Rehabilitation and Therapy Commons^™

Use Of A Logic Model To Develop An Innovative Hand Therapy Clinic To Provide Experiential Learning For Occupational Therapy Students, Rose Mcandrew, Vicki Kaskutas

Journal of Occupational Therapy Education

Occupational therapy (OT) students seek experiential learning opportunities to help them construct knowledge and meaning. Student clinics are increasing in prevalence as an effective means to engage in experiential learning. The student experiential learning clinic for hand therapy (SELC-HT) is a newly opened student clinic providing OT to under-insured individuals with upper extremity impairments. The SELC-HT used the student run free clinic (SRFC) logic model to systematically plan, implement, and evaluate its effectiveness. Planning started with evaluating the need and the context of the SELC-HT, allowing developers to state the long-term impacts of preparing students for future clinical practice, reintegrating …

Community Teaching Experience: A Description Of The Development And Design Of A Unique Teaching Experience For Occupational Therapy Doctoral Students, Laura E. Landon, Christine Berg, Sara S. Ulfers

Journal of Occupational Therapy Education

Entry-level occupational therapy doctorate (OTD) students receive education and training to interpret and disseminate evidenced-based literature. However, these students are often missing the clinical experience to identify clinically relevant questions that impact occupational outcomes. Conversely, occupational therapy practitioners have the clinical experience to determine clinically appropriate questions but often encounter time, budget, and setting constraints on researching and learning up-to-date evidence-based practice assessment and intervention techniques. The purpose of this paper is to describe the development and design of an exploratory educational project in which OTD students utilized clinically relevant questions identified by local occupational therapy practitioners to disseminate evidence-based …

Seltec: Service And Experiential Learning Through Engagement In The Community: A Level I Fieldwork Model: Part 1, Andrea B. Brown, Amanda J. Mohler

Journal of Occupational Therapy Education

Securing effective and quality fieldwork experiences is an area of concern in occupational therapy education. Academic Fieldwork Coordinators and occupational therapy programs are looking for new models and innovative methods of instruction to provide fieldwork experiences to students. A team of occupational therapy faculty developed and implemented an innovative Level I fieldwork model called Service and Experiential Learning Through Engagement in the Community (SELTEC). The model incorporates service and experiential learning while engaging the occupational therapy program and faculty educators in the community. The SELTEC model utilizes the student, educational system, and community to promote a service relationship to provide …

Representation Of Theory In Occupational Therapy Education: An International Systematic Mapping Review, 1940-2015, Rachel Heeb, Barb Hooper, Steven D. Taff

Journal of Occupational Therapy Education

Previous review research has outlined the state of various aspects of occupational therapy education. No reviews, however, have examined how theory, specifically, is represented in educational scholarship. This systematic mapping review explored the way in which theory, as it relates to both occupational therapy practice and pedagogy, has been discussed throughout occupational therapy education scholarship. In the education scholarship, theory pertaining to occupational therapy practice often overlaps with theory pertaining to pedagogy; therefore, both domains were included in the review. A systematic search for occupational therapy education literature published between 1940 and 2015 resulted in 9765 unique citations, 556 of …

Critical Thinking In Occupational Therapy Education: A Systematic Mapping Review, Jennifer S. Pitonyak, Sarah Nielsen, Shirley P. O'Brien, Cecille Corsilles-Sy, Devon Olson Lambert, Lynn E. Jaffe

Journal of Occupational Therapy Education

Critical thinking is a component of occupational therapy education that is often intertwined with professional reasoning, even though it is a distinct construct. While other professions have focused on describing and studying the disciplinary-specific importance of critical thinking, the small body of literature in occupational therapy education on critical thinking has not been systematically analyzed. Therefore, a systematic mapping review was conducted to examine, describe, and map existing scholarly work about critical thinking in occupational therapy education. Inclusion/exclusion criteria were set, database searches conducted, and 63 articles identified that met criteria for full review based on their abstracts. Thirty-five articles …

The Positive Impact Of Occupational Therapy Involvement In Interprofessional Education, Wendie Leveille, James Brandes, Karene Boos, Amy Vega, Barbra Beck, Barbara Ruggeri, Thomas E. St. George, Jane Hopp

Journal of Occupational Therapy Education

It is essential that members of a successful interprofessional healthcare delivery team understand the crucial roles and responsibilities of each profession. Participation in interprofessional education and practice has been suggested to improve understanding of the roles of each discipline on an allied health team, however, often understanding of the occupational therapy scope of practice is confusing to other allied health professionals. This study presents the outcomes of a community-based interprofessional practice experience with occupational therapy, physical therapy, and physician assistant students on perceived understanding of each profession’s roles and responsibilities. In addition, this study introduces the Primary Care Training and …

A Comparison Of Modified Team-Based Learning And Lecture-Based Instruction In Occupational Therapy Education, Paul Bonzani, Vanessa D. Jewell, Barbara P. White

Journal of Occupational Therapy Education

This study explored the comparative effectiveness of team-based learning and lecture-based instruction in consecutive cohorts of occupational therapy students. Further, the study explored student perceptions of team-based learning. The mixed method study employed a two-group, quasi-experimental design and a broad qualitative design using thematic analysis with a convenience sample of consecutive occupational therapy student cohorts (N=70, N=62) in a human movement class. Cohort A (N=70) received instruction using a lecture-based instruction (LBI) approach and individual assessment. Cohort B (N=62) received modified team-based learning (TBL). Mid-term, final examination, and final course grades were compared. Thematic analysis was employed to assess student …

Student Perspectives Of The Effective Behaviors Of Occupational Therapy Level Ii Fieldwork Educators, Leah S. Dunn, Stephanie Arias, Alexa Beyer, Elizabeth Hermes, Sydney Radcliff

Journal of Occupational Therapy Education

Occupational therapy students complete a period of clinical education, when they apply academic learning in clinical situations, supervised by a fieldwork educator. Fieldwork education supports the student in developing technical and clinical reasoning skills, engaging in evidence-based practice, and socialization to the profession. Despite the key role fieldwork educators play in occupational therapy student professional and skill development, evaluation of educator skills and the fieldwork experience are slight. This descriptive study explored occupational therapy fieldwork educator behaviors to determine those behaviors indicative of a quality experience from the student perspective, using the Clinical Teaching Effectiveness Inventory (CTEI). Student responses identified …

Knowledge And Perceived Barriers Of Ot Students In The Transition Planning Process: A Pilot Study, Patrick A. Leytham, Robyn Otty

Journal of Occupational Therapy Education

The involvement of related service personnel (such as occupational therapists) in the transition planning process for children with disabilities has consistently been reported as low. The purpose for this pilot study was to (a) compare Masters-level occupational therapy student knowledge of transition-related terminology to practicing therapists and (b) determine what perceived barriers students have as it relates to transition planning. A one-shot case study design was used to collect data. Occupational therapy students participated in a one-hour lecture on transition planning and a three-hour lab wherein they learned how to administer transition planning inventories. Afterwards, they completed a brief survey …

Development, Implementation And Evaluation Of Entry-Level Occupational Therapy Doctoral Capstones: A National Survey, Erika Kemp, Anna Domina, Theresa Delbert, Andrew Rivera, Lydia Navarro-Walker

Journal of Occupational Therapy Education

Entry-level clinical doctorate degrees are becoming more prevalent in the United States for occupational therapy. As indicated by the Accreditation Council for Occupational Therapy Education® standards, the doctoral capstone is an essential component to the entry-level doctorate degree. Despite the importance of the doctoral capstone, there have been limited publications about doctoral capstone development, implementation, and evaluation. A retrospective review was completed on qualitative descriptive data from a national electronic survey of entry-level occupational therapy doctoral (EL-OTD) programs regarding implementation of the doctoral capstone experience and project. Fifteen EL-OTD programs responded to the survey. Based on results, there was not …

Retrospective Analysis Of Graduates’ Outcomes In A Post-Professional Occupational Therapy Doctorate Program, Nichole Morrow, Barbara Townsend, Vanessa D. Jewell, Angela Bahle-Lampe, Yongyue Qi

Journal of Occupational Therapy Education

There are limited studies within occupational therapy literature assessing the outcomes of advanced degrees. Specifically, there is a scarcity of literature about the benefits of completing a post-professional occupational therapy doctorate (POTD) program. The purpose of this study was to retrospectively examine graduates’ professional and personal outcomes at a midwestern university with an established POTD program. A total of 64 graduate exit surveys completed by POTD graduates between the years of 2008 and 2017 were analyzed using a mixed methods research design. Emergent categories from the data included a greater sense of self-empowerment and confidence, expanded career opportunities, and increased …

Qualitative Analysis Of Occupational Therapists’ Reflective Notes On Practicing Their Skills In Building And Maintaining Therapeutic Relationships, Farzaneh Yazdani, Amy Stringer, Laya Nobakht, Tore Bonsaksen, Kellie Tune

Journal of Occupational Therapy Education

Previous research has shown that occupational therapists have increased their self-efficacy for using self intentionally in therapeutic encounters. However, experiences related to such changes have not yet been explored. The authors developed a therapeutic use-of-self training workshop to support the confidence and competence of practicing occupational therapists in using the Intentional Relationship Model and possibly enhancing their self-efficacy for therapeutic use-of-self. The purpose of the study was to explore the experiences of practicing occupational therapists in transferring learning from a training workshop focused on the therapeutic use-of-self into real world practice. Thirteen occupational therapists participated in the workshop and subsequently …

Creating And Sharing Digital Instructional Activities: A Practical Tutorial, Stephanie L. Mattson, Thomas S. Higbee, Juliana Aguilar, Beverly Nichols, Vincent E. Campbell, Lyndsay D. Nix, Kassidy S. Reinert, Sara Peck, Kylee Lewis

Special Education and Rehabilitation Counseling Faculty Publications

BCBAs may encounter situations, such as the current COVID-19 pandemic, that preclude them from providing traditional in-person ABA services to clients. When conditions prevent BCBAs and behavior technicians from working directly with clients, digital instructional activities designed by BCBAs and delivered via a computer or tablet may be a viable substitute. Google applications, including Google Slides, Google Forms, and Google Classroom, can be particularly useful for creating and sharing digital instructional activities. In the current paper, we provide task analyses for utilizing basic Google Slides functions, developing independent instructional activities, developing caregiver-supported instructional activities, and sharing activities with clients and …

The Purpose Of Capstone In An Entry-Level Clinical Doctorate: A Scoping Review, Nancy E. Krusen, Anne Murphy-Hagan, Sarah Foidel

Journal of Occupational Therapy Education

This scoping review examined outcomes of capstones in relation to entry-level doctoral education programs within the health professions. Aims of the study included mapping existing evidence related to capstone across entry-level clinical doctorates; investigating the purpose of capstones within health professions education; and identifying future research initiatives. Researchers applied and reported via the PRISMA Extension for Scoping Reviews systematic approach, and Best Evidence Medical Education global scale. The study indicated a gap in existing literature. Few health professions described requirements for capstones as part of an entry-level doctorate. Reviewed articles offered no consistent definition, intent, process, or outcome for capstones. …

Blood Flow Restriction Training For The Rotator Cuff: A Randomized Controlled Trial, Jason Brumitt, Marcey Keefer Hutchison, Daniel Kang, Zach Klemmer, Mike Stroud, Edward Cheng, Neil Patrick Cayanan, Sheldon Shishido

Faculty Publications - College of Physical Therapy

Context: Blood flow restriction (BFR) training utilizes a tourniquet, applied to the proximal portion of one or more extremities, to occlude blood flow during exercise. Significant gains in strength and cross-sectional area can be achieved in muscles, both distal and proximal to BFR cuff application. Purpose: To compare strength gains of the rotator cuff and changes in tendon size in subjects who performed side-lying external-rotation exercise with or without BFR. Methods: Forty-six subjects (mean age 25.0 [2.2] y) were randomized to either a BFR + exercise group or to the exercise-only group. Subjects performed 4 sets of the exercise (30/15/15/15 …

Is There A Difference In Outcomes Between Patients Who Received A Double Or Triple Arthrodesis For Hindfoot Arthritis?, Amanda H. Holleran, Judith F. Baumhauer, Jeff Houck, Daniel Homeier, Adolph S. Flemister, John P. Ketz, Benedict F. Digiovanni, Irvin Oh

Faculty Publications - College of Physical Therapy

Introduction/Purpose: Triple arthrodesis has historically been considered the standard of treatment for arthritis of the hindfoot with or without deformity. The complications of this surgery including non-union, malunion, nerve injury, infection and wound healing problems can occur at any of the three joints. Double arthrodesis is capable of producing a similar reduction in degrees of motion and correction of foot deformity but may also cause less patient morbidity in regard to these complications due to one less joint being incorporated into the fusion procedure. What is unknown is the patient reported outcomes, specifically physical function (PF) and pain interference (PI) …

Operative Intervention Does Not Change Pain Perception In Patients With Diabetic Foot Ulcers, Olivia V. Waldman, Stephanie P. Hao, Jeff R. Houck, Nicolette J. Lee, Judith F. Baumhauer, Irvin Oh

Faculty Publications - College of Physical Therapy

Researchers investigated pain perception in patients with diabetic foot ulcers (DFUs) by analyzing pre- and postoperative physical function (PF), pain interference (PI), and depression domains of the Patient-Reported Outcome Measurement Information System (PROMIS). They hypothesized that 1) because of painful diabetic peripheral neuropathy (DPN), a majority of patients with DFUs would have high PROMIS PI scores unchanged by operative intervention, and 2) the initially assessed PI, PF, and depression levels would be correlated with final outcomes. Seventy-five percent of patients with DFUs reported pain, most likely because of painful DPN. Those who reported high PI and low PF were likely …

Occupational Therapy Students’ Self-Efficacy For Therapeutic Use Of Self: Development And Associated Factors, Chia-Wei Fan, Tove Carstensen, Milada C. Småstuen, Farzaneh Yazdani, Brian Ellingham, Tore Bonsaksen

Journal of Occupational Therapy Education

Occupational therapy students need to develop self-efficacy for therapeutic use of self in practice. This longitudinal study examined Norwegian occupational therapy students’ self-efficacy for therapeutic use of self over a 16-month period and investigated predictors of their end-point self-efficacy. One hundred and eleven students from two universities completed a self-efficacy questionnaire related to the use of self after a workshop, and at 3-month, 10-month, and 16-month follow-up. The students’ self-efficacy development was analyzed with linear mixed effect models, while factors associated with self-efficacy were investigated with linear regressions. The students from both universities showed a linear increase in self-efficacy for …

Encountering Grief: Exploring The Value Of Art Therapy For Bereaved Adults, Paul Moynihan

Theses

This extended literature review explores the value of art therapy interventions for bereaved adults, with a particular emphasis on its application for individuals with histories of insecure attachment. A review of literature in the areas of bereavement and attachment considers how attachment insecurities present as a risk factor for complications in the grieving process with a subsequent focus on the implications for therapeutic intervention. A review of literature in art therapy, related areas of psychoanalysis and creativity aims to highlight the distinct value that art therapy could offer this particular subgroup of bereaved adults in adapting to grief. An incorporation …

An International Fieldwork Placement: A Mixed Methods Study, Dianna Lunsford, Kristin A. Valdes

Journal of Occupational Therapy Education

The purpose of this study was to evaluate the impact of an international fieldwork placement on occupational therapy doctoral (OTD) students’ cultural competence, community engagement, and ethical leadership. This study used a mixed methods approach. The Public Affairs Scale (PAS) was used to gather pre and post placement data on cultural competence, community engagement, and ethical leadership. Qualitative data was themed from a reflection paper along with researcher field notes from a fieldwork placement to Ibarra, Ecuador. Eleven OTD students participated in the study. The study demonstrated a convergence of the data in the area of cultural competence and responsiveness. …

Comparison Of The Accuracy To Predict Falls Of The Figure Of 8 Walk Test With And Without Dual-Task In Older Adults, Tidarat Nualyong

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: The figure of eight walk test (F8W) is a measurement tool that examines the ability to walk on a curved path. Adding secondary tasks to the F8W test may increase its ability to predict falls in older adults. This research aimed 1.) to examine the accuracy of the F8W test and the F8W test with dual-tasking for predicting future falls in older adults; 2.) to investigate the reliability and the concurrent validity of the F8W test with and without dual-task in older adults. Methods: Eighty older adults between the ages of 60 and 80 were recruited. At the beginning …

Effect Of The Robotic-Assisted Gait Training Device (Welwalk®) Plus Physiotherapy In Improving The Ambulatory Function In Sub-Acute Hemiplegic Stroke Patients: Assessor-Blinded, Randomized Controlled Trial, Natapatchakrid Thimabut

Chulalongkorn University Theses and Dissertations (Chula ETD)

Over the last decades, the effectiveness of robot-assisted gait training devices has been extensively studied. Welwalk® has been developed to support ambulatory functions in stroke patients based on motor learning theory. Objective: To investigate the effects of Welwalk® plus physiotherapy versus physiotherapy alone, in improving ambulatory function in subacute stroke patients with hemiplegia. Methods: The study was an assessor-blinded, randomized controlled trial. Twenty-six subacute stroke patients with hemiplegia were randomized and allocated into either the Welwalk group or control. All patients received 30 training sessions (5 days/week for six weeks) which included standard physiotherapy treatment (60 min) and ambulation training …

Development Of A Device To Alert For Breaks To Prevent Musculoskeletal Disorders In The Neck And Low Back Among Office Workers, Pooriput Waongenngarm

Chulalongkorn University Theses and Dissertations (Chula ETD)

The objective of this thesis was to develop a device to alert for breaks to prevent musculoskeletal disorders in the neck and low back among office workers. This thesis was divided into four stages: 1) systematically review to gain insights into the effectiveness of breaks on low back pain, discomfort, and work productivity in office workers; 2) evaluation of the characteristics of perceived discomfort and postural shifts during a 4-hour sitting period; 3) evaluation of the effects of a device to alert for active breaks on preventing neck and low back pain among office workers: 6- and 12-month follow-up; and …

The Effect Of Intermittent Theta Burst Stimulation On Biceps Corticomotor Excitability In Non-Impaired Individuals And Individuals With Tetraplegia, Blaize Majdic

Theses and Dissertations

Neuromodulation of the primary motor cortex (M1) in pair with physical therapy may be a promising method for improving motor outcomes after spinal cord injury (SCI). Increased excitability of the corticospinal motor pathways (i.e. corticomotor excitability) has shown to be associated with improved motor learning and skill acquisition. Intermittent theta burst stimulation (iTBS) is a form of non-invasive brain stimulation which can increase corticomotor excitability, as measured by an increase in the amplitude of motor evoked potentials (MEPs). However, the ability for iTBS to increase the corticomotor excitability of proximal muscles such as the biceps, and muscles affected by spinal …

The Impact Of Occupational Therapy Acute Care Services On Readmission Rates For Patients In Medicare’S Hospital Readmission Reduction Program, Jessica M. Edelstein

Theses and Dissertations

The United States (US) health care system is faced with the daunting challenge to make healthcare payments commensurate with quality of care provided. To assess quality, metrics for reimbursement have been established by Medicare. One such quality metric is hospital readmissions (readmissions). Readmissions are associated with poor patient outcomes and costly. Associated poor patient outcomes include higher risk for mortality, deconditioning, nutritional issues and cognitive impairments. As a result, readmissions cost Medicare $26 billion annually. Current strategies for reducing readmissions in the US are fragmented and hospital-specific. While specific strategies may vary, hospitals that have low readmissions rates tend to …

Differential Effects Of Reduced Foot Sole Sensitivity And Nerve Conduction Velocity On Postural Control And Functional Gait, Kelsey D. Lewis

College of Graduate Studies: Theses & Dissertations

INTRODUCTION: Peripheral neuropathy is characterized by a loss of foot sole sensitivity and slowed nerve conduction velocity. Individuals with peripheral neuropathy have decreased postural control ability and functional gait performance. No research was found that differentiated the effects of the main symptoms of peripheral neuropathy on postural control and functional gait. PURPOSE: The purpose of this study was to assess the differential effects of reduced foot sole sensitivity and slowed nerve conduction velocity on postural control and functional gait. METHODS: Two main clinical symptoms, H-index and foot sole sensitivity were evaluated among 35 participants. Outcome variables are the center of …

Understanding The Occupational Therapy Perspective Of Working With The Homeless Population: Self-Care Interventions, Marisa Leigh Sparbanie

Online Theses and Dissertations

Successful interventions, focused on self-care, have been implemented by occupational therapists in homeless populations. Yet, no study has attempted to explore experiences of occupational therapists implementing self-care interventions. This qualitative, descriptive study sought to understand the experience of occupational therapy practitioners implementing self-care interventions for individuals experiencing homelessness. The interventions took place in various healthcare practice settings. Four participants, recruited through purposive sampling, engaged in semi-structured interviews pertaining to their experiences. The interviews were transcribed and coded using an emergent approach. Three major themes emerged from the data, including experiences in different settings, client-centered care, and institutional barriers and supports.

A Phenomenological Study Of The Impact Of Stroke On Marriage: Life Satisfaction And Occupational Performance In Daily Life, Melissa Arwood

Online Theses and Dissertations

Introduction: Following a stroke, an individual may experience physical, cognitive, and emotional changes. For individuals in a marital relationship, the spouse’s life is also impacted post-stroke. The majority of current literature regarding the impact of stroke on marriage focuses on one spouse. This study sought to address this gap by exploring the impact of stroke on the marital dyad.

Method: A qualitative, phenomenological approach was used for this study. Semi-structured phone interviews were conducted. The interviews were transcribed verbatim and analyzed using Colaizzi’s method as explained by Shosha (2012).

Findings: Four couples, eight participants were included in this study. One …

Living With A Chronic Condition: Perspectives Of College Students At A Public Institution Of Higher Education, Kelley Lynn Harlan

Online Theses and Dissertations

Chronic conditions are ongoing, have a pattern of recurrence or deterioration, and produce consequences impacting an individual’s quality of life. An estimated 164 million Americans are expected to be affected by chronic conditions by the year 2025 (Partnership to Fight Chronic Disease, 2016). College students with chronic conditions face unique challenges making it difficult to succeed in traditional degree programs due to unpredictable shifts in wellness. The purpose of this qualitative research was to discover the lived experience of college students with chronic conditions. Eight adult, full-time, traditional university students with chronic conditions were recruited and participated in a one-time, …

Experience Of Play Participation And Use Of Lower Extremity Orthoses In Children With Cerebral Palsy: Case Study, Lakyn Elizabeth Jolly-Burchell

Online Theses and Dissertations

This case study sought to understand the experience of a single family of a child with cerebral palsy (CP) using lower extremity orthoses (LEOs) in natural play contexts. CP is the most commonly occurring motor disability in childhood. Associated with CP, impairments in functional mobility, spasticity, varying degrees of muscle tone, ROM, and impaired gross and fine motor control are barriers to meaningful play experiences in this population. LEOs are widely prescribed devices for children with CP, used as walking aids and to improve/offset some of these performance deficits and body structures. Although, the true efficacy of LEOs is yet …