The Impact Of Volunteer Transportation On Older Adult’S Engagement In Meaningful Activities, Belinda Alexander

Occupational Therapy Doctorate Capstone Projects

Background: Without accessible transportation alternatives, many older adults experience declined activity levels, social isolation, and decreased occupational engagement resulting from their lack of community mobility and access. Volunteer transportation programs have been successfully used as an additional community mobility option for many older adults, especially those unable to access the traditional public transportation options, such as buses or taxis, found in many communities.

Purpose: While numerous transportation options, or alternatives, may exist in a community, no studies to date have examined or compared engagement levels related to a specific form of alternative transportation. Therefore, the purpose of this …

Identifying Participants With Knee Osteoarthritis Likely To Benefit From Physical Therapy Education And Exercise: A Hypothesis-Generating Study, So Tanaka, Tomohiko Nishigami, Benedict Martin Wand, Tasha R. Stanton, Akira Mibu, Masami Tokunaga, Takaaki Yoshimoto, Takahiro Ushida

Physiotherapy Papers and Journal Articles

Background: The purpose of this investigation was to undertake a hypothesis generating study to identify candidate variables that characterize people with knee osteoarthritis who are most likely to experience a positive response to exercise.

Methods: One hundred and fifty participants with knee osteoarthritis participated in this observational, longitudinal study. All participants received a standard exercise intervention that consisted of 20-min sessions two to three times a week for three months. The classification and regression tree methodology (CART) was used to develop prediction of positive clinical outcome. Positive pain and disability outcomes (dependent variables) were defined as an improvement in pain …

Implicit Motor Imagery Of The Foot And Hand In People With Achilles Tendinopathy: A Left Right Judgement Study, Ebonie K. Rio, Tasha Stanton, Benedict Wand, James Debenham, Jill Cook, Mark J. Catley, Lorimer Moseley, Prudence Butler, Kylie Cheng, Adrian Mallows, Monique V B Wilson, Michael Girdwood

Physiotherapy Papers and Journal Articles

Objective

To determine if impairment in motor imagery processes is present in Achilles tendinopathy (AT), as demonstrated by a reduced ability to quickly and accurately identify the laterality (left-right judgement) of a pictured limb. Additionally, this study aimed to use a novel data pooling approach to combine data collected at 3 different sites via meta-analytical techniques that allow exploration of heterogeneity.

Design

Multi-site case-control study.

Methods

Three independent studies with similar protocols were conducted by separate research groups. Each study-site evaluated left/right judgement performance for images of feet and hands using Recognise© software and compared performance between people with AT …

Implementing Skill Acquisition Research In High Performance Sport: Reflecting On The Importance Of Autonomy-Support For Successful Collaboration, Khaya Morris-Binelli, Sean Müller, Fleur E.C.A. Van Rens, Dave Staniforth, Brendyn Appleby, Simon M. Rosalie

Physiotherapy Papers and Journal Articles

Perceptual-cognitive-motor skills, such as visual anticipation, are pivotal for superior performance in sport. However, there are only a limited number of skill acquisition specialists working with coaches to develop these skills in athletes. The purpose of this paper is to present a brief reflection on the use of psychological strategies to create an autonomy-supportive environment to embed a skill acquisition research project in high-performance sport. The research project was conducted with the Australian national field hockey high-performance unit and investigated individual differences in expert goalkeepers’ visual anticipation. The paper first discusses the role of a skill acquisition specialist, how they …

Effect Of Blood Flow Restriction Training On Functional And Self-Reported Outcomes In Female Runners With Patellofemoral Pain, Lauren Nicole Erickson

Theses and Dissertations--Rehabilitation Sciences

Background: Patellofemoral pain (PFP) is the leading cause of lower extremity injury in female runners, significantly limiting running ability and becoming chronic in nearly 50% of the cases. This condition, which presents as pain around (peripatellar) or behind (retropatellar) the patella, is associated with significant weakness of the quadriceps and gluteal musculature, as well as altered movements mechanics. The challenge for clinicians is designing an effective treatment program to reduce pain and improve function without causing symptoms to flare. Blood flow restriction training (BFRT) is a relatively new training method within rehabilitation that involves placing a pressurized cuff to the …

Neurodiversity And Workplace Social Capital Effects On Employee Attitudes And Intentions, Alice Edwards

Walden Dissertations and Doctoral Studies

Neurodivergent employees have higher turnover rates than their neurotypical peers, andmuch remains unknown about how to improve their workplace experience. The purpose of this quantitative study was to examine the relationships between neurodiversity and workplace social capital on job satisfaction and turnover intent. Social cognitive career theory (SCCT) informed the study design. Working adults (N = 1,243) in the United States recruited using convenience sampling and MTurk participated through an anonymous online survey. Data analysis was conducted using three-way ANOVA and mediation. Significant three-way interactions were found between gender, job classification, and likelihood of having attention deficit hyperactivity disorder (ADHD) …

Machine Learning To Predict Sports-Related Concussion Recovery Using Clinical Data, Yan Chu, Gregory Knell, Riley P. Brayton, Scott O. Burkhart, Xiaoqian Jiang, Shayan Shams

Faculty Publications - Doctor of Psychology (PsyD) Program

Objectives: Sport-related concussions (SRCs) are a concern for high school athletes. Understanding factors contributing to SRC recovery time may improve clinical management. However, the complexity of the many clinical measures of concussion data precludes many traditional methods. This study aimed to answer the question, what is the utility of modeling clinical concussion data using machine-learning algorithms for pre- dicting SRC recovery time and protracted recovery? Methods: This was a retrospective case series of participants aged 8 to 18 years with a diagnosis of SRC. A 6- part measure was administered to assess pre-injury risk factors, initial injury severity, and post-concussion …

Lumbopelvic Stability And Trunk Muscle Contractility Of Individuals With Chronic Ankle Instability, Ryan S. Mccann, Kelly Johnson, Ashley M.B. Suttmiller

Rehabilitation Sciences Faculty Publications

BACKGROUND: Chronic ankle instability (CAI) results in hip neuromuscular impairments that can perpetuate dysfunction through reduced lumbopelvic stability and subsequent malpositioning of the lower body during functional movement. Lumbopelvic stability might be further impaired through changes in trunk muscular contractility. However, lumbopelvic stability and trunk muscle morphology have not been compared between individuals with and without CAI.

PURPOSE: To compare lumbopelvic stability and trunk muscle contractility between individuals with and without chronic ankle instability (CAI) and determine if lumbopelvic stability and trunk muscle contractility are associated with self-reported function.

STUDY DESIGN: Case-control study.

METHODS: Ten individuals with CAI, 10 …

Understanding Parent Beliefs And Attitudes Regarding Healthy Relationships And Sexuality Education: Bridging The Inclusivity Gap, Marie C. Zarrilli

Occupational Therapy Doctorate Capstone Projects

Children, adolescents, and young adults with Intellectual and Developmental Disabilities (IDD) are often excluded from receiving Comprehensive Sexuality Education (CSE), even though they are at increased vulnerability for sexual abuse and exploitation. Although some curricula are emerging that are adapted for individuals with IDD, rigorous effectiveness studies are sparse. The purpose of this capstone project was to empirically explore the beliefs, attitudes, and comfort level of parents with sexuality education program types and content regarding their own parent/child communication and the need for training and resources. This capstone project used a quantitative, cross-sectional, descriptive survey design. The survey consisted of …

Therapists’ Perceptions Of Student Preparedness Regarding Hand Therapy And The Use Of Occupation-Based Interventions, Stephanie Ye

Occupational Therapy Doctorate Capstone Projects

Current literature suggests OT Level II students may not be sufficiently prepared to begin a Level II fieldwork hand therapy placement. ACOTE standards are generalized for the orthopedic content in curriculum for occupational therapy programs. OT students, faculty, and practitioners recognize there may be additional specific demands for upper extremity rehabilitation practice not included in the ACOTE standards. Biomechanical assessments are more likely to be used rather than occupation-based assessments in hand therapy clinics. In addition, previous research found that occupation-based interventions within hand therapy practice have declined due to a primarily biomechanical approach.

A Comparison Of The Effectiveness Of Two Handwriting Programs On Legibility In First Grade Students, Whitney Cook

Occupational Therapy Doctorate Capstone Projects

Background: Handwriting is one of the most utilized forms of written communication and there is a lack of research comparing the effectiveness of two different handwriting programs in elementary aged students.

Purpose: The purpose of this Doctor of Occupational Therapy (OTD) Capstone project was to compare the efficacy of two handwriting programs implemented in first grade classes at one elementary school in Kentucky. The research question that guided this Capstone Project was: Which of the following handwriting programs were more effective in achieving handwriting legibility in first grade students: Handwriting Without Tears or Write Start?

Theoretical Framework: …

Occupational Therapists’ Consideration Of Sexual Orientation And Gender Identity When Working With Adolescents: An Exploratory Study, Kristin Willey

Occupational Therapy Doctorate Capstone Projects

Executive Summary

Background: A review of the Occupational Therapy Practice Framework (AOTA, 2020) and scholarly literature within healthcare fields, including occupational therapy, discuss the contextual issues of occupational justice and health disparities in situations when sexual orientation and gender identity (SOGI) are not considered as part of the occupational therapy process.

Purpose: This study explored if occupational therapists (OTs) considered a client’s SOGI when providing services to an adolescent. Subsequent research questions were: do OTs perceive that SOGI influences adolescents’ occupations, and do OTs perceive gaps in their knowledge related to SOGI?

Theoretical Framework: This research project was based on …

Elementary Teachers' Perceptions Of The Value Of Collaboration With School-Based Occupational Therapists, Jennifer Edick

Occupational Therapy Doctorate Capstone Projects

Background: Literature review coupled with needs assessment data indicated that collaborative practices between teachers and occupational therapists might not be happening consistently and may be in need of improvement. Further research is needed to determine elementary teachers’ perceptions of the value of collaboration with occupational therapists in order to ensure maximum benefit for the students.

Purpose: This Capstone Project focused on identifying elementary teachers’ perceptions of the value of collaboration with occupational therapists and validating the need for improved occupational therapy supports in the school environment.

Theoretical Framework: This Capstone Project was guided by the National Interprofessional Competency Framework (NICF), …

Get The Wiggles Out: Sensory Paths A Motor-Based Intervention To Decrease Out-Of-Seat Events In Preschool Children With Special Needs., Teresa Ludwig

Occupational Therapy Doctorate Capstone Projects

Sensory Paths are sensory motor-based interventions that will provide opportunities for teachers to incorporate structured movement into the natural classroom routine, such as before circle time, to help the children in their classes be ready for learning by increasing attention and decreasing out of seat events.

This single subject A-B-A design project, rooted in the Ecology of Human Performance framework, explored providing structured sensory motor-based opportunities prior to circle time throughout the classroom day to decrease interfering behaviors in the classroom, such as out of seat behaviors and improve attention during circle time.

The results indicate that the Sensory Paths …

How Does Intraprofessional And Interprofessional Collaboration Impact The Use Of Occupation-Based Practice In Skilled Nursing Facilities, Stedmon D. Hopkins

Occupational Therapy Doctorate Capstone Projects

Background: Research shows that there are many barriers to the implementation of occupation-based practice amongst occupational therapy practitioners. One barrier that requires a more in-depth review is the process of interprofessional and intraprofessional collaboration amongst staff in skilled nursing facilities.

Purpose: The purpose of this research project was to examine how interprofessional and intraprofessional collaboration influence occupational therapists and occupational therapy assistant’s ability to provide occupation-based practice in skilled nursing facilities.

Theoretical Framework: The frameworks utilized throughout this study included the National Interprofessional Competency Framework and the Occupational Therapy Intervention Process Model (OTIPM).

Methods: This study utilized a …

Parental Educational And Engagement Through Positioning And Play, Gaile E. Seay

Occupational Therapy Doctorate Capstone Projects

Background: This project is to increase the confidence of parents/caregivers via education about their infants that may not otherwise be provided by other health care professionals. This project also provides early intervention to the infants in efforts to facilitate their maximum development through proper positioning for sleeping and play. Purpose: The purpose of this project was a parental education class for parents/primary caregivers of babies ages 0-6 months. They were educated about their child’s development, and how to engage their baby through play and positioning for optimal cognitive, communication, and social-emotional development. This class and project sought to enhance parents’ …

An Interprofessional Learning Experience With Occupational Therapy Assistant And Physical Therapist Assistant Students Through A Simulated Educational Environment, Brooke Gentry

Occupational Therapy Doctorate Capstone Projects

The purpose of this explanatory sequential mixed methods study is to explore if occupational therapy assistant students demonstrate increased perceived confidence and communication skills. This was completed through interprofessional interactions during a simulated lab-based case with physical therapist assistant students. The perceived confidence and communication are measured through a pre and post survey using the Interdisciplinary Education Perception Scale (IEPS). Each student completed the Interdisciplinary Education Perception Scale (IEPS) pretest prior to the event. The students underwent an educational lecture, lab demonstrations, and training for the performance of the practical application. The students participated in a simulated patient experience of …

Assistive Technology In Transition Programming For Individuals With Intellectual Disabilities, Jennifer L. Veenendall

Occupational Therapy Doctorate Capstone Projects

Individuals with intellectual disabilities are employed at lower rates than those without disabilities and evidence supports the use of assistive technology (AT) to improve vocational outcomes for this population. This preliminary study investigated the impact of AT training among special educators in secondary transition programming. The results provide useful information that can be used to guide decisions regarding additional training and interventions to build capacity in quality AT service delivery for young adults transitioning into work roles within this program. Successful implementation of person-centered AT problem-solving and decision-making could positively impact the integrated employment options and opportunities for young adults …

Examining Cognitive, Social And Teaching Presence In A Virtual Professional Continuing Education Workshop, Christina Bretz

Occupational Therapy Doctorate Capstone Projects

Background: Due to COVID 19, there has been an increase in opportunities for online learning due to the reduction of in-person trainings. As occupational therapist practitioners, we have a responsibility to complete our professional continuing education and maintain our skills proficiently, whether those trainings are in-person or virtually. Therefore, the effectiveness and quality of professional training should not decrease when the delivery system is switched from in person to online.

Purpose: This study addressed professional continuing education for occupational therapists, occupational therapy assistants, and Pre-K thru 5th grade teachers in a virtual environment. The primary purpose of this study was …

The Role Of Rehabilitation Services In Managing Delirium In The Icu: A Retrospective Chart Review, Veronique Munier

Occupational Therapy Doctorate Capstone Projects

Executive Summary

Background: The onset of delirium during a stay in the intensive care unit (ICU) is considered a sign of complication and is associated with increased risk of mortality and longer stays. Monitoring for delirium and incorporating early rehabilitation services (occupational therapy and physical therapy) are considered promising, evidence-based strategies to manage delirium.

Purpose: The purpose of this study was to assess current practices for 1) delirium monitoring and 2) rehabilitation intervention as part of delirium management. The study verified the rate of delirium monitoring using standardized assessments, prevalence of delirium, the interval between admission to the ICU and …