Occupational Therapy Commons^™

The Impact Of Patient Characteristics On Dysphagia Therapy Utilization And Feeding Outcomes For Premature Infants In The Neonatal Intensive Care Unit, Tiana Nguyen

Theses and Dissertations

Medical advances have significantly increased the survival rates of preterm infants at lower gestational ages. However, infants born at lower gestational ages have an increased risk for developmental disabilities and oral feeding difficulties. A stay in the neonatal intensive care unit (NICU) is very costly and inadequate oral feeding is the most common barrier to discharge for premature infants. Infants can receive dysphagia therapy services during their NICU stay that focuses on the development of oral feeding and swallowing skills. However, literature to this date has mainly focused on the impact of therapy services for premature infants after NICU discharge. …

Les Facteurs Qui Influencent L'Émergence D'Un Sentiment D'Injustice Suite À Un Accident Du Travail, Michael J. L. Sullivan, Manon Truchon, Pierre Coté, Marie Achille

Rapports de recherche scientifique

De nombreuses études ont rapporté que des niveaux élevés de sentiment d’injustice sont associés à un rétablissement problématique chez les personnes souffrant d’un large éventail de problèmes débilitants de santé et de santé mentale. On en sait peu actuellement sur les facteurs déterminants du sentiment d’injustice dans les suites immédiates d’un accident du travail, ou sur les facteurs déterminants des changements dans le sentiment d’injustice.

L’objectif principal de cette recherche était d’identifier les déterminants du sentiment d’injustice dans les premières semaines suivant un accident du travail. L’échantillon de participants comprenait 187 personnes (92 hommes et 95 femmes) ayant subi une …

Three-Dimensional Motion Analysis For Occupational Therapy Upper Extremity Assessment And Rehabilitation: A Scoping Review, Stephen W. Hill, Samantha Mong, Quyen Vo

The Open Journal of Occupational Therapy

Background: Three-dimensional (3D) human motion analysis provides objective, quantitative, and reliable kinematic data that are valuable in rehabilitation. Clinicians, including occupational therapists and other specialists, can apply this technology to quantify patients’ upper extremity (UE) motion during functional tasks. A better comprehension of altered body mechanics serves to guide clinical reasoning, develop evidence-based interventions, and monitor patients’ progress through follow-up. However, the scientific literature has yet to emphasize the practicality of using 3D motion analysis as a clinical measurement tool.

Method: This scoping review appraised 20 articles that used 3D motion analysis to quantify UE movements for individuals …

Occupational Therapists And Covid-19 Pandemic: An Observational Survey In Europe, Christian Pozzi, Alessandro Lanzoni, Pier Carlo Battain, Evelyn Alvarez, Eduardo Tobar, Ruth Hersche, Stefano Cavalli, Anna Monsò, Eva Llarch, Giuseppe Bellelli, Alessandro Morandi, Maud Graff

The Open Journal of Occupational Therapy

Background: The COVID-19 pandemic has resulted in a health care emergency in Europe since the first wave in 2020. Several challenges have arisen for occupational therapists, as well as all the health care professionals. The aim of this study was to determine what occupational therapists have changed to adapt their therapeutic processes for this catastrophic situation.

Method: An online survey was developed and sent in conjunction with the Council of Occupational Therapy for European Countries (COTEC) to European national associations of occupational therapists.

Results: The study was based on a sample of 65 occupational therapists who worked …

Narrative Review - Optimal Occupational Therapy Experience, Kaylee G. Clay

Honors College Theses

This narrative review examines factors associated with optimal occupational therapy experiences, including patient perspectives of occupational therapy, cost-effectiveness, use of practices, organization, and patient involvement/experiences. The information found within this review provides information to those interested in creating the most optimal experiences for their occupational therapy patients.

Improving Participation In Therapy Sessions When Adults With Physical Impairments Play Video Games, Lorna Leigh Rogers

Occupational Therapy Doctoral Capstones

Active video games (AVGs) were initially created for younger audiences to promote active play in a home environment using gaming consoles. The healthcare field has found AVGs to be an engaging new platform for all ages. AVGs in treatment interventions have become increasingly popular in rehabilitation practice settings over the years (Levac et al., 2018). With over 40 million adults experiencing physical impairments, therapeutic gaming may provide innovative interventions that implement motivation and physical function for the adult population (CDC, 2018). The purpose of the Doctoral Capstone project was to develop a resource, the Nintendo Wii Program Manual, to help …

The Experience Of Meditation, And Its Effects On Attention, For Adults With Stroke Or Attention Deficit Hyperactivity Disorder: A Three-Part Dissertation With Qualitative And Quantitative Evidence, Cheryl Carrico

Theses and Dissertations--Rehabilitation Sciences

Impairment of attention is common after stroke; is a defining characteristic of attention deficit hyperactivity disorder (ADHD); and has been shown to correlate significantly with difficulties in daily life for individuals with these conditions. More research is needed to establish effective interventions addressing impaired attention in such cases. Meditation is not a standard-of-care intervention for this purpose but may have therapeutic potential. Meditation has been broadly defined as an activity which has self-regulation of attention as its main aim. In other words, it can be considered a training of attention. To shed light on the therapeutic potential of meditation, including …

An Occupational Therapy Life Skills Community Reintegration Program For Individuals Recovering From Substance Use Disorder, Hope Smith

Occupational Therapy Doctoral Capstones

Substance use recovery is a lifelong journey that is difficult to endure. According to the National Institute on Drug Abuse (2020), 40 60% of people with a substance use disorder (SUD) will relapse following a period of sobriety. Within the SUD recovery process, rehabilitation has a primary focus on treatment approaches that lack the component of community reintegration skills needed for sustained sobriety. The primary approaches include the AA 12 step program, counseling techniques, methadone maintenance, and cognitive retraining (Sullivan & Fleming, 2008). Bleiler (2021) suggests that “treatment of SUDs may increase in effectiveness and efficacy when approached through the …

Élaboration Du Contenu D’Un Site Web Portant Sur L’Incapacité Et Le Retour Au Travail, Christian Larivière, Iuliana Nastasia, Marc Corbière, Manon Truchon, Daniel Côté, Annie Mathieu, Clermont Dionne, Andrea Gragnano, Patrizia Villotti, Alessia Negrini, André Bussières, Marc-Antoine Busque, Martin Lebeau, Marie-France Coutu

Rapports de recherche scientifique

Le corpus de connaissances portant sur l’incapacité au travail est exhaustif et ne cesse de croître. Toutefois, l’appropriation des connaissances par les différents acteurs de la réadaptation et du retour au travail (RT) n’est pas optimale. Une étape essentielle pour faciliter le transfert de ces connaissances est l’accès rapide à de l’information probante et pertinente, centralisée par l’intermédiaire d’un site Web. À notre connaissance, aucune ressource électronique de ce type n’est accessible, sans frais, aux acteurs du Québec. Afin de pallier cette lacune, cette initiative vise à rassembler l’information scientifiquement valide (données probantes) sur l’incapacité au travail et le RT …

Coaching In Context, M.-C. Potvin, M. J. Mulcahey, N. Gerhardt

Department of Occupational Therapy Faculty Papers

Coaching in Context (CinC) is a conversation-based approach intended to foster clients’ goal attainment through coach-facilitated self-discovery of insights and solutions. Anchored in positive psychology, Coaching in Context situates clients as resourceful experts, and builds upon clients’ strengths to promote awareness and insights about factors that potentially impact their goals, and to strengthen problem-solving skills that are solution-focused. CinC conversations are contextualized by lived environments and requirements for competent and satisfying life roles.

A Qualitative Study Investigating Stroke Survivors’ Perceptions Of Their Psychosocial Needs Being Met During Rehabilitation, Robin A. Wenzel, Emily A. Zgoda, Mia C. St. Clair, Lisa J. Knecht-Sabres

The Open Journal of Occupational Therapy

Background: Depression and anxiety can negatively impact one’s recovery, outcomes, and quality of life. Even though therapists consider the mental health needs of their clients to be a priority, they are dissatisfied with their ability to completely address these needs. The purpose of this study was to examine the client’s perspective regarding the extent to which health care professionals addressed their psychosocial needs after a stroke.

Method: A phenomenological research design was used to collect data from six participants. Interviews and focus group were audiotaped, transcribed verbatim, and thematically analyzed. Member checks, peer-review, multiple coders, triangulation, and expert …

Traitement De L’Épicondylose Latérale Chronique Du Coude : Essai Clinique Randomisé À Simple Insu Évaluant L’Efficacité De La Fenestration Écho-Guidée Et Celle De La Chirurgie Par Approche Ouverte, Nathalie J. Bureau, Patrice Tétreault, François Desmeules, Guy Cloutier, Manon Choinière

Rapports de recherche scientifique

L’épicondylose latérale du coude, communément appelée « épicondylite » ou tennis elbow, est un syndrome douloureux et incapacitant. L’épicondylose est particulièrement fréquente dans la population en âge de travailler et touche autant les hommes que les femmes. Dans certains secteurs d’emploi, l’épicondylose peut affecter un travailleur sur cinq.

Cette pathologie est favorisée par une surutilisation du poignet et de l’avant-bras. Malgré les avancées de la médecine moderne, le traitement de l’épicondylose du coude demeure bien souvent un défi thérapeutique. Plusieurs types de traitement sont proposés. Aucun consensus ni modèle de prise en charge standardisé n’existe. Les coûts directs de …

Aquatic Therapy For Subacute Stroke Patients, Meaghan Buchanan

MOT Student Capstones

Stroke is one of the leading causes of disability in the U.S. affecting patients physically and psychologically. A stroke can lead to significant functional deficits, depending on the location of the stroke, and level of rehabilitation. Currently, no rehabilitation protocol exists for stroke patients and often patients reach a plateau during treatment, without reaching their full potential, and with continued deficits that affect functional mobility. Interventions provided in an aquatic environment can promote continued therapeutic outcomes, not possible with land-based therapy. The purpose of this paper is to showcase aquatic therapy as a viable therapeutic intervention and to provide a …

Development Of Clinical Practice Guidelines For Chemotherapy-Induced Peripheral Neuropathy Rehabilitation, Rikki Silver

OT Student Capstones

In the past four decades, there have been significant improvements in early cancer detection and efficacy of cancer treatments, resulting in a growing number of cancer survivors. People diagnosed with cancer are now living longer than ever before; while lifespan after cancer is increasing, cancer survivors are experiencing health and functional challenges due to the persistent effects of curative therapy (Rowland et al., 2018). One of these effects includes chemotherapy-induced peripheral neuropathy (CIPN). Approximately 70% of patients receiving neurotoxic chemotherapy experience CIPN, an uncomfortable and sometimes painful sensation in the hands and feet (Seretny et al., 2014). The likelihood of …

An Exploratory Study Of Rehabilitation Services Available For Soft Tissue Sarcoma Patients In The Outpatient Setting, Amber Wojcik

OT Student Capstones

Little is known about the experiences of rehabilitation therapists treating soft tissue sarcoma (STS) patients in the outpatient setting. As the number of survivors of STS increases, so does the need for therapists who have the knowledge and skillsets vital for providing the highest quality of holistic care for this unique cancer population. Holistic cancer rehabilitation includes considerations for the physical, cognitive, and psychosocial needs of the soft tissue sarcoma patient. This paper explores the subspeciality of cancer rehabilitation and the experiences of physical therapists (PT) treating STS patients in the outpatient setting. A secondary aim of this study is …

Bundling Payment Initiatives For Total Hip And Knee Arthroplasties: Perspectives Of Health Care Professionals, Katherine Lally, Melinda Schultze, Hannah Ehresman, Helene L. Lohman, Vanessa D. Jewell

The Open Journal of Occupational Therapy

Background: A broad qualitative research study explored the perceptions of rehabilitation health care professionals and administrative leadership on coordination of care for rehabilitation patients who received hip or knee arthroplasties under the bundling initiative.

Method: Data was collected through the conduction of a focus group, email communication, and individual phone interviews. Researchers analyzed data collected from five administrative personnel and eight rehabilitation health care professionals who work in a facility that participates in a bundling initiative payment model.

Results: Four major themes were identified: importance of care coordination, increased efficiency and effectiveness, establishing protocols, and challenges of …

Are All Instrumental Activities Of Daily Living Equal? A Pilot Study On The Performances Of Adults With Acquired Brain Injury, Crystal Lee, Samantha Schauer, Amy Tam, Yareli Vargas

Occupational Therapy | MSOT Capstone Projects

Aim: To determine if a relationship exists among performances of different instrumental activities of daily living (IADLs) in adults with acquired brain injury (ABI).

Methods: A two-group correlational design was used to examine the relationship among performances in cooking, medication management, and financial management in nine adults with ABI who returned to driving and nine adults with ABI who did not return to driving. The Executive Function Performance Test (EFPT) measured initiation, organization, sequencing, judgment and safety, and completion.

Aota Continuing Education: Occupational Therapy’S Role In Addressing Sexuality And Intimacy, Tiffany E. Lee, Jacqueline M. Marquez

OTD Capstone Projects

The purpose of this capstone project was to create a continuing education course for the American Occupational Therapy Association (AOTA) on the topic of OT’s role in addressing sexuality and intimacy. The topic of sexuality and intimacy is often under-addressed by healthcare professionals, despite its importance to clients. According to the Occupational Therapy Practice Framework, engagement in sexual activity is not only an ADL, but can be a key aspect of social participation in the context of familial and peer/ friend roles. Therefore, it is well within OT’s scope of practice to address sexuality and intimacy with clients. However, there …

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 …

A Randomized Feasibility Trial Of A Novel, Integrative, And Intensive Virtual Rehabilitation Program For Service Members Post-Acquired Brain Injury., Kiara H Buccellato, Michelle Nordstrom, Justin M Murphy, Grigore C Burdea, Kevin Polistico, Gregory House, Nam Kim, Namrata Grampurohit, Jeff Sorensen, Brad M Isaacson, Paul F Pasquina

Department of Occupational Therapy Faculty Papers

INTRODUCTION: Acquired Brain Injury, whether resulting from Traumatic brain injury (TBI) or Cerebral Vascular Accident (CVA), represent major health concerns for the Department of Defense and the nation. TBI has been referred to as the "signature" injury of recent U.S. military conflicts in Iraq and Afghanistan - affecting approximately 380,000 service members from 2000 to 2017; whereas CVA has been estimated to effect 795,000 individuals each year in the United States. TBI and CVA often present with similar motor, cognitive, and emotional deficits; therefore the treatment interventions for both often overlap. The Defense Health Agency and Veterans Health Administration would …

Strategic Planning For A Psychosocial Occupational Therapy Program: A Swot Analysis, Kellie Roy

OT Student Capstones

PURPOSE

To examine and evaluate the Northern Arizona Veterans Affairs Healthcare System (NAVAHCS) psychosocial occupational therapy (OT) program using a SWOT analysis to inform solution-oriented strategies for future directions of the program.

Dépression Et Douleurs Musculosquelettiques : Évaluation Préliminaire D'Une Approche De Réadaptation Axée Sur La Promotion Du Retour Au Travail, Michael J. L. Sullivan, Timothy Wideman, Aliki Thomas

Rapports de recherche scientifique

Nombre de personnes ayant subi une blessure au travail présentent des symptômes de douleur et de dépression. La combinaison de symptômes de douleur et de dépression peut avoir un effet négatif sur le rétablissement de l’individu. La présence de symptômes de dépression peut nuire à la capacité d’accomplir de nombreuses activités importantes de la vie quotidienne, inclusion faite des activités professionnelles. Des études ont démontré que les travailleurs blessés qui présentent des symptômes de dépression demeurent absents du travail deux fois plus longtemps que les travailleurs blessés non dépressifs. Les interventions utilisées pour traiter la douleur et l’incapacité fonctionnelle chez …

Preliminary Evaluation Of An Approach To Rehabilitation Aimed At Promoting Return-To-Work In Individuals With Co-Morbid Musculoskeletal Pain And Depression, Michael J. L. Sullivan, Timothy Wideman, Aliki Thomas

Rapports de recherche scientifique

Nombre de personnes ayant subi une blessure au travail présentent des symptômes de douleur et de dépression. La combinaison de symptômes de douleur et de dépression peut avoir un effet négatif sur le rétablissement de l’individu. La présence de symptômes de dépression peut nuire à la capacité d’accomplir de nombreuses activités importantes de la vie quotidienne, inclusion faite des activités professionnelles. Des études ont démontré que les travailleurs blessés qui présentent des symptômes de dépression demeurent absents du travail deux fois plus longtemps que les travailleurs blessés non dépressifs. Les interventions utilisées pour traiter la douleur et l’incapacité fonctionnelle chez …

Productivity Standards And The Impact On Quality Of Care: A National Survey Of Inpatient Rehabilitation Professionals, Leslie E. Bennett, Vanessa D. Jewell, Linda Scheirton, Molly Mccarthy, Brittney C. Muir

The Open Journal of Occupational Therapy

Background: Skyrocketing health care costs have resulted in significant changes to reimbursement rates in health care. The result has increased pressure to be as efficient as possible while maintaining high-quality care. The purpose of this exploratory study was to examine health care professionals’ perceptions on whether and how productivity pressures have impacted the quality of care in therapy practice.

Method: A survey was disseminated nationally to inpatient rehabilitation facilities.

Results: Two hundred and fifty-seven surveys were opened. Of these completed surveys, 154 participants completed the closed-ended questions and 109 participants completed the open-ended questions. Outcomes indicated that …

Low Income And Stroke Rehabilitation: A Tale Of Two Clients, Sarah Bernard, Katrine Sauvé-Schenk, Mary Egan

The Open Journal of Occupational Therapy

No abstract provided.

Addressing Occupational Deprivation In Refugees: A Scoping Review, Shan M. Siddiqui, Eman Said, Briana Hanna, Natasha H. Patel, Evelyn L. Gonzalez, Savanna L. Garrett, Claudia L. Hilton, Karen Aranha

Journal of Refugee & Global Health

In 2015, over 21 million refugees were displaced worldwide. A significant issue faced by this population is occupational deprivation – being deprived of engagement in meaningful activities. Despite this being a global problem, information on interventions that address occupational deprivation has not been synthesized. To bridge this gap, we conducted a scoping review to examine interventions that can be used when working with refugees who face this issue. For our methods, we used a five-step framework and reviewed interventions using the following databases: PubMed, CINAHL, PsycINFO, and Google Scholar. Initial searches yielded 191 studies, 7 of which were retained. Community-based …

The Feasibility Of Conducting Task-Oriented Training At Home For Patients With Stroke, Veronica T. Rowe, Marsha Neville

The Open Journal of Occupational Therapy

Background: Task-oriented training for upper extremity hemiparesis following a stroke is an effective intervention with evidence of its application in the clinic setting. However, the home provides an enriched and practical environment to implement this intervention. This report presents the feasibility of implementing task-oriented training at home.

Method: Stroke survivors with limitations in upper extremity movement and function were assessed before and after a Task-Oriented Training and Evaluation at Home (TOTE Home) program, and 1 month later. Areas of process, resources, management, and scientific value were analyzed for the feasibility of a larger randomized clinical trial (RCT).

Results …

Occupational Therapy Programming Facilitates Goal Attainment In A Community Work Rehabilitation Setting, Tina M. Deangelis, Kimberly Mollo, Carolyn Giordano, Michaela Scotten, Brianna Fecondo

Department of Occupational Therapy Faculty Papers

An occupational therapy program for participants with mental health challenges, a history of serious mental illness, recovering from substance use disorders, on parole/probation, and/or experiencing homelessness was implemented in a community work rehabilitation setting. The impact of occupational therapy interventions focused on stress and anger management, sleep hygiene, anxiety and depression management, relapse prevention for addiction, vocational and academic skill building, money management, healthy eating, and relationship and leisure skill development. Participant satisfaction and performance scores regarding individual goal setting and attainment was collected and analyzed via retrospective review of pre/post outcome scores (n = 44) obtained through the Canadian …

Case Report: A Modified Early Passive Mobilization Protocol For A Zone Ii Flexor Pollicis Longus Repair, Brandon Ryan

OT Student Capstones

A hand can be injured in many ways, but rehabilitation of a tendon laceration following a surgical repair can be one of the most challenging aspects of hand therapy. For example, rates of secondary repair due to complications, such as tendon rupture or tendon adhesion, have been reported to be as high as 17% (Dy et al., 2012). This can be especially problematic when considering the unique characteristics of the dynamics of thumb flexion when compared with that of the other digits. There are many different protocols for flexor tendon repairs, which can make it difficult for a therapist to …

Impact Of Shoulder Pathology On Individuals With Distal Radius Fracture: A Mixed Methods Study, Sarah Beth Doerrer

Occupational Therapy Program Student Theses, Dissertations and Capstones

The purpose of this convergent parallel mixed methods study was to expand the understanding of the impact of shoulder pathology on individuals with distal radius fracture (DRF). This included describing the population that had shoulder pathology, comparing participants who had shoulder pathology with participants who did not, and exploring their experiences. The occupational adaptation model guided this study. Recruitment for this study included 45 patients post DRF. Each participant completed a short questionnaire after informed consent was obtained which asked demographic information such as age, gender, race, date of injury, and if the dominant hand was fractured. Over 9 weeks, …