Rehabilitation and Therapy Commons^™

Effects Of Occupation Based Interventions Related To Play And Leisure For Minimization Of Post-Concussion Or Mild Traumatic Brain Injury Symptoms In Adolescents: A Critically Appraised Topic, Anneka Harris, Melody Mackenzie, Emmy Miller

Critically Appraised Topics

Occupational therapy has a vital impact on healthcare providing a holistic approach to care with the goal of improving quality of life, increasing participation in meaningful occupations, and speeding up the recovery process for a variety of health conditions. In concussion management, occupational therapy professionals play a critical role on the multidisciplinary team, understanding the important interaction between the athlete, occupation, and the environment (Andreas et al., 2021). Even though the target population for this critically appraised topic (CAT) is adolescents, athletes (those who experienced a sports-related concussion) comprise most of the studies due to the prevalence of sports-related concussions. …

The Supine Moving Apprehension Test—Reliability And Validity Among Healthy Individuals And Patients With Anterior Shoulder Instability, Alon Rabin, Ofir Chechik, Margie K. Olds, Timothy L. Uhl, Efi Kazum, Adin Deutsch, Eran Citron, Tal Cohen, Oleg Dolkart, Assaf Bibas, Eran Maman

Physical Therapy Faculty Publications

Background: Performance-based tests for patients with anterior shoulder dislocation are lacking. This study determined the reliability and validity of the supine moving apprehension test designed to assess the ability to control anterior instability loads. Methods: Thirty-six participants were recruited (18 healthy individuals, and 18 patients following anterior shoulder dislocation). Healthy participants performed the supine moving apprehension test on 2 separate occasions to determine test-retest reliability. Patients completed the supine moving apprehension test and the Western Ontario Shoulder Instability index before and 6 months after surgical stabilization of their shoulder. The presence of anterior apprehension was also documented post-operatively. Results: The …

Effectiveness Of Occupational Therapy’S Role In Promotion Of Role Fulfillment With Aviation Students In Higher Education Who Are Experiencing Mental Health Conditions, Payton O. Schilke, Olivia G. Schoffstall, Lexi K. Smith, Gracie J. Stimac

Critically Appraised Topics

This critically appraised topic paper focuses on occupational therapy’s role and the interventions for improving the mental health of aviation students in higher education. Aviation students are higher education student pilots learning to become pilots within various roles. Stress and fatigue among students in higher education are prominent problems (Beiter, 2015; Kalmakis et al., 2021). The focus on aviation students for this critically appraised topic paper reveals the unique stressors relating to flight training that is added on top of the normal academic stress load that university students face (Robertson & Ruiz, 2010). Due to these stress factors, the mental …

The Role Of Occupational Therapists Working With Adolescents With Mental Health Conditions In The Juvenile Justice System, Angelina M. Caron, Madalyn M. England, Mattea J. Johnson

Critically Appraised Topics

This critically appraised topic paper focuses on interventions for improving adolescents' mental health status to promote engagement in occupations in the JJS. With many factors to consider, adolescent demographics and previous contexts were described first, then the impact that mental health programs in the JJS have on adolescents' mental health was reviewed. Finally, occupational therapy’s role in improving occupational engagement through addressing mental health was investigated.

A Mental Health Professional Opinion On Family Involvement During The Treatment Of Severe Mental Illness: A Multiple Case Study, Vanessa Perocier

Antioch University Dissertations & Theses

While severe mental illness (SMI) is extensively studied, less attention focuses on the relationship between people with SMI and their families and the impact this may have on treatment. Bronfenbrenner's (1979) ecological systems theory conceptualized the treatment and recovery of people with SMI and their families. This study proposes that if family members getting social support contribute to a person's treatment plan, the individual's treatment outcome will improve rather than the individual enduring the treatment process individually. By applying ecological systems theory, mental health professionals and policymakers can better grasp the systemic nature of individuals, their family members, and surrounding …

A Mixed-Methods Exploration Of Quality Of Life In Forensic Inpatients With Schizophrenia Spectrum Disorders On The Social Learning Program, Alexa Hutzenbiler

Antioch University Dissertations & Theses

This mixed-methods study explored the quality of life and lived experiences of adult individuals with diagnoses of schizophrenia spectrum disorders residing and receiving treatment on the Social Learning Program (SLP) at Fulton State Hospital, a high-security state forensic facility. Eleven participants completed the WHOQOL-BREF quantitative quality-of-life measure. Ten participants completed in-depth, semi-structured, qualitative interviews. Interviews were transcribed then analysed using Interpretive Phenomenological Analysis. The major themes that emerged included “Working the Program,” “Relationship Dynamics with Self and Others,” “Meaning,” “I’ve Been Having Breakthroughs,” and “Areas for Improvement in the Program.” Combined, the findings of the present investigation demonstrate the utility …

Implementing Trauma-Informed Care Across All Occupational Therapy Settings, Scout Hutchinson, Kristin Domville, Pam Kasyan-Howe

Fall 2023 Virtual OTD Capstone Symposium

A quantitative research design was utilized to analyze the effectiveness of an educational seminar on trauma- informed disseminated to occupational therapy practitioners, determining their previous knowledge on trauma-informed care. The research conducted has provided a more comprehensive understanding of this population and where services are needed. There is still much work to be done with this topic and the cultural shift towards providing trauma sensitive resources to occupational therapy practitioners. The future of trauma-informed care being incorporated into occupational therapy practice settings is up to the motivation and heart of future occupational therapists in hopes to strengthen the resources offered …

Mechanisms Of Education And Graded Sensorimotor Retraining In People With Chronic Low Back Pain: A Mediation Analysis, Aidan Cashin, Hopin Lee, Benedict Wand, Matthew K. Bagg, Edel O'Hagan, Rodrigo Rn Rizzo, Tasha Stanton, G. Lorimer Moseley, James Mcauley

Physiotherapy Papers and Journal Articles

An improved understanding of the biopsychosocial influences that contribute to and maintain pain has promoted the development of new efficacious treatments for chronic low back pain (CLBP). This study aimed to investigate the mechanisms of a new treatment—education and graded sensorimotor retraining—on pain and disability. We conducted a preplanned causal mediation analysis of a randomized clinical trial which allocated 276 participants with CLBP to 12 weekly clinical sessions of education and graded sensorimotor retraining (n = 138) or a sham and attention control (n = 138). Outcomes were pain intensity and disability, both assessed at 18 weeks. Hypothesized mediators included …

Physical And Psychological Factors Associated With Non-Specific Low Back Pain Among Female Cleaners In Academic Settings, Kristsada Chaichan

Chulalongkorn University Theses and Dissertations (Chula ETD)

The objective of this study was to determine the association between physical and psychological variables and the presence of NSLBP among female cleaners working in an academic setting. One hundred and ninety-nine female cleaners aged between 18 and 60 years old with and without LBP were asked to complete a set of self-reported questionnaires related to individual, work-related variables, quality of life, and the prevalence of NSLBP among cleaners. The binomial logistic regression analyses were used to determine the association between physical and psychological factors and the presence or of absence NSLBP. The results showed that the overall prevalence of …

Content Validation Of The Athletic Training Milestones: A Report From The Association For Athletic Training Education Research Network, Cailee E. Welch Bacon, Barton E. Anderson, Julie M. Cavallario, Bonnie Van Lunen, Lindsey E. Eberman

Rehabilitation Sciences Faculty Publications

The Athletic Training Milestones were developed as a comprehensive framework to assess athletic trainers' knowledge, skill, and behavior acquisition across the continuum of athletic training practice. However, without established content validity, it is unclear whether the Athletic Training Milestones can be used effectively as a clinical evaluation and research tool to evaluate competence and performance across multiple users and sites. We conducted a highly conservative content validity index (CVI) with data from 12 content experts. Our findings revealed an extremely high overall scale CVI of 0.99, and CVI scores of the 28 individual subcompetency items assessed ranged from 0.83 to …

Athletic Training Student Core Competency Professional Behavior Implementation Between Immersive And Non-Immersive Clinical Experiences: A Report From The Association For Athletic Training Education (Aate) Research Network, Bailey Christine Jones, Julie Cavallario, Bonnie L. Van Lunen, Stacy E. Walker, Curt Bay, Cailee E. Welch Bacon

Rehabilitation Sciences Faculty Publications

Context

The Commission on Accreditation of Athletic Training Education requires athletic training programs to emphasize the use of professional behaviors that are associated with 6 core competencies, 5 of which were measured in this study: patient-centered care, interprofessional education and collaborative practice (IPECP), evidence-based practice (EBP), health information technology (HIT), and quality improvement (QI). The purpose of this study was to examine the association between clinical experience type and student implementation of behaviors associated with the core competencies.

Design

Multisite, panel design.

Setting

Twelve professional athletic training programs (7 graduate, 5 undergraduate).

Patients or Other Participants

A total of 338 …

Athletic Trainers' Experiences Developing And Maintaining Contemporary Expertise, Nicole R. Strout Kemper, Julie M. Cavallario, Stacy E. Walker, Cailee E. Welch Bacon

Rehabilitation Sciences Faculty Publications

Context

The Commission on Accreditation of Athletic Training Education (CAATE) implemented new accreditation standards for professional education in 2020, requiring educators and preceptors affiliated with CAATE-accredited professional programs to identify an area of contemporary expertise. Although this requirement is imperative to ensure that educators and preceptors are exposing students to the breadth and depth of content areas in athletic training practice, little is known about how an area of contemporary expertise is developed and maintained.

Objective

To explore educators’ and preceptors’ experiences with developing and maintaining an area of contemporary expertise.

Design

Cross-sectional.

Setting

Web-based survey.

Participants

Of 449 athletic …

Examining The Relationship Of Social Inclusion On Job Satisfaction And Turnover Intentions Of Us Post-9/11 Veterans, Sheree' L. Peters

Walden Dissertations and Doctoral Studies

Many American veterans return to the civilian workforce and report having problems reintegrating into society, as well as finding their role in the new corporate social realms. Over 80% leave their civilian jobs within the first two years of employment, and over 70% report experiencing feelings of loneliness. Recently, the World Health Organization reported that the lack of perceived social inclusion also has a significant economic impact on both individuals and societies. A quantitative, nonexperimental methodology was used to examine the moderating relationship of social inclusion on the relationship between job employee turnover intentions of post-9/11 enlisted veterans. This study …

The Effects Of Secondary Traumatic Stress And Resilience On The Indicators Of Compassion Fatigue Among Occupational Therapists, Gayla Ann Aguilar

Walden Dissertations and Doctoral Studies

AbstractCompassion fatigue (CF) has been described as the “cost of caring” for traumatized individuals, which may lead to missed workdays, diminished work satisfaction, increased turnover, and decreased client care. CF has long been studied in other caring professionals, but occupational therapy practitioners (OTPs) have been largely overlooked. The purpose of this quantitative correlation study was to determine the relationship between secondary traumatic stress (STS) and resilience (RES) on burnout (BO) and compassion satisfaction (CS; i.e., indicators of CF) in OTPs. In this study, the moderation effect that RES has on STS and BO as related to CF in 68 completed …

Respiratory Therapy Staff Retention: A Systems Thinking Approach, Jerin G. Juby

Full-Text Theses & Dissertations

Respiratory therapists are an integral part of the healthcare workforce in the United States. The healthcare workforce shortage accelerated by the COVID global pandemic has impacted respiratory therapy departments across the nation, with organizations struggling to hire and retain staff. The prevailing approaches in combating this is linear in nature and does not consider the complexity of the system. The purpose of this dissertation is to address retention issues in respiratory therapy departments from a systems thinking approach and to develop a prototype utilizing systems thinking methodologies and tools.

Running Shoes For People With Haglund's Deformity, Matthew Klein

Faculty Publications - College of Physical Therapy

Heel counters are one of the many footwear components that are commented on here at Doctors of Running. Heel counters are (usually) a rigid piece of material embedded in or molded around the upper of the rearfoot. The purpose is to provide structure to this part of the shoe and potentially stabilize the heel. There are now several variations, going from ones that wrap completely around the heel, to split heel counters (a piece left out at the rearmost portion) and even super thin heel counters just to keep the upper from collapsing. While many people do well with these …

Everything You Need To Know About Running Shoe Wear Patterns, Matthew Klein

Faculty Publications - College of Physical Therapy

Look online for information on running shoes and you’ll soon see articles about wear patterns on the bottom of your shoes. Usually, these articles promise “secret knowledge” of what each wear pattern means and what horrible injury you’re therefore due. Individual companies often claim that certain wear patterns mean you need specific shoes or orthotics, which, lucky for you, they happen to be selling.

Most of this information is flat-out wrong. There’s simply no compelling evidence linking wear patterns on your running shoes with an increased risk for a given injury. Nor is there a relationship between your wear …

Changes In Running Biomechanics In Master Runners Over Age 50: A Systematic Review, Matthew Klein, Chris Patterson

Faculty Publications - College of Physical Therapy

The number of individuals over 50 years of age participating in recreational and competitive running has increased over the past ten years. It has been established that older runners experience a reduction in strength and power. These changes may contribute to different running biomechanics from younger runners. The pur-pose of this study was to synthesise the current evidence on run-ning biomechanical differences in the lower extremity between masters runners over 50 years and younger runners under 40 years. The systematic data search included CINAHL, MEDLINE, and SPORTDiscus databases. Fourteen cross-sectional studies that com-pared lower extremity biomechanics of masters runners to …

Incog 2.0 Guidelines For Cognitive Rehabilitation Following Traumatic Brain Injury, Part V: Memory, Diana Velikonja, Jennie Ponsford, Shannon Janzen, Amber Harnett, Eleni Patsakos, Mary Kennedy, Leanne Togher, Robert Teasell, Amanda Mcintyre, Penny Welch-West, Ailene Kua, Mark Theodore Bayley

Communication Sciences and Disorders Faculty Articles and Research

Introduction:

Memory impairments affecting encoding, acquisition, and retrieval of information after moderate-to-severe traumatic brain injury (TBI) have debilitating and enduring functional consequences. The interventional research reviewed primarily focused on mild to severe memory impairments in episodic and prospective memory. As memory is a common focus of cognitive rehabilitation, clinicians should understand and use the latest evidence. Therefore, the INCOG (“International Cognitive”) 2014 clinical practice guidelines were updated.

Methods:

An expert panel of clinicians/researchers reviewed evidence published since 2014 and developed updated recommendations for intervention for memory impairments post-TBI, a decision-making algorithm, and an audit tool for review of clinical practice. …

Incog 2.0 Guidelines For Cognitive Rehabilitation Following Traumatic Brain Injury: What’S Changed From 2014 To Now?, Mark Theodore Bayley, Shannon Janzen, Amber Harnett, Peter Bragge, Leanne Togher, Ailene Kua, Eleni Patsakos, Lyn S. Turkstra, Robert Teasell, Mary Kennedy, Shawn Marshall, Jennie Ponsford

Communication Sciences and Disorders Faculty Articles and Research

IT IS CRITICAL TO KEEP clinical practice guidelines (CPGs) up to date through integration of the latest evidence. Therefore, it is with great excitement that the INCOG team presents the INCOG 2.0 Guidelines for Cognitive Rehabilitation Following Traumatic Brain Injury (TBI). In this brief introduction, we provide an overview of changes in the evidence from 2014; share insights into the current state and challenges implementing cognitive rehabilitation; and provide an overview of INCOG 2022.

The Relationship Between Clinical Examination Measures And Ultrasound Measures Of Fascia Thickness Surrounding Trunk Muscles Or Lumbar Multifidus Fatty Infiltrations: An Exploratory Study, Christian Larivière, Richard Preuss, Dany H. Gagnon, Hakim Mecheri, Mark Driscoll, Sharon M. Henry

Études primaires

Patients with chronic low back pain (CLBP) exhibit remodelling of the lumbar soft tissues such as muscle fatty infiltrations (MFI) and fibrosis of the lumbar multifidus (LuM) muscles, thickness changes of the thoracolumbar fascia (TLF) and perimuscular connective tissues (PMCT) surrounding the abdominal lateral wall muscles. Rehabilitative ultrasound imaging (RUSI) parameters such as thickness and echogenicity are sensitive to this remodelling. This experimental laboratory study aimed to explore whether these RUSI parameters (LuM echogenicity and fascia thicknesses), hereafter called dependent variables (DV) were linked to independent variables (IV) such as (1) other RUSI parameters (trunk muscle thickness and activation) and …

Athletic Training Students' Perceptions Of Translating Knowledge From Classroom To Clinical Practice, Cailee E. Welch Bacon, Ryan Kroskie, Alicia M. Pike Lacy, Julie M. Cavallario

Rehabilitation Sciences Faculty Publications

Context

As the health care landscape evolves, athletic training students (ATSs) must gain the skills necessary to effectively translate new evidence into practice to optimize patient outcomes. Knowledge translation is an iterative process that promotes the application of new knowledge by users, but little is known about how students perceive this translation process during athletic training education.

Objective

To explore ATSs’ perceptions of knowledge translation.

Design

Cross-sectional.

Setting

Web-based survey with open-ended questions.

Patients or other participants

A total of 255 professional ATSs accessed the survey; 168 students (118 women, 48 men, 2 missing; age = 22 ± 2.3 years) …

Transcranial Direct Current Stimulation (Tdcs) To Improve Lower Limb Motor Recovery Following Stroke: A Review And Study Proposal, Jessica Fantz-Sands

Scripps Senior Theses

Strokes are the result of restricted blood flow to particular areas of the brain classified by their cause. The neural damage they cause are of growing concern as the number of young adults experiencing strokes has increased by 11% in the last decade. Following stroke, there is an imbalance of inhibitory and excitatory neuronal activity, and disruption of neural networks. These changes lead to neuronal death and loss of synaptic connections that, depending on which part of the brain is affected, result in behavioral deficits such as weakness, limb hemiparesis, and loss of coordination, as well as speech and cognitive …

Efficacy Of Adapted Mindfulness-Based Stress Reduction Program In Treating Patients With Mild Traumatic Brain Injury, Kate Whipple

Scripps Senior Theses

Mindfulness-based stress reduction (MBSR) has been applied in many contexts, and has been found to be a helpful therapeutic intervention for people dealing with both mental and physical struggles. In recent years, studies exploring the effects of using MBSR in the neurorehabilitation people with traumatic brain injuries (TBIs) have emerged. However, these studies are primarily pilot studies with very few participants. This proposed study will explore whether an adapted version of the MBSR program is effective in reducing apathy and improving motivation to recover in participants with mild TBIs (mTBIs). The proposed study will have 76 participants and will uses …

Impact Of Pilates Mat-Based Exercises On Knee Kinematics During Running, Jaime González, Alexis Ortiz

Physical Therapy Faculty Publications

Introduction: Core strengthening, balance, and flexibility programs such as Pilates have been advocated to positively impact running mechanics and prevent lower extremity injuries. The purpose of this study was to assess the effects of a 12-week mat-based Pilates exercise program on dynamic knee valgus alignment in runners.

Methods: Thirty-four novice runners, including young male and female adults performed a running protocol at baseline. The protocol consisted of the participants running on a treadmill at a constant five miles per hour (mph) for 4 min. Post-examination, participants were randomly assigned to a Pilates or control group (n = 16 and n …

Ocular Vestibular Evoked Myogenic Potentials In Patients With Single Sided Deafness, Alshymaa Ibrahim Hammad, Sanaa Mahran

Journal of Medicine in Scientific Research

Introduction: Clinically unilateral severe to profound sensorineural hearing loss known as single-sided deafness (SSD). It is defined by severe-to-profound hearing thresholds with a poor word recognition ability. SSD is not uncommonly encountered in otology, their symptoms is hearing loss and often associated with the vestibular system. In SSD otolithic dysfunction may be frequently misdiagnosed and majority of patients affected by cochlear and superior vestibular nerve then inferior vestibular nerve. Otolith damage may be present in patients with SSD because they sharing a membranous structure in addition they have similar receptor cell. The vestibule and cochlea may be impacted by the …

The Accuracy Of Recreational Athletes In Self Detecting Ventilation Threshold During A Maximal Exercise Test, Andrew Biegner

Williams Honors College, Honors Research Projects

INTRODUCTION: Ventilatory threshold (VT) is where minute ventilation (VE) increases nonlinearly with increasing exercise intensity. Prior studies have shown that subjects can recognize VT by changes in breathing during exercise. Teaching recreational athletes to use VT as a training method could result in better quality training. PURPOSE: Determine if recreational athletes can accurately perceive changes in ventilation associated with VT during maximal exercise testing. METHODS: Subjects were recruited (n=20, age= 20.5 ± 1.7 yrs.) to participate in the study. Subjects performed a modified maximal treadmill protocol with gas analysis. Subjects indicated when they noticed a considerable change …

Mouthpiece For Patients With Neuromuscular Disorders, Rebekah Starkey, Carissa Thompson, Michael Dickens, Andrew Pero

Williams Honors College, Honors Research Projects

Neuromuscular Disorders (NMDs) impact people throughout the world. An early hallmark of these disorders includes some degree of facial muscle weakness. Respiratory testing is important to evaluate the progression of these patients’ NMDs. However, these tests require that the patient purses their lips around a mouthpiece to create a tight seal. This is a difficult task for one with facial muscle degeneration. This often leads to results that fail to reflect the patient’s true respiratory ability and prevents their physician from providing the appropriate degree of care. The objective of this project was to develop a face mask or mouthpiece …

Exploring The Effect Of Early Motor Delay And Physical Therapy Interventions On The Parent-Child Relationship, Rebecca Molinini

Theses and Dissertations

Emotional availability (EA) or the ability of the parent-child dyad to engage emotionally and partake in congruent and mutually enjoyable interactions, is essential for familial health and well-being. EA is considered the “connective tissue” of healthy parent-child relationships and is associated with secure attachment, maternal mental health, and children’s adaptive development. Most evidence supporting the integral role of EA on healthy outcomes is supported by typically developing populations in which adults present with a social or biological risk factor such as experiencing past traumas of adversities with mental health. In line with the transactional model of development, children are equal …

An Exploration Of The Occupational Needs Of College Students, Christian D. Gabon, Jennifer Brady, Kaela Jules Antonio, Kayla Twite Lehnen, Beatriz Go

Occupational Therapy | MSOT Capstone Projects

This paper analyzes the barriers and supports for Dominican University of California students in meeting their occupational needs and what services might be beneficial to them. To be able to answer this question, we conducted a survey using convenience sampling with twenty-seven Dominican undergraduate students, interviewed staff, and conducted a focus group with the students who participated in the survey. Our results indicated four main themes which include: occupational needs, barriers to meeting occupational needs, supports to meeting occupational needs, and services recommended. For the implications for occupational therapy, we found that OTs are beneficial in several aspects of students’ …