Rehabilitation and Therapy Commons^™

Relationships Between Injury-Related Fear, Balance Self-Efficacy, And Dynamic Balance Performance In Those With Chronic Ankle Instability, Ashley M. B. Suttmiller, Kelly Johnson, Ryan S. Mccann

College of Health Sciences Posters

Interactions between sensory-perceptual and motor-behavioral impairments in individuals with chronic ankle instability (CAI) are important for successful assessment and treatment of CAI. One of the most consistently reported motor-behavioral impairments is poor reach performance in a dynamic balance task. Injury-related fear is recognized as an important sensory-perceptual impairment, and those with injury-related fears may engage in protective movement strategies found to be associated with reach deficits. Injury-related fear may also impact one’s perception of ability, or self-efficacy, which has demonstrated positive associations with balance performance in other populations, but these relationships have yet to be investigated in the CAI population. …

Reported Barriers To Aac Service Delivery & Post-Professional Learning Preferences Among Speech-Language Pathologists, Meredith Laverdure, Rachel K. Johnson

College of Health Sciences Posters

This mixed methods experimental study used a survey to identify speech-language pathologists’ perceptions, including preparedness to provide augmentative-alternative communication (AAC) services to individuals with complex communication needs and learning preferences for post-professional training. Following certification standard changes in 2005 and 2014, the American Speech-Language-Hearing Association (ASHA) now requires instruction and clinical experiences during graduate studies across nine major content areas, including the use of AAC modalities. Prior to this change, the number of preservice programs reported to offer at least one AAC course increased from 62% (Ratcliff & Beukelman, 1995) to 72% (Ratcliff, Koul, & Lloyd, 2008). Since the certification …

Trauma-Informed Care In A School Setting: Occupational Therapy Interventions To Promote Emotional Regulation, Sarah Blaise, Ots, Sara Cohen, Ots, Maria Marcum, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

PICO Question

• What trauma-informed occupational therapy interventions improve emotional regulation and participation in school-based tasks for students?

Objectives

• Define trauma and note its prevalence among school-aged children
• Describe principles of Trauma-Informed Care and its importance in a school setting.
• Describe current research to determine best practice using a Trauma-Informed Care (TIC) approach in schools for OT practitioners

Effects Of A Rehabilitation Program For Individuals With Chronic Spinal Cord Injury In Shanghai, China, Fengshui Chang, Qi Zhang, Haixia Xie, Yuhui Yang, Mei Sun, Airong Wu, Jinghua Wu, Gang Chen, Feng Shen, Chengyue Li, Jun Lu

Community & Environmental Health Faculty Publications

Background: Specialized Institution-Based Rehabilitation (SIBR) is the cornerstone of care and treatment for individuals with spinal cord injury, but most people with chronic spinal cord injury (CSCI) living in China have no SIBR experience after acute care hospital discharge. In 2009, an SIBR facility was set up in Shanghai (China) to fill this important gap in care. The purpose of the study was to evaluate the effectiveness of an integrated rehabilitation training program among individuals with CSCI living in Shanghai.

Methods: A within-subject pre-posttest design was used to evaluate the SIBR. The sample included 455 individuals ≥1 year post-SCI, who …

The Splashing Effects Of Aquatic Therapy For Children With Developmental Disabilities, Eric Bradway, Ots, Mikaela Mcgraw, Ots, Katie Boshoven, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

PICO Question

• What are the effects of aquatic therapy on participation in childhood occupations for children with developmental disabilities?

Objectives

• Define aquatic therapy within the scope of occupational therapy practice for children with developmental disabilities
• Discuss the current evidence on effective aquatic based interventions to facilitate participation in childhood occupations in children with developmental disabilities
• Discuss ways to apply this information to practitioners’ own clinical setting

Promoting Sensory Environments And Strategies For Tennessee Baptist Children's Homes, Emma Mace

OTD Capstone Projects

This project served to promote sensory strategies among youth residents and their caregivers of a children's home in Brentwood, Tennessee as well as use the lens of occupational therapy to design an on-campus multi-sensory room.

Champ's Triathlon Training Program, Rachael Sollman

OTD Capstone Projects

Champ's Triathlon Training Program was created to provide an adaptive fitness opportunity to the community of Nashville, TN. This program was specifically targeting children 8 to 15 years old diagnosed with Down's Syndrome and Cerebral Palsy, Gross Motor Function Classification Scale levels I, II, and III. Champ's Triathlon Training Program was an extension of the Champ's Tri My Best Triathlon hosted by a team of therapists and Vanderbilt's Pediatric Clinic, including Kelley Newman. The program aimed to increase the participants' strength, flexibility, and endurance through triathlon related activities such as running/walking, swimming, and biking. Outcomes of the program were to …

Alexithymia Symptoms Are Not Associated With Childhood Trauma Or Crhr1 Rs110402 Genotype, Emily Wiatr, Grace Sullivan, Scott Stoltenberg

Center for Brain, Biology, and Behavior: Faculty Publications

Alexithymia is associated with difficulties in emotional self-regulation, and alexithymia is specifically associated with an absence of emotional experience and cognition of emotion. Past research has indicated a potential association between alexithymia and the CRHR1 gene . Situational factors may also impact the expression of the CRHR1 gene within an individual. Berenbaum (1996) found associations between PTSD/childhood trauma and alexithymia. This study examined these associations using the Online Alexithymia Questionnaire-G2 (OAQ-G2) as well as DNA samples gathered from 657 participants at the University of Nebraska-Lincoln (72% women; 78.6% white; mean age= 20.34; standard deviation of 2.6). It was hypothesized that …

Case Report: Effects Of Therapeutic Exercise On A Patient With Metastatic Osteosarcoma And Pathological Fracture, Jessica Phung, Sarah Mathew

San Marcos, Spring 2020

Purpose: The purpose of this case report is to demonstrate how conditioning exercise for patients with active metastatic neoplasms can improve quality of life (QoL) after a pathological fracture of lumbar vertebrae. Spinal metastasis, in this case from breast cancer, is primarily asymptomatic, and therefore, difficult to detect during early stages. Detection and diagnosis usually occur after initial manifestation of a pathological fracture leading to debilitating effects. Complications with metastatic bone cancer and surgical contraindications may bring patients into outpatient physical therapy to address the pathological fractures and QoL for patients.

Case Description & Methods: The patient is a 44-year …

Physical Therapy With Adjunct Therapies In Patients With Chronic Pain And Disability Post-Motor Vehicle Accidents, Lakshmi Subramanian

Dissertations and Theses

This project is a thorough literature review of studies concerning physical therapy interventions in conjunction with adjunct treatments for patients post-motor vehicle accidents focused on the therapy’s efficacy as related to functional outcome measures. Physical therapy is frequently treatment of choice for patients after minor motor vehicle accidents. However, most patients seek concomitant therapies like acupuncture, chiropractic, epidural steroid injection, and psychological counselling. This paper seeks to gather data on the efficacy of different treatment modalities when used in conjunction with each other. Often patients are traumatised or develop anxiety about driving requiring counselling and therapy. The vast majority of …

Identifying Indicators Of Compassion Fatigue: Bridging The Gap From Professional To Familial Caregivers, Adam Luther

MOT Student Capstones

Compassion fatigue has been defined as feelings of anger, inefficacy, apathy, and depression, resulting from a caregiver's inability to cope with devastating stress (Day, 2015). Historically this topic has been explored in the realm of professions such as nurses, nursing assistants, social workers, and doctors but little research has been performed on the prevalence and effects of compassion fatigue within familial caregivers. As aging in place and deinstitutionalizing elderly adults becomes more common, the risk for compassion fatigue within familial caregivers increases. Unfortunately, the lack of research is indicative of a lack of action to address this potential health risk. …

Reducing Work-Related Musculoskeletal Injuries Among Nursing Staff Within A Skilled Nursing Facility, Beth M. Brady

MOT Student Capstones

Among health care workers, nurses have one of the highest rates of work-related musculoskeletal injuries (Bureau of Labor Statistics [BLS], 2018). Studies have identified patient handling in the form of routine bedside care, lifting, repositioning, bedside procedures, and manual transfers to be high-risk tasks associated with this increased incidence (Facility Guidelines Institute, 2010). Evidence supports occupational therapy's role in promoting health through the implementation of programs that support safe engagement in work occupations including injury prevention, ergonomics, and work rehabilitation (Bade & Eckert, 2008). As the population of the U.S. healthcare workforce ages, occupational therapy's distinct role in helping health …

From Isolation To Communication: Connecting Adults Who Have Hearing Loss With Their Communication Partners, Stephen D. Roberts, Nancy A. Delich

JADARA

As Baby Boomers enter the late adulthood stage of life, hearing loss continues to be one of the most prevalent, chronic, and isolating conditions facing older adults today. Research has focused on the negative consequences of hearing loss on the health and the person’s well-being, but it is equally important to recognize that hearing loss also leads to communication loss. The resulting social isolation and the collateral effects of hearing loss on the communication partner are the focus of this mixed-method study that explored the hearing loss-related quality of life for both parties. Five overarching themes emerged from the analysis, …

Promoting Independence Through Effective Interventions For Adults With Als, Renee Gluchowski, Ots, Hannah Harris, Ots, Jaclyn Heineman, Ots, Kimberly Kendro, Ots, Heather Malosky, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

PICO Question

What are effective occupational therapy interventions for adults with ALS to improve participation in ADLs/IADLs?

Objectives

• Define amyotrophic lateral sclerosis (ALS) and recognize the prevalence
• Identify and describe evidence-based interventions to promote independence for individuals with ALS in activities of daily living (ADLs) and instrumental activities of daily living (IADLs)
• Discuss how the current literature on the effective interventions impacts occupational performance and treatment of adults with ALS

Curriculum Development For Group Programming At Gigi's Playhouse Nashville, Shelby Ward

OTD Capstone Projects

Creating and implementing group programming curriculum for a variety of age groups at an organization for individuals with Down syndrome.

Scapular Stabilizer Muscle Force Output In Collegiate Softball Players Over The Course Of A Fall, Non-Traditional Season, Erin Taylor

Undergraduate Honors Thesis Projects

There is a growing topic in research relating to softball and the injuries caused by the biomechanics of a windmill pitch. There have been articles released relating to stress caused by the windmill pitch compared to the stress of an overhead pitch in baseball. Many articles in the softball field also look at the biomechanics and hip strength of the windmill pitcher and how a decrease in hip strength can affect the biomechanics of the pitching motion. Despite having an increase in available softball articles, there have not been any studies conducted that focus solely on scapular stabilizer strength over …

Abduction Contractures Within Infants With Developmental Dysplasia Of The Hip, Nathan Stanton

Doctoral Dissertations and Master's Theses

Developmental Dysplasia of the hip is a condition that affects 1 to 3 of every 1000 infants born globally. It is a pathology that involves the instability, subluxation, or dislocation of the femoral head from the acetabulum. Through a rating system by the International Hip Dysplasia Institute or Graf System, hips are rated based on their level of instability or dislocation and the infant is then prescribed a treatment. While Finite element models of dysplastic hips have been developed previously, a study that seeks to understand the contribution of an abduction contracture of the hip has yet to be performed. …

Perceived Effectiveness Of Stem Cell Injections In Adults With Joint Injuries, Delaney Marie Merrill

Senior Theses

Introduction: Osteoarthritis plagues around 27 million Americans. Stem cell injections are a new method of treatment that could potentially cure this by regenerating cartilage in joints. Purpose: The purpose of this study is to examine the perceived effectiveness of stem cells at regenerating cartilage in joints, specifically the knees, hips, and shoulders. Methods: Participants were recruited via social media, forums, and from healthcare clinics that offer stem cell treatments. They were asked to complete a survey focusing primarily on the treatment protocol and how the injured joint felt post-stem cell injection. Frequencies were calculated to describe problematic joints, treatment history, …

The Applicability Of Occupational Therapy To Correctional Programming, Jordan Lanning

Honors Projects

Correctional facilities are a controversial topic in the United States. Whether it is prison reform policy or overcrowding issues that are being debated in a political setting or at the dinner table, it is a hot topic of conversation. The discussion goes around and around to no avail, and seemingly no one is satisfied. A detailed look at current issues facing corrections, what has been done, and then, potentially what could be done may provide some clarity for a situation that is seemingly spinning out of control. Furthermore, occupational therapy and its application to correctional programming is explored as a …

Assessment Of Working Relationships Between Athletic Training Program Faculty And Clinical Preceptors, Kathleen Williams

All Theses And Dissertations

Athletic training degree programs require both clinical and classroom educational content. The educational content of the 2020 Standards, adopted in 2018 by athletic training’s accrediting body, included a requirement for additional skills and a minimum level degree. However, clinical preceptors educated prior to 2018 working in athletic training programs are often not proficient or trained in the new techniques. The change in athletic training educational knowledge has led to a theory–practice gap between athletic training faculty and clinical preceptors working in the field. Athletic training faculty and clinical preceptors need good communication and interpersonal working relationships to bridge the gap …