Occupational Therapy Commons^™

Therapeutic Management Of A Patient With Necrotizing Fasciitis Resulting In Quadrilateral Amputation And Critical Illness Myopathy In The Intensive Care Setting: A Case Report., Mallory A. Kargela, Annette J. Siebens

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this case is to illustrate the best available evidence to provide early therapeutic intervention for a critically ill patient presenting with cardiovascular and pulmonary complications due to multi-system compromise. Case Description: A 19-year-old male was admitted to the hospital with the diagnosis of necrotizing fasciitis and necrotizing pneumonia. He experienced numerous additional medical complications ultimately leading to tracheostomy, delirium, critical illness myopathy, and quadrilateral amputation secondary to necrotizing fasciitis and critical limb ischemia following prolonged veno-venous extracorporeal membrane oxygenation (VV-ECMO). Outcomes: Patient was discharged to an outside rehabilitation hospital after 103 days in the acute setting …

An Introduction To Interprofessional Education For First Semester Doctoral Occupational Therapy And Physical Therapy Students, Suzanne Trojanowski, Jillian Woodworth, Anna Rose Wiencek, Amy Yorke

Internet Journal of Allied Health Sciences and Practice

Purpose: Interprofessional education (IPE) engages health care professional students in order to develop the knowledge, skills, and attitudes required of a health care practitioner. IPE can be challenging to execute; however, exposing students early in their professional education in IPE has positive results. Occupational therapy (OT) and physical therapy (PT) are health care professions who commonly work with each other. The purpose of this study is to describe the process and outcomes of implementing an IPE experience with first year doctoral OT (OTD) and PT (DPT) students completed within the first six weeks of the first semester of their respective …

Factors Impacting Student Success In A Graduate Neuroscience Course, Cassie A. Baus, Dianna Lunsford, Kristin A. Valdes

Journal of Occupational Therapy Education

The purpose of this study was to investigate the perceived factors that occupational and physical therapy graduate students believed led to success in a clinical neuroscience course. A cross-sectional survey design was utilized from a convenience sample of Occupational Therapy Doctorate (OTD) and Doctor of Physical Therapy (DPT) students. There were 76 (42%) responses collected, comprised of 62 (82%) OTD students and 14 (18%) DPT students. Descriptive statistics were used to analyze all survey results. Results indicated that success in a graduate neuroscience course may be supported with prior science coursework. Success in a graduate neuroscience course may be supported …

Diagnostic Accuracy Of Mcmurry’S Test In The Diagnosis Of Meniscal Tears, Jessica Smyth, Hartwell Rainey

Physician Assistant Capstones, 2020-current

No abstract provided.

Functional Performance In People With Parkinson’S Disease: Lsvt Big For Life®, Mark Blanchard, Barbara Doucet, Cassidy Perilloux, Tamara Marchetta, Darian Price, Ashley Pattison, Galla Bonanni, Baily Amedee

Journal of Interprofessional Practice and Collaboration

This study aimed to observe the effects that an LSVT BIG for LIFE^® program had on functional performance and overall health related quality of life. Method. Seven participants with Parkinson’s disease participated in onsite LSVT BIG for LIFE sessions throughout a 40-week program. Each session included the completion of seven LSVT BIG^® exercises, one functional component task (sit to stand), a mindfulness activity, and a functional activity. Seven standardized assessments including the Box and Blocks Test (BBT), Falls Efficacy Scale (FES), Parkinson’s Disease Questionnaire-39 (PDQ-39), Patient Specific Functional Scale (PSFS), Physical Performance Test (PPT), Timed Up and Go …

Une Revue Des Méthodes D’Évaluation De La Rentabilité De La Prévention Des Lésions Professionnelles, Martin Lebeau

Rapports de recherche scientifique

Les lésions professionnelles entraînent des coûts élevés qui sont assumés par l’ensemble des acteurs économiques de la société (travailleurs, employeurs, assureurs, collectivité). L’investissement dans la prévention des lésions professionnelles peut permettre d’en réduire l’ampleur. Toutefois, l’investissement en vaut-il toujours le coût? Et comment peut-on estimer la rentabilité d’un investissement en prévention?

Cette étude s’inscrit dans la volonté institutionnelle de développer des connaissances et des outils en lien avec le calcul de la rentabilité des investissements en prévention des lésions professionnelles dans les entreprises.

Une recension des plus récentes études sur le sujet, publiées entre 1995 et 2017, a permis de …

Giving Credence To The Experience Of X-Linked Hypophosphatemia In Adulthood: An Interprofessional Mixed-Methods Study, Melissa Hughes, Carolyn Macica, Catherine Meriano, Maya Doyle

Journal of Patient-Centered Research and Reviews

Purpose: X-linked hypophosphatemia (XLH) is a rare X-linked dominant metabolic bone disease, often diagnosed in childhood but causing increasing physical debilitation and pain in adulthood. Physical comorbidities of XLH in adulthood include pervasive and early-onset degenerative arthritis, mineralizing enthesophytes and osteophytes, osteomalacia and pseudofracture, dental abscesses, and hearing loss.

Methods: This mixed-methods analysis included physical findings, diagnostic imaging, occupational and physical therapy assessments, and semi-structured interviews by social work to understand the functional outcomes and lived experience of XLH in adulthood, through connections between qualitative data obtained by social work and occupational therapy with the quantitative findings from other disciplines. …

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 …

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, …

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 …

Creating Evidence-Based Practitioners: Bridging The Gap Between The Classroom And Clinic, Carolyn J. Murphy, Patti T. Calk

Journal of Interprofessional Practice and Collaboration

Occupational therapy (OT) academia is responsible for educating students about evidence-based practice (EBP). Unfortunately, students rarely see the connection between academic assignments related to research and application in clinical practice. Academicians need to explore instructional methods to help students bridge the gap between the classroom and being able to apply them in a clinical setting. Stube and Jedlicka (2007) noted that teaching strategies and methods that incorporate what students perceive as being clinically relevant promotes learning and utilization of evidence into practice. The purpose of this paper is to report the outcomes related to combining the concepts of problem-based learning …

Learning Strategies And Academic Difficulty In Physical And Occupational Therapy Online Education, Evan M. Pucillo, Erica J. Kiernan

Physical Therapy Collection

The purpose of this study was to explore the Learning and Study Strategies Inventory (LASSI) in relation to hybrid-online clinical neuroscience course outcomes in occupational therapy (OT) and physical therapy (PT) students. OT and PT students self-administered the LASSI during the Spring of 2019. N=34 students (14 OT; 20 PT) completed the LASSI. The scales of Information Processing (r = -0.43; p

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 …

Combined Effects Of Telehealth And Modified Constraint-Induced Movement Therapy For Individuals With Chronic Hemiparesis, Mary Ann Smith, Machiko R. Tomita

Occupational Therapy Collection

Telehealth use allows improved access to services and results in potential cost savings. The purpose of this study was to examine the effectiveness of a combined modified Constrained Induced Movement Therapy (mCIMT) program using telehealth and in-person sessions, for participants with higher (Group 1) and lower (Group 2) functional ability of the hemiparetic upper extremity. Using a pre-experimental design with a 6-week intervention, 28 participants were assessed twice on use of upper extremity via subjective and objective measures. For the Motor Activity Log, the amount of use and quality of use were significant for Groups 1 and 2. Significant improvements …

The Effects Of Virtual Reality In The Treatment Of Stroke Patients, Melissa Schoettle

Capstone Showcase

The Effects of Virtual Reality in the Treatment of Stroke Patients

Stroke patients face many challenges on their road to recovery. Patients may lose motor function, speech abilities, and other important cognitive functions. They go through various forms of therapy to help rehabilitate them and improve their cognition, including physical, occupational, and speech therapy. Physical therapy helps improve motor function and muscle control, occupational therapy improves those skills needed for success in work and life, and speech therapy helps patients recover the ability to speak and the cognitive processes to think and form words and sentences. While these therapies are …

Comparing Moral Reasoning Across Graduate Occupational And Physical Therapy Students And Practitioners, Brenda S. Howard, Cheyenne Kern, Olivia Milliner, Lindsey Newhart, Sarah K. Burke

Journal of Occupational Therapy Education

Practicing clinicians must use moral reasoning to solve ethical problems and combat moral distress. Development of moral reasoning in occupational therapy (OT) and physical therapy (PT) students has been significantly under researched. The purpose of this study was to analyze the differences in moral reasoning between first year and second year OT and PT students and between students and OT and PT practitioners. Investigators utilized a cross-sectional study design with a convenience sample of University of Indianapolis OT and PT students and a combination of convenience and snowball sampling to recruit licensed OT and PT practitioners. One hundred and fifty-four …

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 …

Relationship Of Demographic Characteristics Of Occupational And Physical Therapists Towards Their Knowledge And Attitude On Person-Centered Care In Skilled Nursing Facilities, Sadashiv R. Aggarwal

Theses and Dissertations

The study aimed to assess the relationship of specific demographic characteristics of occupational (OTs) and physical therapists (PTs) with their knowledge and attitudes towards principles of Person-Centered Care (PCC) in skilled nursing facilities (SNFs). The study further examined if knowledge and/or attitudinal differences exist between OTs and PTs towards PCC. The proposed descriptive study used the Person-Centered Care theory, which is a holistic (bio-psychosocial-spiritual) health care delivery approach. PCC delivers services that are respectful and individualized, allowing negotiation of care, and offering choice through a therapeutic relationship where persons receiving care are empowered to be involved in health decisions at …

Learning Strategies And Academic Difficulty In Occupational And Physical Therapy Online Education, Evan M. Pucillo, Erica Kiernan, Mary P. Shotwell, Jackie Crossen-Sills

Journal of Occupational Therapy Education

As occupational therapy (OT) and physical therapy (PT) programs expand across the United States to address a shortage in the health workforce there is a limited understanding of the relationship between learning strategies and academic success in these professions. The purpose of this study was to explore the Learning and Study Strategies Inventory (LASSI) in relation to hybrid-online clinical neuroscience course outcomes in OT and PT students. Thirty-four students (n=14 OT; n=20 PT) self-administered the LASSI during the spring of 2019. The scales of Information Processing (r = -0.43; p<0.01), Self-Testing (r = -0.36; p<0.05), and Test Strategies (r = 0.32; p<0.05) displayed modest statistically significant relationships to final neuroscience grade and cumulative professional grade point average (r = -0.43; p<0.01), (r = -0.30; p<0.05), (r = 0.29; p<0.05), respectively. Some scales of the LASSI appeared to be modestly related to academic difficulty in this sample, however scales were not significantly related to academic achievement. Students who scored highly on the LASSI scale of Test Strategies tended to have higher course performance compared to their peers. Students who rely on certain learning strategies may be at risk for academic difficulty in hybrid-online coursework. Those who scored highly on the LASSI scales of Information Processing and Self-testing tended to have lower course performance compared to their peers. The LASSI may provide OT and PT students a better understanding of learning and study strategies that are related to academic difficulty in online learning.

Educational Impact On Therapists’ Knowledge, Beliefs, And Actions: A Pilot Study, Elena Wong Espiritu, Natalie N. Michaels, Steven Busby

Internet Journal of Allied Health Sciences and Practice

ABSTRACT

Purpose: Collaborative goal setting has been shown to be an effective way to promote client engagement leading to improved outcomes; however, healthcare professionals face challenges when implementing collaborative goal setting into their clinical practice. The purpose of this study was to evaluate the effectiveness of educational workshops to 1) increase a therapist’s knowledge of motivational interviewing and action planning, 2) promote collaboration between therapists and their patients/clients, 3) promote collaboration between therapists and their interdisciplinary team and 4) increase the ease of implementation of motivational interviewing and action planning skills into a therapist’s clinical practice. Method: A mixed-methods design …

A Pilot Study Exploring The Impact Of Interprofessional Simulation On Role Clarity And Student Readiness For Collaborative Clinical Practice, Shira Schecter Weiner, Laura Hagan, Julie F. Kardachi

Internet Journal of Allied Health Sciences and Practice

Purpose: Interprofessional collaboration is recognized as a healthcare practice paradigm that may decrease overall costs and minimize errors. Yet it remains common for practitioners to provide care within silos, inadequately considering the impact of their decisions on other providers and overall costs, which ultimately may negatively impact the patient. Integrating interprofessional collaboration in school curricula can establish the importance of this approach to healthcare. For optimal efficacy, every professional in the healthcare team must recognize their unique role and the roles of others, to allow for seamless interprofessional collaboration. Simulation is a teaching tool that provides students with the opportunity …

An Exploratory Study Of The Perceptions Of Footwear For Individuals Who Use Lower Limb Orthotics, Margaret E. Gegen, Teresa Plummer, Nancy Darr

Internet Journal of Allied Health Sciences and Practice

The purpose of this study was to explore individual’s perceptions of orthotics and footwear. A survey was created by the authors with the expert opinions of physical and occupational therapists and was distributed to two therapy clinics in Tennessee that provide both occupational therapy and physical therapy as well as on several online support groups. Seventy-nine (79) caregivers completed surveys. Thematic analysis was performed using Nvivo 10 (QSR International) and descriptive statistics were generated using the Statistical Package for the Social Sciences (SPSS) IBM International). Ninety percent (90%) of participants report that orthotics affect what type of shoes the user …

Weight-Bearing Interventions To Decrease Spasticity And Improve Gait In Stroke Patients: A Case Report, Melin Nguyen, Shelby Peterson, Jessika Sun, Irene Taing, Faris Alshammari

San Marcos, Fall 2019

The purpose of this case report was to determine the success of weight-bearing interventions on spasticity reduction and improved gait patterns in a 61 year-old-male patient recovering from a chronic left hemorrhagic CVA. The patient’s primary impairments included right upper and lower extremity spasticity, circumduction gait, weakness and decreased range of motion of right extremities.

The interventions included in this patient’s treatment program included standing calf stretches, toe raises, ankle range of motion and gait training for 1 hour once a week for 4 weeks. This case report supports the application of weight-bearing through the paretic limb, which has been …

Use Of Standardized Assessments And Online Resources In Stroke Rehabilitation, Susan H. Lin, Pamela R. Bosch, Veronica T. Rowe, Susan E. Fasoli, Jeanne Langan

The Open Journal of Occupational Therapy

Background: The extent to which movement-related standardized assessments and online resources are used in stroke rehabilitation is unclear in the United States.

Method: The researchers used a cross-sectional descriptive survey that examined (a) therapists use of movement-related standardized assessments, (b) factors influencing learning of new assessments, and (c) use of frequency of online resources by occupational therapists and physical therapists in the United States.

Results: Of 151 respondents (46.4% occupational therapists, 53.6% physical therapists), the most frequently used movement-related assessments by occupational and physical therapists were the Berg and Fugl-Meyer Assessment, respectively. More physical therapists use motor-related …

Bringing Upstairs Care Downstairs; Integration Of Rehabilitation Medicine, Care Management, And The Hospital Elder Life Program (Help) Into An Emergency Department., Robert Anderson, Molly Anderson, Rhonda Babine, Farid Feghali, Elizabeth Dunstan, Matthew Glazer, Susan Horton, Stephanie O'Brien, Elizabeth Pontius, David Smith, Megan Viens, Heather Williams

Journal of Maine Medical Center

Introduction: Services such as physical therapy (PT), occupational therapy (OT), speech-language pathology (SLP), social work (SW), care management, and elder life specialists have long been an established part of care for patients admitted to Maine Medical Center (MMC) but not for patients in the Emergency Department (ED). Methods and Results: Driven in part by changes in Medicare reimbursement models, care management established a presence in the Emergency Department (ED) in 2003 with a focus on care planning and cost avoidance. In recent years PT, OT, SLP, SW, and the Hospital Elder Life Program (HELP) have increased their ED involvement substantially. …

Analysis Of Injuries And Costs Of Public Safety Occupations: A Systematic Review, Jade Witmer

Graduate Theses

Public safety occupations, such as firefighters and law enforcement, perform physically demanding tasks in unpredictable environments with additional external loads putting them at risk for sustaining a musculoskeletal injury while on duty. The goal of this systematic review was to address the incidence of musculoskeletal injuries and costs related to those in the public safety occupations of firefighting and law enforcement.

Executive Function And Motor Skills In Preschool Children, Meggin Kelley

Undergraduate Distinction Papers

The purpose of the present study was to examine the effects of a short-term motor program on the executive function and motor skills in preschool children utilizing a Pretest and Post test design. The present study was designed with two periods of program intervention- once in the fall and once in the spring. It was hypothesized that a 10-week motor intervention would demonstrate positive motor and executive function gains in the experimental (motor) group. Children ranging from 4 to 6 years of age participated in this study. Baseline motor and executive function scores were obtained during the Pretest phase. Subsequently, …

Effects Of Sleep Hygiene In The Hospital, Tina Bhakta, Paxton Arsenault, Maya Ahluwalia, Rachel Coats

Occupational Therapy Student Research Posters

Research poster by UNE Occupational Therapy and Physical Therapy students investigating the definition of and recommendations for good sleep hygiene, the limitations of the hospital setting on attainment of sleep hygiene, and the benefits of sleep hygiene for hospital patients.