Rehabilitation and Therapy Commons^™

The Impact Of A Two-Visit Occupational Therapy Home Modification Model On Low-Income Older Adults, Anna Y. Grasso, Annmarie Murphy, Cynthia Abbott-Gaffney

The Open Journal of Occupational Therapy

Background: Various studies support the benefit of occupational therapist-led home modification to support successful aging in place for older adults. However, methodological differences limit generalizability. This study aimed to determine the impact of a replicable two-visit occupational therapy home modification program on occupational performance of low-income, community-dwelling older adults.

Method: The researcher used a quasi-experimental one group pretest-posttest design. The participants were low-income homeowners, age 55 years and older, with decreased performance and/or satisfaction in one or more ADLs and IADLs as determined by the COPM. An occupational therapist provided the participants with a home safety assessment using …

Predictors Of Hospital Readmissions For People With Chronic Conditions, Melanie Morriss Tkach, Patricia Bowyer, Marsha Neville, Timothy J. Wolf, Gerald Goodman

The Open Journal of Occupational Therapy

Background: Hospital readmissions remain prominent in health care. Functional, cognitive, and environmental factors predict hospital readmissions but may not be thoroughly measured or addressed prior to discharge.

Method: In this cross-sectional study, people hospitalized with chronic conditions completed measures of self-care function, functional cognition, occupational competence, and environmental impact. They also participated in a phone call or medical records review to identify hospital readmissions within 30 days of discharge. In a group session, occupational therapists who work in acute care completed acceptability, appropriateness, and feasibility measures for the standardized assessments administered to hospital participants.

Results: Occupational competence …

Mixed-Method Study Of The Experiences And Routines Of Caregivers Of Children With Type 1 Diabetes, Evelina Wozniak, Lisa Cover, Yongyue Qi, Vanessa D. Jewell

The Open Journal of Occupational Therapy

Background: Type 1 diabetes is one of the most prevalent chronic childhood conditions that affects family roles, routines, and the ability to participate in meaningful occupations after a child’s diagnosis. Because of the complex health management routines required to ensure the safety and well-being of a child with type 1 diabetes, caregivers may experience decreased overall health and well-being.

Method: This sequential mixed-method study used a cross-sectional survey (n = 37) and phenomenological interviews (n = 6) to explore burden (the Burden Scale for Family Caregivers), quality of life (the WHO Quality of Life-BREF), and role engagement (a …

The Parents' Perspective: Experiences In Parent-Mediated Pediatric Occupational Therapy For Children With Neurodevelopmental Disorders, Allison Klowan, Mary Beth Kadlec, Stefanie Johnston

The Open Journal of Occupational Therapy

Background: Parent-mediated occupational therapy (OT) is a family-centered method of providing care for children and their families. This study aimed to understand and describe the parents’ perspectives of whether parent-mediated OT services improve child participation and parent-child social interactions in the home and community.

Method: This study was performed with a qualitative, phenomenological research design using focus groups. Eight participants were included in the study who were parents of children with at least one NDD, such as autism spectrum disorder or attention-deficit/hyperactivity disorder.

Results: Four major themes were developed: It’s a Family Affair, Sometimes it Just Takes …

Predictors Of Daily Activity Performance Of Children With Autism And Its Association To Autism Characteristics, Neta Katz Zetler, Eynat Gal, Batya Engel Yeger

The Open Journal of Occupational Therapy

Background: The daily activity performance of children with autism spectrum disorder (ASD) is a central focus of occupational therapists. Yet, the existing performance-based assessments of basic and instrumental daily activities in children are limited and their application on children with ASD is scarce. The purpose of this study is to examine if daily activity performance of children with ASD is impaired as compared to children with typical development (TD), and to examine possible predictors of daily activity performance in children with ASD.

Method: The participants included 39 children with ASD and 40 children with TD, 6–10 years of …

Holistic, Person-Centered Evaluation To Understand The Experiences And Needs Of Displaced Refugee Youths: A Descriptive Mixed Methods Narrative Study, Rebecca S. Lord, Jaime P. Muñoz

The Open Journal of Occupational Therapy

Background: Refugee youth face acculturation stress, language barriers, xenophobia, and difficulty accessing resources. These factors, combined with migration trauma, negatively impact youths’ psychosocial health. This study aimed to conceptualize evaluation in an occupation-focused, person-centered framework with the goal of informing therapists working with displaced children.

Methods: This mixed methods, descriptive study used narrative research methodologies to understand the experiences of refugee youths. A variety of assessment tools were used to elicit these youths’ stories and create in-depth occupational profiles. The evaluation protocol that was created generated extensive data used to inform programming at a community non-profit to ensure …

State Of The Journal: Introducing Assistant Editors, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.

Enhancing The Quality Of Life For Senior Citizens: A Facilitator’S Guidebook For Mindful Music And Movement, Shannon Sexton

Mindfulness Studies Theses

Music appreciation and enjoyment enhance well-being throughout the lifespan. The challenges and constraints that people experience as they age can lead to lack of access to music, decreased physical activity, and fewer avenues for creative expression. Group music and movement interventions created for older populations offer opportunities for social connection and improved quality of life. Mindful practices add further benefit when combined with these interventions. Current available programs are scarce and most often do not encompass mixed modalities. In addition, the benefits of these programs do not show long-term sustainability. The purpose of this thesis is to explore the effects …

Coaching In Context Model (Version 4), Marie-Christine Potvin, Maryjane Mulcahey, Nicole 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, CinC 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. CinC conversations are contextualized within lived environments including tasks demands and life roles. CinC intends to operationalize and organize professional coaching competencies into a model that health, rehabilitation, education, and human service professionals can embed into their practice.

The CinC model was developed and published in four …

Occupational Transitions Of Family Caregivers Of Loved Ones With Dementia, Katherine L. Groezinger, Cameron J. Honsa, Darcey A. Wilkinson, Emily K. Simpson

Internet Journal of Allied Health Sciences and Practice

Purpose: The primary purpose of this study was to explore how family caregivers of people with dementia experience transitions in occupations as they assume the caregiver role. Because unpaid family caregivers play a vital part in the scheme of health care, it is important to understand their supports, their perceptions of themselves as caregivers, and the impact of caregiving on relationships, identity, and physical and mental health. Many researchers have studied the effects of caregiver burden, yet minimal attention has been given to the lived experiences of caregiving on their daily roles and routines. Methods: A qualitative descriptive design was …

Ethnicity Does Not Impact Physical Therapy Students’ Clinical Readiness And Performance, A United States Exploratory Study, Derrick F. Campbell, Jean-Michel Brismee, Brad Allen, Troy L. Hooper, Manuel A. Domenech, Kathleen J. Manella

Internet Journal of Allied Health Sciences and Practice

Purpose: To explore the impact of ethnicity on clinical readiness and performance among Doctor of Physical Therapy (DPT) students, as determined by 1) Physical Therapist Self-Efficacy (PTSE) score, 2) self-confidence treating patients, and 3) final American Physical Therapy Association (APTA) Clinical Performance Instrument (CPI) clinical reasoning and summative ratings during clinical experiences. Methods: This study is a survey-based, descriptive, and exploratory cross-sectional research design involving sample of 211 DPT students evaluated for differences across ethnic students’ groups 1) PTSE score during student clinical experiences, 2) confidence with treating initial and subsequent same-patient visits, and 3) final CPI clinical reasoning …

Reliability Of Hand-Held Dynamometry For Measuring Force Production In People With Parkinson’S Disease, Matthew Boom, Elisabeth Preston, Renee Salmon, Louise Ada, Allyson Flynn

Internet Journal of Allied Health Sciences and Practice

Purpose: People with Parkinson’s disease (PD) have impaired force production, which is associated with decreased mobility and falls risk. Reliable measurement of force production is important. Design: A repeated-measures, intra- and inter-rater reliability study was undertaken. Participants: 24 people with mild PD were measured by one or two raters. Outcome measures: Isometric force of the major upper and lower limb muscle groups was measured using hand-held dynamometry. Results: Fourteen participants were measured by the same rater on two occasions to determine intra-rater reliability. Ten participants were measured on two occasions by two different raters to determine …

Mealtime Experiences Of Children With Autism Spectrum Disorder From The Perspectives Of Filipino Occupational Therapists In Cebu: Implications For Practice, Blaise Audre V. Barrientos, Alyanna Freyse T. Badajos, Erika Faye M. Bucog, Rosse Velle C. Mauro, Paolo Miguel P. Bulan

Internet Journal of Allied Health Sciences and Practice

Purpose: Occupational therapists (OTs) handle children diagnosed with autism spectrum disorder (ASD), and a common concern is how their sensory processing issues affect their feeding habits. There is limited information regarding interventions about this issue both locally and internationally. This study aims to know the experiences of OTs providing feeding interventions associated with sensory issues for children with ASD. It will also describe what approaches they used for these interventions. Method: Qualitative phenomenology using in-depth interviews with nine OTs in Cebu, Philippines was conducted, and data underwent thematic analysis. Results: Five themes emerged: 1) a family that feeds together, stays …

Correlation Of Various Heart Rate Measures And Borg Cr10 Ratings Within The First Five Minutes Of Moderate- And Vigorous-Intensity Exercise, Maia Janae Gabrielson Spt, Maddison Elizabeth Hajek Spt, Kiana Lynn Hoff Spt, Rachel Marie Schmitz Spt, Jamie Lynn Schweiss Spt

Physical Therapy Student Research Projects

Aerobic exercise is a crucial component of an individual’s health regimen. Target heart rate (HR), using HR, percentage of maximum HR, or percentage of HR reserve offers an objective manner to gauge exercise intensity. Rate of perceived exertion (RPE) using either the traditional or modified scale (Borg CR10) offer a subjective option for measuring individual exercise intensity. The purpose of this research study was to investigate the relationship of various HR measures with subjective report of exercise intensity via the Borg CR10 scale during the first five minutes of exercise geared towards moderate and vigorous intensity. Thirty-four college-aged participants completed …

The Effects Of Balance Exercises On Lower Extremity Injury Prevention: A Systematic Review, Madason Gene Leif Spt, Bailey James Neises Spt, Zach Thomas Sebern Spt, Ryan John Hanks Spt

Physical Therapy Student Research Projects

Background: Previous systematic reviews have identified injury risk predictors of sport-related lower extremity (LE) injuries based on exercise programs. There are limited studies indicating the advantage of single-leg balance (SLB) training and its effectiveness in lowering injury rates. Research Question: Investigate which types of balance training were used in effective injury prevention programs. Methods: A systematic review utilizing the SPORTDiscus and PubMed databases. Inclusion criteria were randomized controlled trials from the last 10 years that included LE injury prevention, a balance training component and participants aged 10-30. Results: 5 studies were included in the qualitative synthesis, comprising 2,926 athletes. Three …

A Cross-Sectional Cohort Of The Healthy Older Adult Population’S Ability With Left Right Judgment Task, Cody Jay Davis Spt, Aleesha Kristine Kreutzfeldt Spt, Ali A. Kuca Spt, Whitney Anne Smith Spt, Bailey Marie Volmer Spt

Physical Therapy Student Research Projects

Over 100 million US adults suffer from chronic pain, many older adults. In some cases, chronic pain has been shown to alter a person’s body schema and thus their motor imagery ability. Clinically, a measurement of left/right judgment (LRJ) has been used to measure motor imagery. Evidence suggests differences can be found in individuals’ LRJ reaction times and accuracy for those with pain compared to those without. Limited study has been done in the area of LRJ in an older population. The primary objective of this study is to explore LRJ norms for older adults. The secondary aim is to …

Impact Of Perfectionism, Social Media, And Sleep Hygiene, On Stress In Students From Health Professions Programs, Dayton Duane Braley Spt, Madisyn Ann Dingmann Spt, Brooke Elizabeth Grussing Spt, Justin Daniel Heinrichs Spt, Trystin Renae Nilson Spt

Physical Therapy Student Research Projects

Title: Impact of Perfectionism, Social Media, and Sleep Hygiene, on Stress in Students from Health Professions Programs

Purpose: Explore the impact and relationships of perfectionism, sleep, and social media on stress in health profession students.

Methods: After IRB approval, 62 health pre-professional/professional students completed this non-experimental survey via Qualtrics. The survey consisted of the Perceived Stress Scale (PSS), Frost Multidimensional Perfectionism Scale (FMPS), Pittsburgh Sleep Quality Index (PSQI), questions about social media usage, and demographic characteristics. Surveys were completed in 2021.

Results: Participant demographics included: 50 female, 12 male; Mean Age (24.16); Program of Study (23 PT, 9 OT, 13 …

Knowledge, Awareness, And Intercultural Communication Effectiveness Among Us And Egyptian Student Physical Therapists Following An Educational Intervention, Jordyn Ann Bernstein Spt, Alysa Nichole Gregg Spt, Jessica Deanne Schmidt Spt

Physical Therapy Student Research Projects

Widespread technology has enhanced international collaboration opportunities. In healthcare professions, communication amongst different cultures is an essential skill to help professionals excel in diverse clinical settings. Physical Therapy programs in the US address the need for cultural competence with classroom activities, but direct interactions with student physical therapists (SPTs) from differing countries are rare. The goal of the study was to investigate changes in intercultural communication effectiveness among US and Egyptian SPTs following four educational sessions. Each session featured an educational video about aspects related to physical therapy in each country and was followed by small group discussions, during which …

Achilles Tendon Stiffness Of Division 1 Track And Field Athletes, Erin Luken Spt, Sydney Gustaf Spt, Jessica Thum, Drew Peters Spt, Jason Polzin

Physical Therapy Student Research Projects

Background: No previous research provides data on Achilles tendon (AT) stiffness of Division 1 (D1) track and field (TF) athletes. Limited information is known on what variables influence tendon stiffness in athletes. AT stiffness may have an impact on injury and performance in D1 TF athletes, warranting research. The purpose of this study is to identify if there are factors that correlate with AT stiffness among D1 TF athletes.

Methods: Fifty-one D1 TF athletes voluntarily participated in a cross-sectional study of AT biomechanical measurements at the beginning of the fall season. The MyotonPro was used for measurements at the midline …

What’S All The Racket? Comparing Physical Health Outcomes Between Pickleball And Tennis In Older Athletes, Megan Doneen Wilson Spt, Ashley Nicole Meldrum Spt, Austin Jeffrey Buchholz Spt, Andrew David Taverna Spt, Michael John Olson Spt

Physical Therapy Student Research Projects

Background: Pickleball is rising in popularity, especially among older adults. Pickleball boasts psychological and physical benefits to aging athletes. Singles pickleball has been found to approximate brisk walking in metabolic equivalents (METs) at 4.1, while the METs level for singles tennis is 7.0-8.0. The physical health benefits of tennis are known to be positive while those of pickleball are still being explored. With objective differences in MET level it may be surmised that health outcomes might vary between the two sports.

Purpose: The purpose of this study was to use the Senior Athlete Fitness Exam (SAFE) to quantify and compare …