Capstones

The purpose of this project was to create a training resource for foster families regarding life skills for the population of individuals aging out of the foster care system. There is an identified need for resources for individuals who age out of the foster system for life skills training and basic activities of daily living (ADL) training (Paul-Ward & Lambdin- Pattavina, 2016). Aging out of the foster system means that an individual has turned 18 years old without a legal adoptive family taking responsibility for them (Scannapieco et al., 2007). There is a need for the individuals who are preparing …


Becoming An Occupational Therapy Advocate: A Toolkit For Practitioners, Tiana Jo Griffith Jan 2023

Becoming An Occupational Therapy Advocate: A Toolkit For Practitioners, Tiana Jo Griffith

Occupational Therapy Capstones

Advocacy is an important component of the occupational therapy profession. Advocacy helps advance the profession, promote client well-being, and ensures access to services. Although practitioners are aware of the importance of advocacy, there is still a lack of involvement in advocacy efforts. There are several reasons for the lack of involvement, including insufficient knowledge and preparedness, limited discussion of advocacy, and lack of time to interact with the policy process (Dhillon et al., 2010; Marfeo, 2020; Osman et al., 2020). A toolkit was developed to address the identified barriers by providing occupational therapy practitioners in Wyoming with information and resources …


Educating The Educator: Articulating Ot’S Role In School-Based Collaboration, Bryce Shaun Graves Jan 2023

Educating The Educator: Articulating Ot’S Role In School-Based Collaboration, Bryce Shaun Graves

Occupational Therapy Capstones

Many teachers in the educational field are unaware of the role of occupational therapists (OTs) and how OTs can support teachers and students (Kennedy et al., 2018; Truong & Hodgetts, 2017). Educators who are aware of the OT role often desire further collaboration including realistic recommendations for their classroom (Truong & Hodgetts, 2017). This presents a need for increased education about the role of occupational therapy (OT) in school-based practice and additional instruction for increased effectiveness of OT-teacher collaboration.


Exploring Nature-Based And Animal-Assisted Therapies As A Therapeutic Modality, Rachel Cheatley Jan 2023

Exploring Nature-Based And Animal-Assisted Therapies As A Therapeutic Modality, Rachel Cheatley

Occupational Therapy Capstones

Animal-assisted therapy (AAT) is characterized by integrating animals into the therapy process as a therapeutic partner and modality (Laskowski et. al., 2019). AAT shows positive outcomes for those who take part in the practice (Ein et. al., 2018; Feng et. al., 2021; Mapes & Rosén, 2016; Nieforth et. al., 2021). Common goals that are targeted via AAT include anxiety and related symptoms, depression and related symptoms, coordination, fine motor skills, reaching, hand-eye coordination, body balance, body awareness, communication, and relationship building (Ein et. al., 2018; Feng et. al., 2021; Mapes & Rosén, 2016; Nieforth et. al., 2021). Even with the …


Caring For All In The Nicu, Zachary Daniel Gascho Jan 2023

Caring For All In The Nicu, Zachary Daniel Gascho

Occupational Therapy Capstones

In the neonatal intensive care unit (NICU), the infants who are being examined, evaluated, and treated are not the only people that need to be thought of when providing care. The parents/guardians in the NICU are just as important to consider in providing support. Research has shown that parents who have a child in the NICU experience a great deal of stress and guidelines recommend emotional support intervention in the NICU (Bigsby, 2021; Dudek-Shriber, 2004, Hynan & Hall, 2015). Emotional support is needed for these parents as they are experiencing perinatal mood and anxiety disorders that are often left untreated …


Acting On The Need Of A Client, Caregiver, And Practitioner Seating And Mobility Guide, Aleksander Robert Kohn Jan 2023

Acting On The Need Of A Client, Caregiver, And Practitioner Seating And Mobility Guide, Aleksander Robert Kohn

Occupational Therapy Capstones

There is a significant need for individuals with a disability and specific mobility limitations to require a wheeled mobility device. Wheeled mobility devices allow individuals to gain and/or maintain independence and engagement in occupations. The evaluation, prescription, and fitment of wheeled mobility devices are complex, requiring clients and caregivers to use and maintain these devices in specific ways. Barriers caregivers face can include not positioning the client properly in the wheeled mobility device, damaged or missing wheelchair parts, or improper positioning of the straps and belts, affecting posture, which could lead to secondary complications.


Improving Occupational Engagement For Children With Executive Dysfunction, Autumn Hopkin Jan 2023

Improving Occupational Engagement For Children With Executive Dysfunction, Autumn Hopkin

Occupational Therapy Capstones

A person's ability to successfully perform complex tasks requires a higher level of thinking made possible through the successful use of executive functions. Executive functions develop over time, but typical development begins in early childhood. When children experience interruptions to development, executive dysfunction can inhibit their ability to reach their full occupational potential with play, academics, and social skill development. This scholarly project aims to promote executive function using an evidence-based approach to support occupational therapy practitioners and the children they serve with executive dysfunction.


The Missing Piece: A Sensory Toolkit For Parents, Educators, Healthcare Professionals, And Caregivers Of Children With Autism Spectrum Disorder (Asd) And Sensory Processing Disorder (Spd)., Jennavive Holm Jan 2023

The Missing Piece: A Sensory Toolkit For Parents, Educators, Healthcare Professionals, And Caregivers Of Children With Autism Spectrum Disorder (Asd) And Sensory Processing Disorder (Spd)., Jennavive Holm

Occupational Therapy Capstones

The purpose of this project is to create educational material pertaining to sensory processing. The intended audience includes families, caregivers, teachers, and other healthcare professional who treat and/or care for individuals diagnosed with Autism Spectrum Disorder (ASD) and/or Sensory Processing Disorder (SPD). This sensory toolkit was developed to enhance parents and caregiver education on ASD and SPD diagnoses to increase both the child’s and the caregiver’s quality of life. It is hoped that this sensory toolkit will provide caregivers with invaluable resources and tools to use outside of the clinic. This product will incorporate the expertise of occupational therapy (OT) …


How Adaptive Sports Promote Occupational Engagement And Quality Of Life For Individuals With Disabilities In A Rural Community, Michael Helgeson Jan 2023

How Adaptive Sports Promote Occupational Engagement And Quality Of Life For Individuals With Disabilities In A Rural Community, Michael Helgeson

Occupational Therapy Capstones

Health management, play, leisure, and social participation are all valued occupations related to sports. However, individuals with physical disabilities face many barriers that inhibit them from engaging in sports, depriving them of these occupations. Some of these barriers include a lack of adaptive sports resources, adaptive equipment, adaptive sports programs in rural communities, and knowledge of how to include individuals with disabilities (Obradovic et al., 2021). The purpose of this scholarly project was to address these barriers through the development of adaptive sports programs; hereby, increasing occupational engagement, quality of life (QOL), and life satisfaction for individuals with disabilities. To …


Development Of A School Based Program: Implementing Occupational Therapy Into General Education Classrooms, Samantha Jo Larson Jan 2023

Development Of A School Based Program: Implementing Occupational Therapy Into General Education Classrooms, Samantha Jo Larson

Occupational Therapy Capstones

The purpose of this scholarly project (SP) was to build a program containing activities for kindergarten and first grade general education classrooms that promote childrens’ skills that are necessary for development in handwriting, reading, writing, spelling, and clothing management.


The People Left Behind: Older Adults In Custody, Therese Pettersen Jan 2023

The People Left Behind: Older Adults In Custody, Therese Pettersen

Occupational Therapy Capstones

The number of older adults in custody has significantly increased over the past few decades, now accounting for 10% of the total prison population (Carson & Sabol, 2016). It has been documented that older adults in custody have been subjected to bullying, lack of understanding and knowledge among prison staff, harassment, isolation, lack of age-appropriate occupations and more (Du Toit & McGrath, 2018). Increased staff training on older adult care (Brooke & Ryback, 2020; Williams et al. 2012), environmental modifications (Bierie, 2018; Brooke et al., 2020; Du Toit et al., 2019; Du Toit & McGrath, 2018; Maschi et al., 2012), …


An Occupational Therapy Perspective On Health And Wellness: A Step Toward Prevention, Olivia Grace Myers Jan 2023

An Occupational Therapy Perspective On Health And Wellness: A Step Toward Prevention, Olivia Grace Myers

Occupational Therapy Capstones

The purpose of this project was to develop a group protocol that addresses the primary prevention of obesity through an occupational therapy lens within a community setting.


A Successful Start With New Start: Transitional Community-Based Services For Student Veterans, Sheena Kay Miller Jan 2023

A Successful Start With New Start: Transitional Community-Based Services For Student Veterans, Sheena Kay Miller

Occupational Therapy Capstones

For veterans, integration into the community post-service poses a variety of unique challenges as they pursue many different opportunities. One of those opportunities sought out by this population according to the literature is higher education. It is estimated that approximately 900,000 veterans and their families had utilized the post-9/11 GI Bill as of 2018, with that number expected to only increase over time (Ulrich & Freer, 2020). Some of the unique challenges faced by this population include higher rates of mental health diagnoses, suicidal thoughts, and service-related injuries such as traumatic brain injuries (TBI) than their civilian peers (Eakman et …


The Newly Arrived Client: Applying Culturally Responsive Occupational Therapy Approaches To The Refugee Population To Promote Occupational Justice, Dominique Menard Jan 2023

The Newly Arrived Client: Applying Culturally Responsive Occupational Therapy Approaches To The Refugee Population To Promote Occupational Justice, Dominique Menard

Occupational Therapy Capstones

At the end of 2021, there were 836,300 Somali refugees and asylum seekers worldwide; in Minnesota alone, there are more than 70,000 Somali refugees, which is the largest concentration in the United States (Culture Care Connection, 2022; The UN Refugee Agency, n.d.). As with many refugee populations, Somali refugees experience many healthcare inequities including limited understanding of the resettled nation's healthcare system, poor functional health literacy, provider and/or interpreter gender preferences, discrimination, and limited cultural competence of providers (Eklöf et al., 2019; Fang et al., 2015; Gele et al., 2016; Houston et al., 2021; Njenga, 2022; Wångdahl et al., 2018). …


Living A Trustful Life: A Trauma-Focused Mentorship Program For Foster Youth, Michelle Ann Mcnamee Jan 2023

Living A Trustful Life: A Trauma-Focused Mentorship Program For Foster Youth, Michelle Ann Mcnamee

Occupational Therapy Capstones

Foster youth can experience many challenges as they transition into adulthood which can threaten their success in achieving whom they wish to become. Often, foster youth are exposed to physical, mental, and sexual trauma leading to their removal from their biological home (Engler et al., 2020). Adverse experiences at a young age can be multi-dimensional and long-lasting, leading to negative consequences in occupational performance including self-isolation and hesitation to trust others (Häggman-Laitila et al., 2019; Paul-Ward & Lambdin-Pattavina, 2016).


Assisting Mothers In The Transition Into Motherhood, Abbey Mckenna Marinucci Jan 2023

Assisting Mothers In The Transition Into Motherhood, Abbey Mckenna Marinucci

Occupational Therapy Capstones

The perinatal period ranges from 22 weeks gestation to 2 years postpartum (Hoekzema et al., 2017; Seth et al., 2016; World Health Organization, n.d.). During the perinatal period, intervention is primarily provided by an obstetrician and gynecologist (OBGYN) during pregnancy. Typically, mothers are discharged on average 2.1 days after a natural birth (Podulka et al., 2011). Women are seen at 6 weeks postpartum where mothers’ physical health is the focus of the visit, leaving mothers' mental health concerns unaddressed and questions typically unanswered (American Academy of Pediatrics, 2012 & American College of Obstetricians and Gynecologists, 2012 as cited in Corrigan …