Rehabilitation and Therapy Commons^™

Occupational Therapy’S Role In Reducing Barriers For Team-Based Sports Participation For Adolescents, Dennis Nguyen, Karen Park, Becki Cohill, Susan Macdermott

Summer 2021 Virtual OTD Capstone Symposium

Participating in team-based sports has numerous benefits that includes not only increased physical fitness, but also cognitive abilities and academic performance. With the many benefits of participating in team sports can provide, it will be significant to understand adolescents' specific barriers and assist in reducing the barriers for successful participation. The purpose of the capstone project was to identify and understand adolescent barriers to bridge the gap between conventional rehabilitation and team sports participation. Multiple barriers and motivators were identified including financial management, time management, and physical/athletic skill. Facing these determinants may possibly support in increasing team sports participation and …

Transitional Vocational Program For Persons With Low Vision And Other Visual Impairments, Andria Lubben, Karen Park, Susan Macdermott, Becki Cohill

Summer 2021 Virtual OTD Capstone Symposium

Background: Low Vision is a life-altering visual disability (CDC, 2015). OTs work with individuals with low vision and work in the workplace and education, however, there is no research on OTs working with individuals with low vision in work or post educational settings (Butler, 2016). Vocational and educational needs are often not being met for individuals with low vision (Barbieri et al., 2019).

Problem: OTs have a limited role in adolescent transition to the workplace and higher education in individuals with low vision and other visual impairments.

Purpose: To understand transitional programs that support vocational and educational development of individuals …

Enhancing Discharge Preparation For Adults With Substance Use Disorder Within A Residential Treatment Facility, Piper Virva, Susan Macdermott, Becki Cohill, Karen Park

Summer 2021 Virtual OTD Capstone Symposium

The community reintegration process is a vital aspect of the recovery journey, which requires sufficient planning and preparation prior to discharge from treatment (Read & Stoffel, 2019). Individuals enrolled in a residential treatment program for SUD indicated that higher levels of assistance and preparation during the transition to community living and involvement in comprehensive discharge planning would better prepare them for community reintegration (Manuel et al., 2017). Historically, the role of occupational therapy (OT) with this population has been to facilitate the resumption of meaningful roles, identify supportive habits and routines, and address executive functioning deficits related to SUD (Champagne …

Exploring The Occupation Of Rest, Emilee Eckhart, Susan Macdermott, Becki Cohill, Karen Park

Summer 2021 Virtual OTD Capstone Symposium

Rest is an occupation that encompasses many aspects of the human experience. It is an occupation that looks different for everyone. The field of occupational therapy has always emphasized the importance and relevance of the occupation of rest. After a review of literature on the topic, there was little information about how rest and restful occupations are addressed in occupational therapy practice. This capstone project explored the occupation of rest and how it was understood and addressed in occupational therapy practice. This was a qualitative research design, where a survey was produced for occupational therapy practitioners (OTP). The survey questions …

Exploring Sensory Processing & Inclusivity Within A Fitness Gym Environment, Deveshma Maharaj, Karen Park, Becki Cohill, Susan Macdermott

Summer 2021 Virtual OTD Capstone Symposium

An individual’s sensory processing involves the reception, modulation, integration, and organization of sensory stimuli, as well as behavioral responses to sensory input (Dunn, 2001). Adults with sensory processing challenges may come across troubles with completing routines and tasks for work, social participation, and leisure (STAR Institute for SPD, n.d.). Since most individuals with these sensory processing challenges have struggled with symptoms continuously, they are likely to encounter secondary effects such as depression, underachievement, and social isolation (STAR Institute for SPD, n.d.). Adults with sensory processing deficits may experience difficulties with establishing their role in society, maintaining social support systems, and …

‘Missing The Target’ – A Critical Examination Of Policy Frameworks For Aboriginal And Torres Strait Islander Inclusion Into The Allied Health Professions, Andrea Simpson, Tim Pitman

Australian Indigenous HealthBulletin

Objective

This paper focuses on critically examining the inclusion of Aboriginal and Torres Strait Islander people in policy frameworks by regulatory health peak bodies against the backdrop of the Government’s response to the Closing the Gap (2020) report.

Method

Websites of ten allied health professional bodies were searched and analysed as policy as text.

Results

Of the ten professions examined, the search strategy identified 9 professions were signatories or co-signatories on Reconciliation Action Plans (RAP) and three professions made mention of Aboriginal and Torres Strait Islander equity strategies to enter the profession as part of accreditation standards.

Conclusions

Professional bodies …

An End-To-End Cnn With Attentional Mechanism Applied To Raw Eeg In A Bci Classification Task, Elnaz Lashgari, Jordan Ott, Akima Connelly, Pierre Baldi, Uri Maoz

Psychology Faculty Articles and Research

Objective. Motor-imagery (MI) classification base on electroencephalography (EEG) has been long studied in neuroscience and more recently widely used in healthcare applications such as mobile assistive robots and neurorehabilitation. In particular, EEG-based motor-imagery classification methods that rely on convolutional neural networks (CNNs) have achieved relatively high classification accuracy. However, naively training CNNs to classify raw EEG data from all channels, especially for high-density EEG, is computationally demanding and requires huge training sets. It often also introduces many irrelevant input features, making it difficult for the CNN to extract the informative ones. This problem is compounded by a dearth of training …

Comparison Of Constant Load Exercise Intensity For Verification Of Maximal Oxygen Uptake Following A Graded Exercise Test In Older Adults, Ian R. Villanueva, John C. Campbell, Serena M. Medina, Theresa M. Jorgensen, Shannon L. Wilson, Siddhartha S. Angadi, Glenn A. Gaesser, Jared M. Dickinson

All Faculty Scholarship for the College of Education and Professional Studies

Maximal oxygen uptake (VO₂max) declines with advancing age and is a predictor of morbidity and mortality risk. The purpose here was to assess the utility of constant load tests performed either above or below peak work rate obtained from a graded exercise test for verification of VO₂max in older adults. Twenty-two healthy older adults (9M, 13F, 67 ± 6 years, BMI: 26.3 ± 5.1 kg·m⁻²) participated in the study. Participants were asked to complete two experimental trials in a randomized, counterbalanced cross-over design. Both trials (cycle ergometer) consisted of (1) an identical graded exercise …

Application Of The Kinesio® Taping Method For A Child With Hypotonia: A Pilot Case Study, Margaret M. Griffin, Christina Ann A. Mcguff, Nicole C. Willse, Mackenzie D. Twaddell, Julia Shin

Student Journal of Occupational Therapy

Background: This study explored the application of the Kinesio® Taping (KT®) method in conjunction with traditional occupational therapy (OT) intervention for a child with hypotonia. Specifically, differences in functional hand outcomes (manual dexterity and grasp pattern) were examined between the sessions with and without the application of the KT® method.

Methods: A 9-year and 5-month-old male subject, at the time of enrollment, diagnosed with hypotonia, global developmental delay, and autism spectrum disorder participated in the study. A single-subject alternating treatment design was employed. A total of 14 OT sessions were conducted across baseline (n=3), alternating treatment (n=8), and replication (n=3) …

Use Of Smartphone Technology To Promote Knowledge Of Home Safety, Bonnie L. Rogulj

Physical Therapy Collection

This brief article describes the use of smartphone panoramic 360-degree imaging technology to educate patients on home safety. By positioning "hot spots" on images of the home environment, a visual tool for patient education was created to illustrate safety hazards in the home.

The Role Of Occupational Therapy Practitioners In Evaluation And Intervention Of Sleep With Older Adult Clients, Susan Cleghorn, Nicole Bell, Sauda Muhammad, Jordan Schneider, Laura Zeleznak

Older Adult

Objective: This study sought to explore occupational therapy practitioners’ perceptions of their role in working with older adults with sleep issues.

Methods: A mixed methods approach was used with data gathered from an online survey tool disseminated through social media platforms. Data from 17 participants was analyzed.

Results: Respondents reported not receiving entry-level knowledge of sleep evaluation in academic programs (70.6%). Additionally, 41.2% of respondents utilized continuing education opportunities. Respondents reported lack of occupational therapy specific evaluation tools as a significant barrier to addressing sleep in practice.

Discussion: Results indicate the need for additional research, coverage on sleep in the …

Anna Justina Magee: A Woman Of Determination And Vision, John F. Ditunno Jr., Chris S. Formal

Department of Rehabilitation Medicine Faculty Papers

This article tells the story of Anna J. Magee (AJM), the founder of the Magee Rehabilitation Hospital in Philadelphia, one of the country’s premier medical rehabilitation institutions. AJM’s life was shaped by her family, her times, and her city. The daughter of one of the founders of the Pennsylvania Railroad, she emerged in the late 19th century as an independent woman of elite Philadelphian society, demonstrating a special devotion to St. Stephen’s Episcopal Church at 10^th and Market Streets and, inspired by her personal physician, a determination to serve the rehabilitative needs of physically disabled patients, regardless of their …

Molecular Differences In Skeletal Muscle After 1 Week Of Active Vs. Passive Recovery From High-Volume Resistance Training, Christopher G. Vann, Cody T. Haun, Shelby C. Osbourn, Matthew E. Romero, Paul A. Roberson, Petey W. Mumford, C. Brooks Mobley, Hudson M. Holmes, Carlton D. Fox, Kaelin C. Young, Michael D. Roberts

Faculty Scholarship

Numerous studies have evaluated how deloading after resistance training (RT) affects strength and power outcomes. However, the molecular adaptations that occur after deload periods remain understudied. Trained, college-aged men (n = 30) performed 6 weeks of whole-body RT starting at 10 sets of 10 repetitions per exercise per week and finishing at 32 sets of 10 repetitions per exercise per week. After this period, subjects performed either active (AR; n = 16) or passive recovery (PR; n = 14) for 1 week where AR completed ∼15% of the week 6 training volume and PR ceased training. Variables related to …

Interprofessional Inconsistencies In The Diagnosis Of Shoulder Instability: Survey Results Of Physicians And Rehabilitation Providers, Constantine P. Nicolozakes, Xinning Li, Timothy L. Uhl, Guido Marra, Nitin B. Jain, Eric J. Perreault, Amee L. Seitz

Physical Therapy Faculty Publications

Background: Clinicians of many specialties within sports medicine care for athletes with shoulder instability, but successful outcomes are inconsistent. Consistency across specialties in the diagnosis of shoulder instability is critical for care of the athlete, yet the extent of divergence in its diagnosis is unknown.

Hypothesis: Physicians differ from rehabilitation providers in which findings they deem clinically important to differentiate shoulder instability from impingement, and in how they diagnose athlete scenarios with atraumatic shoulder instability.

Study Design: Cross-sectional study.

Methods: Physicians (orthopaedic surgeons, primary care sports medicine physicians) and rehabilitation providers (physical therapists, athletic trainers) were asked via an online …

Assessing The Clinical Characteristics And Ventilator Parameters Of Covid-19 Mechanically Ventilated Patients At Lehigh Valley Health Network, Andrew Kelly, Kenneth Miller Med, Rrt-Nps

Research Scholars

No abstract provided.

No Evidence Of Stochastic Resonance In Postural Sway Response To Noisy Galvanic Vestibular Stimulation In Healthy Young Adults, Dominique Rice

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

The transcutaneous application of a sub-sensory electrical stimulation to the vestibular afferents, known as noisy galvanic vestibular stimulation (nGVS), is thought to cause a reduction in postural sway at optimal amplitude intensities due to a mechanism known as stochastic resonance (SR). SR is a phenomenon whereby the addition of low amplitude noise to a non-linear system can be beneficial rather than detrimental. In humans, behavioral markers of SR in postural sway have been inconsistent, potentially due to insufficient power or false positives. Therefore, the main purpose of this study was to determine whether the frequency of observing SR-like effects improves …

Mindfulness-Based Practices For The Impaired Performance Athlete, Mackenzie L. Campbell

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

Mindfulness-based programs are becoming commonly considered for the improvement of athlete's mental and physical state. However, their usage in improving performance in impaired athletes is limited and not fully understood. The purpose of this thesis was to review the standing literature on the topic of the application of mindfulness to improving athletic performance in wellbeing-impaired athletes. Seventy-three articles were included as references for this paper describing functional mechanisms, clinical significance and anecdotal evidence that points to the effectiveness of mindfulness in sport for the treatment of pain, injury recovery, prevention of injury, and chronic illness. Ultimately, this review supports the …

Relationships Between Perceived Quality Of Life And Spiritual Beliefs, Education Level, Socioeconomic Status, Gender, And Ethnicity In Cancer Patients And Cancer Survivors, Eva Arjona

Theses and Dissertations

The purpose of this study was to identify a relationship between perceived Quality of Life and religious/spiritual beliefs. Additionally, it aimed to explore relationships between perceived QOL and age, gender, ethnicity, education level, and Socioeconomic Status (SES). The research question examined in this study was: What is the relationship between perceived quality of life and spiritual beliefs, education level, socioeconomic status, age gender, and ethnicity in cancer patients and cancer survivors? A total of 100 cancer patients or cancer survivors were surveyed for this study. A regression analysis was conducted to explore relationships among the variables; the alpha level was …

The Association Between Motor Capacity And Motor Performance In School-Aged Children With Cerebral Palsy: An Observational Study, Min-Hwa Suk, In-Kyeong Park, Soojin Yoo, Jeong-Yi Kwon

Health & Human Performance Faculty Publications

Background

This study aimed to investigate the association between motor capacity and motor performance in children with cerebral palsy (CP) aged 6–12 years with Gross Motor Function Classification System (GMFCS) levels I to III.

Methods

Forty-six children with CP (24 boys and 22 girls) classified as GMFCS levels Ⅰ, Ⅱ, or Ⅲ were included. Motor capacity was measured by the Gross motor function measure (GMFM), Pediatric balance scale (PBS), Timed up and go (TUG), and 6-min walk test (6MWT). Motor performance was measured by triaxial accelerometers. Estimations of physical activity energy expenditure (PAEE) (kcal/kg/day), percentage of time spent on …

Development And Evaluation Of A Body Weight Support Treadmill For Use With Locomotor Training On Pediatric Spinal Cord Injury Patients., Winston T Rauch

Electronic Theses and Dissertations

The consequences of spinal cord injury (SCI) are devastating regardless of the age of a patient. When the injury occurs in children five years old or younger, however, the impact is magnified due to the inevitable development of scoliosis (96%) and hip dysplasia (57%) (Schottler et al., 2012). To reduce occurrence of these complications and improve the quality of life for these patients, specialized activity-based therapies such as locomotor training (LT) are being increasingly used to improve overall trunk control and muscle activity in the lower extremities (Harkema et al., 2012; Howland et al., 2014). The aim of this therapy …