Rehabilitation and Therapy Commons^™

Cardiovascular Effects Of Transcranial Direct Current Stimulation And Bimanual Training In Children With Cerebral Palsy, Manda L. Keller-Ross, Daniel P. Chantigian, Samuel Nemanich, Bernadette T. Gillick

Occupational Therapy Faculty Research and Publications

Purpose:

To determine the influence of combined transcranial direct current stimulation (tDCS) to the motor cortex (M1) and bimanual training on cardiovascular function in children with cerebral palsy (CP).

Methods:

Mean arterial pressure (MAP), heart rate (HR), and HR variability (HRV) were measured immediately before and after 20 minutes of cathodal tDCS to contralesional M1 and bimanual training on days 1, 6, and 10 of a 10-day trial in 8 participants (5 females, 7-19 years).

Results:

Baseline MAP and HR were similar across days (93 ± 10 mm Hg and 90 ± 10 bpm, P > .05). MAP was similar from …

Occupational Therapy’S Role In Addressing Mental Health Needs In Middle Schoolers, Taylor Anderson, Emily Annen, Seira Dick

Occupational Therapy Capstones

Adolescence is a period of time filled with many transitions. The transition from elementary to middle school comes with new academic, social, and environmental demands. Currently, adolescents often lack the skills and the support necessary to cope with these demands, leading to an increase in mental health challenges (Moksnes, Lohre, Lillefiell, Byrne, & Haugen, 2016). While there are many school-based interventions designed to support students throughout this difficult transition, many environmental barriers exist which prevent the effective implementation of these interventions. One category of barriers is the lack of school resources. Although there is significant positive research on social emotional …

A Guide For Occupational Therapist Working With Women With Postpartum Depression And Eating Disorders, Nathina Crabtree, Sara Gregoire

Occupational Therapy Capstones

An eating disorder (ED) is characterized by regular and constant disturbances in eating or an eating-related behavior that are associated with distress and impairments (Marcus, 2018). Schmidt et al., (2016), noted that the average duration of an ED illness is six years and young women make up the majority of people with anorexia nervosa (AN) and bulimia nervosa (BN). According to Knoph et al., (2013) the majority of women with AN and BN that were pregnant appeared to turn to adaptive changes in eating behaviors. The researchers in the article by Knoph et al., (2013) found that pregnancy is a …

Creating An Adaptive In-School Sports Program To Increase Occupational Engagement And Performance In Children With Physical Disabilities: A Resource Manual For Occupational Therapists, Bethany Kasberger, Kaylee Loken

Occupational Therapy Capstones

Participating in physical activity, including sports programs, has been found to have many positive health benefits both physically and mentally (Moss, Lim, K, Prunty, & Norris, 2020). The purpose of creating adaptive sports programs within schools is to promote engagement in physical activity and achieve the many benefits that sports programs have to offer. Children with and without physical disabilities should have equal access to these benefits for appropriate development. Enabling individuals with physical disabilities to participate in sports can assist in improving their overall quality of life and begin building skills that will benefit them in adulthood.

Structured Ambassador Program For Individuals With Intellectual And Developmental Disabilities In The Preschool Setting, Aspen Pitcher, Abby Wendel

Occupational Therapy Capstones

Adults with intellectual disabilities (ID) and developmental disabilities (DD) have multiple opportunities to participate in the community through a variety of programs. Most programs show significant benefits in immersing individuals with ID/DD in social and physical contexts. Ashley, Fossey, and Bigby (2019) explain that participation for individuals with ID/DD is influenced by motivation, abilities, and environmental conditions. The environment plays a key role in supporting or hindering occupational engagement for individuals with ID/DD (Ashley et al., 2019). The research supports the use of vocational programs, intergenerational programs, and peer mentorship to improve the quality of life for individuals with ID/DD …

Ot Is The Missing Link In Postoperative Cognitive Dysfunction, Hope Schuster, Michaela Mayhood

Occupational Therapy Capstones

PURPOSE: The purpose of this scholarly project was to examine research regarding postoperative cognitive dysfunction (POCD). As there is no current literature regarding POCD and occupational therapy, this project serves to be the first of its kind to address the role. Within this scholarly project, the literature reviewed served to generate an article for OT Practice, highlighting the role of occupational therapy and education about POCD.

Immersive Virtual Reality (Vr) And Telehealth To Promote Engagement In Occupations For Rural Populations: Manual For Occupational Therapists, Brock Wahlert, Emily Utech

Occupational Therapy Capstones

Abstract

Telehealth has been used to alleviate the impact of occupational deprivation in rural communities (American Occupational Therapy Association [AOTA], 2018). There is continuing research on the development of telehealth in the occupational therapy profession. An emerging type of technology utilized in occupational therapy consists of using immersive VR interventions to increase client's performance skills (Karamians, Proffitt, Kline & Gauthier, 2019; Kwan, Park, Yoon & Park, 2012; Halton, 2008; Weiss Rand, Katz & Kizony, 2004). The combination of immersive VR and telehealth allows occupational therapy practitioners to interact, evaluate, and intervene with clients living in rural communities. The immersive VR …

Synthesized Grounded Theory Expansion Of The Quadruple Aim In Acute Care Nursing, O. Ann Ann Fuller

Walden Dissertations and Doctoral Studies

AbstractConflation of moral and compassionate healthcare within the business model that is focused on customer service, disempowers, dehumanizes, and destabilizes nursing as well as the financial stability of healthcare. The purpose of this research was to determine nurses’ perceptions of how their work environment supported or contradicted a potential expansion of the quadruple aim. The quadruple aim was the primary conceptual framework for this research. The overarching research question was about how the environment of care supports professional nurses’ provision of high-quality person- centered care and bolsters meaningful and purposeful careers. The synthesized grounded theory methodology was used to collect …

Interdisciplinary Community-Based Support For Caregivers Of Individuals Living With Dementia, Gina Tucker-Roghi, Jamie Escoubas, Renee Tolliver, Sarah Tucker

Occupational Therapy | Faculty Scholarship

Evidence indicates family caregivers of individuals living with dementia (ILwD) are at risk for diminished physical and mental health; which may decrease their quality of life and directly impact their ability to provide care. An interdisciplinary approach to self-care and skill-building for caregivers is provided in a virtual support group offered by Council on Aging in Sonoma County, CA. As part of the nonprofit’s Adult Day Program, the group is offered to client caregivers and has two goals: First, creating a communitybased, long-term support system for ILwD who are agingin-place; second, fostering a safe and supportive community for family caregivers, …

College Athletes' Experiences With A Lower Body Re-Injury: A Phenomenological Investigation, Samantha Holder

College of Graduate Studies: Theses & Dissertations

Lower extremity injuries are the most common musculoskeletal sport injuries and are an inevitable risk to sport participation (Chalmers, 2002; Dane et al., 2004; Kay et al., 2017). When an athlete sustains an injury, fear of re-injury is a salient emotion many athletes experience (e.g., Disanti et al., 2018; Kvist et al., 2005; Lentz et al., 2015). Previous research has identified fear of re-injury as a risk factor to suffering a subsequent injury (e.g., An et al., 2019; Andersen & Williams, 1988; Paterno et al., 2018; Podlog et al., 2011; Tagesson & Kvist, 2016). Epidemiology studies have highlighted that re-injuries …

Assessing Information Literacy Skills And Library Anxiety Of First-Year Occupational Therapy Graduate Students, Christine Moghimi, Mary C. Rickelman

Journal of Occupational Therapy Education

In today’s academic environment, students equipped with self-regulated learning and information literacy (IL) skills have an excellent opportunity for professional success given the current information-based practices in health care. Purposefully providing IL instruction to students early in their coursework will help them develop competent research skills applicable to their remaining studies and scholarly projects. Along with IL challenges, students can experience “library anxiety,” which the literature identifies as a contributing factor to poor academic performance. This study explored components of library anxiety in Master of Occupational Therapy (MOT) students and identified opportunities for IL training that could help students become …

Collaborating With A Transitional Care Unit To Provide Student Hands-On Time: A Win-Win For Hospital And Academic Institution, Emily Grattan, Amanda K. Giles

Journal of Occupational Therapy Education

Occupational therapy students crave hands-on learning experiences that take place in authentic environments. This study describes an innovative experiential learning activity involving collaboration between an academic institution and an inpatient transitional care unit (TCU). Three cohorts of second year occupational therapy students (N=138) participated in the TCU learning activity, which involved reviewing the electronic medical record, planning and delivering a treatment, documenting the therapy session, and intentionally reflecting on the experience. Based on an optional, anonymous survey, one hundred percent of students reported that “this learning experience was valuable” and “provided opportunity to practice clinical reasoning.” Ninety-nine percent of students …

Needs Assessment, Program Development, And Pilot Testing: Training For Occupational Therapy Students Working With Survivors Of Gun Violence, Lea Fang, Aisha Mohammed, Vicki Kaskutas

Journal of Occupational Therapy Education

After the first year of operation, members of a student-staffed occupational therapy (OT) clinic found that 36% of their patients’ injuries were violence-related, mostly due to gun violence. The purposes of this project were to identify unmet needs of survivors of violence seen in a clinic setting, identify treating professionals’ preparedness to meet these needs, and develop and pilot test a program within the scope of OT to address these needs. A literature review and key informant interviews, surveys, and focus groups identified potential solutions to address gaps between patients’ needs and professionals’ preparedness to meet those needs. The need …

Effects Of Textured Mat On Lower Limb Muscle Activities And Body Sway In Individuals With Chronic Ankle Instability, Nanthiphak Konphet

Chulalongkorn University Theses and Dissertations (Chula ETD)

A textured mat with flexible nubs is a novel type of unstable surface offering more texture variety than a conventional unstable surface. A textured mat may be utilized to improve balance and muscular activation in individuals with chronic ankle instability (CAI). The purpose of this study was to compare the effects of a textured mat versus a regular foam surface and a firm surface on lower limb muscle activity and postural control in individuals with CAI. This repeated measurements within subject study recruited 28 participants with CAI. A triaxial accelerometer and electromyograph were used to monitor the 10 muscles of …

Diagnostic Accuracy Of The Timed Up-And-Go Test With Different Types Of Cognitive Tasks For Mild Cognitive Impairment In Older Adults, Kanyakon Chanabangkaew

Chulalongkorn University Theses and Dissertations (Chula ETD)

The Timed Up-and-Go test (TUG) test with cognitive tasks was a motor and cognitive dual-task approach used to evaluate the level of cognitive ability in older adults. Moreover, the different types of cognitive tasks challenge different aspects of cognition and impact performance differently. To our knowledge, the accuracy of the TUG test with different types of cognitive tasks still lacks information regarding which cognitive tasks and test outcomes are optimal to use. This study aimed to evaluate and compare the accuracy of the TUG test with different types of cognitive tasks to detect older adults with mild cognitive impairment (MCI). …

Comparing The Effectiveness Of Lumbar Rotation To Central Posteroanterior Mobilization In The Treatment Of Individuals With Bilateral Non-Specific Low Back Pain, Nalinee Eitssayeam

Chulalongkorn University Theses and Dissertations (Chula ETD)

To compare the effectiveness of lumbar rotation mobilization and central posteroanterior (central PA) mobilization on the intensity of low back pain (LBP), lumbar range of motion (LROM), functional rating index (FRI), and global perceived effect (GPE) in individuals with bilateral non-specific low back pain (NSLBP). Seventy bilateral NSLBP individuals were recruited (19 men and 51 females). The participants were randomly assigned into two groups using concealed opaque envelopes: central PA or rotation. Both groups got a placebo treatment with detuned shortwave diathermy before receiving intervention according to their group assignment. The outcomes were measured at four points: baseline, after placebo …

Cognitive-Motor Interactions In Gait And Postural Control And Cortical Network Neurocorrelates, Nathan Morelli

Theses and Dissertations--Rehabilitation Sciences

The ability to mitigate performance decrements during the concurrent completion of cognitive and motor tasks (i.e., dual task (DT)) deteriorates in patients with mild Traumatic Brain Injury (mTBI). It is theorized that the long-term sequelae of mTBI are due to the return to full activity prior to neurophysiologic healing. To mitigate the negative outcomes associated with mTBIs, translational clinical research of neurophysiologic recovery is of paramount importance for both athletic and non-athletic populations. Despite the well-known health consequences, clinical decisions regarding neurophysiologic recovery and return to activity remain problematic for clinicians. Return to activity decisions are currently based on normalization …

Evaluation Of The Effectiveness Of A Pain Neuroscience Education Curriculum For Patients Who Experience Chronic Musculoskeletal Pain With Concurrent Opioid Dependence, Nicole D. Windsor

Theses and Dissertations--Rehabilitation Sciences

Background: Chronic musculoskeletal pain (CMP) is estimated to affect over 100 million adults annually and is targeted as an instigator of opioid dependence (OpD). Opioid medications are often the first response for patients suffering from CMP, but over 10 million people annually admit to misusing opioids. With the opioid epidemic, the healthcare system now has a population of patients who experience CMP with concurrent OpD. This persistent problem creates a perfect storm of fear of movement, low self-efficacy, and physical dysfunction. A critical component to chronic pain management is understanding how patients view their pain experience. Education may be one …

Beyond The Treatment Protocol: Active Ingredients For Precision Voice Rehabilitation, Maria H. Bane

Theses and Dissertations--Rehabilitation Sciences

Despite the growing body of research demonstrating voice therapy efficacy, only 12 of 100 people referred to a speech-language pathologist (SLP) for a voice evaluation will successfully complete therapy. One possible reason for this discrepancy is that clinical laboratory and clinical outcomes studies have focused on if voice therapy works while failing to explain how voice therapy works. While the if question is important, the yes or no response this question generates is of limited utility when those referred for voice therapy fail to complete. Consequently, the how question, which concentrates on the mechanisms and processes underlying effective voice therapy, …

The Influence Of Physical Health, Emotional Health, And Socioeconomic Factors On The Musculoskeletal Pain Experience In Patients Attending A Pro Bono Physical Therapy Clinic, Garrett Naze

Theses and Dissertations--Rehabilitation Sciences

Non-communicable, chronic diseases are highly prevalent in the United States, reducing the quality of life for those affected and contributing to the majority of the nation’s healthcare expenditure. These conditions include, among others, cardiovascular disease, diabetes, and musculoskeletal disease. Musculoskeletal disease is particularly of interest for the field of physical therapy as the vast majority of patients seeking care in the outpatient setting present with musculoskeletal pain complaints, resulting in limitations in function, participation, and quality of life for the patient.

The factors influencing health outcomes are diverse and include a person’s physical environment, social and economic factors, access to …