Rehabilitation and Therapy Commons^™

Champ's Triathlon Training Program, Rachael Sollman

OTD Capstone Projects

Champ's Triathlon Training Program was created to provide an adaptive fitness opportunity to the community of Nashville, TN. This program was specifically targeting children 8 to 15 years old diagnosed with Down's Syndrome and Cerebral Palsy, Gross Motor Function Classification Scale levels I, II, and III. Champ's Triathlon Training Program was an extension of the Champ's Tri My Best Triathlon hosted by a team of therapists and Vanderbilt's Pediatric Clinic, including Kelley Newman. The program aimed to increase the participants' strength, flexibility, and endurance through triathlon related activities such as running/walking, swimming, and biking. Outcomes of the program were to …

Alexithymia Symptoms Are Not Associated With Childhood Trauma Or Crhr1 Rs110402 Genotype, Emily Wiatr, Grace Sullivan, Scott Stoltenberg

Center for Brain, Biology, and Behavior: Faculty Publications

Alexithymia is associated with difficulties in emotional self-regulation, and alexithymia is specifically associated with an absence of emotional experience and cognition of emotion. Past research has indicated a potential association between alexithymia and the CRHR1 gene . Situational factors may also impact the expression of the CRHR1 gene within an individual. Berenbaum (1996) found associations between PTSD/childhood trauma and alexithymia. This study examined these associations using the Online Alexithymia Questionnaire-G2 (OAQ-G2) as well as DNA samples gathered from 657 participants at the University of Nebraska-Lincoln (72% women; 78.6% white; mean age= 20.34; standard deviation of 2.6). It was hypothesized that …

Case Report: Effects Of Therapeutic Exercise On A Patient With Metastatic Osteosarcoma And Pathological Fracture, Jessica Phung, Sarah Mathew

San Marcos, Spring 2020

Purpose: The purpose of this case report is to demonstrate how conditioning exercise for patients with active metastatic neoplasms can improve quality of life (QoL) after a pathological fracture of lumbar vertebrae. Spinal metastasis, in this case from breast cancer, is primarily asymptomatic, and therefore, difficult to detect during early stages. Detection and diagnosis usually occur after initial manifestation of a pathological fracture leading to debilitating effects. Complications with metastatic bone cancer and surgical contraindications may bring patients into outpatient physical therapy to address the pathological fractures and QoL for patients.

Case Description & Methods: The patient is a 44-year …

Physical Therapy With Adjunct Therapies In Patients With Chronic Pain And Disability Post-Motor Vehicle Accidents, Lakshmi Subramanian

Dissertations and Theses

This project is a thorough literature review of studies concerning physical therapy interventions in conjunction with adjunct treatments for patients post-motor vehicle accidents focused on the therapy’s efficacy as related to functional outcome measures. Physical therapy is frequently treatment of choice for patients after minor motor vehicle accidents. However, most patients seek concomitant therapies like acupuncture, chiropractic, epidural steroid injection, and psychological counselling. This paper seeks to gather data on the efficacy of different treatment modalities when used in conjunction with each other. Often patients are traumatised or develop anxiety about driving requiring counselling and therapy. The vast majority of …

Identifying Indicators Of Compassion Fatigue: Bridging The Gap From Professional To Familial Caregivers, Adam Luther

MOT Student Capstones

Compassion fatigue has been defined as feelings of anger, inefficacy, apathy, and depression, resulting from a caregiver's inability to cope with devastating stress (Day, 2015). Historically this topic has been explored in the realm of professions such as nurses, nursing assistants, social workers, and doctors but little research has been performed on the prevalence and effects of compassion fatigue within familial caregivers. As aging in place and deinstitutionalizing elderly adults becomes more common, the risk for compassion fatigue within familial caregivers increases. Unfortunately, the lack of research is indicative of a lack of action to address this potential health risk. …

Reducing Work-Related Musculoskeletal Injuries Among Nursing Staff Within A Skilled Nursing Facility, Beth M. Brady

MOT Student Capstones

Among health care workers, nurses have one of the highest rates of work-related musculoskeletal injuries (Bureau of Labor Statistics [BLS], 2018). Studies have identified patient handling in the form of routine bedside care, lifting, repositioning, bedside procedures, and manual transfers to be high-risk tasks associated with this increased incidence (Facility Guidelines Institute, 2010). Evidence supports occupational therapy's role in promoting health through the implementation of programs that support safe engagement in work occupations including injury prevention, ergonomics, and work rehabilitation (Bade & Eckert, 2008). As the population of the U.S. healthcare workforce ages, occupational therapy's distinct role in helping health …

The Applicability Of Occupational Therapy To Correctional Programming, Jordan Lanning

Honors Projects

Correctional facilities are a controversial topic in the United States. Whether it is prison reform policy or overcrowding issues that are being debated in a political setting or at the dinner table, it is a hot topic of conversation. The discussion goes around and around to no avail, and seemingly no one is satisfied. A detailed look at current issues facing corrections, what has been done, and then, potentially what could be done may provide some clarity for a situation that is seemingly spinning out of control. Furthermore, occupational therapy and its application to correctional programming is explored as a …

From Isolation To Communication: Connecting Adults Who Have Hearing Loss With Their Communication Partners, Stephen D. Roberts, Nancy A. Delich

JADARA

As Baby Boomers enter the late adulthood stage of life, hearing loss continues to be one of the most prevalent, chronic, and isolating conditions facing older adults today. Research has focused on the negative consequences of hearing loss on the health and the person’s well-being, but it is equally important to recognize that hearing loss also leads to communication loss. The resulting social isolation and the collateral effects of hearing loss on the communication partner are the focus of this mixed-method study that explored the hearing loss-related quality of life for both parties. Five overarching themes emerged from the analysis, …

Promoting Independence Through Effective Interventions For Adults With Als, Renee Gluchowski, Ots, Hannah Harris, Ots, Jaclyn Heineman, Ots, Kimberly Kendro, Ots, Heather Malosky, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

PICO Question

What are effective occupational therapy interventions for adults with ALS to improve participation in ADLs/IADLs?

Objectives

• Define amyotrophic lateral sclerosis (ALS) and recognize the prevalence
• Identify and describe evidence-based interventions to promote independence for individuals with ALS in activities of daily living (ADLs) and instrumental activities of daily living (IADLs)
• Discuss how the current literature on the effective interventions impacts occupational performance and treatment of adults with ALS

Curriculum Development For Group Programming At Gigi's Playhouse Nashville, Shelby Ward

OTD Capstone Projects

Creating and implementing group programming curriculum for a variety of age groups at an organization for individuals with Down syndrome.

Scapular Stabilizer Muscle Force Output In Collegiate Softball Players Over The Course Of A Fall, Non-Traditional Season, Erin Taylor

Undergraduate Honors Thesis Projects

There is a growing topic in research relating to softball and the injuries caused by the biomechanics of a windmill pitch. There have been articles released relating to stress caused by the windmill pitch compared to the stress of an overhead pitch in baseball. Many articles in the softball field also look at the biomechanics and hip strength of the windmill pitcher and how a decrease in hip strength can affect the biomechanics of the pitching motion. Despite having an increase in available softball articles, there have not been any studies conducted that focus solely on scapular stabilizer strength over …

Abduction Contractures Within Infants With Developmental Dysplasia Of The Hip, Nathan Stanton

Doctoral Dissertations and Master's Theses

Developmental Dysplasia of the hip is a condition that affects 1 to 3 of every 1000 infants born globally. It is a pathology that involves the instability, subluxation, or dislocation of the femoral head from the acetabulum. Through a rating system by the International Hip Dysplasia Institute or Graf System, hips are rated based on their level of instability or dislocation and the infant is then prescribed a treatment. While Finite element models of dysplastic hips have been developed previously, a study that seeks to understand the contribution of an abduction contracture of the hip has yet to be performed. …

Submaximal Isometric Force Steadiness In People With Multiple Sclerosis Under Single And Dual Task Conditions, Sheri Bunyan

Dissertations (1934 -)

Activities of daily living require steady, non-fatiguing, isometric muscular contractions to maintain postural control and stabilize body segments to facilitate interaction with the environment. Furthermore, typical activities often require simultaneous performance of cognitive and motor tasks. This may challenge people with multiple sclerosis, a chronic neurodegenerative disease of the central nervous system associated with motor and cognitive impairments. Despite functional relevance, isometric force steadiness in both the upper and lower extremities has not been explored in this population. Additionally, dual task experiments in multiple sclerosis have primarily used gait, a dynamic activity, as the motor task. Thus, the purpose of …

Assessment Of Working Relationships Between Athletic Training Program Faculty And Clinical Preceptors, Kathleen Williams

All Theses And Dissertations

Athletic training degree programs require both clinical and classroom educational content. The educational content of the 2020 Standards, adopted in 2018 by athletic training’s accrediting body, included a requirement for additional skills and a minimum level degree. However, clinical preceptors educated prior to 2018 working in athletic training programs are often not proficient or trained in the new techniques. The change in athletic training educational knowledge has led to a theory–practice gap between athletic training faculty and clinical preceptors working in the field. Athletic training faculty and clinical preceptors need good communication and interpersonal working relationships to bridge the gap …

Review Of Cerebral Palsy: The Various Intervention Techniques, Taylor Jo Schultz

Honors Thesis

Cerebral palsy (CP) is a neurodevelopmental disorder that results from a disruption in the development in the infantile or fetal brain. It affects over 17 million people worldwide. The goal of this review paper is to provide an in-depth literature review behind the causes, diagnosis, associated disorders of CP as well as the treatment interventions that would lead to a comprehensive treatment plan for CP patients. There are many possible causes of CP, contrary to the popular belief that CP is only caused by hypoxia or ischemia at birth. Diagnosis requires determining the motor function, part(s) of the body affected, …

Temporal Aspects Of Endogenous Pain Modulation During A Noxious Stimulus Prolonged For 1 Day, Marie K. Hoeger Bement, Kristian K. Petersen, Line B. Sørensen, Hjalte H. Andersen, Thomas Graven-Nielsen

Physical Therapy Faculty Research and Publications

Background

This study investigated (a) if a prolonged noxious stimulus (24‐hr topical capsaicin) in healthy adults would impair central pain inhibitory and facilitatory systems measured as a reduction in conditioned pain modulation (CPM) and enhancement of temporal summation of pain (TSP) and (b) if acute pain relief or exacerbation (cooling and heating the capsaicin patch) during the prolonged noxious stimulus would affect central pain modulation.

Methods

Twenty‐eight participants (26.2 ± 1.0 years; 12 women) wore a transdermal 8% capsaicin patch on the forearm for 24 hr. Data were collected at baseline (Day 0), 1 hr, 3 hr, Day 1 (post‐capsaicin …

Hiring Individuals In Addiction Recovery: Characteristics, Levels Of Concern And Willingness, Alicia B. Becton, Sara Werner Juarez, Roy K. Chen

School of Rehabilitation Services & Counseling Faculty Publications

Research suggests employment is a key factor in an individual’s recovery and employer’s views have historically limited opportunities for highly marginalized groups. Objectives: This study provides an analysis of views among employers regarding the hiring of individuals in addiction recovery. Methods: A convenience sample of 382 employers affiliated with the chambers of commerce was recruited to participate in this study. The authors used descriptive and inferential statistical methods to analyze data received through an online questionnaire. Results: The results suggest gender influences the views of employers to hire individuals in recovery. Women are more likely to hire individuals in recovery …

Perceived Effectiveness Of Stem Cell Injections In Adults With Joint Injuries, Delaney Marie Merrill

Senior Theses

Introduction: Osteoarthritis plagues around 27 million Americans. Stem cell injections are a new method of treatment that could potentially cure this by regenerating cartilage in joints. Purpose: The purpose of this study is to examine the perceived effectiveness of stem cells at regenerating cartilage in joints, specifically the knees, hips, and shoulders. Methods: Participants were recruited via social media, forums, and from healthcare clinics that offer stem cell treatments. They were asked to complete a survey focusing primarily on the treatment protocol and how the injured joint felt post-stem cell injection. Frequencies were calculated to describe problematic joints, treatment history, …

The Healing Power Of Music, Kathleen Szczesny

Honors Projects

The value of holistic and individualized care in honoring a patient’s story and promoting their quality of life is of the highest importance when providing nursing care. Nursing is more than just a profession, it is an art that is consistently changing and adapting, requiring critical and creative thinking to deliver high quality, safe care that is evidenced-based. Nurses must continuously seek innovative ways to enrich lives and enhance the healing process through interventions strongly supported by research. The purpose of this project was to explore music as an alternative form of medicine that can be utilized as a therapeutic …

The Effects Of Virtual Rehabilitation Therapy On Multiple Sclerosis, Mary Price

Honors Projects

In this review article, the effect of virtual rehabilitation therapy on multiple sclerosis, a neurodegenerative disorder, is explored. Multiple sclerosis is characterized by damaged nerves that result in incomplete signal processing between the brain and the spinal cord. The symptoms of this condition can include vision loss, decreased coordination, pain, fatigue, and deteriorating motor output. The severity of the symptoms and the rate of progression of multiple sclerosis can vary from person to person; some individuals live the majority of their lives with mild symptoms while others become bedridden and immobile. There is no cure for this disease, however implementation …

Functional Sitting Skill Development, Sitting Posture And The Relationship To Object Permanence In Infants With Motor Delays, Karl Jancart, Jessica Spirnak, Claire Boe, Amber Delprince, Regina Harbourne

Graduate Student Research Symposium

Functional Sitting Skill Development, Sitting Posture and the Relationship to Object Permanence in Infants with Motor Delays

Early in development, infant movement allows exploration and manipulation of objects, which builds cognition. Object permanence, the ability to understand that objects exist when they cannot be seen, is a cognitive construct developed in infancy, and has been shown to relate to early motor development, specifically self-mobility. However, the development of sitting may also contribute to building cognition through object understanding. The purpose of this study was to investigate the relationship of functional sitting skill development, measured by a standardized clinical test (Gross …

Use Of Virtual Communication During Level Ii Fieldwork: A Personal Experience, Laronda Lockhart-Keene, Otd, Otr/L, Cla, Emily Spinelli, Cota/L

Department of Occupational Therapy Posters and Presentations

In fieldwork sites where no full time OTP is employed, a fieldwork student requires 8 hours a week of onsite supervision from an OTP. An onsite supervisor of another profession must be available while the OTP is offsite. The other professional is unable to answer questions related directly to occupational therapy (OT) practice. This poster describes virtual communication methods used during a level II fieldwork at a community based wellness program for older adults and how these methods translate to OT/OTA supervision in practice.

Occupational Therapy’S Role In Addressing College Campus Well-Being, Gina Stephenson, Kelsey Gorman, Paige Tademaru, Heather Haley, Amy Mattila Phd, Otr/L, Kimberly Szucs Phd, Otr/L

Graduate Student Research Symposium

The purpose of this study is to (1) explore occupational therapy’s role in mental health and (2) investigate the effects of Cranial Electrotherapy Stimulation and mindfulness in reducing symptoms of depression, stress or insomnia among college students. This study utilized a pre/posttest design with participants randomized into 2 groups: CES alone (Group A) and mindfulness meditation and CES (Group B). A purposeful sample of college students were recruited, all with a previous diagnosis or self-report of stress/anxiety. This study measured sleep, anxiety, trait mindfulness, and daily function using the Hamilton Anxiety Rating Scale, Freiburg Mindfulness Inventory, Functional Status Questionnaire, and …

Commentary: Can Blood Flow Restricted Exercise Cause Muscle Damage? Commentary On Blood Flow Restriction Exercise: Considerations Of Methodology, Application, And Safety, Mathias Wernbom, Brad J. Schoenfeld, Gøran Paulsen, Thomas Bjørnsen, Kristoffer T. Cumming, Per Aagaard, Brian C. Clark, Truls Raastad

Publications and Research

Low-load exercise combined with blood flow restriction (BFR) is known to induce significant gains in muscle strength and size, and this mode of training is increasingly used in both healthy and clinical populations, as documented in the recent review of Patterson et al. (2019). However, since the first training studies on BFR exercise appeared about 20 years ago, there have been some concerns about its safety, in particular with regard to the potential risk for muscle damage (Wernbom et al., 2019). In a recent editorial, Wernbom et al. (2019) briefly discussed the accumulating evidence for muscle damage and rhabdomyolysis with …

Graduate Occupational Therapy Students & Information Literacy: Does A Research Consultation Increase Information Literacy Skills While Lowering Library Anxiety?, Mary C. Rickelman, Christine Moghimi

Transforming Libraries for Graduate Students

In today’s academic environment, students equipped with self-regulated learning and information literacy skills have an excellent opportunity for professional success, given our current information-based practices in health care. Information literacy instruction provided to students early in their coursework will aide them in acquiring competency for the remainder of their studies, especially scholarly projects. Along with information literacy issues, library anxiety has been identified in the literature as a contributing factor to poor academic performance in students. The purpose of this study was to explore components of library anxiety, if present, as well as to help students become more comfortable and …

Comparison Of Pre- And Post-Operative Shoulder Muscle Emg Profiles In Reverse Total Shoulder Arthroplasty Patients, Emily Lau, Sreten Franovic, Noah Kuhlmann, Eric C. Makhni Md, Stephanie Muh Md

Medical Student Research Symposium

Background: Deltoid muscle function is central in reverse total shoulder arthroplasty (RTSA) function; however, there is limited information available regarding changes in deltoid activity before and after surgery. Few tests exist to evaluate specific muscle metrics pre and post operatively. Surface Electromyographic (EMG) is non-invasive and allows for observation of motions with multifaceted analysis of movement with minimal patient demand. Understanding the changes in shoulder muscle activation, namely in the deltoid, in patients pre and post-RTSA can further advance understanding of the procedure and rehabilitation efforts.

Methods: Nine individuals were recruited for this study: all patients underwent RTSA by a …

The Use Of Urine Drug Testing For Risk Stratification And Efficacious Drug Monitoring In Pain Management Settings, Ahmad I. Hasan, Kareem Elhage, Brendan Farley, Khaled J. Saleh

Medical Student Research Symposium

Objective: To understand the current landscape of urine drug testing (UDT) guidelines as part of risk assessment for opioid abuse, and to offer recommendations towards adopting universal screening guidelines.

Background: There has been an opioid epidemic within the United States, and the role of prescription opioids has been well established. Despite proposed recommendations, there has yet to be a published universal screening guideline on the use of UDT in the setting of opioid abuse risk stratification as well as postoperative drug monitoring.

Methods: We explored current guidelines for UDT on two levels. First, we explore general indications for UDT within …

Reliability And Validity Of A Smartphone-Based Inclinometer Application Measuring Shoulder Internal Rotation, Taylor Lau, Sheng Lin, Tyler True, Wayne Wu, James M. Mckivigan

College of Health & Human Services (TUN) Publications and Research

This study intended to evaluate the reliability and validity of a smartphone-based inclinometer application and compare these results to those of the standard clinical goniometer. The study measured the internal shoulder rotation of 19 men and 20 women. One third-year physical therapy student took all the smartphone-based inclinometer measurements, and another took all the clinical standard goniometer measurements. The subjects were randomly placed into set amounts of internal rotation, and then the two measurements were taken. The study found no significant difference between the smartphone-based inclinometer and the goniometer. The reliability between the app and the goniometers was good to …

O-Season Training Habits And Bmi, Not Preseason Jump Measures, Are Associated With Time-Loss Injury In Female Collegiate Soccer Players, Jason Brumitt, Alma Mattocks, Amy Engilis, Jill A. Sikkema, Jeremy Loew

Faculty Publications - College of Physical Therapy

The primary purpose of this study was to determine the effectiveness of the standing long jump (SLJ) and the single-leg hop (SLH) tests to discriminate lower quadrant (low back and lower extremities) injury occurrence in female collegiate soccer players. The secondary purpose of this study was to determine associations between injury and o-season training habits or anthropometric measures. SLJ, SLH, and anthropometric measures were collected during a preseason screening clinic. Each subject completed a questionnaire providing demographic information and o-season training habits. Each athlete performed three SLJ and three SLH per leg. SLJ and SLH scores were not associated with …

Athletic Trainers’ Perceived And Actual Knowledge Of Cupping Therapy Concepts, Stephen A. Cage, Zachary K. Winkelmann, Brandon J. Warner, Diana M. Gallegos

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Purpose: To date, there does not appear to be a study published that has examined the prevalence of clinical use and the perceived and actual knowledge of cupping therapy that clinicians possess. The purpose of this study was to determine the perceived and actual knowledge of cupping therapy among athletic trainers. Methods: 113 certified athletic trainers completed the study (age = 35 ± 10 years, years of certified experience = 12 ± 10 years). Participants were sent an electronic survey via email that assessed frequency of usage, perceived knowledge, and actual knowledge of cupping therapy. Data were downloaded and analyzed …