Other Rehabilitation and Therapy Commons^™

Outpatient Fall Prevention In Ambulatory Adults 65 Years Old And Over, Dorothy L. Osborne-White

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: In the United States (U.S.), falls are the leading cause of injury among adults 65 and over, resulting in 36 million falls yearly (Moreland et al., 2020). According to the Centers for Disease Control and Prevention (CDC, 2023), one in four older adults experiences a fall each year. Falls are the world's second most prominent cause of accidental deaths (World Health Organization [WHO], 2021). Falls are the leading cause of both fatal and non-fatal injuries among older adults (Moreland et al., 2020).

Methods: A quality improvement project that included a fall bundle was implemented in a primary clinic. A …

Botulinum Toxin Type A Injections For Refractory Abdominal Dystonia: A Case Report, William J. Naber Ii, Jodi M. Wilhelm, Kurt A. Kuhlman, Gabriel Howard

Graduate Medical Education Research Journal

Background: A 58-year-old male with chronic bilateral treatment resistant abdominal spasms secondary complications of ascites/ alcoholic cirrhosis. Spasms would occur 4-5 times/day, lasting minutes to hours despite a 2-year course of therapeutic and pharmacological interventions. Due to treatment refraction, 6 uniformly spaced botulinum toxin type A (BTX-A) injections were placed per side, using electromyography for audible intramuscular syringe placement confirmation, while visual confirmation was made via ultrasound. During the initial trial, 6 evenly spaced injections were performed bilaterally, uniformly distributing 80U/side. Injections began bilaterally just medial to the junction of the inferior rib cage border/ anterior axillary line and progressed …

Accommodated Gymnastics Program For Atypically Developing Children, Ashtin Callahan

Department of Occupational Therapy Entry-Level Capstone Projects

No abstract provided.

Services Provided To Aging Individuals With Intellectual Disabilities: Survey Of Speech Language Pathologists, Claire H. Gatewood

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Purpose: The present study explored current speech-language pathology service provision for aging individuals with intellectual disabilities in the United States, including areas and domains of services, factors restricting service provision, and reported knowledge and confidence of individuals within the field of speech-language pathology in providing services, to identify possible gaps of service and needed improvement.

Methods: Participants (n = 272) from across the United States completed an online survey to gather descriptive information about current speech-language pathology service provision for aging individuals with intellectual disabilities. Participants were recruited through state speech-language hearing associations and universities with speech-language pathology clinics …

Meeting, Moving, Mastering - A Text Analysis Of The Aesthetic Attractions Of 'Wild Swimming', Dagmar Dahl, Åsa I. Bäckström

International Journal of Aquatic Research and Education

Why are people fascinated by swimming in nature? This article addresses the aesthetic experiences of wild swimming as expressed by five wild swimming authors in their books. Drawing from aesthetic philosophy, we analyze the ways in which the appeal of wild swimming is described on three levels: the allure of water in the environment, the sensory encounter between water and the body, and the experience of moving in water. Furthermore, with reference to Seel’s concept of nature aesthetics (1996), the experience of wild swimming is analyzed in terms of contemplation, correspondence, and imagination. We can conclude that the special intensity …

In This Issue (14:1), Stephen J. Langendorfer Ph.D.

International Journal of Aquatic Research and Education

In This Issue 14:1 introduces and overviews the research and education articles and position statement associated with the first issue of the fourteenth volume of the International Journal of Aquatic Research and Education.

Aquatics For Individuals With Disabilities: An Analysis Of Publication Trends, Susan J. Grosse

International Journal of Aquatic Research and Education

This study investigates the published literature in the field of aquatics with disabilities; more specifically, it examines literature published during the most recent two decades, 2000 through 2019. Considerations include the content focus of published articles relating to aquatics with disabilities, distribution of articles over the specified time period, publication opportunities for authors, barriers as well as enhancements to development of literature in the field, and summary recommendations.

Which Stroke Next? All Strokes Next! Part Two: Strokes For Intermediate And Advanced Swimmers, Robert Keig Stallman, Ebbe L. Horneman, Nils O. Vikander, Alexander Mwaipasi, Bente W. H. Laakso, Haakon - Paavo L. Nysted, Toni Ongala

International Journal of Aquatic Research and Education

The primary goal of this two-part project is to answer the rhetorical question of which strokes should be taught first, and which later (Langendorfer, 2013, Stallman, 2014a). As you have seen in Part One, we emphasize (as have many others) the need for a firm foundation before any stroke is introduced. When the learner is ready for propulsive motor competencies, there is no stroke which suits all as their first. In Part One we explored the “beginning strokes” all of which are candidates for any given learner’s first stroke. We also argued that after mastering their very first stroke the …

Towards A Globalised Vision Of Aquatic Competence, Rita F. Pinto, Juan Antonio Moreno Murcia

International Journal of Aquatic Research and Education

Human interaction with the aquatic environment has always taken different forms to meet the needs of pleasure, survival, therapy or performance. The diversity of existing aquatic spaces presents itself as a challenge, due to their variety, dynamism, unpredictability and unrepeatable conditions. These factors potentiate an infinite number of possibilities for human response in interaction with the aquatic environment, with aquatic competence being the one that will be able to sustain all types of interaction. Thus, the aim of the proposal has been to present a new approach to the contextualisation of aquatic competence. After a literature review on the concept …

Revisiting The Metaphorical Concept Of “No Strokes First - All Strokes First”: Part One - Beginning Strokes, Robert Keig Stallman Ph.D., Alex Mwaipasi, Ebbe Laakso Horneman, Nils Olof Vikander, Bente Wäinösdatter Horneman Laakso, Haakon-Paavo Laakso Nysted, Toni Ongala

International Journal of Aquatic Research and Education

The aim of this article is to address the familiar question “Which swimming stroke should be taught first?” The discussion is usually focused on breaststroke versus crawl. Provoked by these naïve discussions of which stroke should be taught first (as if stroking equals swimming, which it emphatically does NOT), the question was answered metaphorically in an earlier article “No Stroke First – All Strokes First” (Stallman, 2008a). Here in Part I we identify and describe six strokes, all of which might be a candidate for any learners ‘very first’ stroke. We describe them as beginning strokes. Having identified and learned …

An Exploratory Study Of Aquatic Walking On Symptoms And Functional Limitations In Persons With Knee Osteoarthritis: Part 1, John M. Coons, Brandon Grubbs, Vaughn W. Barry, Ryan T. Conners, Sandra Stevens

International Journal of Aquatic Research and Education

This paper represents Part 1 of a study that explored the effects of an underwater treadmill (UT) walking program on pain and function in adults with knee osteoarthritis (KOA). The Western Ontario & McMaster Universities Osteoarthritis Index (WOMAC), numerical rating scale (NRS), timed up-and-go (TUG), and 10-m walk were assessed in 6 adults (62.7 ±14.2 years) who participated in an 8-week (3x/wk) UT walking intervention based on the Arthritis Foundation’s Walk With Ease (WWE) program. Walking pace was self-selected, and walking duration of each session was increased from 10 to 45 minutes throughout the study. Knee pain and function were …

An Exploratory Study Of The Effects Of Aquatic Walking On Function And Muscle Activity In Knee Osteoarthritis: Part 2, John M. Coons, Brandon Grubbs, Conor Theiss, Vaughn W. Barry, Sandra Stevens

International Journal of Aquatic Research and Education

This paper presents Part 2 of a study that investigated the effects of an 8-week (3x/week) underwater treadmill (UT) walking intervention on knee osteoarthritis (KOA) outcomes in 6 adults with KOA (62.7 ± 14.2 years). The Knee Outcome Survey (KOS) for activities of daily living and muscle activity during a 10-m walk and a 20 cm step down were measured before and after the intervention. The following KOS measures improved after the UT walking program (p < 0.05; g > 0.8): stiffness, swelling, weakness, walking, going up stairs, going downstairs, kneeling on the front of the knee, squatting, and sitting with the …

The Halliwick Concept: Practical Applications, Susan J. Grosse

International Journal of Aquatic Research and Education

The Halliwick Concept has become a very popular method for use by professionals involved in instructional swimming and in therapeutic aquatics. Through a detailed look at the principles of Halliwick, this article expands on Halliwick theory by detailing applications of Halliwick to specific population groups. The practicality of implementing Halliwick methodology with and for individuals experiencing a variety of limiting challenges, both physical and cognitive/sensory, are discussed. Hints for success- oriented implementation are provided. For those unfamiliar with the Halliwick Method background resource material is included.

Relationship Between Allied Health Student's Behavioral Style And Ideal Clinical Instructor Behaviors, Tonya Y. Miller, Robert Creath, Eva M. Frank, Lori Portzer, Jennifer Price

Internet Journal of Allied Health Sciences and Practice

Purpose: The focus of this research is to understand the relationship between students' primary DISC behavioral styles (dominant, influencing, steadiness, compliance) and their perception of ideal clinical instructor behaviors. A review of the literature supports the connection between the behaviors of the clinical instructor (CI) and the success of the allied health professional student (AHPS). Additionally, a body of research supports the connection between DISC behavioral styles and student success. The purpose of this study is to examine the relationship between AHPS primary DISC behavioral styles and their perception of the ideal CI behaviors. Methods: A total number …

The Real-Time Classification Of Competency Swimming Activity Through Machine Learning, Larry Powell, Seth Polsley, Drew Casey, Tracy Hammond

International Journal of Aquatic Research and Education

Every year, an average of 3,536 people die from drowning in America. The significant factors that cause unintentional drowning are people’s lack of water safety awareness and swimming proficiency. Current industry and research trends regarding swimming activity recognition and commercial motion sensors focus more on lap swimming utilized by expert swimmers and do not account for freeform activities. Enhancing swimming education through wearable technology can aid people in learning efficient and effective swimming techniques and water safety. We developed a novel wearable system capable of storing and processing sensor data to categorize competitive and survival swimming activities on a mobile …

Teaching End-Of-Life Care In Speech-Language Pathology: A Tutorial, Amanda Stead, Sara Haynie, Monica Vinson

Teaching and Learning in Communication Sciences & Disorders

Speech-language pathologists often lack preparation for working with patients near the end of life (EoL). Few academic training programs offer dedicated or sufficient content in the area of end-of-life care (EoLC). Furthermore, traditional knowledge-focused outcomes are not the most effective pedagogical strategy in teaching EoL and palliative care to students. Instead, a focus on self-awareness and personal beliefs in relation to death and dying have been shown to have a positive effect on attitudes toward EoLC. The purposes of this paper are three-fold: First, to explore what is known about the teaching and training of EoL in the discipline of …

A Swimming Program For Children With Autism Spectrum Disorders: Assessing Critical Parameters From Caregivers’ Perspectives, Abir K. Bekhet, Norah Johnson, Tana Karenke, Amy Van Hecke

International Journal of Aquatic Research and Education

One in 54 individuals is diagnosed with autism spectrum disorders (ASD). Swimming can impact the physical and mental well-being of persons with ASD, which in turn may improve their caregivers’ well-being. The purpose of this qualitative evaluation study is to assess the necessity, acceptability, feasibility, fidelity, and beginning effectiveness of a 12-session swimming training program (STP) at an indoor university pool designed to teach persons with ASD how to swim, and to teach caregivers precautions for safety around water. Participants included 7 boys, and 3 girls with ASD [mean age 7.05 years (SD 1.17)] and their caregivers. Results indicated that …

An Intentional Wholeness Focus And The Association With Burnout In Graduate Students, Stacey B. Cunningham, Susanne B. Montgomery, Brian J. Distelberg, Qais Alemi

Journal of Occupational Therapy Education

Rates of stress, anxiety, depression, and burnout for university students are concerning. As in other competitive professional fields, graduate students in occupational therapy, physical therapy, and speech language pathology face many performance pressures. Creating supportive learning and wholeness climates along with individual grit, resilience, and healthy spirituality have the potential to positively impact these pressures. The study’s purpose was to examine factors related to burnout within an institution committed to creating supportive learning and wholeness environments. Three hundred and fifty-three graduate students from occupational therapy, physical therapy, and speech language pathology graduate programs were recruited to participate in a cross-sectional …

Moving Forward Together: Reflections Of A National Survey Of Ot/Ota Students’ Perceptions Of Culturally Aware Educational Content Delivery, Adair M. Sanchez, Iris W. Burns, Tina M. Deangelis, Maclain Capron, Abigail Mills, Taylor Kligerman

Journal of Occupational Therapy Education

In June of 2020 in response to the murder of George Floyd and the additional atrocities against historically marginalized people and communities across the United States, the Commission on Education (COE) of the American Occupational Therapy Association (AOTA) sought to act within its scope. A retrospective survey (N= 1,692) was developed, deployed, and analyzed in accordance with the COE’s standard operating procedures relating specifically to monitoring trends that impact the education of occupational therapy (OT) and occupational therapy assistant (OTA) students. This survey aimed to capture perspectives from OT/OTA students regarding the delivery of culturally aware educational content in curricula …

In This Issue (13:4), Stephen J. Langendorfer Ph.D.

International Journal of Aquatic Research and Education

Greetings, IJARE readers and welcome to the fourth issue of Volume 13. I admit being quite excited about this issue. It is jam-packed with outstanding papers from six different countries that deserve your readership and attention.

Employment With The Northwest Territories Aquatics Program: A Significant Life Event?, Sebastien Denize, Audrey R. Giles

International Journal of Aquatic Research and Education

For over 60 years, the Northwest Territories Aquatics Program (NWTAP) has employed university students from southern Canada with little to no exposure to northern Canada to run seasonal swimming pools and waterfronts in isolated northern communities. In this article, we examine the impact that working for this program had on nine former employees’ lives and whether or not working for the NWTAP could be categorized as a significant life experience. We used thematic analysis of the data from retrospective semi-structured interviews and open-ended questionnaires and identified four themes: (1) employment by the NWTAP enhanced the employees’ self-confidence, independence, and self-efficacy; …

Content, Construct, And Criterion Validity, Reliability, And Objectivity For Aquatic Readiness Assessment For Brazilian Children, Nadia C. Valentini, Keila R G Pereira, Glauber C. Nobre

International Journal of Aquatic Research and Education

The Aquatic Readiness Assessment (ARA) is an assessment instrument for measuring children's aquatic readiness. The objective of the study was to translate the English version into Portuguese and to investigate the content, construct, and criterion validity as well as the reliability and rater objectivity of the ARA for Brazilian children. Twenty-three professionals and 464 children, newborn to 13 years-old participated in the study. We found strong content (94% to 100% of judges’ agreement) and criterion validity, internal consistency (α from .96 to .97), and inter-rater objectivity (ICC from .81 to .98), and test-retest reliability (ICC from .94 to .98). Appropriate …

Examining Youth Conceptualizations Of Water Safety Behaviors Among Participants In A Learn-To-Swim Program, Austin R. Anderson, Kristina R. Anderson, William D. Ramos, Angela K. Beale-Tawfeeq

International Journal of Aquatic Research and Education

Drowning represents a leading cause of unintentional deaths among children. Concomitantly, while formal swim instruction often incorporates water safety practices, the efficacy of these messages remains largely unexplored. This qualitative-based study sought to evaluate how youth apply learned water safety concepts when posed with a hypothetical aquatic scenario. Semi-structured interviews, augmented by use of a visual illustration prompt, were conducted with 29 participants of a youth Learn-to-Swim (LTS) program. Interviews assessed participants’ expressed water safety behaviors and were coded based on emergent themes. Findings indicated that most participants were able to identify a “struggling” swimmer in the dramatized illustration. When …

Effect Of Water Depth On Heart Rate And Core Temperature During Underwater Treadmill Walking, Carrie E. Bajenski, Brianna R. Brandon, Cailey A. Curry, Leslie Fajardo, Ryan T. Conners

International Journal of Aquatic Research and Education

Exercising using an underwater treadmill (UTM) has become a popular modality; however, few studies have focused on the physiological demands of UTM walking at varying water depths. Thus, the objective of this study was to investigate changes in heart rate (HR) and core temperature (CT) values in college-aged males and females while exercising at different water immersion depths using an UTM. Twenty participants (age = 21.50 ± 2.19 years; height = 169.04 ± 10.85cm; weight = 75.56 ± 22.28kg) walked at water depths of 10cm below the xiphoid process and at the level of the superior iliac crest (I.C.). Each …

Impact Of Pro Bono Clinic On Attitudes, Beliefs, And Confidence Towards Cultural Competence In First-Year Doctoral Physical Therapy Students, Scarlett Morris, Ruiping Xia, Troy Klaassen, Trey Johnson

Internet Journal of Allied Health Sciences and Practice

Purpose: Cultural competence is an essential skill for healthcare providers in our increasingly ethnically diversified society. There is an unmet need for educating future culturally competent physical therapists. The purpose of this study was to investigate the impact of pro bono clinic on cultural competence in first-year doctoral physical therapy students. Method: Forty-two participants completed a survey before and after attending three individual sessions of mentored pro bono clinical experiences during their first semester. The survey assessed participants’ attitudes and beliefs (Part I), and self-perceived level of confidence (Part II) towards cultural competence. Wilcoxon signed-rank tests were performed. Results: The …

The Challenge Of Water Entries, Andrea S. Andrews, Shayne D. Baker

International Journal of Aquatic Research and Education

The authors presented a poster at the International Life Saving Foundation's World Conference on Drowning Prevention 2019 in Durban, South Africa titled, "Finding an Aquatic Voice," that was the basis for this article. The conference theme was "Growing Global Drowning Prevention Capacity,” and the aim of our poster’s contribution to the conference was to explore internal reasons for the variable capacity of water-wary persons to engage in water experiences which often manifest as a “water entry and exit conundrum." The paper provides critical decision points associated with these issues to encourage further reflective practice by aquatic professionals. The …

Do Water Safety Lessons Improve Water Safety Knowledge?, Michael J. Tipton, Joseph Muller, Cristian Abelairas Gomez, Jo Corbett

International Journal of Aquatic Research and Education

A person, usually a child or young adult, dies by drowning every 90 seconds around the planet. Most drowning prevention initiatives do not assess the efficacy of the intervention. In this study, thirteen- to fourteen-year-olds had their level of water safety knowledge (covering cold shock, rips and tides) assessed before, just after, and 3-6 months after one, 25-minute water safety lesson on these topics. We evaluated the knowledge gained and retained on water safety “awareness” (i.e., knowledge of risks) and “confidence” in terms of knowing what to do in an emergency. The results demonstrated that the lesson significantly increased water …

A National Study On The Relationship Between Programmatic Factors And Athletic Training Education Board Of Certification Pass Rates, Leslie Rippon

Seton Hall University Dissertations and Theses (ETDs)

In athletic training (AT) education, the first-time BOC pass rate is a significant marker of a program’s success, and the Commission on Accreditation of Athletic Training Education (CAATE) requires programs to maintain a first-time 3-year aggregate BOC examination pass rate over 70%. There is limited published research on BOC pass rates on Professional Masters’ (PM) programs. Therefore, it is essential to identify modifiable factors that have a relationship with first-time pass rates. This study's aim was to investigate the relationships between programmatic factors and the first-time BOC pass rate for PM AT students while controlling for student and institutional factors. …

Doctoral Capstone Experience In Program And Policy Development- Selah Freedom, Ashley N. Jones

Department of Occupational Therapy Entry-Level Capstone Projects

Child trafficking has been reported in all 50 states and affects more than 2 million children each year (Guardian Group, 2021). Involvement in human trafficking at a young age induces trauma that has a lasting effect on the victim’s personality and coping skills. A review of literature confirmed a need for more support of the use of occupational therapy with sex trafficking survivors. Despite support for the implementation of occupational therapy in similar trauma populations like domestic violence, homelessness, post-traumatic stress disorder, and disaster survivors, there is limited literature supporting the use of OT with human trafficking survivors (Gorman & …

Creating Bridges Of Interprofessional Education: Opportunities For Collaborating Across Multiple Disciplines And Campuses, Norman Cadiz Belleza, Jim Mathews, Leiselle Pilgrim, Kaitlyn Cremer, Maureen Johnson, Elisabeth Mcgee, Evan Pucillo, Kathy Wheat, Vibhor Agrawal

Education Collection

Introduction and Purpose: The purpose of this special interest report is to discuss strategies used by to integrate simulation activities across multiple campuses and programs to foster inter- and intra-professional education. Inter-professional (IP) simulations were done between multiple campuses of a large scale, multi-state, health science university. These simulations utilized Doctor of Occupational Therapy (OTD), Doctor of Physical Therapy (DPT), and Master of Science Speech/Language Pathology (MS-SLP) students and faculty. IP simulations involved DPT students and faculty from the health sciences university in one state and physical therapist assistant (PTA) students and faculty from a different university in that same …