Occupational Therapy Commons^™

A Kinesio Tape ® Protocol To Improve Postural Stability And Mouth Closure For Feeding And Eating In Children With Cerebral Palsy, Ariana Naomi Valdez

UNLV Theses, Dissertations, Professional Papers, and Capstones

Kinesio tape ® (KT) has been used in the rehabilitation of children with cerebral palsy (CP) due to its ability to increase sensory input, normalize muscle tone, improve postural stability, and improve range of motion (ROM). KT can be applied and left on the skin for multiple days, allowing the tape to simulate the effects of manual therapy techniques outside of the outpatient setting. However, its use within occupational therapy (OT) to address the occupations of feeding and eating is limited, despite it being an effective treatment method when used in conjunction with traditional OT. Gaps in research limit occupational …

Neonatal Therapists' Perceptions Of Using Integrated Collaborative Care In The Neonatal Intensive Care Unit, Sarah J. Elkington

Open Access Theses & Dissertations

Occupational therapists (OTs), physical therapists (PTs), and speech-language pathologists (SLPs) who have advanced clinical knowledge in gestational and infant development can work in neonatal intensive care units (NICUs) as neonatal therapists (NTs). NTs apply their developmental expertise, therapeutic use of self, and client-centered training to create individualized goals for infants and families amid a complex, critical care medical setting. Each discipline (OT, PT, and SLP) brings a unique professional perspective and their own empirical knowledge to the NICU. Researchers have made efforts to capture work trends of NTs as they relate to direct patient care; however, researchers have also recognized …

Employment And Career Planning Opportunities For Young Adults With Disabilities: Advocating For Occupational Therapy, Ashley Jenkins, Keisa Boykin

Spring 2023 Virtual OTD Capstone Symposium

Problem: There is greater involvement of OT in transition planning services to provide a unique, client-centered perspective to enable greater engagement in meaningful employment opportunities

Purpose: The purpose of this capstone project is to advocate for the role of OT in employment-based training programs for young adults with disabilities following their transition out of high school.

Alzheimer's Dementia And Occupational Therapy, Sofia Demusaj, Averee Ortiz, Laura Swanson

Client Educational Handouts

This handout is an introduction to Alzheimer's dementia and the role that occupational therapy can have in the treatment of the disease. It contains facts, figures, signs, and symptoms of Alzheimer's dementia. It also contains examples of occupational therapy interventions and assessments for clients with Alzheimer's disease.

Hemiplegic Shoulder Pain Prevention: A Collaborative Approach With Nursing And Occupational Therapy In Acute Care, Ebonee V. Cole, Ms, Otr/L, Cbis

Post-Professional Occupational Therapy Doctorate Culminating Presentations

Introduction: Hemiplegic shoulder pain (HSP) is one of the most common and disabling complications of arm hemiplegia after stroke (Anwer & Alghadir, 2020), with a prevalence as high as 75% of strokes (Xie et al., 2021). HSP can develop as early as the second week (Praveen Raj et al., 2021), may continue several months after stroke in 65% of patients (Kumar, 2019), and is associated with reduced functional arm use (Kumar, 2019). Prevention is the ideal management strategy of HSP (K. Walsh, 2001). Implementing hemiplegic arm management techniques, such as positioning and handling, is key to preventing HSP. In the …

Ot Employment Program Addressing Homelessness For Women Experiencing Homelessness, Amber Hoffman, Susan Macdermott

Spring 2023 Virtual OTD Capstone Symposium

Women experiencing homelessness face many barriers to employment participation. Occupational therapy (OT) is a well-suited profession to address employment barriers; however, there is a lack of OT programs that address the unique barriers to employment participation for women experiencing homelessness. The purpose of the capstone project was to develop a program focused on employment obtainment and maintenance for women experiencing homelessness. The employment program was developed based upon the findings from an in-depth literature review and needs assessment.

The Home Modification Process Through The Lens Of An Ot, James C. Nichols

OTD Capstone Projects

This doctoral capstone project was completed through partnership with FiftyForward and The Home Connection. Both of the organizations serve as a resource for the aging in place population throughout Middle Tennessee. The focus of this project was to provide the OT perspective on the home modification project. Throughout this project, over 15 home evaluations were completed, 1 ramp was built, and 5 homes were modified for increased functionality. Additionally, the creation of systematic guide on how to prepare to age in place, and a 20 page comprehensive resource list was developed with active links to technology, adaptive equipment, DME, and …

Creation Of Occupational Therapy Treatment Protocols For Diagnoses Affecting The Upper Extremities, William Hughes

OTD Capstone Projects

This doctoral capstone project included creation of 20 conservative and post-surgical occupation-based and occupational therapy focused treatment protocols covering diagnoses affecting the upper extremities as well as a comprehensive protocol manual accompanied by a guide for use. This doctoral capstone poster contains a needs assessment, goals of the project, the protocols development process, the occupational therapy perspective, and examples of the protocols created.

Collaboration Between Occupational Therapists And Architects To Incorporate Universal Design To Increase Accessibility, Michelle C. L. Hoff, Susan Macdermott

Spring 2023 Virtual OTD Capstone Symposium

The design of the built environment plays a key role in occupational participation. When the built environment is poorly designed, it severely limits accessibility for an individual with a disability. In contrast, when the built environment is well designed, it can support the occupational performance of individuals of all ages and abilities. Interprofessional collaboration between occupational therapists and architects can improve environmental barriers to occupational participation within home and community settings. Interprofessional collaboration between occupational therapists and architects has involved direct input through consultations, interprofessional education experiences, and the formation of interprofessional organizations. However, barriers to interprofessional collaboration have included …

Occupational Therapy Services Has The Potential To Improve The Infertility Experience, Brittany J. Buck

MOT Student Capstones

Infertility has the potential to have a lasting impact on quality of life and well-being, which negatively impacts occupational roles and performance due to the demands required during this stressful life event. Based on the literature review, there is limited research on the impacts of occupational engagement, occupational roles, and performance in relation to the infertility experience. There ls also limited research on the role occupational therapy may provide and the services that may be implemented to improve quality of life. The purpose of the current study is to first determine the limitations in relation to occupations, occupational role and …

Disability Advocacy In Fashion Design, Erin Higinbotham, Susan Macdermott Otd, Otr/L

Spring 2023 Virtual OTD Capstone Symposium

Originally marketed towards older adults followed by children, adaptive fashion greatly impacts the everyday independence of all disabled people. Utilizing the Person-Environment-Occupation model and understanding the relationship between the disabled community, clothing, and occupational participation and again with the fashion company, the designer, and their fulfillment of a need or gap in accessibility lead to the purpose of this capstone of identifying occupational therapy’s role in designing ready-to-wear adaptive clothing through understanding and bridging the gaps in fashion education for designers. To address this, advocacy in education and educational materials were created to fill this gap and promote accessibility and …

An Online Adapted Yoga Program For Adults With Parkinson's Disease, Abby Hani, Mary Smith, Christienne Parten

Spring 2023 Virtual OTD Capstone Symposium

Background: Parkinson’s (PD) is a neurodegenerative disorder affecting nearly 10 million people and ~1 million Americans (Parkinson’s Foundation, 2022). PD affects motor and nonmotor functions, increasing disability over time (Dutta, 2020). Research shows that yoga improves motor function, balance, and functional mobility, reduces anxiety and depression, and increases QoL for patients with PD (Ban et al., 2021, Green et al., 2019).

Problem/Purpose: Individuals with PD experience decreased function in many areas of occupational performance and lack access to alternative options for yoga, such as a resource for an online adapted yoga program. The purpose of this project was …

Promoting Health Education And Wellness Among Clients Of Nurses For Newborns, Whitney Mitchell

OTD Capstone Projects

This doctoral capstone project was completed through a partnership with Nurses for Newborns, a nonprofit organization sending specially trained, registered nurses to the homes of babies, moms, caregivers, and teens who face medical, social, or environmental risks. Nurses for Newborns of Tennessee exists as a safety net for families most at-risk in order to prevent infant mortality, child abuse, and neglect by providing home nursing visits promoting healthcare, education, and positive parenting skills. This project was driven by the organization’s need to increase three areas: parent/caregiver participation in physical activity while also bonding with their child, parent/caregiver knowledge of activities …

Promoting Full Participation For Students Involved In Young Life Capernaum, Hannah Simmons

OTD Capstone Projects

This doctoral capstone project focused on creating educational tools and resources for students, leaders, and coaches involved in Nashville Young Life Capernaum. Young Life Capernaum is a longstanding organization that is built on serving young people with intellectual and developmental disabilities. The goal was not to change what they are doing but to supply practical skills and knowledge on topics such as self-regulation, behavior management, accommodations, and appropriate language use to increase participation and inclusivity of all stakeholders involved. The results were guidebooks, specifically made for Capernaum leaders, coaches, and students, that attempt to encompass common questions and frequently needed …

Effect Of Using A Daily Bladder Diary To Decrease Frequency Of Nocturnal Enuresis In Children, Julianne Vesely

MOT Student Capstones

Occupational therapy (OT) practitioners are skilled in identifying meaningful and purposeful activities to use and facilitate a client's independence in working towards their goals. A goal in which OT practitioners can work with pediatric clients towards is increasing bladder continence, especially at night. Children who have difficulty with bladder incontinence at night, also called nocturnal enuresis (NE), may demonstrate poor social skills and social participation, and decreased sensory registration. Occupational therapy practitioners can work with clients to increase independence towards bladder continence through focused intervention on sensory integration, social skills training, and the use of a daily bladder input/output diary …

The Effectiveness Of Using A Community-Based Yoga Program To Increase Feelings Of Inclusion In Adults With Intellectual Disabilities, Cynthia Schmidt

Post-Professional Occupational Therapy Doctorate - Innovations in OT Symposium: Transforming Possibilities into Practice

No abstract provided.

Mental Health Education For Acute Cardiac Patients, Allison Blackburn

Post-Professional Occupational Therapy Doctorate - Innovations in OT Symposium: Transforming Possibilities into Practice

No abstract provided.

Exploration Of Inclusivity And Accessibility Of Play Spaces And Miracle League Facilities, Anna Dyduch

OTD Capstone Projects

Throughout this capstone project, Anna Dyduch partnered with Miracle League facilities throughout North America to individually assess 300+ facilities for inclusivity standards based on updated best practice standards. Miracle League is an inclusive baseball program for children and adults with disabilities to promote community engagement and play. The focus of the project was to gauge inclusivity of all facilities to provide a database of how each facility scores; this will promote the highest standard of inclusivity for all upcoming Miracle League facilities to be built. Additional project activities included assessing local playgrounds and play spaces for ADA standard accessibility and …

Using The Kawa Model To Improve Teachers’ Social-Emotional Health, Amy Crosby

Post-Professional Occupational Therapy Doctorate - Innovations in OT Symposium: Transforming Possibilities into Practice

No abstract provided.

Implementing Occupational Therapy Principles Into A Lower Elementary Private School In Middle Tennessee, Alexandra Shea Katzman

OTD Capstone Projects

This doctoral capstone project was completed through partnership with Middle Tennessee Christian School in Murfreesboro, TN. The focus of this project was development, implementation, and advocacy regarding pivotal occupational therapy principals in a school that does not offer school OT services. The goal of this project was implementation of the Zones of Regulation curriculum into Kindergarten - 2nd grade classrooms as well as development of a fine motor skills resource guide for teachers and parents. Zones of Regulation training sessions consisted of identifying emotions, categorizing these emotions into Zones, and discussing regulation tools that drive self regulation. Fine motor resource …

Inclusive Unmounted Lesson Curriculum Development At Saddle Up!, Emily A. Wagstaff

OTD Capstone Projects

This capstone project was completed through a partnership with Saddle Up! in Franklin, TN. Saddle Up! provides adaptive riding lessons, therapy services, and equine-assisted learning opportunities for children with disabilities. The focus of this project was to develop an unmounted lesson curriculum that is adaptable for the wide variety of participants served by the organization. Other project activities included conducting movement assessments of equines to determine eligibility for therapy services, completing requirements for the PATH International Certified Therapeutic Riding Instructor (CTRI) certification, and providing staff with education and resources to assist children with various performance deficits.

Mental Health And Mindfulness: A Homeroom Curriculum At Benton Hall Academy, Kasey A. Rohleder

OTD Capstone Projects

This capstone project was completed through a partnership with Benton Hall Academy in Nashville, TN. This academy is a school for children who learn differently and works to help students be successful in their education and transition into the workplace or higher learning opportunities. This project focuses on improving the mental health of lower and middle school students through a 27 week homeroom curriculum teaching about mindfulness, social skills, attention, and emotional regulation. Current literature and materials, students needs, and stakeholder input was utilized to create and implement the project in the lower and middle school homeroom classrooms.

Positive Behavioral Supports And Sensory Experiences At Benton Hall Academy, Ania Spann

OTD Capstone Projects

This project was completed in partnership with Benton Hall Academy, a private institution located in Nashville, TN that provides a compassionate learning environment with individualized learning opportunities for children that learn differently. The focus of this capstone project was to enhance sensory experiences and implement positive behavioral intervention and supports. This was accomplished through providing an in-service presentation, providing resources, continuous communication with faculty and staff, and interaction with students.

Analysis Of Firefighters’ Psychological Trauma And Interrupted Domains, Alyssa Garcia, Pamela Kasyan-Howe, Kristin Domville, Kristian Llaca

Spring 2023 Virtual OTD Capstone Symposium

Firefighters are at a high risk of experiencing posttraumatic stress, anxiety, depression (Teoh et al., 2019), suicidality, substance abuse (Bing-Canar et al., 2019), and burnout (Teoh et al., 2019). Firefighters are regularly exposed to traumatic events on calls which results in their decreased mental health; and associated decreased participation in meaningful occupations, routines, and roles (Edgelow & Cramm, 2020; Edgelow et al., 2021; Wittwer et al., 2021). This project contains both research and a program. The purpose of this research was to understand how firefighter demographics interact with interrupted occupations, routines, and roles and at what frequency when faced with …

Occupational Therapy's Role In Relapse Prevention Within Substance Abuse Recovery, Kristy L. Riffe

MOT Student Capstones

The devastating rate of relapse continues to impact the roles, occupational participation, and occupational performance of individuals in recovery. The purpose of this capstone project was to positively impact local substance abuse recovery programs by increasing their knowledge and understanding of occupational therapy's (OT) role in relapse prevention within substance abuse recovery using an evidence-based educational in-service presentation. The educational in-service described OT, the common reasons for relapse, evidence-based statistics related to relapse, the effects that substance use has on occupational performance and participation, evidence-based OT interventions, and the benefits of OT in relapse prevention to improve the knowledge and …

An Occupational Therapy Approach To Promote Body Positivity In Middle School Aged Youth, Janis Galindez, Jazminne Orozco Arteaga

Spring 2023 Virtual OTD Capstone Symposium

Middle school aged children are in a vulnerable developmental period that pose challenges toward maintaining a positive body image. Consequently, body image can be a mental health concern that can lead to a decrease in occupational performance in education, leisure, and social participation.

School settings currently do not have the appropriate resources or mental health initiatives to address occupational performance problems related to body image with middle school aged youth. However, occupational therapists (OTs) have the potential to provide mental health services to address body image in school and community settings that promote skills needed for meaningful participation in education, …

Adaptive Sports Equipment: A Resource For Clinicians, Coaches, & Athletes, Allison Chown

Student Capstone Papers

Background: About 61 million adults who live in the United States (US) have a disability, which equates to about one in four adults in the US (Centers for Disease Control and Prevention [CDC], 2020). Unfortunately, only one out of every ten people who need assistive technology (AT) have access to the proper equipment, with lack of awareness of the devices being one of the causes (World Health Organization [WHO], 2018). It has been noted in literature that a lack of awareness exists amongst clinicians, coaches, & athletes regarding available adaptive equipment (AE) to support participation in adaptive sports ([AS] Bergem, …

Occupational Therapists’ Role In Educating Caregivers On Pediatric Sensory Interventions Guided By Neurodiversity Principles, Deanna Bourgeois

Student Capstone Papers

Background: Neurodivergent children often experience differences in sensory processing and self-regulation. Traditional sensory-based interventions are frequently used by occupational therapy practitioners (OTP) and caregivers to address dysregulation. However, sensory-based interventions, while often strengths-based, are not always neurodiversity-affirming.

Problem: There are minimal educational resources available to both OTP and caregivers that promote neurodiversity-affirming sensory interventions to support neurodivergent children.

Methods: The purpose of this project was to create self-paced educational modules to teach neurodiversity-affirming sensory interventions that promote children's self-regulation. To achieve this goal, the student investigator developed virtual educational modules and piloted them with OTP, occupational therapy …

An Occupational Therapy Approach To Play For Pediatric Cancer Patients, Michelle Erika Dytan, Karen Park

Spring 2023 Virtual OTD Capstone Symposium

Play as an occupation has been long identified as a primary aspect of a child’s life (Moore & Lynch, 2017). Play provides children with ways to explore the world while learning skills to improve critical thinking, creativity, and positive self-esteem, and simply to have fun (Guirguis, 2018; Yanof, 2019). Children with cancer face barriers that limit their ability to engage in play, with negative consequences to their social, cognitive, and emotional development (Nijhof et al., 2018). There is an evident gap in a lack of play opportunities in community-based settings, which may limit a child’s personal development, social skills, and …

Faculty Perceptions Of Health Professional Students’ Hybrid-Online Learning Strategies: A Multi-Center Qualitative Study, Evan M. Pucillo, Gabriela Perez, Leiselle Pilgrim

Health Professions Education

Purpose. The COVID-19 pandemic accelerated the utilization of hybrid-online and fully-online instruction in health professional education. Physical (PT) and occupational therapy (OT) programs have become increasingly reliant upon this mode of instruction. Therefore, it is important to understand advising strategies for this educational environment. Faculty advisors may endorse specific learning strategies over others. However, advising strategies of faculty are not well represented in the scientific literature. Methods. A qualitative phenomenological design used a six-item, open-ended questionnaire to purposefully survey faculty members teaching and advising students in hybrid-online PT and OT graduate programs during COVID-19. Dedoose® v.9.4 qualitative software (Los Angeles, …