Rehabilitation and Therapy Commons^™

Hope On The Slopes: Occupational Therapy's Role In Adaptive Ski Programming, Claire Hague

Capstone Projects

Adaptive skiing and Occupational Therapy (OT) have potential to merge well together. They both aim to enable individuals, regardless of ability, to engage in a purposeful activity or occupation through providing the appropriate supports or interventions (Lundberg et al., 2021; AOTA, 2020). Although OT is acknowledged as a service delivered in community-based settings (AOTA, 2020), there is limited evidence to support a collaboration between OT and its involvement in community-based adaptive ski programing. The purpose of this Doctoral Capstone Experience (DCE) is to explore the role of OT in a community-based adaptive ski program, Challenge Mountain. Through serving alongside the …

Creating Opportunity For The Homeless Population To Engage In Meaningful Occupations, Jada S. Toliver

Capstone Projects

Creating an opportunity for the homeless population to learn life skills, and improve their engagement in meaningful occupations is critical in helping people reintegrate back into the community. Through the development of Life Skills workshops the homeless population could learn appropriate life skills, receive education and advocate for their basic needs to be met. The needs addressed were increasing participation in occupations such as work, socialization, leisure activities, and promoting the importance of maintaining their health. The objectives were: (1) developing professional reasoning skills through scholarly exploration, (2) achieving greater resiliency by implementing goal attainment scaling, (3) utilizing evidence based …

Improving Efficiency Of Referrals And Documentation At Drive Well Michigan Driver Rehabilitation Clinic, Paige Norgan

Capstone Projects

The doctoral capstone project focused on developing a current website for Drive Well Michigan driver rehabilitation clinic that incorporated web content accessibility strategies and increased patient autonomy by allowing them to initiate referrals, schedule appointments online, and pay online. This mechanism was concurrently developed to decrease the amount of time that occupational therapists on site previously dedicated towards completing the entire referral, scheduling and payment process over the phone. Additionally, two electronic record systems were researched, demonstrated, and presented to site mentor, and two documentation summary templates were designed to be integrated into the chosen future system. Lastly, practice management …

Occupational Therapy's Role In Increasing Client Engagement In Substance Use Disorder Treatment Programming With A Community-Based Interdisciplinary Team, Jennifer Tornga

Capstone Projects

Substance Use Disorder (SUD) remains a prevalent problem in the United States despite consistent efforts by National, State, and local entities to improve access to treatment services. Even though attendance of treatment services is understood to be important for progress towards recovery goal attainment for those with SUD, limited study has been done to understand how SUD itself negatively impacts a person’s ability to engage in treatment meaningfully and consistently. This project was designed to explore and understand barriers to attendance of and engagement in SUD treatment stemming from executive functioning deficits commonly connected to SUD. An Occupation-based approach was …

Outdoor Community Based Rehabilitation Program Development, Dylan Pritel

Capstone Projects

The purpose of this capstone paper is to promote Outdoor Community Based Rehabilitation (CBR) as an adjunctive therapeutic approach to traditional treatment for rehabilitation professionals working in outpatient settings. The primary objective of this project was to create a comprehensive program proposal for an Outdoor CBR program for patients receiving outpatient services at Oroville Hospital. It included creating program activities, a patient referral process, identifying possible community partners, locating applicable grants, determining program staffing, as well as creating a workable budget, which included overall activity costs, staffing costs, equipment costs and reimbursement procedures. (See appendix A and B) The program …

Advocacy Efforts For The Occupational Therapy Licensure Compact, Caitlin Cornish

Capstone Projects

Advocacy efforts for the occupational therapy profession are critical in order to promote the scope of practice and what benefits occupational therapy can provide to consumers. However, many occupational therapists and occupational therapy students find there are many barriers to becoming involved in advocacy efforts. The barriers to advocacy decrease the amount of individuals involved in advocacy efforts that allow forward progress within our profession. Clinicians and students need to be involved in the advocacy efforts at the policy level and engage in conversations with legislators. There are pieces of legislation that exist at the state-policy level that would advance …

Swim Instructor Education For Adaptive And Inclusive Swimming, Anna Griesbach

Capstone Projects

My doctoral capstone experience (DCE) focused on swim instructor education in order to promote adaptive and inclusive swimming. The mentors that I collaborated and worked with throughout the capstone experience were both certified aquatic instructors with extensive experience in instructing swim classes, adaptive classes, and one of my mentors has created and implemented an adaptive swim program in the past. The Accreditation Council for Occupational Therapy Education (ACOTE) focus area that I completed my capstone experience and culminating project was on education. I identified several gaps and areas of need within my site and the population served there that I …

Exploration Of Driving Rehabilitation Best Practices To Sustain An Occupation Focused Driver Rehabilitation Program, Kelsey East

Capstone Projects

In the United States driving dominates as the primary mode of transportation connecting people to resources including work, school, stores, and hospitals. Driving enables individuals to participate in the occupations they need or want to do, which is why it is a critical Instrumental Activity of Daily Living (IADL). Because driving falls within an occupational therapist’s scope of community mobility, many driving rehabilitation specialists have a background in occupational therapy. Driving rehabilitation is an expanding practice area, with emerging evidence supporting the use of an IADL based assessment for determining fitness to drive. Therefore, the main goal of this doctoral …

Integrating Occupational Therapy Strategies In Autism Community Programs, Danielle Daoud

Capstone Projects

The purpose of this 14-week Doctoral Capstone Experience (DCE) was to implement Occupational Therapy (OT) strategies into already existing Autism community programs. The capstone project took place at The Joanne and Ted Lindsay Foundation Autism Outreach Services (OUCARES) under the mentorship of Kristin Rohrbeck, M.A., Director of OUCARES. This project’s concentration area was in program and policy development, and although these programs were already established, there was a need for Occupational Therapy based strategies and recommendations to further enhance them. OUCARES offers a wide variety of programs focused on everyday life skills for individuals with Autism of all ages, along …

Communities Helping Communities: Identify Impact Through Surveys, Sarah D. Farrar

Capstone Projects

Renew Mobility started it humbles beginnings in 1993 with the intention to serve those in need of mobility equipment within Western Michigan. Since Renew Mobility opened 30 years ago it has undergone restructuring, including opening a second office to further its impact. In essence Renew Mobility aids in helping all ages and abilities of the population who need devices to increase their independence. Renew Mobility accepts donated equipment from the community, refurbishes the equipment/ recycles it, and donates it back to those in need. A hindrance of growth for our organization has been tracking outcomes. Renew Mobility has started to …

Outcome Measures At A Private Outpatient Pediatric Occupational Therapy Clinic, Kelly Alter

Capstone Projects

My Doctoral Capstone Experience (DCE) focused on outcome measurements and better understanding business related elements within a private outpatient occupational therapy clinic. As described in the paper below, outcome measurements are important for a variety of reasons but can be difficult to implement in everyday practice for clinicians. Thus, I aimed to improve the ways that this clinic collected outcome measures so that it would be more manageable for the clinicians. For my DCE, I also sought to improve the physical environment at Sensory Systems Clinic West (SSCW) which was indicated as a barrier during the needs assessment by staff. …

Therapeutic Gardening For Older Adults At A Community-Based Day Center: A Doctoral Capstone Experience, Anna Serbantez

Capstone Projects

As we age, it is common for individuals to participate in less meaningful and purposeful occupations due to cognitive and physical declines. Research has shown that gardening is a popular leisure activity that offers many therapeutic benefits. This capstone project involved creating an evidence-based therapeutic gardening program for older adults at Care Resources. This community-based day center offers many activities and opportunities for participants to get involved with; however, after completing a needs assessment, it was clear that participants could benefit from more hands on and productive activities that help encourage regular attendance to the day center. The objectives of …

Generalized Joint Hypermobility And Lower Extremity Musculoskeletal Biomechanics In Female Athletes, Christopher F. Geiser

Dissertations (1934 -)

Generalized Joint Hypermobility (GJH), in lay terms being “double-jointed”, affects 5 to 43 percent of the general population. In severe forms, GJH impacts systems across the body, with cardiovascular, ocular, and musculoskeletal effects that can be quite debilitating. Most of the literature examining GJH is in this severely impacted group of people. However less severe forms of GJH are present in the athlete population in the same proportions, and athletes with GJH are more likely to be injured while participating in activities. They also experience greater time-loss injuries while participating in athletic activities. The movement biomechanics of those with severe …

A Formal Wound Care Plan For Homelessness Populations, Sophia C. Johnson

Electronic Theses and Dissertations

The purpose of this project was to develop a formal care management program for homeless patients during transition into the rehabilitation setting. This DNP scholarly project worked with one specific rehabilitation center, which is most open to the care of homeless individuals needing wound care, on the creation of a postdischarge service. An interprofessional team worked together to create a plan for the creation, implementation, and evaluation of this innovative service based on the protocols derived from the CDC to facilitate a framework and practice for those suffering from open, chronic, and worsening wounds in an effort to prevent further …

Es-03 The Effects Of A Warmup Protocol Involving The Nordic Hamstring Exercise On Vertical Squat Jump Performance And Peak Muscular Activation, Reagan Hunter, Jeff Barfield

SC Upstate Research Symposium

Background: Vertical jumping is one of the most popular ways of assessing athleticism and power output of the lower body in both professional and recreational sport settings. Therefore, having access to an appropriate warmup protocol for enhancing this skill and the power output associated with it is essential for athletes whose success depends on the ability to perform it. Current literature demonstrates similar posterior kinetic chain muscle engagement during the vertical squat jump and during an exercise called the Nordic Hamstring Curl. The literature additionally demonstrates significant effects on strength and athleticism when the exercise is used in long-term training …

What's Going On In This Picture? Teaching Clinical Observation Skills With Visual Thinking Strategies, Susan Noyes Phd, Otr/L

USM Research and Scholarship Symposium

No abstract provided.

Manual Therapy And Exercise For The Management Of Chronic Neck Pain With Multiple Neurovascular Comorbidities: A Case Report, Zach Mayo, Christopher Keating

Department of Physical Therapy Faculty Papers

This case describes the clinical decision-making behind the conservative clinical management of an individual presenting with chronic neck pain with myriad neuromuscular comorbidities. The focus of this case report is to support the safe utilization of manual therapy and describe the tolerable prescription of strength and endurance exercise in a patient with numerous complications to improve self-efficacy. A 22-year-old female college student presented with a chief complaint of chronic, non-specific neck pain with comorbid Chiari malformation, migraines, upper cervical spinal fusion, Ehlers-Danlos syndrome (EDS), and postural orthostatic tachycardia syndrome (POTS) to an outpatient physical therapy clinic for evaluation and treatment. …

Experiences And Perspectives Of Filipino Patients With Stroke On Physical Therapy Telerehabilitation: A Phenomenological Study Protocol, Christopher G. Cruz, Donald S. Lipardo, Nicole Trizia S. Esplana, Beatrice Ann Q. Loa, Micah L. Dismaya, Janelle Meara Y. Lau, Mirzi Chelsea R. Quizzagan, Arianne B. Cardenas, Adellene Therese S. Celso, Hanz Lauren A. Taguinod, Kristian Joseph C. Martin, Leonardo S. Uy Iii

Philippine Journal of Physical Therapy

Introduction: Stroke is the third leading cause of death in the Philippines, so these patients must continuously undergo rehabilitation for faster recovery. With the rise of COVID-19, physical therapy (PT) telerehabilitation (TR) has emerged, where services are provided outside the usual rehabilitation setting for patients with stroke to continue their treatment while reducing the risk of acquiring COVID-19. However, it is a relatively new service in the country; hence, further research is needed to identify the factors and needs of these patients during TR, which may help improve PT TR services.

Objective: This study aims to explore the experiences …

The Use Of Artificial Intelligence (Ai)-Assisted Technologies In Scientific Discourse, Arvie Vitente, Rolando Lazaro, Catherine Joy Escuadra, Jocel Regino, Esmerita Rotor

Philippine Journal of Physical Therapy

No abstract provided.

Effectiveness Of Vacuotherapy And Dry Needling As Adjunct Treatment For Musculoskeletal Cases: A Cohort In A Pt Clinic., Adnan N. Balisi, Vince Paul Lobaton, Dane Debulgado, Jhonas Jegira, Mae Adrinne Tumonong, Christian James Brillas, Ritchie Belle Gelito, Mychelle Rae Marasigan

Philippine Journal of Physical Therapy

Introduction: Usage of vacuum therapy and dry needling in physical therapy management of musculoskeletal cases have gained increasing usage but the literature regarding their effects is limited. This study determines the effect size of the interventions, which are vacuotherapy and dry needling as adjunct treatments to exercises, performed in a local PT clinic to musculoskeletal cases in three different treatment sessions with a week gap in between.

Methods: The study is a retrospective cohort where sampling was purposive in gathering historical patient charts. The numerical pain rating scales and relevant range of motion (ROM) in the musculoskeletal cases …