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Blood Flow Restrictive Training Following Medial Patellofemoral Ligament And Anterior Cruciate Ligament Reconstruction Rehabilitation, Richard Watson 2023 University of Kentucky

Blood Flow Restrictive Training Following Medial Patellofemoral Ligament And Anterior Cruciate Ligament Reconstruction Rehabilitation, Richard Watson

Theses and Dissertations--Rehabilitation Sciences

Both patellofemoral dislocation and anterior cruciate ligament (ACL) ruptures have a significant impact on an athlete’s ability to regain function and return to play. Surgical repair of the medial patellofemoral ligament (MPFL) and ACL ligament reconstructions result in a sequala of quadriceps weakness. Persistent quadriceps weakness following reconstruction can create a cascade effect of muscular atrophy and weakness resulting in significant knee and leg impairments. An abundance of research has shown that blood flow restrictive training (BFRT) has demonstrated significant results in post-surgical rehabilitation by increasing muscular strength and improving function. What is unclear is the effect of deflating or …


Developing Ecologically Valid Clinical Tools For Persons With Tbi: Understanding The Role And Impact Of Distractions, DeAnna Pinnow 2023 University of Kentucky

Developing Ecologically Valid Clinical Tools For Persons With Tbi: Understanding The Role And Impact Of Distractions, Deanna Pinnow

Theses and Dissertations--Rehabilitation Sciences

There is a critical need for the development of ecologically valid clinical tools to assess real-life cognitive functioning in persons impacted by traumatic brain injury (TBI). Chronic cognitive impairments that are exacerbated by distractions are one of the core factors contributing to poor home and community re-integration post injury. Simulation-based digital platforms (i.e., virtual reality, augmented reality, and mixed reality) have become potential solutions for eliciting real-world cognitive performance in clinical settings. Yet, there is a paucity of research investigating the role and impact of distractions on cognition. As a result, there is no clear framework of measuring distractions to …


Development Of Wellness And Nutrition Through The Use Of Gardening, Josie Anhorn 2023 University of North Dakota

Development Of Wellness And Nutrition Through The Use Of Gardening, Josie Anhorn

Occupational Therapy Capstones

The population of older adults has been rising exponentially in recent years (Duffin, 2022), leading to an influx in people moving into retirement or independent living communities. This transition may cause many changes in the new residents’ occupational participation and overall well-being. Research has shown specific areas of concern in socialization, nutrition, self-esteem, physical abilities, and continued participation in meaningful occupations (Holland et al., 2017; Knecht-Sabres et al., 2020; Smith, 2015; Sommerfeld et al., 2018; Swann, 2006; Swann, 2010). Gardening has been shown to positively impact these areas of health and well-being and ease some of the negative symptoms (Thompson, …


Let’S Groove: A Dance Program Designed For Children With Disabilities, Michayla Burckhard 2023 University of North Dakota

Let’S Groove: A Dance Program Designed For Children With Disabilities, Michayla Burckhard

Occupational Therapy Capstones

Children with disabilities face limited opportunities to participate in the occupation of dance when compared to opportunities available for their non-disabled peers. Barriers to their participation include lack of class opportunities, cost, and knowledge about programs (Carrion et al., 2018). Many dance studios offer integrated or non-specialized classes, but participation by a child with a disability in this type of class is sometimes limited by parental or child fears, or other barriers such as lack of accommodations (Lucas, 2017).


A Holistic Approach To Promoting Sleep For People Emerging From Homelessness: A Good Night’S Rest In Your Nest Sleep Toolkit, Anna Frances Burggraf 2023 University of North Dakota

A Holistic Approach To Promoting Sleep For People Emerging From Homelessness: A Good Night’S Rest In Your Nest Sleep Toolkit, Anna Frances Burggraf

Occupational Therapy Capstones

Sleep deprivation has been directly linked to chronic health issues, decreased physical and cognitive functioning, and overall decreased quality of life, which limits the ability to engage in desired tasks and occupations (Gonzalez & Tyminski, 2020). Individuals who have experienced homelessness consistently demonstrate higher rates of sleep inadequacies compared to the general public, which highlights the need for service providers to address the quality of sleep participation for this population (Gonzalez & Tyminski, 2020).


Increasing Parent Confidence And Involvement In The Nicu: An Occupational Therapy Educational Guide, Megan D. Berginski 2023 University of North Dakota

Increasing Parent Confidence And Involvement In The Nicu: An Occupational Therapy Educational Guide, Megan D. Berginski

Occupational Therapy Capstones

Research shows that 40% of mothers with preterm infants in the neonatal intensive care unit (NICU) reported feelings of depression, and 23% reported experiencing post-traumatic stress symptoms, with that number increasing to 40% after discharge (Harris et al., 2018). Factors that contributed to this included a lack of social support, a lack of empowerment, perceived less capability in their new roles, and the stressful experiences that can happen in this setting (Matricardi et al., 2013; Sabnis et al., 2019). A similar study found that at discharge, 69.8% of parents reported that they were not confident in providing the necessary care …


Transitioning A Hand Therapy Clinic From Traditional Paper Home Programs To An Electronic Platform: A Quality Improvement Project, Megan Raissa Fuka 2023 University of North Dakota

Transitioning A Hand Therapy Clinic From Traditional Paper Home Programs To An Electronic Platform: A Quality Improvement Project, Megan Raissa Fuka

Occupational Therapy Capstones

Individuals with upper extremity conditions who receive occupational therapy within the hand therapy context are often provided with paper or electronic home programs (HPs) as part of their rehabilitation protocol. Electronic HPs may promote greater adherence and functional improvements than paper handouts, as they can accommodate various learning styles and address patient barriers (Chung et al., 2020; Harte & Law, 2019; Lambert et al., 2017; Nussbaum et al., 2019; Toci et al., 2021; Valdes et al., in press). Despite evidence showing positive patient satisfaction and outcomes as a result of using electronic HPs, some occupational therapy practitioners (OTPs) may be …


The Effects Of Sensory Exposures On Pre-Term Infants Within The Neonatal Intensive Care Unit, Isabell Grace Fetsch 2023 University of North Dakota

The Effects Of Sensory Exposures On Pre-Term Infants Within The Neonatal Intensive Care Unit, Isabell Grace Fetsch

Occupational Therapy Capstones

The neonatal intensive care unit (NICU) setting is a very dynamic, complex environment that can greatly affect the well-being and physical development of pre-term infants. Pre-term infants are defined as infants born earlier than 37 weeks’ gestation (CDC, 2021). AOTA (2018) researchers stated that a pre-term infant does not have the self-regulatory tools to adapt to the complex and highly stressful NICU environment. Pineda et al. (2017) explained that the environment within the NICU presents many adverse sensory stimuli such as bright lights, loud noises, and stressful human touches. When infants are unable to manage environmental sensory exposures appropriately due …


Social Skills Development: A Program For Pediatric Occupational Therapy Group Sessions, Kenadee Eyre 2023 University of North Dakota

Social Skills Development: A Program For Pediatric Occupational Therapy Group Sessions, Kenadee Eyre

Occupational Therapy Capstones

Children with a neurological disorder often demonstrate delays in social skills development (Glenn et al., 2020; Goldingay et al. 2020; & Tanta & Kuhaneck, 2020). This delay in development impacts their participation in meaningful occupations as optimal performance range includes an element of social interaction. The purpose of this product is to provide pediatric occupational therapists with the resources necessary to build social skills groups following a hierarchy of social skills development.


Addressing Adherence To Home Exercise Programs In A Hand Therapy Setting, Austin B. Ellis 2023 University of North Dakota

Addressing Adherence To Home Exercise Programs In A Hand Therapy Setting, Austin B. Ellis

Occupational Therapy Capstones

Roughly 1,100 per 100,000 persons experience an upper-extremity injury per year including burns, fractures, or amputations (Ootes et al., 2012). These upper-extremity injuries can impact a person’s physical function, activities of daily living (ADL), social, psychological, and financial aspects in life (Che Daud et al., 2016b). These statistics warrant the need for occupational therapy practitioners specializing in hand therapy, and other hand therapists to address these areas of client’s lives that have been affected by their upper extremity injury.


Supporting Caregivers Of Children With Complex Health Needs, Anne Louise Domanus 2023 University of North Dakota

Supporting Caregivers Of Children With Complex Health Needs, Anne Louise Domanus

Occupational Therapy Capstones

The purpose of this scholarly project is to develop and implement programming that provides support and meets the needs of caregivers of children with complex health needs. This was done by providing a resource guide of local community resources to caregivers to increase engagement in leisure occupations.


Life Skills Training Resource For Individuals Aging Out Of The Foster System, Stephanie Coauette 2023 University of North Dakota

Life Skills Training Resource For Individuals Aging Out Of The Foster System, Stephanie Coauette

Occupational Therapy Capstones

The purpose of this project was to create a training resource for foster families regarding life skills for the population of individuals aging out of the foster care system. There is an identified need for resources for individuals who age out of the foster system for life skills training and basic activities of daily living (ADL) training (Paul-Ward & Lambdin- Pattavina, 2016). Aging out of the foster system means that an individual has turned 18 years old without a legal adoptive family taking responsibility for them (Scannapieco et al., 2007). There is a need for the individuals who are preparing …


Becoming An Occupational Therapy Advocate: A Toolkit For Practitioners, Tiana Jo Griffith 2023 University of North Dakota

Becoming An Occupational Therapy Advocate: A Toolkit For Practitioners, Tiana Jo Griffith

Occupational Therapy Capstones

Advocacy is an important component of the occupational therapy profession. Advocacy helps advance the profession, promote client well-being, and ensures access to services. Although practitioners are aware of the importance of advocacy, there is still a lack of involvement in advocacy efforts. There are several reasons for the lack of involvement, including insufficient knowledge and preparedness, limited discussion of advocacy, and lack of time to interact with the policy process (Dhillon et al., 2010; Marfeo, 2020; Osman et al., 2020). A toolkit was developed to address the identified barriers by providing occupational therapy practitioners in Wyoming with information and resources …


Educating The Educator: Articulating Ot’S Role In School-Based Collaboration, Bryce Shaun Graves 2023 University of North Dakota

Educating The Educator: Articulating Ot’S Role In School-Based Collaboration, Bryce Shaun Graves

Occupational Therapy Capstones

Many teachers in the educational field are unaware of the role of occupational therapists (OTs) and how OTs can support teachers and students (Kennedy et al., 2018; Truong & Hodgetts, 2017). Educators who are aware of the OT role often desire further collaboration including realistic recommendations for their classroom (Truong & Hodgetts, 2017). This presents a need for increased education about the role of occupational therapy (OT) in school-based practice and additional instruction for increased effectiveness of OT-teacher collaboration.


Exploring Nature-Based And Animal-Assisted Therapies As A Therapeutic Modality, Rachel Cheatley 2023 University of North Dakota

Exploring Nature-Based And Animal-Assisted Therapies As A Therapeutic Modality, Rachel Cheatley

Occupational Therapy Capstones

Animal-assisted therapy (AAT) is characterized by integrating animals into the therapy process as a therapeutic partner and modality (Laskowski et. al., 2019). AAT shows positive outcomes for those who take part in the practice (Ein et. al., 2018; Feng et. al., 2021; Mapes & Rosén, 2016; Nieforth et. al., 2021). Common goals that are targeted via AAT include anxiety and related symptoms, depression and related symptoms, coordination, fine motor skills, reaching, hand-eye coordination, body balance, body awareness, communication, and relationship building (Ein et. al., 2018; Feng et. al., 2021; Mapes & Rosén, 2016; Nieforth et. al., 2021). Even with the …


Caring For All In The Nicu, Zachary Daniel Gascho 2023 University of North Dakota

Caring For All In The Nicu, Zachary Daniel Gascho

Occupational Therapy Capstones

In the neonatal intensive care unit (NICU), the infants who are being examined, evaluated, and treated are not the only people that need to be thought of when providing care. The parents/guardians in the NICU are just as important to consider in providing support. Research has shown that parents who have a child in the NICU experience a great deal of stress and guidelines recommend emotional support intervention in the NICU (Bigsby, 2021; Dudek-Shriber, 2004, Hynan & Hall, 2015). Emotional support is needed for these parents as they are experiencing perinatal mood and anxiety disorders that are often left untreated …


Acting On The Need Of A Client, Caregiver, And Practitioner Seating And Mobility Guide, Aleksander Robert Kohn 2023 University of North Dakota

Acting On The Need Of A Client, Caregiver, And Practitioner Seating And Mobility Guide, Aleksander Robert Kohn

Occupational Therapy Capstones

There is a significant need for individuals with a disability and specific mobility limitations to require a wheeled mobility device. Wheeled mobility devices allow individuals to gain and/or maintain independence and engagement in occupations. The evaluation, prescription, and fitment of wheeled mobility devices are complex, requiring clients and caregivers to use and maintain these devices in specific ways. Barriers caregivers face can include not positioning the client properly in the wheeled mobility device, damaged or missing wheelchair parts, or improper positioning of the straps and belts, affecting posture, which could lead to secondary complications.


Improving Occupational Engagement For Children With Executive Dysfunction, Autumn Hopkin 2023 University of North Dakota

Improving Occupational Engagement For Children With Executive Dysfunction, Autumn Hopkin

Occupational Therapy Capstones

A person's ability to successfully perform complex tasks requires a higher level of thinking made possible through the successful use of executive functions. Executive functions develop over time, but typical development begins in early childhood. When children experience interruptions to development, executive dysfunction can inhibit their ability to reach their full occupational potential with play, academics, and social skill development. This scholarly project aims to promote executive function using an evidence-based approach to support occupational therapy practitioners and the children they serve with executive dysfunction.


The Missing Piece: A Sensory Toolkit For Parents, Educators, Healthcare Professionals, And Caregivers Of Children With Autism Spectrum Disorder (Asd) And Sensory Processing Disorder (Spd)., Jennavive Holm 2023 University of North Dakota

The Missing Piece: A Sensory Toolkit For Parents, Educators, Healthcare Professionals, And Caregivers Of Children With Autism Spectrum Disorder (Asd) And Sensory Processing Disorder (Spd)., Jennavive Holm

Occupational Therapy Capstones

The purpose of this project is to create educational material pertaining to sensory processing. The intended audience includes families, caregivers, teachers, and other healthcare professional who treat and/or care for individuals diagnosed with Autism Spectrum Disorder (ASD) and/or Sensory Processing Disorder (SPD). This sensory toolkit was developed to enhance parents and caregiver education on ASD and SPD diagnoses to increase both the child’s and the caregiver’s quality of life. It is hoped that this sensory toolkit will provide caregivers with invaluable resources and tools to use outside of the clinic. This product will incorporate the expertise of occupational therapy (OT) …


How Adaptive Sports Promote Occupational Engagement And Quality Of Life For Individuals With Disabilities In A Rural Community, Michael Helgeson 2023 University of North Dakota

How Adaptive Sports Promote Occupational Engagement And Quality Of Life For Individuals With Disabilities In A Rural Community, Michael Helgeson

Occupational Therapy Capstones

Health management, play, leisure, and social participation are all valued occupations related to sports. However, individuals with physical disabilities face many barriers that inhibit them from engaging in sports, depriving them of these occupations. Some of these barriers include a lack of adaptive sports resources, adaptive equipment, adaptive sports programs in rural communities, and knowledge of how to include individuals with disabilities (Obradovic et al., 2021). The purpose of this scholarly project was to address these barriers through the development of adaptive sports programs; hereby, increasing occupational engagement, quality of life (QOL), and life satisfaction for individuals with disabilities. To …


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