Rehabilitation and Therapy Commons^™

A Service Delivery Model For Addressing Activity And Social Participation Needs Of People Living With Hiv, Gayle Restall, Theresa Sullivan, Tara Carnochan, Emily Etcheverry, Kerstin Roger, Pumulo Roddy

The Open Journal of Occupational Therapy

Background: Occupational therapy can contribute to the health and well-being of people with human immunodeficiency virus (HIV) who are experiencing health consequences of living long term with this disease. However, there are no comprehensive rehabilitation service delivery models to guide this emerging area of practice. The purpose of this study was to obtain critical feedback about a service delivery model to address the activity and social participation needs of people living with HIV.

Method: We developed a service delivery model from a synthesis of the literature. Using a qualitative research design, we conducted individual and focus group interviews with 35 …

A Sleep Intervention For Children With Autism Spectrum Disorder: A Pilot Study, Sarah A. Schoen, Sheryl Man, Chelsea Spiro

The Open Journal of Occupational Therapy

Background: Parents of children who have Autism Spectrum Disorders (ASD) commonly report sleep problems, which typically exacerbate daytime behavior problems. This pilot study sought to identify the short-term effects on sleep, behavior challenges, attention, and quality of life of children with ASD following use of the iLs Dreampad^™ pillow, which delivers bone conducted music and environmental sounds. Aims were to demonstrate acceptability and feasibility, identify measures sensitive to change, and describe individual characteristics responsive to change.

Method: Parent report questionnaires assessed sleep behavior, attention, autism-related behaviors, and quality of life from 15 participants before and during intervention. A …

Maternal Perceptions Of Mealtimes: Comparison Of Children With Autism Spectrum Disorder And Children With Typical Development, Terry K. Crowe, Jessica Salazar Sedillo, M. Sarah Porte, Elizabeth Provost

The Open Journal of Occupational Therapy

Background: This study examined mealtime techniques reported by mothers of preschool children with Autism Spectrum Disorder (ASD) and mothers of children with typical development (TD). The mothers’ perceived levels of success and sources of information for mealtime techniques were also reported.

Method: The participants were 24 mothers of children with ASD (ASD group) and 24 mothers of children with typical development (TD group) between 3 and 6 years of age. The Background Information Survey and the Mealtime Techniques Interview were administered.

Results: The ASD group used significantly more techniques in categories of food appearances, restrictive diets, and vitamin/supplement therapy. The …

Occupational Therapy: Celebrating 100 Years Of Art And Science, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.

An Occupation-Based Learning Support Program For At-Risk Occupational Therapy Students, Arlene Lorch Otd, Otr/L, Ches

Department of Occupational Therapy Posters and Presentations

Objectives:

• Describe an occupation-based, learning support program offered to occupational therapy students struggling academically.

• Identify key learning issues identified by occupational therapy students and staff seeking academic support services.

• Develop an initial outline of steps to identify need and create an occupation-based, learning support program.

Institutional Repositories, Evidence Exchange, And Other Options To Share Your Findings And Research With The World, And How To Retain Your Rights., Kimberly S. Mollo, Otd, Otr/L, Daniel G. Kipnis, Msi

Department of Occupational Therapy Posters and Presentations

Objective 1: Understand the need for open access to research and interventions

Objective 2: Be aware for the available venues for disseminating research findings

Did you come up with a new intervention, and would you like to share it with the world? Would you like a secure place to put your conference posters and handouts from your AOTA and other professional presentations? If so then Open Access is for you. This discussion among peers will discuss how you are preserving your research, and how we could collaborate more to share our findings across the country.

The Health Status Of Older Adults Discharged Home From An Acute Care Hospital: A Descriptive Study, Colleen Chancler

Seton Hall University Dissertations and Theses (ETDs)

Background. Hospitalized older adults are susceptible to adverse events reporting decreased activity, falls and dependence in activities of daily living after hospitalization. Falls incidence is higher among those in the hospital compared to community dwelling older adults. Research has demonstrated the rate of readmission to the hospital for older adults is essentially unchanged at approximately 20% over the last 20 years despite attempts to provide meaningful interventions while patients are in the hospital or once they return home.

Objective. The study objectives were to describe the health status of older adults discharged home from a hospital, to explore the impact …

Proactive Personality And Voluntary Turnover: The Moderating Effects Of Development And Perceived Career Opportunities, Amy F. Huber

Theses and Dissertations

The present thesis reports the research and quantitative examination of the relation

between proactive personality and voluntary turnover, as well as the moderating influences of participation in development activities and perceptions of available career opportunities. Zero- order correlations and moderated binary logistic regression are used to test the hypotheses within an archival data set of 295 participations from a multinational European organization. A significant correlation was found between proactive personality and participation in developmental activities. Additionally, participation in developmental activities was found to be a negative predictor of voluntary turnover. Results of the moderated logistic regression analysis showed that both …

Sex-Dependent Effects Of Ho-1 Deletion From Adipocytes In Mice, Peter A. Hosick, Mary Frances Weeks, Michael W. Hankins, Kyle H. Moore, David E. Stec

Department of Exercise Science and Physical Education Scholarship and Creative Works

Induction of heme oxygenase-1 (HO-1) has been demonstrated to decrease body weight and improve insulin sensitivity in several models of obesity in rodents. To further study the role of HO-1 in adipose tissue, we created an adipose-specific HO-1 knockout mouse model. Male and female mice were fed either a control or a high-fat diet for 30 weeks. Body weights were measured weekly and body composition, fasting blood glucose and insulin levels were determined every six weeks. Adipocyte-specific knockout of HO-1 had no significant effect on body weight in mice fed a high-fat diet but increased body weight in female mice …

Provider Referral Of Patients With Acute Low Back Pain To Physical Therapy: Implications For Outcomes And Costs, Corinne Griggs

DNP Projects

Because most patients with an acute episode of low back pain (LBP) enter the health care system through primary care, it is important primary care providers consider the effects of their decisions on patient outcomes and costs. Although guidelines for primary care management of acute LBP do not place emphasis on physical therapy, they have not been updated since 2007, and more recent evidence supports the use of timely physical therapy in acute LBP patients without “red flags.” Additionally, many studies indicate specialist or surgical consultation is over-utilized, inflating costs and delaying physical therapy. The aim of this project was …

P19. Head Impacts In Youth Soccer Are Comparable To American Football, Alexandra B. Harriss, Aakash Naik, Dave Walton, James P. Dickey

Western Research Forum

Head Impacts in youth soccer are comparable to American Football

Alexandra Harriss¹, Aakash Naik¹, David M. Walton², James P. Dickey¹

School of Kinesiology¹, School of Physical Therapy², Western University, London, Canada

Background: Research has unequivocally demonstrated that females and youth soccer players are at a significant high risk of concussion. Recently, concerns for “heading” have been raised due to possible adverse neurological effects. While head impact accelerations and rotations have been investigated in American football, head impacts in youth soccer have not been rigorously studied. The purpose is to …

Effect Of A Passive Exoskeletal Device On Locomotor Adaptive Ability In Healthy Human Subjects, James Nielsen

UNO Student Research and Creative Activity Fair

Background: Functional mobility in stroke survivors is affected by the deterioration in bilateral coordination while walking. A passive exoskeletal device, the Kickstart (Cadence Biomedical, Seattle, WA), that provides assistance during walking may help correct asymmetrical gait patterns by providing different task constraints for each leg during gait training. Methods: 15 healthy young participants walked on a split-belt treadmill where the speed of each belt could be controlled independently. Each participant’s preferred walking speed (PWS), fast walking speed (FWS) and slow walking speed (SWS) was established. Participants then underwent the experimental protocol while either wearing or not wearing the exoskeleton. The …

Range Of Motion And Walking Distances In Subjects With Peripheral Artery Disease, Henamari Ybay

UNO Student Research and Creative Activity Fair

Peripheral artery disease (PAD) is caused by blockages in the lower extremity arteries that results in pain during walking known as claudication. Gait variability has emerged as a functional assessment in older and pathological groups1. A healthy gait pattern demonstrates stride-to-stride fluctuations within a certain range of values.2 This study uses standard deviation (SD) and coefficient of variation (CV) to assess the magnitude of variability in the time series. . We compared variability before and after surgery that restores blood flow to the legs of patients with PAD.. Thirty-nine subjects were recruited from the Veteran’s Affairs Medical Center. The setup …

Role Of Corpus Callosum Integrity In Arm Function Differs Based On Motor Severity After Stroke, Jill Campbell Stewart, Pritha Dewanjee, George Tran, Erin Burke Quinlan, Lucy Dodakian, Alison Mckenzie, Jill See, Steven C. Cramer

Physical Therapy Faculty Articles and Research

While the corpus callosum (CC) is important to normal sensorimotor function, its role in motor function after stroke is less well understood. This study examined the relationship between structural integrity of the motor and sensory sections of the CC, as reflected by fractional anisotropy (FA), and motor function in individuals with a range of motor impairment level due to stroke. Fifty-five individuals with chronic stroke (Fugl-Meyer motor score range 14 to 61) and 18 healthy controls underwent diffusion tensor imaging and a set of motor behavior tests. Mean FA from the motor and sensory regions of the CC and from …

What Is The Contribution Of Ia-Afference For Regulating Motor Output Variability During Standing?, Niklas König Ignasiak

Physical Therapy Faculty Articles and Research

Motor variability is an inherent feature of all human movements, and describes the system‘s stability and rigidity during the performance of functional motor tasks such as balancing. In order to ensure successful task execution, the nervous system is thought to be able to flexibly select the appropriate level of variability. However, it remains unknown which neurophysiological pathways are utilized for the control of motor output variability. In responding to natural variability (in this example sway), it is plausible that the neuro-physiological response to muscular elongation contributes to restoring a balanced upright posture. In this study, the postural sway of 18 …

Using A Multifaceted Approach To Working With Children Who Have Differences In Sensory Processing And Integration, Stacey Reynolds, Tara J. Glennon, Karla Ausderau, Roxanna M. Bendixen, Heather Miller-Kuhaneck, Beth Pfeiffer, Renee Watling, Kimberly Wilkinson, Stefanie C. Bodison

Occupational Therapy Faculty Publications

Pediatric occupational therapy practitioners frequently provide interventions for children with differences in sensory processing and integration. Confusion exists regarding how best to intervene with these children and about how to describe and document methods. Some practitioners hold the misconception that Ayres Sensory Integration intervention is the only approach that can and should be used with this population. The issue is that occupational therapy practitioners must treat the whole client in varied environments; to do so effectively, multiple approaches to intervention often are required. This article presents a framework for conceptualizing interventions for children with differences in sensory processing and integration …

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

Occupational Therapy Faculty Publications

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 and …

Different States, Common Issues: Moving Mountains One Service At A Time., Suzzanne Freeze, Allison Hall, Stacy Collins, Duane Shumate, Cindy Thomas, Barbara Brent, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

No abstract provided.

Guidepost 1: Individualize Supports For Each Person, Hannah Curren, Oliver Lyons, Jaimie Ciulla Timmons, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

Community Life Engagement refers to how people with intellectual and developmental disabilities (IDD) access and participate in their communities outside of employment as part of a meaningful day. (See “What Is Community Life Engagement?” in the box on page 3.) The Community Life Engagement team has been conducting research to identify the elements of high-quality Community Life Engagement (CLE) supports. We have created a series of four Engage Briefs to examine the guideposts in detail.

Effectiveness Of A Home-Based Eccentric-Exercise Program On The Torque-Angle Relationship Of The Shoulder External Rotators: A Pilot Study, Timothy L. Uhl, Thomas Rice, Brianna M. Papotto, Timothy A. Butterfield

Physical Therapy Faculty Publications

Context: The role of the rotator cuff is to provide dynamic stability to the glenohumeral joint. Human and animal studies have identified sarcomerogenesis as an outcome of eccentric training indicated by more torque generation with the muscle in a lengthened position. Objective: The authors hypothesized that a home-based eccentric-exercise program could increase the shoulder external rotators’ eccentric strength at terminal internal rotation (IR). Design: Prospective case series. Setting: Clinical laboratory and home exercising. Participants: 10 healthy subjects (age 30 ± 10 y). Intervention: All participants performed 2 eccentric exercises targeting the posterior shoulder for 6 wk using a home-based intervention …