Rehabilitation and Therapy Commons^™

Characterizing Intersection Variability Of Butterfly Diagram In Post-Stroke Gait Using Kernel Density Estimation, Yun Ju Lee, Jing Nong Liang

Physical Therapy Faculty Research

ackground:Center of pressure (COP) trajectory during treadmill walking have been commonly presented usingthe butterfly diagram to describe gait characteristics in neurologically intact and impaired individuals. However,due to the large amount of displayed information, the butterfly diagram is not an efficient solution to visualizelocomotor variability.Purpose:The purpose of this study was to evaluate post-stroke locomotor variability by applying Kernel densityestimation (KDE) on the intersections of the butterfly diagram, and to compare KDE derived metrics withconventional metrics of gait symmetry and variability.Methods:Bilateral toe-off(TO) and initial contact (IC) points of the butterfly diagram were determined to cal-culate the COP symmetry index and the intersections …

Determinants Of Low Bone Mineral Density In People With Multiple Sclerosis: Role Of Physical Activity, Brice T. Cleland, Paula E. Papanek, Benjamin A. Ingraham, April L. Harkins, Mauricio Garnier-Villarreal, Douglas Woo, Mary Ellen Csuka, Alexander V. Ng

Exercise Science Faculty Research and Publications

Background

People with multiple sclerosis (PwMS) have reduced bone mineral density (BMD), but the causes are unclear. Some factors that may cause reduced BMD in PwMS have been understudied, including physical activity, inflammation, cortisol, symptomatic fatigue, and depression. The aim of this study was to investigate factors that may uniquely contribute to reduced BMD in PwMS as compared to people without MS. We hypothesized that physical activity would be the primary determinant of low BMD in PwMS, with additional contributions from inflammation and sympathetic nervous system activation.

Methods

We tested 23 PwMS (16 women; median EDSS: 2) and 22 control …

Increased Cardiovascular Response To A 6-Minute Walk Test In People With Type 2 Diabetes, Jonathon Senefeld, Sarah E. D'Astice, Alison R. Harmer, Sandra K. Hunter

Exercise Science Faculty Research and Publications

Background and objective

Exercise is a cornerstone of management for type 2 diabetes; however, little is known about the cardiovascular (CV) response to submaximal functional exercise in people with type 2 diabetes. The aim of this study was to compare performance and CV response during a 6-minute walk test (6MWT) between people with type 2 diabetes and matched control subjects.

Methods

CV response and distance walked during the 6MWT were assessed in 30 people with type 2 diabetes, matched for age, body composition, physical activity, and estimated aerobic capacity with 34 control subjects (type 2 diabetes group: 16 men, 59.8 …

Reaching The Summit: From Exposure To Immersion In Quality Improvement In Physical Therapy Education, Tami Struessel, Nicole M. Sleddens, Katherine J. Jones

Posters and Presentations: Physical Therapy

Following the release of its 2001 report, Crossing the Quality Chasm: A New Health System for the 21st Century, the Institute of Medicine (IOM) convened a summit of 150 interprofessional healthcare educators to reform health professions education. As a result, in 2002, the IOM established an overarching vision to achieve care that is safe, effective, patient-centered, timely efficient, and equitable: “All health professionals should be educated to deliver patient-centered care as members of an interdisciplinary team, emphasizing evidence-based practice, quality improvement approaches, and informatics.” Physical Therapy educators have expanded curricula to teach three of these five competencies. We routinely …

Designing A Course To Acculturate Professional Behaviors Of International Students In Physical Therapy Education, Nicole M. Sleddens, Kathleen G. Volkman, Betsy J. Becker, Ka-Chun Siu, Michael Smith, Joseph F. Norman

Posters and Presentations: Physical Therapy

The University of Nebraska Medical Center DPT program has a Global Health Opportunity track in which international students work on a master’s degree and complete a DPT. The current students are from China and meet all requirements of the DPT and graduate admissions, including a high proficiency in English (e.g. TOEFL ³ 90). All students have undergraduate degrees in medicine, rehabilitation therapy or medical sciences from universities in China. While these students have performed well in the didactic DPT curriculum, we noted a trend in professional interactions and communication which interfered with clinical performance and required remediation. To proactively circumvent …

Improving Environmental Capacities For Health Promotion In Support Settings For People With Intellectual Disabilities: Inclusive Design Of The Dihasid Tool, Kristel Vlot-Van Anrooij, Thessa I. M. Hilgenkamp, Geraline L. Leusink, Anneke Van Der Cruijsen, Henk Jansen, Jenneken Naaldenberg, Koos Van Der Velden

Physical Therapy Faculty Research

People with intellectual disabilities (ID) have unhealthier lifestyles than the general population. To sustainably improve their lifestyle and health status, a whole-system approach to creating healthy environments is crucial. To gain insight into how support for physical activity and healthy nutrition can be embedded in a setting, asset mapping can be helpful. Asset mapping involves creating a bottom–up overview of promoting and protective factors for health. However, there is no asset mapping tool available for ID support settings. This study aims to develop an asset mapping tool in collaboration with people with ID to gain insight into assets for healthy …

Workplace Discrimination For Persons With Hearing Loss: Before And After The 2008 Ada Amendments Act, Brian T. Mcmahon, James Grover, Megan C. Mcmahon, Jeong Han Kim

School of Rehabilitation Services & Counseling Faculty Publications

BACKGROUND:

Individuals with hearing loss experience unique barriers to employment frequently documented in the areas of communication and education. The purpose of this article is to contribute to extend this inquiry to the uniqueness of workplace discrimination involving persons with hearing loss.

OBJECTIVE:

This study investigated differences in allegations of workplace discrimination filed by persons with hearing loss (“Hearing”) compared to those filed by persons with other physical or neurological disabilities (General Disability, or “GENDIS”) before and after the enactment of the 2008 Americans with Disabilities Act Amendments Act (2008 Amendments).

METHODS:

Using secondary data collected from the Equal Employment …

Experiencing Ipe: A Framework Integrating Ipec Standards In Multi-Disciplinary Education, Norman C. Belleza, Maureen Johnson

Physical Therapy Collection

Course Overview

This workshop creates an immersive experience demonstrating the effectiveness using the IPEC framework with IPE-based activities and shares outcome measures for integration into respective educational curricula. A gap exists in health-science programs regarding the effects of IPE. Novel activities include a multi-disciplinary experience of an escape room, chart review, and simulation vignettes. After the workshop, attendees will have tools to build an IPE framework in their respective programs.

Description of Content

Interprofessional education (IPE) elicits better quality behaviors amongst team players promoting improved patient safety and patient outcomes. However, there is a gap in multi-disciplinary health-science academic and …

Educational Model Integrating Ipec Collaborative Practice Competencies Across Multiple Disciplines, Norman C. Belleza, Maureen Johnson

Physical Therapy Collection

Purpose

The purpose of this project was to design an educational model that integrates the Interprofessional Education Collaborative (IPEC) Collaborative Practice Competency Domains into the curriculum across multiple disciplines. A faculty team from physical therapy (PT), occupational therapy (OT), medicine, and physician’s assistant (PA) programs, collaborated to create an introductory interprofessional education (IPE) framework and course module series. Currently, there are limited studies in rehabilitation education programs demonstrating the effectiveness of IPE-based activities on student outcomes. The proposed framework employs a series of novel educational activities including a multi-disciplinary escape room and scavenger hunt experience, chart review, and interprofessional (IP) …

Perceptions Of Higher Education Health Science Faculty On Debriefing After Simulation Based Activities, Maureen Ellen Johnson

Occupational Therapy Collection

Health science faculty striving to be academically competitive can adopt debriefing after simulation-based activities to help transition occupational therapy and physical therapy students from classroom skills to clinical competence. The purpose of this qualitative study was to discover the perceptions and experiences of health science faculty during and after their adoption of debriefing after simulation-based activities. The theory of diffusion and experiential learning theory were used as a conceptual framework. The research questions related to the perceptions and experiences of faculty from their training sessions and implementing debriefing sessions after simulation-based activities in their courses and how these experiences related …

Quilting And Sharing: Promoting Lifelong Learning And Service To Others, Jennifer Fortuna

The Open Journal of Occupational Therapy

Lynne Hall, an occupational therapist, educator, and quilter based in Kalamazoo, MI, provided the cover art for the Winter 2020 issue of The Open Journal of Occupational Therapy (OJOT). “Four Patch Posy” is a 45” x 55” quilt made from cotton. In her 50th year of occupational therapy practice, Lynne’s philosophy is rooted in lifelong learning and service to others. The quilt aesthetic provides Lynne a creative medium to serve in her community. With her person-centered approach, Lynne facilitates human potential in the clients, students, and community members she serves. Success in both occupational therapy practice and quilting require a …

Developing Tailored Program Proposals For Occupational Therapy In Primary Care, Katie Smith, Mackenzie Day, Sherry Muir, Sue Dahl-Popolizio

The Open Journal of Occupational Therapy

No abstract provided.

Self-Regulation As Key Factor In Protection Against The Harmful Effects Of Adverse Childhood Experiences: Critical Role For Occupational Therapists, Rondalyn Whitney

The Open Journal of Occupational Therapy

No abstract provided.

Comparing Learning Platform Impact On Low Vision Education For Occupational Therapists, Jaimee D. Perea, William Sit

The Open Journal of Occupational Therapy

This pilot study examines the impact of face-to-face, remote, and hybrid learning platforms on satisfaction, confidence, and knowledge-application of occupational therapy practitioners during a synchronous low vision continuing education program. Fifteen participants were divided into three groups, each corresponding to one learning platform. They engaged in two 45-min learning sessions and completed pre, post, and follow-up surveys to measure the impact of the learning platform on the dependent variables of satisfaction, confidence, and knowledge application. No significant differences were found between learning platforms for the three variables, but improvements from pre to follow-up survey were found to be significant for …

Master’S And Doctoral Occupational Therapy Students’ Perceptions Of Research Integration In Their Programs, Jeffrey Sargent, Ashley Wermers, Lauren Russo, Kristin Valdes

The Open Journal of Occupational Therapy

This is a pilot study with the intent of identifying occupational therapy doctorate (OTD) and master’s (MOT) students’ perceptions of research in their coursework. A cross-sectional study was conducted through a survey of OTD and MOT students. The Student Perception of Research Integration Questionnaire (SPRIQ) was emailed to graduate occupational therapy programs in the United States. An unpaired single tailed t-test was used to compare the mean scores between the MOT and OTD student responses for each scale and subscale. Two hundred and twenty-six students filled out the questionnaire. Both the OTD and MOT students had a favorable perception …

A Personal Perspective On Daily Occupations To Counteract Cancer Related Fatigue: A Case Study, Sheila M. Longpre', Katie M. Polo, Mary F. Baxter

The Open Journal of Occupational Therapy

Background: This case study aimed to identify and describe meaningful physical occupations used by a cancer survivor to increase or maintain levels of participation during active chemotherapy and subsequent cancer related fatigue.

Method: A case study approach was used to develop an in-depth description and analysis based on one participant’s experience with breast cancer and associated treatments. A semi-structured interview was conducted. The data were analyzed through description of the case, categories, and themes. It also included categorical aggregation in efforts to seek a collection of instances from the data to explore any issue-relevant meanings.

Results: Following …

Defining Mobile Tech Posture: Prevalence And Position Among Millennials, Nathan Short, Michelle Mays, Alex Cool, Ariana Delay, Ali Lannom, Laryn O'Donnell, Ruth Stuber

The Open Journal of Occupational Therapy

Background: Mobile technologies have revolutionized daily life, significantly impacting ADLs and IADLs, as well as use of the hand and upper extremity. The primary objectives of this study are to (a) provide a formal goniometric description of mobile tech posture and (b) examine the prevalence of this sub-optimal posture among a group of graduate students.

Method: This study used a cross-sectional study design. Comprehensive goniometric measurements of the neck and upper extremity were taken with participants (N = 46) using their mobile devices while texting or using the Internet. Handheld usage data from the iPhone Screen Time …

Mapping Occupational Therapy Practice With Postsecondary Students: A Scoping Review, Karen M. Keptner, Karen Mccarthy

The Open Journal of Occupational Therapy

Background: Legislation supports a role for occupational therapy in postsecondary settings, but this area is not a common practice area and the practice area is not well understood. This scoping review maps current literature of occupational therapists working with students in postsecondary settings in order to inform future research and practice.

Method: After identifying included articles, a narrative description of the quantitative studies along with a concept map were completed. A qualitative thematic analysis of the articles was also conducted.

Results: Twenty-five articles met the inclusion criteria. Quantitative results describe occupational therapy services as both a direct …

Sensory Processing Patterns And Internalizing Behaviors In The Pediatric And Young Adult General Population: A Scoping Review, Kasey Kotsiris, Jennifer Westrick, Lauren Little

The Open Journal of Occupational Therapy

Background: While research has largely focused on the relationship between sensory processing patterns and internalizing behaviors (e.g., anxiety, depression) in children with autism spectrum disorder or attention deficit hyperactivity disorder, this relationship is not fully understood among the general population or across development.

Method: This scoping review addressed the following research question: How are sensory processing patterns associated with internalizing behaviors (e.g., anxiety, depression) among children with various conditions as well as typically developing children from birth to 22 years of age?

Results: Since 2005, n = 97 peer-reviewed articles have addressed this topic and were included …

Scoping Review Of Interventions To Promote Social Participation In Adolescents And Young Adults With Neurodisability, Conall O'Rourke, Mark Linden, Gary Bedell

The Open Journal of Occupational Therapy

Background: Social participation, described as taking part in, being involvement and engaged with, and doing or being with others, is an important health outcome. Adolescents and young adults with neurodisability are often restricted in their social participation, particularly if they experience social and executive functioning challenges. A scoping review was conducted to examine interventions aimed at improving social participation in adolescents and young adults with neurodisability characterized by these challenges.

Method: The scoping review included peer-reviewed empirical studies published from 1990 to 2016 that employed psychosocial interventions to improve social participation in young people 13 to 24 years …

Schizophrenia Spectrum Disorders: Linking Motor And Process Skills, Sensory Patterns, And Psychiatric Symptoms, Lola Halperin, Janet Falk-Kessler

The Open Journal of Occupational Therapy

Background: Consistent evidence suggests sensory abnormalities and skill deficits in people with Schizophrenia Spectrum Disorder (SSD). Further exploration of their sensory patterns and performance skills is warranted to promote community participation among these individuals.

Method: This study examined sensory patterns and motor and process skills in relationship to psychiatric symptoms in adult patients with SSD. Participants were evaluated using the Adolescent/Adult Sensory Profile, the Assessment of Motor and Process Skills, and the Brief Psychiatric Rating Scale.

Results: Of the 18 participants, the majority showed sensory differences, deficits in motor and process skills, and the presence of moderate …

State Of The Journal: 400,000 And Growing, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.

Temple Stay As Transformative Travel: An Experience Of The Buddhist Temple Stay Program In Korea, Susan L. Ross, Jungyun (Christine) Hur, Jamie Hoffman

Journal of Tourism Insights

The burgeoning tourism niche called temple stay, which originated in Korea, has been marketed to Koreans and internationals as a means for travelers to become immersed in cultural heritage, learn about Buddhism, and find one’s “true self” by spending a few days to a week as a guest in a living, operational Buddhist monastery. Although this tourism segment is gaining wide-spread appeal, the temple stay phenomenon has received relatively little scholarly attention outside of Korea. The handful of papers identified on the subject that are written in English, refer to this phenomenon as constituting various segments such as rural tourism, …

Task-Invariance And Reliability Of Anticipatory Postural Adjustments In Healthy Young Adults, Jo Armour Smith, Niklas König Ignasiak, Jesse V. Jacobs

Physical Therapy Faculty Articles and Research

Background

Anticipatory postural adjustments (APAs) occur in the trunk during tasks such as rapid limb movement and are impaired in individuals with musculoskeletal and neurological dysfunction. To understand APA impairment, it is important to first determine if APAs can be measured reliably and which characteristics of APAs are task-invariant.

Research question

What is the test-retest reliability of latency, amplitude and muscle activation patterns (synergies) of trunk APAs during arm-raise and leg-raise tasks, and to what extent are these APA characteristics invariant across tasks at the individual and group levels?

Methods

15 young adults (mean age: 23.7 (±3.2) years) performed six …

The Role Of Occupational Therapy For Homeless Women And Women At-Risk Of Homelessness, Kelcey Storkersen

Student Capstone Papers

This paper seeks to identify the occupational barriers and needs of homeless women and women at risk of homelessness. A qualitative research study was performed to learn more about the lived experience of two women at-risk of homelessness. Themes uncovered in this study are described in order to provide more understanding and advocacy for this population. A program proposal was delivered for future fieldwork students to provide occupational therapy students at this resource center.

Efficacy Of Osteoporosis Prevention Smartphone App, Polly Ryan, Roger L. Brown, Mary Ellen Csuka, Paula E. Papanek

Exercise Science Faculty Research and Publications

Background

The Striving to be Strong study tested the efficacy of a multifaceted, theory-based, complex osteoporosis prevention smartphone application (app). We hypothesized use of the app would improve bone mineral density and trabecular bone scores.

Methods

The study was a three-group, prospective, repeated-measure, longitudinal randomized trial. Baseline sample consisted of 290 healthy women between 40 and 60 years of age. Participants were randomly assigned to one of three groups: “Striving,” a dynamically tailored, person-centered app; “Boning Up,” a standardized osteoporosis-education e-book; and “Wait List,” a participant’s choice of intervention in the final 3 months of the 12-month study. Participants had …

The Managemed Screening As A Tool For Discharge Planning, Manpreet Nijjar

OT Student Capstones

The ManageMed Screen was used as a tool for discharge planning from a post-acute rehab setting to reduce readmission rates. The goal was to identify barriers to medication adherence. Medication adherence is best explained as the extent to which patients follow the given instructions for prescribed medication.

The Fostering Healthy Parents Program: A Specialized Program Developed For The Foster Care Community, Kelly Cregar

OT Student Capstones

Foster children and their caregivers are underrepresented and overlooked in many aspects of their care. Lack of resources and services leave them in the dark, both financially and medically, resulting in around a 50% guardian retention rate (National Council for Adoption, 2018). Constantly being uprooted and either placed in a new home or a group home, foster children rarely achieve a feeling of belonging, leading to a plethora of health problems (Fawley-King, Trask, Zhang, & Aarons, 2017). Occupational therapists have the potential to develop programs that encourage development and progression in this demographic, as well as programs that allow for …

The Perceived Benefits Of Counseling Provided To First Responders Through The Officer Craig Tiger Act, Matthew Wittwer

OT Student Capstones

Importance: Responding to traumatic incidents can cause negative effects on first responders mental and physical health. In 2018, Arizona passed the Officer Craig Tiger Act requiring state funded departments and agencies to provide sworn firefighters and police officers with 36 licensed counseling visits following a traumatic event. Objective: This cross-sectional study looks at the perceived benefits of the Act through the perspective of the first responders. Methods: A survey was completed by 65 first responders. The survey included the Quality of Life Scale (QOLS), the PTSD Checklist for DSM-5 (PCL-5), the Perceived Stress Scale (PSS), and a questioner to gather …

Neuropsychological Test Performance In Individuals With Persistent Post-Concussion Symptoms: A Data-Driven Method To Conceptualize Ot Cognitive Rehabilitation Toward Return-To-Work, Naomi Melendez

OT Student Capstones

Cognitive deficits, secondary to concussion, can impact return to work; people may be held from work due to symptoms. Common difficulties include trouble learning new tasks, or needing more time to perform job tasks. In 10-20% of cases, symptoms can persist for months, and are more likely to persist one year post-injury. Studies have examined cognitive performance after concussion with mixed results, warranting further research in cognitive deficits and cognitive rehabilitation. The OT scope of practice is inclusive of rehabilitation at the physical, cognitive, and affective domains; however, concussion cognitive rehabilitation services are under-represented in literature.

The purpose of this …