Rehabilitation and Therapy Commons^™

A Case Study Evaluating The Effects Of Augmented Feedback On The Gait Patterns Of Two College-Age Students With Disabilities, Tara Teeples

Undergraduate Distinction Papers

Best of Both Worlds (BOBW) is a program at Otterbein University for Westerville City School District students who have identified disabilities. The BOBW program is a comprehensive transition program, providing instruction in work skills, community participation skills, independent living skills, and self-advocacy skills. Same-aged peers (Otterbein students) work with the BOBW students and assist them in the development of a healthy, active adult life, through a peer buddy workout program. Gait disorders are common in individuals with a neurological disorder. These gait disorders have then been linked to increased incidence for falls. Falls are one of the most common risks …

Factors Influencing Final Outcomes In Patients With Shoulder Pain: A Retrospective Review, Timothy L. Uhl, Enrique V. Smith-Forbes, Arthur J. Nitz

Physical Therapy Faculty Publications

Study Design

Retrospective cohort.

Introduction

Rehabilitation interventions are commonly prescribed for patients with shoulder pain, but it is unclear what factors may help clinicians' prognosis for final outcomes.

Purpose of the Study

The purpose of this study is to determine what factors are the best predictors of improved patient-reported outcomes at discharge in patients with shoulder pain.

Methods

Retrospective chart review of 128 patients presenting with shoulder pain to an outpatient physical therapy clinic. Chart review captured data regarding patient demographics, treatment interventions, patient history, and patient-reported outcome scores. The primary dependent variable was the overall change score of the …

Tumor Necrosis Factor Alpha-Induced Recruitment Of Inflammatory Mononuclear Cells Leads To Inflammation And Altered Brain Development In Murine Cytomegalovirus-Infected Newborn Mice, Maria C. Seleme, Kate Kosmac, Stipan Jonjic, William J. Britt

Physical Therapy Faculty Publications

Congenital human cytomegalovirus (HCMV) infection is a significant cause of abnormal neurodevelopment and long-term neurological sequelae in infants and children. Resident cell populations of the developing brain have been suggested to be more susceptible to virus-induced cytopathology, a pathway thought to contribute to the clinical outcomes following intrauterine HCMV infection. However, recent findings in a newborn mouse model of the infection in the developing brain have indicated that elevated levels of proinflammatory mediators leading to mononuclear cell activation and recruitment could underlie the abnormal neurodevelopment. In this study, we demonstrate that treatment with tumor necrosis factor alpha (TNF-α)-neutralizing …

Physical Activity Minimum Threshold Predicting Improved Function In Adults With Lower‐Extremity Symptoms, Dorothy D. Dunlop, Jing Song, Jungwha Lee, Abigail L. Gilbert, Pamela A. Semanik, Linda S. Ehrlich-Jones, Christine A. Pellegrini, Daniel Pinto, Barbara Ainsworth, Rowland W. Chang

Physical Therapy Faculty Research and Publications

Objective

To identify an evidence‐based minimum physical activity threshold to predict improved or sustained high function for adults with lower‐extremity joint symptoms.

Methods

Prospective multisite data from 1,629 adults, age ≥49 years with symptomatic lower‐extremity joint pain/aching/stiffness, participating in the Osteoarthritis Initiative accelerometer monitoring substudy were clinically assessed 2 years apart. Improved/high function in 2‐year gait speed and patient‐reported outcomes (PROs) were based on improving or remaining in the best (i.e., maintaining high) function quintile compared to baseline status. Optimal thresholds predicting improved/high function were investigated using classification trees for the legacy federal guideline metric requiring 150 minutes/week of moderate‐vigorous …

Physician Role In Physical Activity For African-American Males Undergoing Radical Prostatectomy For Prostate Cancer, Faustine Williams, Kellie R. Imm, Graham A. Colditz, Ashley J. Housten, Lin Yang, Keon L. Gilbert, Bettina F. Drake

ETSU Faculty Works

Purpose

Physical activity is recognized as a complementary therapy to improve physical and physiological functions among prostate cancer survivors. Little is known about communication between health providers and African-American prostate cancer patients, a high risk population, regarding the health benefits of regular physical activity on their prognosis and recovery. This study explores African-American prostate cancer survivors’ experiences with physical activity prescription from their physicians.

Methods

Three focus group interviews were conducted with 12 African-American prostate cancer survivors in May 2014 in St. Louis, MO. Participants’ ages ranged from 49 to 79 years, had completed radical prostatectomy, and their time out …

Level Of Patient-Physician Agreement In Assessment Of Change Following Conservative Rehabilitation For Shoulder Pain, Stephanie D. Moore-Reed, W. Ben Kibler, Heather M. Bush, Timothy L. Uhl

Biostatistics Faculty Publications

Background Assessment of health-related status has been shown to vary between patients and physicians, although the degree of patient–physician discordance in the assessment of the change in status is unknown.

Methods Ninety-nine patients with shoulder dysfunction underwent a standardized physician examination and completed several self-reported questionnaires. All patients were prescribed the same physical therapy intervention. Six weeks later, the patients returned to the physician, when self-report questionnaires were re-assessed and the Global Rating of Change (GROC) was completed by the patient. The physician completed the GROC retrospectively. To determine agreement between patient and physician, intra-class correlation (ICC) coefficient and Pearson’s …

Competency Development In Community-Based Occupational Therapy, Sunny R. Winstead

All Theses And Dissertations

The aims of this study were: a) to discover which strategies community-based occupational therapists (OTs) find most effective for developing the competencies that have been identified as unique to community-based occupational therapy (OT) practice, b) to examine respondents’ perceptions of the effectiveness of their academic training and of current professional development resources, and c) to explore respondents’ suggestions for improving academic training and continuing education for OTs in community-based practice. Data collection was completed using an electronic survey that targeted members of the American Occupational Therapy Association who have experience in community-based OT. The survey was completed by 81 OTs …

The Immediate Cardiovascular Response To Joint Mobilization Of The Neck - A Randomized, Placebo-Controlled Trial In Pain-Free Adults, Emmanuel Yung, Cheongeun Oh, Michael Wong, Jason K. Grimes, Erica M. Barton, Muhammad I. Ali, David A. Cameron

All PTHMS Faculty Publications

Background: Some normotensive patients can have a spike in resting systolic blood pressure (SBP) in response to acute neck pain. Applying the typical dosage of mobilization may potentially result in a sympatho-excitatory response, further increasing resting SBP. Therefore, there is a need to explore other dosage regimens that could result in a decrease in SBP.

Objectives: To compare the blood pressure (BP) and heart rate (HR) response of pain-free, normotensive adults when receiving unilateral posterior-to-anterior mobilization (PA) applied to the neck versus its corresponding placebo (PA-P).

Study design: Double-Blind, Randomized Clinical Trial.

Music As The Guide On The Pathway To Empowerment And Wellbeing. A Narrative On An Arts-Based Holistic Health Solution., Sabine Adler

Independent Study Project (ISP) Collection

This study explored music as the guide on the pathway to empowerment and wellbeing at a nonprofit organization called Durban Music School. Using narrative inquiry, I have collected stories from different people involved with Durban Music school as well my own observations and reflections. Through finding empowerment through music myself, I was able to add in my personal experiences to compliment the experience of others. Using informal interviews and conversations, direct observations, journaling, and playing guitar as a method of inner reflection, I looked to explore through stories how underprivileged individuals have found empowerment through their musical journey. Out of …

A Second Chance: Employers’ Perspectives In Hiring Individuals In Addiction Recovery, Alicia B. Becton, Roy K. Chen, Teresia M. Paul

School of Rehabilitation Services & Counseling Faculty Publications

There is a constant debate that employers are not adequately prepared to hire individuals in addiction recovery for a number of reasons. Literature suggests lack of awareness, knowledge, and skills necessary to interact with individuals in addiction recovery as common factors impacting employment outcomes. The purpose of the study was to use open-ended questions to examine employer perspectives toward hiring individuals in addiction recovery. Furthermore, the authors examined gender, business industry, and employer profession to identify any common factors between groups. Major themes in the study included employability, available supports and resources for business owners, influence of societal biases, and …

The Healing Nature Of Occupation, Jennifer Fortuna

The Open Journal of Occupational Therapy

Moses Hamilton, an artist based in Hawaii, provided the cover art for the Spring 2017 edition of The Open Journal of Occupational Therapy (OJOT). “Pali Kai” is a 11”x14” painting made from acrylic on canvas. When a tragic car accident left Hamilton paralyzed from the chest down, mouth painting provided an outlet for self-expression and stress relief. Participation in a meaningful occupation helped Hamilton find his path in life. With their colorful impressionist-style, Hamilton’s paintings have brought happiness to people all over the world.

Eudemonic Care: A Future Path For Occupational Therapy?, Charlotte L. Royeen, Franklin Stein, Alivia Murtha, Julie Stambaugh

The Open Journal of Occupational Therapy

The core tenets of occupational therapy date to ancient Greece. Philosophers and physicians alike promulgated that quality of life, or “eudemonia,” is at the center of both ethical and medical concern and can be attained through healthful engagement in meaningful occupation. In more recent times, there has been a strong call to return to the powerful implementation of the eudemonic moral philosophy in health care practice, especially in occupational therapy. Searches of recent occupational therapy research show that integration of wellness initiatives into rehabilitative treatment sessions can have a profound impact on the physical and emotional healthfulness of people with …

How Society’S Philosophy Has Shaped Occupational Therapy Practice For The Past 100 Years, Jim Hinojosa

The Open Journal of Occupational Therapy

The Anne Cronin Mosey lecture seeks to stimulate provocative thinking about issues important to occupational therapy. The speaker is asked to raise a controversial issue and provide a perspective that may challenge many in the audience. In this paper, I examine occupational therapy practice in the context of the dominant philosophical movement of American society. The first part presents the influence of America’s dominant philosophical movements on the profession: pragmatism (1917), modernism (1940), and, currently, postmodernism. I propose that occupational therapy’s acceptance of modernism has resulted in two major opposing viewpoints, prompting polarization and fragmentation in the profession. I argue …

Awareness And Use Of Electronic Health Records In Entry-Level Occupational Therapy And Occupational Therapy Assistant Curricula, Louis F. Dmytryk, Tina M. Deangelis

The Open Journal of Occupational Therapy

The Accreditation Council for Occupational Therapy Education (ACOTE) requires programs to instruct entry-level occupational therapy (OT) and occupational therapy assistant (OTA) students in technology that may include electronic documentation systems, distance communication, virtual environments, and telehealth (standard B1.8). At this time, there are no publications describing if and how electronic health record (EHR) instruction is implemented in entry-level OT and OTA programs. The purpose of this study is to investigate awareness and use of EHRs in entry-level OT and OTA curricula. Respondents from 76 nationally accredited entry-level programs (two OT doctoral, 24 OT masters, two OT combined bachelors/masters, and 48 …

Past Negative Time Perspective As A Predictor Of Grade Point Average In Occupational Therapy Doctoral Students, Pat J. Precin

The Open Journal of Occupational Therapy

Time perspective is a fundamental dimension in psychological time, dividing human experiences into past, present, and future. Time perspective influences individuals’ functioning in all occupations, including education. Previous research has examined the relationship between time perspective and academic outcomes, but the same research has not been done, to date, with occupational therapy doctoral students. This quantitative, cross-sectional study investigated the relationship between time perspective and academic success in occupational therapy doctoral students across the United States. Data from the Zimbardo Time Perspective Inventory (ZTPI) and grade point averages (GPAs) were collected from 50 participants via surveymonkey.com. Past Negative time perspective …

Exploring The Activity Of Daily Living Of Sexual Activity: A Survey In Occupational Therapy Education, Helene L. Lohman, Alexandra Kobrin, Wen-Pin Chang

The Open Journal of Occupational Therapy

This study aimed to query occupational therapy educators in professional programs in the United States about the amount of time spent addressing sexual activity and the type and depth of education related to sexual activity. The study aims to inform educators about how sexual activity is taught. A cross-sectional survey research design was used with both closed- and open-ended questions. A total of 51 educators participated. An average of 3.5 hr was spent teaching sexual activity. Many of the participants were comfortable teaching sexual activity. However, some reported that sexual activity was often an overlooked topic in occupational therapy curriculum …

Using Reflective Learning Opportunities To Reveal And Transform Knowledge, Attitudes, Beliefs, And Skills Related To The Occupation Of Sexual Engagement Impaired By Disability, Rondalyn V. Whitney, Wendy W. Fox

The Open Journal of Occupational Therapy

Sexuality is one area of human occupation that spans across the lifespan and is identified as an activity of daily living. Barriers to engagement in this occupation fall under the occupational therapists’ scope of practice. Teaching that fosters self-reflection about attitudes and perceptions has the power to shape the practice methodology of future practitioners. This paper presents a curriculum module that aims to go beyond basic delivery of content related to human sexuality to instead show how the teaching methodology developed competency in practitioners, changed perceptions that would serve as barriers to empathetic care, and followed the guidelines of best …

Occupational Therapy Students’ Self-Efficacy, Experience Of Supervision, And Perception Of Meaningfulness Of Level Ii Fieldwork, Lynne Andonian

The Open Journal of Occupational Therapy

Background: This study explored the relationship of perceived self-efficacy to demographic and fieldwork variables for occupational therapy (OT) students. Self-efficacy is related to student and employee success and competency.

Methods: OT students (n = 306) from 42 OT programs in the United States completed the Student Confidence Questionnaire and the Demographic Questionnaire and Survey addressing demographics, practice setting, students’ experience of supervision, and perceptions of the fieldwork’s personal meaning during Level II fieldwork. Correlational and regression methods examined the relationships among the variables. Analysis of variance methods tested differences between higher and lower self-efficacy student groups.

Results: The degree of …

Traditional Lectures And Team-Based Learning In An Occupational Therapy Program: A Survey Of Student Perceptions, Anne H. Zachry, Brittany H. Nash, Ann Nolen

The Open Journal of Occupational Therapy

Background: Team-Based Learning (TBL) is an active instructional approach used in health care education that incorporates group work.

Methods: Two occupational therapy professors adopted a TBL instructional approach in two courses for first- and second-year occupational therapy master’s degree level students. The investigators administered a survey to evaluate student perceptions of TBL and lecture-based instruction (LBI). A principal components factor analysis with varimax rotation identified two 5-item factors: “perceptions of LBI” and “perceptions of TBL.” Internal consistency for each factor was strong (Cronbach’s alpha 5 0.856 [preference for LBI]; 0.865 [preference of TBL]). A Wilcoxon matched pairs signed …

Satisfaction And Occupational Performance In Patients With Functional Movement Disorder, Sarah E. Dahlhauser, Amanda Theuer, John Hollman

The Open Journal of Occupational Therapy

Background: Behavioral Shaping Therapy (BeST) is a program that uses a multidisciplinary approach to treat patients diagnosed with functional movement disorder (FMD). While this diagnosis is classified as a psychological disorder by the Diagnostic and Statistical Manual of Mental Disorders, the BeST program focuses on treating the physical manifestations of FMD. Occupational therapists are an integral part of the multidisciplinary team, employing a variety of cognitive behavioral and motor reprogramming techniques to normalize movement patterns.

Method: Patients 18 years of age or older with a confirmed diagnosis of FMD participated in this study. This retrospective chart review used …