Occupational Therapy Commons^™

Imitation In Fragile X Syndrome: Implications For Autism, Marta Macedoni-Luksic, Laura Greiss Hess, Sally J. Rogers, David Gosar, Kerrie Lemons-Chitwood, Randi Hagerman

Occupational Therapy | Faculty Scholarship

To address the specific impairment of imitation in autism, the imitation abilities of 22 children with fragile X syndrome (FXS) with and without autism were compared. Based on previous research, we predicted that children with FXS and autism would have significantly more difficulty with non-meaningful imitation tasks. After controlling for full-scale IQ and age, the groups did not differ in their overall imitation accuracy scores, but analysis of error patterns revealed that children with FXS and autism made more groping errors and additional movements than the comparison group. These error patterns are consistent with the hypothesis that an action production …

Observation Of Amounts Of Movement Practice Provided During Stroke Rehabilitation, Catherine E. Lang, Jillian R. Macdonald, Darcy S. Reisman, Lara Boyd, Teresa Jacobson Kimberley, Sheila M. Schindler-Ivens, T. George Hornby, Sandy A. Ross, Patricia L. Scheets

Physical Therapy Faculty Research and Publications

Objective

To investigate how much movement practice occurred during stroke rehabilitation, and what factors might influence doses of practice provided.

Design

Observational survey of stroke therapy sessions.

Setting

Seven inpatient and outpatient rehabilitation sites.

Participants

We observed a convenience sample of 312 physical and occupational therapy sessions for people with stroke.

Interventions

Not applicable.

Main Outcome Measures

We recorded numbers of repetitions in specific movement categories and data on potential modifying factors (patient age, side affected, time since stroke, FIM item scores, years of therapist experience). Descriptive statistics were used to characterize amounts of practice. Correlation and regression analyses were …

Development And Evaluation Of Health And Wellness Exhibits At The Jefferson Occupational Therapy Education Center In Second Life, Susan Toth-Cohen, Therese Gallagher

Department of Occupational Therapy Faculty Papers

Virtual worlds such as Second Life are increasingly used for consumer health and higher education. The present paper will describe the development and evaluation of public exhibits on health and wellness at the Jefferson occupational therapy education center in Second Life.

A Study Of The Effect Of Splinting On Pain During Tip Pinch For Osteoarthritis Of The First Carpometacarpal Joint, Leana Tank

Masters Theses

The following research project focused on the effect of a prefabricated neoprene first carpometacarpal splint on osteoarthritis pain with tip-pinch, strength measurements of tip-pinch and functional performance. The following questions were explored throughout this study:

1. There will be a significant decrease in mean pain levels when the subject’s hand is splinted as compared to mean pain levels when the hand is not splinted.

2. There will be a significant decrease in mean pain levels for the second session as compared to the first.

3. There will be a significant increase in mean tip pinch strength measurements when the subject’s …

Maturation Of Sensory Gating Performance In Children With And Without Sensory Processing Disorders, Patricia L. Davies, Wen-Pin Chang, William J. Gavin

Occupational Therapy Faculty Publications

Recent interest in sensory gating in children with and without neuropsychological disorders has resulted in a number of studies and the results regarding the developmental trajectory of sensory gating are inconsistent. We investigated the maturational course of sensory gating in samples of typically developing children and children with sensory processing deficits (SPD) and compared their performance to adults. Besides gating ratios, we also examined the brain responses to conditioning and test click stimuli in the sensory gating paradigm separately to clarify if the changes in click amplitudes could explain the maturational change in the T/C ratio in children. Eighteen adults …

Making The Connection: Creating Leaders In Research, Education, And Practice Through Doctoral Study In Occupational Science & Occupational Therapy, Carlin Lorena Daley, Courtney E. Daniels, Camille Marie Dieterle, Lisa D. Hickey, Karen Mccarthy, Elizabeth Pyatak, Tina C. Yang

Collected Faculty Scholarship

Current students and recent graduates of USC's OTD and PhD programs share innovative projects that address the Centennial Vision priority areas of practice. They share practical and creative strategies for bridging the gaps between research, education, and practice, and developing and implementing changes in a variety of practice settings.

The History, Development, And Purpose Of The Sensory Integration Global Network, Elizabeth Soechting, Tara J. Glennon, Heather Miller-Kuhaneck, Brian Erwin, Diana A. Henry, Colleen Basaraba, Zoe Mailloux, Susanne Smith Roley

Occupational Therapy Faculty Publications

The Sensory Integration Global Network (SIGN) is a Web-based resource developed by a loosely structured group of international volunteers dedicated to protecting the integrity and promoting the work of Ayres Sensory Integration® (ASI). SIGN provides an international resource to educate the public and professionals about A. Jean Ayres and sensory integration theory and practice to help them to discriminate between ASI and other interventions, especially those that use similar descriptors of improving sensory integration and sensory processing.

This article aims to increase awareness of the existence of SIGN within the readership of the American Occupational Therapy Association's (AOTA' s) Sensory …

Occupational Therapy Program 2009, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Motor Abilities Of Children Diagnosed With Fragile X Syndrome With And Without Autism, C. Zingerevich, L. G. Hess, K. Lemons Chitwood, S. W. Harris, D. Hessl, K. Cook, R. J. Hagerman

Collected Faculty Scholarship

Background—Previous studies suggested that children diagnosed with Fragile X Syndrome (FXS) often meet criteria for autism or PDD. This study describes the fine motor abilities of children diagnosed with FXS with and without autism spectrum disorder, and compares the motor scores of those groups controlling for cognitive level.

Method—Forty-eight children, ages 12-76 months (SD=16) diagnosed with FXS were assessed with the Mullen Scales of Early Learning, and the Autism Diagnostic Observation Schedule (ADOS). Their parents were interviewed with the Autism Diagnostic Interview-Revised (ADI-R). We used a one-way analysis of variance (ANOVA) to determine if the fine motor scale …

Handbook On Sensitive Practice For Health Care Practitioners: Lessons From Adult Survivors Of Childhood Sexual Abuse, Candice L. Schachter, Carol A. Stalker, Eli Teram, Gerri C. Lasiuk, Alanna Danilkewich

Lyle S. Hallman Social Work Faculty Publications

This handbook is the culmination of a multiphase, multidisciplinary research project that used grounded theory and participatory action research to illuminate ways that healthcare providers can work sensitively (in a trauma-informed way) with adult survivors of childhood sexual abuse.

The research identified nine Principles of Sensitive Practice: respect, rapport, taking time, sharing information and control, respecting boundaries, fostering mutual learning, understanding non-linear healing and demonstrating an understanding of trauma to patients. Specific guidelines were developed for a wide variety of issues pertinent to clinical practice such as, removal of clothing, touch, responding to disclosures of abuse, managing triggers among others. …

Custom-Made Helmet Fabrication For Occupational Therapists Treating Patients With Traumatic Brain Injury, Megan Schill, Michael Shae

Occupational Therapy Capstones

Soldiers within the Veteran's Administration who have sustained a traumatic brain injury (TBI) were the focus of this project. Reports showed a growing number of soldiers have returned from Iraq with head injuries, including cranial and brain defects (Defense and Veterans Brain Injury Center, 2007). Symptoms individuals with TBI commonly exhibit include dizziness, balance problems, sleep problems, excessive fatigue, headaches, and difficulties with cognitive processes. Other symptoms associated with a TBI are blurred vision, ringing in the ears, and bad tastes in the mouth (National Institute of Neurological Disorders and Stroke, 2007). The purpose of this project was to develop …

A Narrative Analysis Of The Experiences Of Living With Hiv For Heterosexual Men, Tanya Millard

Theses : Honours

The number of heterosexual men presenting with Human Immunodeficiency Virus (HIV) is steadily increasing in Australia. A paucity of literature currently exists surrounding the experience of living with HIV for heterosexual men, with most information targeted towards gay men, injecting drug users (IDUs) and women. This narrative literature review examines the body of knowledge concerning the experiences of heterosexual men living with HIV. The findings of this review indicate that for heterosexual men, HIV significantly impacts on their physical, psychological and social well being. In particular, they struggle with social and intimate relationships, negotiating disclosure, managing their stigmatised identity, and …

Balancing Multiple Roles: A Pilot Study Exploring The Complexity Of Role Balance In Working Mothers With Primary School Aged Children, Katherine Prince

Theses : Honours

For working mothers, maintaining a balance between work and parenting roles is a challenge. Each role presents its own set of physical, mental and temporal demands which frequently compete for the limited personal and environmental resources available to the mother. These competing demands can create conflict and stress, which prompts a coping response. The coping response initiated is a physiological reaction to the mother's appraisal of her situational conflict, and follows a process of appraisal. Firstly the working mother appraises the conflict itself. This is followed by the appraisal of the personal and environmental resources, constraints and demands. Finally, a …

At Options With Children With Autism, Melissa Stevens, Megan Neppl

Occupational Therapy Capstones

According to information from the Center for Disease Control Prevention (2007) it is estimated that autism affects 1 in 150 births. The Autism Society of America (2007) reports that the prevalence of autism is expected to increase by 10-17 % per year. It has been shown through research that assistive technology can benefit or increase performance in children with autism spectrum disorder. It also can address performance areas limited in children with autism, such as communication, cognition, self-care, leisure, social/play, productivity, and sensorimotor (Reed, 2002). Assistive technology can aid these children in various contexts such as school, home, and play. …

Occupational Therapy: A Vital Link To Transition Success Of High School Students, Ann B. Disilvestro

Occupational Therapy Capstones

Occupational therapists have engaged in school-based therapy practice since the 1970's when the Education for the Handicapped Act (EHA) was enacted to provide a free public education for students with disabilities in the least restrictive environment. Since law mandated related services, occupational therapists have the opportunity to service students in all grade levels. However, over the course of time, most therapists gravitated toward servicing the student under the age of twelve. As a result, few therapists have devoted their full attention to meeting all the challenges of secondary level students with disabilities, especially for transitioning of students into the community. …

A Cognitive Behavioral Approach To Occupational Therapy Hippothearpy [I.E.., Hippotherapy] For Children And Adolescents With Mood Disorders, Abby Heaton, Krista Tangen

Occupational Therapy Capstones

Children and adolescents are increasingly being identified with mood disorders. A growing concern is that children and adolescents are not afforded a wide range of interventions to address the symptoms of mental illness. Cognitive behavioral therapy (CBT) has been identified as a useful treatment method for mood disorders. Hippotherapy has also been utilized in the treatment of mental illness. A literature review was conducted to explore the therapeutic benefits of cognitive behavioral therapy and hippotherapy for children and adolescents diagnosed with mood disorders. Although CBT has been recognized as useful, CBT methods applied to hippotherapy in occupational therapy does not …

A Team Approach To Cortical Visual Impairment (Cvi) In Schools, Donna Shaman

Occupational Therapy Capstones

Cortical visual impairment (CVI) is presently the fastest growing cause of visual impairment in children. The influx of children with CVI entering school districts requires Individualized Education Program (IEP) teams to gain expertise about CVI and learn best practices to work with these children. CVI experts agree that a collaborative transdisciplinary team can best serve the complex needs of the children. Written by an occupational therapist, this project designs a CVI manual, A Team Approach to CVI in Schools, which reviews current literature and provides support for client centered, occupational based education for children with CVI. The literature review points …

Sensory Processing Disorder: Raising Awareness, Stephanie Thomas, Karla Emmerich

Occupational Therapy Capstones

It is estimated by Miller (2006) that 1 in 20 children are impacted by Sensory Processing Disorders (SPDs). The Individuals with Disabilities Education Act of 1990 is legislation that places families at the core of the intervention process and acknowledges the importance and the influence families have on a child's development (Cohn, Miller, & Tickle-Degnen, 2000). Cohn et al. stress family-centered practices require therapists to understand and listen to the hopes and outcomes that are most important for the children's families. At STRIDE Learning Center, a developmental preschool in Cheyenne, Wyoming, parents and teachers have requested more information on Sensory …

Ot Cultural Competence Website, Kelly Bjoralt, Kristy Henson

Occupational Therapy Capstones

Cultural competence, in health care, is becoming increasingly important as minority populations continue to grow in the United States. Although it is clear that cultural sensitive, client-centered care directly effects treatment outcomes, students and clinicians may not know where or how to access cultural resources. Culturally competent care is vital to the field of occupational therapy as client-centered care is viewed as a means of providing the best outcomes and quality of care.

A literature review was conducted to identify current cultural resources available. Based on the findings, an adult learning theory was used in conjunction with effective website design …

An Occupational Therapist's Manual For Animal Assisted Therapy With Emotionally Distrubed Adolescents, Ann Marie. Bilek, Hannah Osborne

Occupational Therapy Capstones

According to the comprehensive literature review, animals are currently being used as an effective tool during therapy and have been reported to promote improvement with communication, behaviors, quality of life, and self esteem of different treatment populations. Since emotionally disturbed adolescents often lack appropriate skills in the areas of communication, social interactions, self-esteem, independence, and boundaries, it can be challenging for occupational therapists to provide opportunities for development of these skills. Animal assisted therapy may be a tool that can assist in bridging the gap between the adult therapist and emotionally disturbed adolescents and provide a medium to promote skill …

An Occupational Therapists' Guide To Guillain-Barré Syndrome, Kelsey Hewitt, Stephanie White

Occupational Therapy Capstones

Guillain-Barre syndrome (GBS) is a rare polyneuropathy that affects 2,720 people per year in the United States (NIH, The National Women’s Health Centre, 2004). Guillain-Barre syndrome has a rapid onset that causes the patient to lose sensation and muscle strength within 48-72 hours. This project provides a resource for occupational therapists treating Guillain-Barre Syndrome (GBS) to access information regarding the etiology, incidence/prognosis, assessments, and course of medical treatment. The Occupational Adaptation model serves as a foundation for treatment of the product-a guide for occupational therapy intervention. Interventions are organized to be compatible with the Occupational Therapy Practice Framework (American Occupational …

Preterm Infants With Gastroesophageal Reflux Disorder: An Intervention Handbook For Paretns [I.E. Parents], Melissa Cramer

Occupational Therapy Capstones

One of the problems that health care workers practicing in the neonatal intensive care unit (NICU) face is providing care that is individualized to each infant and his/her family, being supportive to the infant during their development and to parental roles, and being sensitive to the needs of each infant and his/her parents and family (Lawhon, 2002). There is an additional challenge when the infant is also diagnosed with gastroesophageal reflux (GERD). Parents are often the primary caregivers and advocates for their infant in the NICU; for this reason, it is important that they understand and take part in their …

Gaining Cultural Competency For The Occupational Therapy Student & Clinician On The Lesbian, Gay, Bisexual & Transgender (Lgbt) Population, Lindsey Belzer, Jessa Hulteng

Occupational Therapy Capstones

When considering cultural groups, people in the lesbian, gay, bisexual, and transgender (LGBT) population are rarely considered or discussed as a cultural group. For many people, discussion about the LGBT community and sexuality is uncomfortable or often deemed private in order to avoid discussion. Therapists often state "well it's none of my business," but as Harrison (2001) states, it is our job as health professionals to provide therapy settings that are safe for all individuals to openly express themselves. The challenge that arises is in developing a greater understanding around sexual differences in order to be able to provide quality …

A Protocol For Occupational Therapy Involvement In The Response To Intervention Model, Nicole Bolinger

Occupational Therapy Capstones

In order to provide effective occupational therapy services to children within the school-based practice setting, it is important to be knowledgeable regarding the current theories and educational models which drive the educational system. Also, it is imperative that school-based occupational therapy practitioners understand the educational models and how they may impact the way occupational therapists deliver services. Chandler (2007) states, "an initiative is gathering momentum that has the potential to significantly change the way occupational therapists practice in the public school" (p. 7). Occupational therapy may have an opportunity to expand their services through a model called Response to Intervention. …

A Reference Tool For Occupational Therapists To Utilize When Planning Occupation-Based Interventions Using Animal-Assisted Therapy, Jennifer L. Hamre, Kathryn E. Nagorka

Occupational Therapy Capstones

The purpose of this scholarly project was to develop a reference tool for occupational therapists to implement an animal-assisted therapy (AAT) program utilizing small animals in preparatory, purposeful, and occupation-based interventions. A thorough literature review was completed using PubMed, CINAHL, EBSCO, and OT Search to gain a comprehensive understanding of the current uses for small animals in a variety of settings. Cumulative resources included books, journal articles, editorials, magazines, and electronic organizational resources. Upon completion of a review of literature, we determined animals may be a beneficial modality and serve as an alternative mode of treatment to utilize with other …

Sexualtiy [Sexuality] Resource For Caregivers Of Adolescents With Down Syndrome, Katie Carlson, Karna Plaine

Occupational Therapy Capstones

The purpose of the scholarly project was to develop a comprehensive sexuality communication tool for developmentally delayed individuals, facilitating problem identification, mutual goal setting, and development of a consistent approach to sexuality intervention across the home and school contexts. The Youth Sexuality Index (YSI) was developed following a thorough literature review of sexuality, sex education, developmental delays, and Down syndrome-related topics. Following the review of literature, the need was identified for a sexuality communication tool for individuals with developmental and cognitive delays. Healthy sexuality is necessary for one to develop self-esteem and experience meaningful relationships. However, lack of communication and …

Bridging Job Skills To The Future For Students With Disabilities, Trista Aaberg, Jessica Mcwilliams

Occupational Therapy Capstones

It is estimated that 83% of students, who received special education services, are unemployed following graduation (White & Weiner, 2004). The problem is that often there is no training program to assist the job coaches in the evaluation process to create a successful fit between the student and the job placement. The literature supports the creation of a protocol and training program to address the needs identified of the student.

This scholarly project focuses on the Natrona Country School District in Casper, Wyoming which has implemented the Kelly Walsh Work Study Program. A review of the program's needs assessment and …

Incorporating American Sign Language (Asl) Into Ot: A Clinician's Manual And Workshop, Kristin Pfeifer-Fylling

Occupational Therapy Capstones

The purpose of this scholarly project is to educate occupational therapists on American Sign Language (ASL) to enhance communication when working with Deaf individuals. Currently, in the United States, 12% of the population has trouble with their hearing, ranging from small auditory deficiencies to complete deafness. Many of these individuals communicate by using ASL which is now the 3rd most commonly used primary language in the United States (Barnett, 2002). In addition, Deaf individuals are found to have more difficulty with activities of daily living (ADLs) which may indicate more involvement with ~T. Because most healthcare workers OTs are not …

Inservice For Individuals Working Or Caring For People With Low Vision, Tara Lee, Haylee Volesky

Occupational Therapy Capstones

Throughout the United States, low vision affects more than 3 million Americans 40 years of age and older (Rosenberg & Sperazza, 2008). As the population continues to age, more individuals will be moving to some form of either assisted living care or long-term care, which will increase the number of individuals with visual impairment living in such situations and requiring appropriate services. An individual with low vision typically has a decreased ability to function in daily life with a considerable impact upon functional decline in performance (Haymes, Johnston, & Heyes, 2002; Horowitz, 1994). Difficulties occur in everyday activities such as …

Occupational Therapy For Client Empowerment In End-Of-Life Care, Emily Johnson, Sarah Landsem

Occupational Therapy Capstones

Purpose: To enable clients in end-of-life care (EOLC ) the opportunity to continue engaging in meaningful activities throughout their remaining days to increase QoL and experience a "good death."

Methods: To complete our Scholarly Project we conducted a literature review using PubMed, CINAHL, OTsearch, and AOTA publications search engines. We also conducted an informal information session with local hospice staff and from this information we chose model/theory to guide product development.

Results: Upon completion of the literature review, we found the following problems existed in regard to utilization of Occupational Therapy in end-of-life care setting; 1) hospice care team members …