Rehabilitation and Therapy Commons^™

Factors Associated With Quality Of Life And Dialysis Compliance, Viviana Garcia Guerra

Theses and Dissertations

This dissertation study explored the relationship between quality of life (QoL) and dialysis compliance with family support, spirituality, age, gender, and socioeconomic status (SES) among people with end stage renal disease (ESRD). Utilizing the Biopsychosocial Spiritual Framework, this study pursued to inform mental health professionals working with people undergoing dialysis about the factors that influence QoL and dialysis compliance. This descriptive quantitative dissertation study included 79 participants who self-identified as persons receiving either hemodialysis or peritoneal dialysis. Participants were members from closed social online forums and the National Kidney Foundation.

The current study found that family support and SES predicted …

Improving The Classroom Experience By Providing Teachers With A Mindfulness Intervention, Andrea P. Almaguer-Botero

Theses and Dissertations

The purpose of this study was to improve the classroom environment for teachers by providing them with a mindfulness-based intervention. This experimental study evaluated the outcomes of an eight-week stress and mindfulness prevention intervention (SPAM) created specifically for teachers. The current study measured the following variables: mindfulness, stress, self-efficacy, job satisfaction, and well-being. This study used a four-way ANOVA (2 X 3 X 2 X 5) with two between subjects’ factors, groups and levels, and two within subjects/repeated measures factors, pre-test-posttest and scales. There were 14 teacher participants in the experimental group and 19 teacher participants in the control group. …

Individual Difference As A Factor In Ethical Decision-Making, Dan W. Reagan Jr.

Theses and Dissertations

Despite the dominance of modernistic ethics in counseling there has been a growing development of postmodern thought. There has been a growing understanding the limitations of ethical codes and purely rational thinking in ethical decision-making. Part of this new paradigm is an appreciation for the role of affect and context in the decision-making process. A post-modern approach to counseling ethics seems to be increasingly accepted among persons working in the social service field but little research has been attempted to evaluate the implications of such a change in training and practice. This study attempted to explore possible relationships between individual …

Evaluation Of User Interface In Drive Focus® Application, Bailey Kiser, Paul S. Peritos, Noreen Hasan, Anjelica J. Collins

Occupational Therapy | MSOT Capstone Projects

Technology is used in healthcare settings to aid clinicians in accessing client information, researching data, and enhancing communication with the client and other healthcare team members. In order for an app to best support client engagement, the app needs to have a well-developed user interface design There are four main aspects of user interface design, context, fidelity, accessibility, and consistency. The Drive Focus® application (app) is designed to identify how an individual recognizes, prioritizes, and reacts to information during real-world driving simulations. The Drive Focus® app has efficacy and feasibility, however, the user interface design has never been assessed. Therefore, …

Are All Instrumental Activities Of Daily Living Equal? A Pilot Study On The Performances Of Adults With Acquired Brain Injury, Crystal Lee, Samantha Schauer, Amy Tam, Yareli Vargas

Occupational Therapy | MSOT Capstone Projects

Aim: To determine if a relationship exists among performances of different instrumental activities of daily living (IADLs) in adults with acquired brain injury (ABI).

Methods: A two-group correlational design was used to examine the relationship among performances in cooking, medication management, and financial management in nine adults with ABI who returned to driving and nine adults with ABI who did not return to driving. The Executive Function Performance Test (EFPT) measured initiation, organization, sequencing, judgment and safety, and completion.

Translated Evidence-Based Mental Health Toolkit For Skilled Nursing Facilities, Natalie Crisostomo Barrales, Jan Martha Conducto, Cecelia Ly-Peh

Occupational Therapy | MSOT Capstone Projects

More than 500,000 adults with a serious mental illness (SMI) receive long term care (LTC) in a skilled nursing facility (SNF) (Grabowski, Aschbrenner, Feng, & Mor, 2009). Residents who live in SNFs may experience limited access to meaningful occupations. The SNFs’ institutionalized structure may perpetuate a lack of autonomy and stigma for residents with a SMI (Sullivan & Williams, 2017). Occupational therapy (OT) services provided in a SNF are often limited to therapeutic exercises, therapeutic activities, and activities of daily living skills (Rafeedie, Metzler, & Lamb, 2018). OT practitioners are not utilizing mental health interventions. Although SNFs are not traditionally …

Physiological Responses & Coping Strategies Of Sensory Defensive Adults, Benjamin Cohen, Alexandria Donaldson, Jenny Park-Chan, Jessica Valenzuela

Occupational Therapy | MSOT Capstone Projects

Purpose: The purpose of this study was to learn how adults cope with their sensory defensiveness (SD) and how physiological responses differ between adults who self-report as high SD versus low SD. Methods: In this continuation study participants (age 18-64; n=23) were categorized as low SD (control group; n=9) or high SD (experimental group; n=14) via their Adolescent Adult Sensory Profile (AASP) scores and Sensory Response Questionnaire (SRQ) scores (Brown, & Dunn, 2002 & Wilbarger, 2009). The last nine participants also completed the Coping Strategies Questionnaire (CSQ). All participants partook in the sensory challenge protocol which examined their electrodermal activity …

Impacts Of Assistive Technology Applications In Higher Education For Students With And Without Disabilities, Christine Jacob, Michelle Morello, Cayla Chapman, Grace Erhardt, Erin Camarena, Sara Delucchi, Bethany Young

Occupational Therapy | MSOT Capstone Projects

Current trends in higher education include an increased enrollment of students who have a disability and a rising trend of technology use within the classroom. Assistive technology (AT) has been shown to enhance academic success and influence learning strategies. Furthermore, the combination of AT and individualized support has the potential to promote and enhance engagement in meaningful occupations, such as participation in school, for individuals with and without disabilities. However, the procurement of AT alone can often have less impact than AT combined with individualized support. Occupational therapists (OT) can play a significant role in HE providing training and individualized …

Creating Focused Occupational Therapy Interventions For Clients With Heart Failure In Skilled Nursing Facilities, In Hwa Chae, Camille Marcia Schilling, Elena Ruth Vaccaro

Occupational Therapy | MSOT Capstone Projects

The ultimate goal of the SNF is to help clients stabilize their medical conditions and attain their therapy goals so that they can return home (Orr, Boxer, Dolansky, Allen, & Forman, 2016). However, approximately 27% of heart failure (HF) clients are readmitted to the hospital after being discharged from the SNF (Allen et al., 2011). High readmission rates may be due to the cognitive (Dickson, Tkacs, and Riegel, 2007), psychosocial (Halliday, 2010), and lifestyle barriers (Maeda, Shen, Schwarz, Farrell, & Mallon, 2013) HF clients face. However, interventions in the SNF tend to emphasize activities of daily living (ADLs) and therapeutic …

Relative Contribution Of Arms And Legs Through Repetitive Assisted Sit-To-Stand Motion In Individuals With Incomplete Spinal Cord Injury, Abd Aziz Musfirah

Student Works (2020-2029)

Sit-To-Stand (SitTS) exercise is one of important prerequisites to achieve some functional independence goals in everyday life especially for individuals undergoing rehabilitation In general, the execution of SitTS in spinal cord injury (SCI) patients involves motor function in both upper and lower extremities. The use of arm support in particular is a very significant element while executing SitTS movement for SCI population. In addition, application of functional electrical stimulation (FES) onto the quadriceps muscles is one of the prescribed management for incomplete SCI to improve muscle action for simple lower limb movements. However, the relative contribution of upper and lower …

Physical Inactivity: A Behavioral Disorder In The Physical Therapist’S Scope Of Practice, Matthieu P. Boisgontier, Maura D. Iversen

SHU Faculty Publications

In health, the gold standard is a state of complete physical, mental, and social well-being.This state is weakened by physical inactivity, which involves a higher risk of cardiovascular disease, hypertension, diabetes, cancer, depression, and obesity. Moreover, 6% to 10% of all deaths from non-communicable diseases worldwide can be attributed to physical inactivity. These adverse effects of physical activity provide evidence that physically active individuals are closer to the gold standard of health than inactive individuals. Therefore, physical activity – not inactivity – should be the standard reference behavior. In this framework, physical inactivity is a clinically significant disturbance in an …

The Effects Of Bilingualism In Post-Stroke Aphasia Patients: Clinical Implications Within The United States, Kristen Bennett

Undergraduate Honors Theses

The consistent increase of cultural diversity and immigration within the United States over the last fifty years has contributed to a societal shift towards a growing bilingual population. The growth of this population has generated a need to evaluate current assessment and treatment plans for bilingual post-stroke aphasia patients within the United States to ensure that these individuals are receiving effective healthcare. This study aims to investigate the current knowledge gap surrounding appropriate methods of assessing and treating bilingual post-stroke aphasia patients within the United States and suggest potential approaches based on existing research. In order to synthesize information regarding …

Pattern Of Recovery And Outcomes Of Patient Reported Physical Function And Pain Interference After Ankle Fusion: A Retrospective Cohort Study, Jessica M. Kohring, Jeff Houck, Irvin Oh, Adolf S. Flemister, John P. Keptz, Judith F. Baumhauer

Faculty Publications - College of Physical Therapy

Background: Research on outcomes after ankle fusion focuses on basic activities of daily living, fusion rates, and gait parameters. Little has been reported on the patient’s perspective after surgery. The purpose of this study was to determine the change in patient reported physical function and pain interference after ankle fusion surgery to guide patient expectations and improve provider communication.

Methods: This was a retrospective review of prospectively collected patient reported outcome measurement information system (PROMIS) data in 88 ankle arthrodesis procedures performed from May 2015 to March 2018. The PROMIS Physical function (PF) and pain interference (PI) measures were collected …

Occupational Therapy Student Preparedness For Clinical Fieldwork, Jean A. Mccaffery

All Theses And Dissertations

Topic, Problem and Purpose: Experiential learning and occupational therapy student preparedness. Occupational therapy education programs must prepare occupational therapy students for practice. Traditional observational Level I Fieldwork presents challenges to achieve student-learning objectives and often places the burden of supervision on practicing therapist. The purpose of this study was to explore occupational therapy students’ perceptions of preparedness for Level II Fieldwork following participation in a skill-based experiential learning opportunity as an alternative to traditional observational Level I Fieldwork.

Research Question and Sub-Questions: What is the graduate occupational therapy student’s perception of preparedness for intensive Level II Fieldwork following a skill-based, …

Analyzing Change-Of-Direction And The Laterally Resisted Split Squat: Incorporating A Lateral Vector Into The Single Leg Squat, Derek Maddy

Boise State University Theses and Dissertations

Improving change of direction (COD) with the use of strength training has led to mixed results. To date, the modified single leg squat (MSLS) and the bilateral squat (BS) have been successfully used to improve COD, with equal improvement. COD is primarily performed at a 45-75° frontal plane angle; however, the MSLS and BS are performed at a 90° frontal plane angle. Based on the force vector theory, it is proposed that a more mechanically similar strength training exercise, the Laterally Resisted Split Squat (LRSS), be used. The purpose of this study is to compare COD with the LRSS, MSLS, …

Change In Muscle Stiffness Using Shear Wave Elastography, Range Of Motion, And Perceived Pain Following A Cupping Therapy Treatment In Physically Active Adults, Molly Mccullough

Boise State University Theses and Dissertations

Introduction- Cupping therapy originated in Eastern medicine practices, became renowned in international sports, and is now utilized as a therapeutic device for treating musculoskeletal issues in a wide variety of physically active individuals. As with any modality, there is a question of efficacy. This study focused on the effect of cupping therapy on muscle stiffness (MS), active dorsiflexion (DF), and perceived pain. Purpose- The purpose of this study was to examine changes in MS, active DF, and perceived pain on the medial gastrocnemius following a cupping therapy treatment. Methods- Twenty physically active, healthy participants completed an exercise protocol to induce …

Holistic Lifestyle Counseling By Physical Therapists: Current Practice And Barriers To Improvement, Savannah Grogan

Honors College Theses

Context: Unhealthy lifestyle habits are a significant risk factor for chronic disease and death in the United States of America. The healthcare system is largely focused on symptom-management and disease treatment with seemingly little regard for prevention, but physical therapists are particularly well-placed to improve patients’ health through lifestyle counseling and modification. Objectives: To assess the current state of holistic health promotion among physical therapists and to identify barriers to improving these practices. Design: An electronic survey was completed by physical therapists in and around the state of Kentucky. Descriptive statistics were used to assess participant demographics and the state …

Attrition In A Holistic Job Skills Training Program: A Qualitative Study, Jeaniece Silas

Electronic Theses and Dissertations

Today thousands of individuals and families are unemployed or underemployed and are seeking ways to combat poverty and become employed. One way that individuals seek to gain employment is by attending job skills training and adult education programs. However, there are barriers that hinder those individuals from successfully completing the programs. The purpose of this study is to explore the experience of applicants of a nonprofit job skills training program called FaithWorks and explore the reasons why applicants were not able to continue and, or complete the program. This study was conducted, through qualitative interviewing of four participants (N=4) utilizing …

Photoactivatable Cre Recombinase 3.0 For In Vivo Mouse Applications, Kumi Morikawa, Kazuhiro Furuhashi, Carmen De Sena-Tomas, Alvaro L. Garcia-Garcia, Ramsey Bekdash, Alison D. Klein, Nicholas Gallerani, Hannah E. Yamamoto, Seon Hye E. Park, Grant S. Collins, Fuun Kawano, Moritoshi Sato, Chyuan Sheng Lin, Kimara L. Targoff, Edmund Au, Michael C. Salling, Masayuki Yazawa

School of Medicine Faculty Publications

Optogenetic genome engineering tools enable spatiotemporal control of gene expression and provide new insight into biological function. Here, we report the new version of genetically encoded photoactivatable (PA) Cre recombinase, PA-Cre 3.0. To improve PA-Cre technology, we compare light-dimerization tools and optimize for mammalian expression using a CAG promoter, Magnets, and 2A self-cleaving peptide. To prevent background recombination caused by the high sequence similarity in the dimerization domains, we modify the codons for mouse gene targeting and viral production. Overall, these modifications significantly reduce dark leak activity and improve blue-light induction developing our new version, PA-Cre 3.0. As a resource, …

Effect Of Different Music Genres On Cognitive Task Performance After High Intensity Interval Training, Derek Jones

Longwood Senior Theses

The effects of high intensity exercise on cognitive performance are not fully understood. Music can affect physiological responses to exercise which may also impact cognitive performance. The aim of this study was to determine if music could impact cognitive performance after a bout of high intensity exercise. METHODS: Twelve subjects (n=7 males, n=5 females, 20.3 ± 1.7 y; 72.2 ± 14.9 kg; 1.70 ± 0.09 m) completed the Stroop test after a short (12 min) bout of high intensity interval exercise while listening to either Classical, Rock, or No Music. Subjects completed the Brunel Music Rating Inventory after listening to …