Rehabilitation and Therapy Commons^™

Effect Of Trauma Type And Trauma Burden On Self-Efficacy For Physical Exercise In Military Veterans, Kaley E. Davis, Meghan M. Bennett, Cecilia J. Hillard, Jeffrey Whittle, Zeno Franco, Rachel E. Bollaert, Jacklynn M. Fitzgerald

Exercise Science Faculty Research and Publications

Introduction

United States (U.S.) military veterans experience significant physical health problems. Lifestyle modifications, such as increasing daily physical activity, are often considered the first course of action in treatment for the general public. However, veterans report low levels of physical activity, often due to perceived barriers to engaging in exercise. Trauma exposure type and cumulative trauma burden may be differentially associated with exercise attitudes and behaviors.

Methods

We surveyed U.S. military veterans on perceived self-efficacy to overcome barriers to engaging in exercise and physical activity levels. Additionally, we explored the relationship between the type of traumatic event exposure and cumulative …

Prediction Of Snatch And Clean And Jerk Performance From Physical Performance Measures In Elite Male Weightlifters, Ingo Sandau, Kristof Kipp

Exercise Science Faculty Research and Publications

This study aimed to build a valid model to predict maximal weightlifting competition performance using ordinary least squares linear regression (OLR) and penalized (Ridge) linear regression (penLR) in 29 elite male weightlifters. One repetition maximum (1RM) or 3RM test results of assistant exercises were used as predictors. Maximal performance data of competition and assistant exercises were collected during a macrocycle in preparation for a competition. One repetition maximum snatch pull, 3RM back squat, 1RM overhead press, and body mass were used to predict the 1RM snatch; and 1RM clean pull, 3RM front squat, 1RM overhead press, and body mass were …

The Importance Of Trunk Motion In Wearable Based Infant Spontaneous Movement Analysis, Pablo Burgos

Faculty Publications - College of Physical Therapy

The characteristics of spontaneous movements in infants are essential for the early detection of neurological pathologies, with the Prechtl method being a widely recognized approach. While the Prechtl method is effective in predicting motor risks, its reliance on the evaluator’s expertise limits its scalability, particularly in low-income areas. In such contexts, the use of inertial sensors combined with automated analysis presents a promising accessible alternative; however, more research is necessary to get results comparable to those of the Precht method. This research aims to determine the more important metrics of trunk and limbs to assess spontaneous movement in healthy infants …

Cognition Is Associated With Daily-Life Mobility In People With Parkinson’S Disease, Pablo Burgos

Faculty Publications - College of Physical Therapy

Introduction: Cognitive impairment is common in people with Parkinson’s disease (PD). Mobility is also impaired in people with PD and functional mobility often requires cognitive dual-tasking to navigate complex environments in daily life. We hypothesized that visuospatial and executive cognitive dysfunction in people with PD will be associated with digital measures of mobility in daily life. Since freezing of gait (FoG) is associated with both cognitive dysfunction and mobility impairments, we also examined the influence of FoG on the cognitionmobility relationship. Here, we investigated, for the first time, the association between cognition and dailylife mobility in PD and the influence …

Responsiveness Of Promis Measures For Hip, Knee, And Shoulder Arthroplasty, Ryan Jacobson

Faculty Publications - College of Physical Therapy

Objectives: In hip, knee, and shoulder arthroplasty, there is evidence that using a broader set of Patient-Reported Outcomes Measurement Information System (PROMIS) measures beyond Physical Function and Pain Interference might improve assessment of patient outcomes. However, the utility and responsiveness of PROMIS domains measuring anxiety, fatigue, sleep, and social participation have been minimally investigated in arthroplasty. This retrospective study aimed to determine the 1) responsiveness of seven PROMIS domains and 2) association between change scores for all seven domains and MCID improvement in Physical Function and/or Pain Interference.

Methods: PROMIS domains of Physical Function, Pain Interference, Depression, Anxiety, Fatigue, Sleep …

The Use Of Virtual Reality To Improve Gait And Balance In Patients With Parkinson’S Disease: A Scoping Review, Jason Brumitt

Faculty Publications - College of Physical Therapy

(1) Background: Parkinson’s disease (PD) is a progressive neurodegenerative disorder that impairs balance and postural control, gait, overall motor function, and mood, and involves the gradual degradation of several physiologic systems. With limited treatments available, physical therapy (PT)-based exercise is the nonpharmacologic measure of choice. There is a growing interest in using virtual reality (VR) gaming when rehabilitating patients with various acute brain injuries and neurological disorders. The purpose of this scoping review was to examine randomized controlled trials comparing VR-based rehabilitation programs versus traditional PT at improving gait and balance. (2) Methods: PubMed, CINAHL, and the Cochrane Central Register …

Personalized Versus Fixed Tactile Cueing In Parkinson’S Disease: Protocol For A Randomized Controlled Trial On Gait Automaticity, Pablo Burgos

Faculty Publications - College of Physical Therapy

Background

Gait automaticity, the ability of the brain to control locomotion with minimal use of executive-attentional resources, is altered in people with Parkinson’s disease (PD). Recently, we showed that step-synchronized tactile cueing improved gait regularity and freezing of gait in PD; however, it is not known if this cueing mode also improves gait automaticity. Thus, this study investigates the effects of step-synchronized tactile cueing (versus fixed cueing) on gait automaticity in the laboratory and during daily life.

Methods

This is a pilot, randomized, double-blinded study where sixty participants with PD will be randomized into one of two, cueing interventions: 1) …

Prevalence Of Stress Urinary Incontinence In Female Strength Athletes, Jason Brumitt

Faculty Publications - College of Physical Therapy

Background: Stress urinary incontinence (SUI) is a symptom during pregnancy and in the postpartum period, but a high prevalence of SUI is experienced in sports involving running and jumping. Objectives: Identify the scope of the problem of SUI in women participating in strength sports, movement patterns that elicit SUI, and the impact on quality of life in female athletes with SUI. Study Design: Survey mixed methods with qualitative focus groups. Methods: The International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF) and a sport-specific and obstetric/gynecological history questionnaire were sent to women who are United States citizens, age 18-65, and members …

Weight Stigma In Physical And Occupational Therapy: A Scoping Review, Jason Brumitt

Faculty Publications - College of Physical Therapy

Background: Weight stigma describes the negative attitudes held toward people with obesity. Weight bias stereotypes have been previously reported in physicians, physician assistants, nurses, registered dieticians, psychologists, and students enrolled in healthcare professional education programs. Physical and occupational therapists (PTs and OTs) are healthcare providers who evaluate and treat individuals across their lifespan. A PT or an OT who harbors weight bias may create an environment where the patient may fail to optimize their rehabilitation recovery. The first purpose of this scoping review was to identify the prevalence of weight bias in PT and OT clinicians and students. The second …

Developing A Nursing Early-Intervention Bundle To Decrease The Prevalence Of Post-Intensive Care Syndrome, Aneesha Biju

Nursing | Student Research Posters

Post-intensive care syndrome (PICS) has become an increasingly recognized challenge in critical care as more patients survive prolonged mechanical ventilation and lengthy ICU stays. Although lifesaving interventions support recovery from the primary illness, many patients develop new or worsened physical, cognitive, or psychological impairments after discharge. These complications often limit independence, slow recovery, and create long-term burdens for both patients and families. Research shows that early, consistent nursing interventions, such as delirium prevention, early mobility, mental health support, and family communication, can reduce the risk of PICS. The absence of a unified and standardized approach results in inconsistent practices and …

The Impact Of Nurse-Led Distraction Techniques On Pain And Anxiety During Cancer Treatment In Pediatric Oncology Patients: Examining Virtual Reality And Play Therapy, Alexis Abalos

Nursing | Student Research Posters

Children undergoing cancer treatment often experience pain and anxiety during procedures such as port access or peripheral catheterization. Nurse-led distraction techniques, including virtual reality and play therapy, have emerged as promising non-pharmacologic interventions to reduce pain and anxiety in pediatric oncology patients. Existing data from primary and secondary research articles reveal the effectiveness of virtual reality and play therapy on reducing pain, anxiety, and psychosocial distress in pediatric oncology patients receiving cancer treatment. This study proposes a quasi-experimental design involving 90 pediatric oncology patients aged 6–12 years diagnosed with leukemia. Participants will be placed in a nurse-led VR distraction, play …

Nourishing Knowledge: Optimizing Therapist And Family Education In The Implementation Of The Sos Feeding Approach, Aidyn C. Keller

Occupational Therapy Doctorate Capstone Posters

This ALE/capstone project aimed to bridge the knowledge gap between families, caregivers, and therapists during a 12-week feeding program at a local outpatient pediatric facility in Louisville, KY. The goal was to promote carryover of SOS-based strategies at home and boost caregiver confidence in implementing them. Dr. Kay Toomey, founder of the SOS Approach to Feeding, developed an evidence-based framework for children with feeding difficulties, following the developmental sequence of feeding skills from oral motor and sensory perspectives. The program incorporated resources from Dr. Toomey, including physical documents and links for additional materials for families and professionals.The project focused on …

Maternal Health Advocacy, Savanah Jones

Occupational Therapy Doctorate Capstone Posters

This capstone, conducted at Sunny Day Therapy, aligned with the ACOTE advocacy domain and aimed to raise awareness of occupational therapy’s (OT) unique role in maternal health—a critical need as maternal mental health concerns affect 1 in 5 U.S. women (Postpartum Support International, 2023) and OT remains underutilized in this area. Addressing literature-identified gaps in emotional regulation, daily function, and maternal-infant co-occupations (Sepulveda, 2019), the 14-week project developed and disseminated evidence-based educational materials, social media campaigns, and outreach initiatives to support maternal self-regulation, physical health, and well-being during the perinatal and postpartum period. Deliverables included flyers on self-regulation, postpartum ergonomics, …

Tethered Oral Tissues (Tots) And Occupational Therapy (Ot), Tori Gray

Occupational Therapy Doctorate Capstone Posters

This capstone project and ALE focused on Tethered Oral Tissues (TOTs) and their connection to Occupational Therapy (OT), highlighting how TOTs impact more than just feeding by affecting sensory regulation, posture, and overall development. Through observation, research, and hands-on experience, I explored OT’s role in identifying and treating TOTs. I created an evidence-based educational infographic for local physician and dental offices to advocate for increased OT involvement and tracked patient referrals to assess its impact. Literature review revealed that while TOTs are commonly linked to lactation and speech, their broader effects on motor coordination, sensory processing, and posture are underrecognized. …

Empowering Mothers: Addressing Postpartum Depression In The Nicu Through Occupational Therapy, Maggie Cloyd

Occupational Therapy Doctorate Capstone Posters

This doctoral capstone project and Applied Leadership Experience (ALE) addressed the elevated risk of postpartum depression (PPD) among mothers with infants in the Neonatal Intensive Care Unit (NICU). Completed at Norton Women’’s and Children’s Hospital in Louisville, KY, the project focused on leadership and advocacy, aiming to raise awareness of maternal mental health, highlight occupational therapy’s role, and create educational infographics for both NICU mothers and staff.A needs assessment was conducted through informal staff discussions, observation, and an anonymous survey distributed to NICU mothers. Mothers reported emotional distress, guilt, isolation, and limited involvement in infant care. Research supports that NICU …

In-Depth Exploration Of Ot In An Alf, Madison J. Jones

Occupational Therapy Doctorate Capstone Posters

My Capstone project focused on occupational therapy’s role in maintaining independence for individuals living in an assisted living facility (ALF) through advocacy, education, and hands-on experience. My goal throughout the project was to reach out to friends, family, and residents living in this retirement community to inform them about OT and the role OT can have to maintain their independence through physical activities, cognitive activities, and meaningful occupations. Different education and advocacy events were created and completed during the project to reach out to the residents and staff members about therapeutic services offered to support aging in place. My Capstone …

Building Clinical Expertise: An Occupational Therapy Student-Centered Guide To Foundational Orthotic Fabrication Concepts And Splint Patterns, Belinda Cheng

Occupational Therapy Doctorate Capstone Posters

The purpose of this doctoral capstone was to support student learning in hand therapy by developing a student-centered educational guidebook that introduces fundamental orthotic fabrication concepts and provides visual splint pattern tutorials in an accessible and comprehensive format. Splint pattern development is a foundational step in orthotic fabrication that helps students comprehend how 2D designs translate into 3D orthoses. To enhance clinical skills through direct practice opportunities, this resource features detailed splint pattern modules for 10 commonly fabricated orthoses, each accompanied by background information and model images, while the orthotic educational content promotes self-directed learning by guiding students to understand …

Sensory Toolkits For Self-Regulation In An Inclusive Summer Camp, Ashley A. Edwards

Occupational Therapy Doctorate Capstone Posters

This capstone project focused on increasing sensory regulation support for participants at Camp Hooray hosted at Extra Special People (ESP), a nonprofit organization serving individuals with disabilities of all ages. To address sensory processing challenges in an inclusive summer camp setting, I developed and distributed portable sensory toolkits and provided staff education on their use. Each toolkit was a drawstring bag containing noise-canceling headphones, fidgets, sunglasses, visual prompts for deep breathing, and other items designed to offer calming or alerting input in moments of dysregulation. I collaborated with staff to identify needs, secured donations, sourced materials, and created an educational …

Advocating For And Improving Kota Membership, Hunter Robinson

Occupational Therapy Doctorate Capstone Posters

This capstone project took place remotely with mentorship provided by Dr. Allen Keener, PhD, OTD, OTR/L, ATP. The primary ACOTE focus area of this project is advocacy. The goals of my capstone include identifying why OT professionals either do or don’t attain and maintain KOTA membership, advocating for the importance of OT professionals to gain membership to their state OT association, identifying factors/trends that may contribute to an increase or decrease in membership rates among various state OT associations, and using knowledge gained throughout this project, help to improve KOTA membership rates. State occupational therapy associations across the country are …

Long Story Short: Addressing Health Literacy In The Acute Care Setting, Madeline K. Ebright

Occupational Therapy Doctorate Capstone Posters

This capstone project targeted patient and family education in the acute care setting. The primary goals were focused on understanding what education was already being provided and what improvements can be made to educational methods. The primary problem that was addressed through a literature review and needs assessment was a lack of physical resources available. Five core resources were then created across three different departments in order to improve the overall system of health education in the acute care setting and consequently improve patient health literacy. To evaluate the efficacy of the resources they were provided to patients and practitioners …