Rehabilitation and Therapy Commons^™

Occupational Therapy’S Role In Promoting Early Literacy In Head Start Programs, Paige Mann

Occupational Therapy Capstones

The purpose of this scholarly project is to create resources to support teachers and caregivers of Head Start students in supporting early literacy skill development. These resource guides and activity kits aim to support teachers and caregivers in closing the literacy gap between children raised in low-socioeconomic (SES) households and their peers from highsocioeconomic households.

Water Based Therapy Educational Resource And Program Development For Children With Neurological Disorders, Alicia Young

Occupational Therapy Capstones

Children with neurological disorders require more social, behavioral, and physical support to be successful in everyday life (Ogundele, 2018). The impairments these children face can often lead to isolation, decreased overall functioning, and impact engagement in occupations such as play, social participation, and leisure (Kwan and Collet, 2020). Access to water-based group lessons can be limited due to one- on-one instruction required. Occupational therapy has the skill set to be able to incorporate play, social participation, and leisure-based activities for children with neurological disorders.

Serving The Needs Of The Autism Spectrum Disorder Population, Taylor White

Occupational Therapy Capstones

Autism spectrum disorder (ASD) is a neurodevelopmental disorder that is marked by challenges in social communication, restricted interests, and repetitive behavior which results in difficulties in many occupations (American Psychological Association [APA], 2013; Crabtree & Demchick, 2018). Occupational therapy is part of the multidisciplinary team providing services to children with ASD. The purpose of this doctoral experiential placement was to gain advanced clinical practice knowledge for serving children with ASD. Additionally, a product focused on enhancing interprofessional collaboration was developed.

Occupational Therpay’S Role When Treating Pediatric Feeding Disorders, Callie Vold

Occupational Therapy Capstones

Feeding and eating are required occupations that all humans must engage in to meet one of their most basic needs (AOTA, 2020; Maslow, 1943). While feeding and eating allows humans to meet their most basic physiological needs it also allows them to meet other needs of Maslow's Hierarchy along with engaging in valued occupations (AOTA, 2020; Maslow, 1943. Children with Pediatric Feeding Disorders (PFD) have difficulty with one or more areas of feeding which are medical, nutritional, feeding skill and/or psychosocial dysfunction (Fleet et al., 2022; Goday et al., 2019; Howe & Wang, 2013; Marshall et al., 2015; Sharp et …

Improving Transitions For Individuals With Spinal Cord Injuries: A Dual-Component Resource, Benjamin Frederick Stagg

Occupational Therapy Capstones

Returning to societal functions after a spinal cord injury is often the primary goal of most individuals (Kennedy et al., 2010). The transition out of rehabilitation is often inhibited by many difficulties ranging from a lack of quality peer supports, a gap in post-discharge care, an absence of psychological support, and experiences of unaddressed chronic pain, worries about bowel and bladder accidents, altered body image, concerns about autonomic dysreflexia, and spasms (Dickson et al., 2011; Kennedy et al., 2010). Transitions for individuals with spinal cord injuries presents a clear area of need for this scholarly project.

Reading The Warning Signs: Preventive Mental Health Youth Education Program, Cammy Cate Robertson

Occupational Therapy Capstones

Wyoming is the third leading state in suicide related death (Centers for Disease Control and Prevention [CDC], 2018; Wyoming Department of Health, n.d.). According to the National Institute of Mental Health (2022), suicide is the second leading cause of death in individuals aged 10-14. One in six youth experiences a mental health disorder yearly, while 50% of individuals aged 14 begin to have lifelong mental health concerns (Kessler et al., 2005; Whitney & Peterson, 2019). Students who experience depression are twice as likely to drop out of school, and students with mental, emotional, or behavioral concerns are three times more …

Program Structure For Children And Adolescents With Disabilities To Increase Participation In Physical Activity, Abbigail Mackenzie Smith

Occupational Therapy Capstones

Children and adolescents with disabilities face barriers and are often excluded from engaging in daily activities such as physical activity and social participation (Bundy & Du Toit, 2019; Hocking, 2019). Activities such as physical activity and social participation not only increase children's and adolescents' sense of belonging, mental health, and quality of life but also impact the development of skills needed to fully engage in society (Bundy & Du Toit, 2019). Opportunities for children and adolescents with disabilities to engage in physical activity and social participation are commonly seen in the form of programs supported by nonprofit organizations. These programs …

Addressing The Psychosocial Impacts And Recovery Of A Patient With Carpal-Metacarpal (Cmc) Arthroplasty: A Case Study, Christopher Hernandez

Occupational Therapy Capstones

Background & Purpose: Hands are an integral part of what defines us as human beings, they provide us with independence in work, leisure, self-care, and social interactions (Hannah, 2011). Injury to the upper extremity can harm one’s ability to engage in daily occupations, and often can result in a wide range of consequences affecting the physical, psychological, social, and economic aspects of a person’s everyday life (Cederlund et al., 2010; Chown et al., 2017). Treatment is often placed on the physical aspects of the injury, while the phycological symptoms associated with the injury are often not addressed (Jack & Estes, …

A Guide For Occupational Therapists: Utilizing Equine-Assisted Therapy For Children In The Foster Care System Dealing With Trauma, Alexis Skogen

Occupational Therapy Capstones

In 2015, over three million children who were affected by trauma or abuse were reported to Child Protective Services (Papovich, 2019). “Children in the foster care system have often been exposed to traumatic experiences such as violence, illicit substances, and neglect” (Crabill & Hanson, 2018, p.8). Adverse childhood experiences (ACEs) can be similar to experiencing trauma; children, prior to entering the foster care system, often experience ACEs (Craig, 2020). Children in the foster care system face hardships such as being taken out of their homes, passing through multiple homes, in addition to other childhood traumas they experience prior to their …

How Does Perception Influence Motor Output: An Investigation Into The Size-Weight Illusion, Andrew Meszaros, Robin Dorociak, Alex Anderson, Cassie Allen, Jennifer Vargas Vega

Student-Faculty Research - College of Physical Therapy

Purpose

❏ To assess whether the SWI exists during whole body loading such as a deadlift

❏ Determine if the body is able to adapt to the illusion with repetitions

❏ Identify mechanical factors that explain or overcome the respective illusion/perception

Hypothesis

❏ The SWI will be observed and will be reflected in the VAS ratings

❏ The magnitude of the SWI will decrease over additional repetitions

❏ Mechanical variables will reflect the degree of illusion perceived

Incog 2.0 Guidelines For Cognitive Rehabilitation Following Traumatic Brain Injury, Part Iii: Executive Functions, Eliyas Jeffay, Jennie Ponsford, Amber Harnett, Shannon Janzen, Eleni Patsakos, Jacinta Douglas, Mary Kennedy, Ailene Kua, Robert Teasell, Penny Welch-West, Mark Theodore Bayley, Robin Green

Communication Sciences and Disorders Faculty Articles and Research

Introduction:

Moderate-to-severe traumatic brain injury (MS-TBI) causes debilitating and enduring impairments of executive functioning and self-awareness, which clinicians often find challenging to address. Here, we provide an update to the INCOG 2014 guidelines for the clinical management of these impairments.

Methods:

An expert panel of clinicians/researchers (known as INCOG) reviewed evidence published from 2014 and developed updated recommendations for the management of executive functioning and self-awareness post-MS-TBI, as well as a decision-making algorithm, and an audit tool for review of clinical practice.

Results:

A total of 8 recommendations are provided regarding executive functioning and self-awareness. Since INCOG 2014, 4 …

Evoking The Art Of Nature, Tessa R. Evans Keime

Art Therapy | Master's Theses

This international study aimed to investigate the therapeutic potential of nature-based art therapy, an innovative approach that combines artmaking with the healing power of nature. The research aimed to examine the synergistic effects of nature and artmaking, as well as the impact of the eco-art experience on adult individuals' connectedness to nature, emotional well-being, and existential understanding, while addressing gaps in literature.

Employing an arts-based research design, participants took part in a nature-art-making session, and their experiences were evaluated through pre- and post-art questionnaires, as well as an analysis of their artistic creations by trained inter-raters. The nature art-based experience …

Barriers To Outdoor Recreation For Marginalized Groups At The University Of Montana, Sabine R. Englert, Beatrix Frissell, Adrienne Liebert, Sophia Rodriquez, Margaret Jensen, Rachana Harris, Abby Doss

Undergraduate Theses, Professional Papers, and Capstone Artifacts

Exclusion from outdoor recreation reflects legacies of oppression of marginalized communities and makes access to the outdoors not equally available. In the United States, approximately 38% of Black Americans and 48% of Hispanic Americans participated in outdoor recreation in 2020. This is compared to 55% participation among Caucasian Americans. Many other intersecting identities are actively excluded, including people with disabilities, fat populations, and members of the LGBTQIA2S+ community; furthermore, class-based hierarchies are shown through the restricted outdoor access of low-income populations.

While numerous studies show a lack of diversity in outdoor recreation, little to no research has been conducted on …

Nonoperative Management Of Shoulder Instability, Margie K. Olds, Timothy L. Uhl

Physical Therapy Faculty Publications

Non-operative management following a shoulder dislocation or subluxation remains a challenging and complex task. Accurate diagnosis of the condition, and shared decision-making regarding operative and non-operative management, as well as timing of return to play is required. This clinical concept paper introduces a shoulder instability framework that addresses these fundamental clinical dilemmas. Valid clinical prognostic tools which can predict recurrent shoulder instability are reviewed. The process of shared decision-making within the realm of shoulder instability is also presented. Finally, a framework for progressive rehabilitation that addresses deficits in motor control, strength, and endurance in scapula and shoulder musculature is presented …

The Mind Matters: Interprofessional Mental And Emotional Health Guide For Cancer Survivors, Jaecy Giegerich

Occupational Therapy Capstones

Cancer is the second-highest leading cause of death in the United States with approximately 1.9 million new cancer cases and over 600,000 deaths in 2022 alone (Department of Health and Human Services et al., 2022). Cancer-related mental health is a primary barrier for engagement in treatment-related care; negatively impacting survivors’ perceived quality of life (Islam et al., 2022). Comprised mental health is one of the contributing factors to suicide. Patients undergoing a cancer diagnosis are at an ever-high suicide risk with incidences higher than other diagnoses (Saad et al., 2019).

Disability Awareness To Promote Inclusivity For Children In The Educational Setting, Abby Bauman

Occupational Therapy Capstones

A large barrier to an effective and successful educational experience is the stigma and perceived judgment surrounding a child’s disability (Fontil et al., 2020). Implementing disability awareness materials into young classrooms is a way to prevent the development of stigma towards disability. Children who received disability awareness programming in the past have shown improved attitudes towards disabilities as opposed to those who have not (Chae et al., 2019). The purpose of this scholarly project is to assist teachers with implementing disability awareness materials to increase encouragement for young peers to accept, include, and support young individuals with disabilities.

An Occupation-Based Approach To Chronic Pain In Rural Alaska, Emma Elizabeth Lehman

Occupational Therapy Capstones

Adults with chronic pain living in rural communities experience occupational deprivation due to a lack of access to healthcare resources. While chronic pain is multifaceted and treated by multiple professions, occupational therapy (OT) can have a significant role in treating adults experiencing chronic pain with occupation-based interventions to improve their daily complications (Lagueux et al., 2018). The role of OT with chronic pain management is reflected in the evidence-based program entitled Lifestyle Redesign®, which offers effective strategies to improve quality of life, selfefficacy, and daily functioning for those who experience chronic pain (Uyeshiro Simon & Collins, 2017). However, there are …

Sensory-Based Universal Design Strategies For Head Start Students To Optimize Educational Engagement, Lexi Elizabeth Zahn

Occupational Therapy Capstones

This scholarly project aims to educate and enable early childhood education teachers on how children’s sensory systems can be positively or negatively influenced to improve overall classroom experiences for all children. A teacher’s resource guide was developed to inform early education teachers about the sensory system and sensory regulation so that they can better understand the sensory needs of their students. The guide provides them with universally designed, sensory-based strategies to implement in the classroom to increase the performance ranges of students in their educational pursuits.

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, Candy Tefertiller, Heather B. Taylor, Dustin D. French

Physical Therapy Faculty Research and 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 …

Patellofemoral Contact Forces And Knee Gait Mechanics 3 Months After Acl Reconstruction Are Associated With Cartilage Degradation 24 Months After Surgery, J. R. Williams, Kelsey Neal, Abdulmajeed Alfayyadh, Jacob J. Capin, Ashutosh Khandha, Kurt Manal, Lynn Snyder-Mackler, Thomas S. Buchanan

Physical Therapy Faculty Research and Publications

Objective: Evaluate patellofemoral cartilage health, as assessed by quantitative magnetic resonance imaging (qMRI) T₂ relaxation times, 24-months after ACL reconstruction (ACLR) and determine if they were associated with patellofemoral contact forces and knee mechanics during gait 3 months after surgery.

Design: Thirty individuals completed motion analysis during overground walking at a self-selected speed 3 months after ACLR. An EMG-driven neuromusculoskeletal model was used to determine muscle forces, which were then used in a previously described model to estimate patellofemoral contact forces. Biomechanical variables of interest included peak patellofemoral contact force, peak knee flexion angle and moment, and walking speed. …

Using Wearable Technology To Quantify Physical Activity Recovery: Secondary Report From The After (App-Facilitated Tele-Rehabilitation) Program For Covid-19 Survivors Randomized Study, Laura Churchill, Mary Morrow, Jacob J. Capin, Sarah Jolley, Kristine Hare, Samantha Mawhinney, Jennifer E. Stevens-Lapsley, Kristine M. Erlandson

Physical Therapy Faculty Research and Publications

Background: Knowledge on physical activity recovery after COVID-19 survival is limited. The AFTER (App-Facilitated Tele-Rehabilitation) program for COVID-19 survivors randomized participants, following hospital discharge, to either education and unstructured physical activity or a telerehabilitation program. Step count data were collected as a secondary outcome, and we found no significant differences in total step count trajectories between groups at 6 weeks. Further step count data were not analyzed.

Objective: The purpose of this analysis was to examine step count trajectories and correlates among all participants (combined into a single group) across the 12-week study period.

Methods: Linear mixed …

Effect Of Chronically Suppressed Plasma Angiotensin Ii On Regulation Of The Cyp4a/20-Hete Pathway In The Dahl Salt-Sensitive Rat, Kathleen M. Lukaszewicz, John R. Falck, Julian H. Lombard

Physical Therapy Faculty Research and Publications

In Dahl salt-sensitive (SS) rats, impaired vascular relaxation can be restored by: (1) minipump infusion of a low (sub-pressor) dose of angiotensin II (ANG II) to restore physiological levels of plasma ANG II, (2) inhibition of 20-HETE production, and (3) introgression of a normally functioning renin allele from the Brown Norway rat (SS-13^BN consomic rat). Unlike SS rats, SS-13^BN rats have normal levels of ANG II on a normal-salt diet and suppressed ANG II on a high-salt (HS) diet. This study tested whether chronically low ANG II levels in SS rats upregulate cytochrome P450-4A (CYP4A) increasing the production …

Prehabilitation For Total Knee Or Total Hip Arthroplasty: A Systematic Review, Kristin J. Konnyu, Louise M. Thoma, Wangnan Cao, Roy K. Aaron, Orestis A. Panagiotou, Monika Reddy Bhuma, Gaelen P. Adam, Daniel Pinto, Ethan M. Balk

Physical Therapy Faculty Research and Publications

We sought to systematically review the evidence on the benefits and harms of prehabilitation interventions for patients who are scheduled to undergo elective, unilateral total knee arthroplasty or total hip arthroplasty surgery for the treatment of primary osteoarthritis. We searched PubMed, Embase, The Cochrane Central Register of Controlled Trials, CINAHL, PsycINFO, Scopus, and ClinicalTrials.gov from January 1, 2005, through May 3, 2021. We selected for inclusion randomized controlled trials and adequately adjusted nonrandomized comparative studies of prehabilitation programs reporting performance-based, patient-reported, or healthcare utilization outcomes. Three researchers extracted study data and assessed risk of bias, verified by an independent researcher. …

Rehabilitation For Total Hip Arthroplasty: A Systematic Review, Kristin J. Konnyu, Daniel Pinto, Wangnan Cao, Roy K. Aaron, Orestis A. Panagiotou, Monika Reddy Bhuma, Gaelen P. Adam, Ethan M. Balk, Louise M. Thoma

Physical Therapy Faculty Research and Publications

We sought to determine the comparative benefits and harms of rehabilitation interventions for patients who have undergone elective, unilateral THA surgery for the treatment of primary osteoarthritis. We searched PubMed, Embase, The Cochrane Register of Clinical Trials, CINAHL, PsycINFO, Scopus, and ClinicalTrials.gov from January 1, 2005, through May 3, 2021. We included randomized controlled trials and adequately adjusted nonrandomized comparative studies of rehabilitation programs reporting performance-based, patient-reported, or healthcare utilization outcomes. Three researchers extracted study data and assessed risk of bias, verified by an independent researcher. Experts in rehabilitation content and complex interventions independently coded rehabilitation interventions. The team assessed …

Rehabilitation For Total Knee Arthroplasty: A Systematic Review, Kristin J. Konnyu, Louise M. Thoma, Wangnan Cao, Roy K. Aaron, Orestis A. Panagiotou, Monika Reddy Bhuma, Gaelen P. Adam, Ethan M. Balk, Daniel Pinto

Physical Therapy Faculty Research and Publications

We sought to determine the comparative benefit and harm of rehabilitation interventions for patients who have undergone elective, unilateral total knee arthroplasty for the treatment of primary osteoarthritis. We searched PubMed, Embase, The Cochrane Register of Clinical Trials, CINAHL, PsycINFO, Scopus, and ClinicalTrials.gov from January 1, 2005, through May 3, 2021. We included randomized controlled trials and adequately adjusted nonrandomized comparative studies of rehabilitation programs reporting performance-based, patient-reported, or healthcare utilization outcomes. Three researchers extracted study data and assessed risk of bias, verified by an independent researcher. The team assessed strength of evidence. Evidence from 53 studies randomized controlled trials …

A Complete Workflow For High Throughput Human Single Skeletal Muscle Fiber Proteomics, Amanda Momenzadeh, Yuming Jiang, Simion Kreimer, Laura E. Teigen, Carlos S. Zepeda, Ali Haghani, Mitra Mastali, Yang Song, Alexandre Hutton, Sarah J. Parker, Jennifer E. Van Eyk, Christopher W. Sundberg, Jesse G. Meyer

Physical Therapy Faculty Research and Publications

Skeletal muscle is a major regulatory tissue of whole-body metabolism and is composed of a diverse mixture of cell (fiber) types. Aging and several diseases differentially affect the various fiber types, and therefore, investigating the changes in the proteome in a fiber-type specific manner is essential. Recent breakthroughs in isolated single muscle fiber proteomics have started to reveal heterogeneity among fibers. However, existing procedures are slow and laborious, requiring 2 h of mass spectrometry time per single muscle fiber; 50 fibers would take approximately 4 days to analyze. Thus, to capture the high variability in fibers both within and between …

Muscle Fascicle Length Changes Of The Long Head Of Biceps Femoris Muscle During Various Physical Activities, Rusty Batykefer, Austin Hardin, Kyla Gomes, Octavio Tan, Bryce Yamashita, Alwin Sacro, Tyler Cuddeford

Student-Faculty Research - College of Physical Therapy

We predict that the muscle fascicles of the biceps femoris long head will behave similarly to the ankle plantar flexors in that they will undergo smaller length changes during dynamic activities (running, walking) and greater changes during static activities (single leg Romanian deadlift, standing hamstring curl).

"My Kid Said What?!" Participation And Promis Self-Report In Children With Long-Term Physical Disabilities, Ashlyn Fast, Emma Powley, Kauionalani Kekuawela, Natalie Teegarden, Samuel Miller, Thomas Ratana, Tyler Hammond, Winnie Lee, Ryan Jacobson

Student-Faculty Research - College of Physical Therapy

Purpose:

Determine how the following are associated in kids with physical disabilities:

• Perceived life participation
• Physical abilities
• Social functioning

Proximal And Distal Effects Associated With Vascular Occlusion During Stationary Cycling, Jason Brumitt, Colton Cypert, Kelli Young, Kira Negrete, Kristin Dunn, Mckenzie Moore, Rainey Stoner

Student-Faculty Research - College of Physical Therapy

Purpose

To compare strength gains in the supraspinatus and shoulder external rotators in subjects who performed 10 minutes of stationary cycling with or without bilateral occlusion.

Fostering Early Literacy Skill Development In School Aged Children, Jaden Pikarski

Occupational Therapy Capstones

The purpose of this scholarly project is to foster early literacy skill development for children within the school system. The materials created are intended to enhance the context and promote learning in a way that is meaningful and developmentally appropriate.