Rehabilitation and Therapy Commons^™

Understanding The Impact Of Substance Abuse On Occupation Using The Lifestyle History Questionnaire, Mikel Stone

Occupational Therapy Doctorate Capstone Projects

Background: Substance abuse and addiction have become serious societal problems resulting in a myriad of health, personal and relational issues (U.S. Department of Health and Human Services, 2014). Gutman (2006) reported that an individual involved in substance abuse and addiction may experience difficulty with purposeful time management and may neglect major life roles. The focus of this Capstone Project was to identify the occupational dysfunction experienced by individuals prior to participating in residential recovery programming.

Purpose: The purpose of this Capstone Project was to identify occupational dysfunction associated with substance abuse and addiction using the Lifestyle History Questionnaire (Martin et …

The Effectiveness Of Occupational Therapist Guided Remediation Through Handwriting Home Programs, Cindy W. Poole Mrs.

Occupational Therapy Doctorate Capstone Projects

Objective: The purpose of the study was to examine the effectiveness of an occupational therapist guided, parent-taught home handwriting instruction program for alphabet letter mastery and as a potential school system service delivery model.

Methods: Sixteen teacher referred students participated in this two-group pre-test posttest design using the Test of Handwriting Skills-R and parent survey data to determine summer remediation program effectiveness.

Results: Parent survey support correlated to statistically significant intervention group THS-R mean change standard scores in alphabet letter formation from pre-test (M = 89.57, SD = 12.12) to posttest (M =101.4, SD = 10.39), t …

Critically Appraised Paper For “Bobath Concept Versus Constraint-Induced Movement Therapy To Improve Arm Functional Recovery In Stroke Patients: A Randomized Controlled Trial.” Clinical Rehabilitation, Emily Garnica, Savannah Hancock, Tiffany Huang, Jessica Phung, Kitsum Li

Occupational Therapy | Critically Appraised Papers Series

The researchers used a Level I, single-blinded, randomized controlled trial design to compare the functional arm recovery of 22 high-functioning poststroke participants. Participants were evenly assigned to receive therapy using the Bobath concept or constraint-induced movement therapy (CIMT).

The first intervention group received therapy using the Bobath concept, a neurodevelopmental treatment focused on specific handling techniques that guide the patient’s affected arm through initiation and completion of tasks. The intervention consisted of 1 hr of training per day in an outpatient clinic and a 24-hr home program for 10 consecutive weekdays. The second intervention group received CIMT, a rehabilitation treatment …

Neurobehavioral Function In Adults Recovering Consciousness After Severe Traumatic Brain Injury: A Scoping Review, Jennifer Weaver, Ann Guernon, Trudy Mallinson, Theresa Louise-Bender Pape, Thomas Harrod

Clinical Research and Leadership Faculty Posters and Presentations

This scoping review aims to report the findings of current literature examining the assessment of neurobehavioral function and recovery along the continuum of disorders of consciousness (DOC) from coma to full consciousness.

•This study is designed to capture the range of constructs researchers have used to measure NBF during recovery of consciousness.

•The research question for this review was: “What constructs are most frequently used to assess neurobehavioral function in adults recovering consciousness after severe TBI?”

Development Of Occupational Therapy-Based Pain Management Group Program To Prevent Substance Abuse, Michelle Stotesberry

MOT Student Capstones

Substance abuse, particularly opioid abuse, has become a severe problem in America. Users typically become exposed to opioids initially for pain management, which can lead to addiction if not tapered off over time. By addressing pain management using nonopioid measures, the likelihood that individuals will get addicted and abuse this substance decreases. Occupational therapy has demonstrated effectiveness in addressing pain management for clients, and occupational therapy interventions have also been effective in substance abuse treatment. This project reviewed evidence-based practice to evaluate different approaches to pain management to help individuals become independent in self-managing their pain, thereby decreasing the chances …

Perceptions Of The Impact Of Non-Contact Boxing On Social And Community Engagement For Individuals With Parkinson’S Disease, Casey E. Humphrey

Occupational Therapy Doctorate Capstone Projects

Background: Parkinson’s disease is a progressive neurological condition that is characterized by a variety of physical and cognitive symptoms. Research supports the use of non-contact boxing for symptom management of Parkinson’s disease, but no research is available that examines the social and community impact of non-contact boxing on individuals with Parkinson’s disease.

Purpose: The purpose of this study was to explore the perceptions of individuals with Parkinson’s disease on their experiences within a community based, non-contact boxing program. Specifically, this study considered how these individuals perceived non-contact boxing to influence their social and community engagement and factors influencing ongoing participation …

The Residency Program Experience: Impact On Resident And Mentor, Lisa Hiestand

Occupational Therapy Doctorate Capstone Projects

The Occupational Therapy Residency Program developed by the American Occupational Therapy Association (AOTA) aims to prepare occupational therapists after completion of their degree program through structured didactic and clinical experiences, mentoring and professional activities. This research study attempts to measure changes in the skills of the resident and mentor during the residency period in an acute care hospital setting. Using self-assessment questionnaires from the University of Wisconsin, this study will determine the perceived trajectory of skill development for the resident and the perceived changes in mentors of an OT resident in regard to mentoring and communication skill development. Qualitative data …

Project H.0.P.E Helping Out People Everywhere Through Occupational Therapy, Shayla' Prioleau

MOT Student Capstones

In the community of Santo Domingo, Dominican Republic, there is a special needs orphanage in desperate need of assistance for children who have physical and/or intellectual difficulties; they lack the appropriate resources. These children and adolescents also lack various life skills due to either neurological or developmental disease. The diseases most commonly seen in the orphanage are severe cerebral palsy and muscular dystrophy. Areas affected by these neurological or developmental diseases allow for limitations in a plethora of occupations and performance skills areas. In addition to the children housed in this orphanage, there is also a staff of 33. This …

Occupation-Based Training To Reduce Challenging Behaviors Of Alzheimer's Patients During Morning Routine, Sam Traffas

MOT Student Capstones

The purpose of the Capstone project was to provide an occupation-based training program for care team members who provide care for residents with Alzheimer's disease (AD), specifically during the morning routine in the long-term care setting. This is an occupation-based training program because it provides caregivers with skills and knowledge to improve interactions during activities of daily living (AD Ls) and reduce challenging behaviors often associated with AD: depression, agitation, increased confusion, and resistance to care. Individuals with mid to late-stage AD frequently exhibit an increase in challenging behaviors during the morning care routine. This increased challenge is often met …

Perspectives And Issues Related To The Cota Role In New Mexico, Steven T. Sorensen

MOT Student Capstones

Objectives: This study investigated perceptions and issues related to the COTA role within the state of New Mexico from both the OTA and OTR perspective to identify whether differences in perception exist. Another objective of this study was to determine whether differences exist in perceptions of COTAs between facilities that utilize assistance and those that do not. The author of this study also sought to identify whether local educational institutions were meeting the needs of students with only one OTR program and a recent closure of a local bridge program. Methods: Occupational therapists and occupational therapy assistants (N=54) working in …

Late Adulthood And Meaningful Occupation: The Relationship Between Quality Of Life, Meaningful Activity, And Health, Dwight P. Mangum

MOT Student Capstones

Engagement in meaningful activity is critical to quality of life throughout the lifespan. Participation in such activity can become more challenging at retirement age due to a variety of health concerns and other issues. When an individual's ability to engage in meaningful activity (life roles, leisure activities, activities of daily living, etc.) is diminished due to age related health concerns, injury, or other factors, the resulting barriers to participation in meaningful activity can cause greater damage to quality of life. An understanding of the role that meaningful activity plays in sustaining quality of life is crucial for motivating recovery of …

Affordable Aging In Place, Megan P. Cuthrell

MOT Student Capstones

Aging in place refers to remaining in one's home and community throughout the aging process (Siebert, 2007). Occupational therapy can play a role in aging in place through home modifications. The purpose of the project is to research how affordable home modifications can support lower socioeconomic status, older adults age in place. The three objectives of this project include: (1) the educational presentation and booklet were effective in increasing the participant's knowledge of low-cost options and funding sources for implementing home modifications; (2) the educational presentation/booklet provide effective resources for the individuals to implement home modifications in facilitating successful aging …

Promoting Shade On A Public Playground: An Occupational Therapy Approach To Promoting Community Health, Andrew P. Baglia

MOT Student Capstones

Background Recent studies have raised concern regarding inadequate shade on public playgrounds, leading to an increased risk of sun and heat injury and decreased opportunities for play participation for children. Adequate shade has been shown to be an effective measure to mitigate heat and sun exposure. This Capstone project aimed to positively impact the community of the city of Saluda, North Carolina (NC), by using occupational therapy intervention approaches of promotion, modification, prevention, and education to promote the procurement of adequate shade at the Saluda Elementary School (SES) public playground. Methods This project employed a parent survey to measure attitudes …

Safe Pet Care: Keeping Owners And Pets Safe After Illness And/Or Injury, Sara A. Lowe

MOT Student Capstones

Pet care, for the older adult population, may become problematic after returning home from a recent hospital or rehabilitation stay, due to illness and/or injury. A safe pet care guide was developed, to assist the older adult population, with caring for their pets after they returned home from the hospital or a rehabilitation facility. The safe pet care guide includes information related to safe body movements during pet care activities, products available to assist with pet care, changes to the home, and local pet care resources. Additional safety tips were included to correspond to each area addressed. The manual was …

Implementing Multifactorial Education Modules With Older Adults: Individualized And Interactive Fall Prevention Education, Salvador Chavez, Jocelle Flores, Rachelle Yambao

Student Research Posters

Falls are a significant concern for community-dwelling older adults (OAs), with one in four OAs reporting a fall every year. Occupational therapy students collaborated with first responders of the Novato Fire District to identify gaps in fall prevention community outreach programs and found that many interventions lack an interactive or individualized approach. Based on the gap analysis and current literature, seven education modules were developed to address key risk factors including home modifications, polypharmacy, fear of falling, and balance exercises. Thirty community-dwelling OAs participated in the education modules and were implemented at two senior community sites in Marin County. Participants …

Yoga And The Ability To Counteract Negative Effects Of Stress And Trauma, Allison R. Steinwand, Staci L. Born

Counseling and Human Development Faculty Publications

Many individuals today struggle with the effects of chronic stress, whether due to social and environmental factors or as a result of trauma embedded in their psychophysiology. Research has demonstrated that once an individual endures a traumatic event, there are undesirable changes that occur in the brain and body It is of the utmost importance that mental health counselors consider the relationship between the body and mind. The purpose of this paper is to describe the negative impact traumatic experiences and chronic stress has on the brain and body. Furthermore, the ways in which yoga practice can mitigate trauma symptoms …

Clinical Guidelines For Low Back Pain: A Critical Review Of Consensus And Inconsistencies Across Three Major Guidelines, N O'Connell, C Cook, B Wand, S Ward

Physiotherapy Papers and Journal Articles

Given the scale and cost of the low back pain problem, it is imperative that healthcare professionals involved in the care of people with low back pain have access to up-to-date, evidence-based information to assist them in treatment decision-making. Clinical guidelines exist to promote the consistent best practice, to reduce unwarranted variation and to reduce the use of low-value interventions in patient care. Recent decades have witnessed the publication of a number of such guidelines. In this narrative review, we consider three selected international interdisciplinary guidelines for the management of low back pain. Guideline development methods, consistent recommendations and inconsistencies …

Transcutaneous Electrical Nerve Stimulation (Tens) For Neuropathic Pain In Adults, W Gibson, B Wand, N O'Connell

Physiotherapy Papers and Journal Articles

Background: Neuropathic pain, which is due to nerve disease or damage, represents a significant burden on people and society. It can be particularly unpleasant and achieving adequate symptom control can be difficult. Non-pharmacological methods of treatment are often employed by people with neuropathic pain and may include transcutaneous electrical nerve stimulation (TENS). This review supersedes one Cochrane Review ’Transcutaneous electrical nerve stimulation (TENS) for chronic pain’ (Nnoaham 2014) and one withdrawn protocol ’Transcutaneous electrical nerve stimulation (TENS) for neuropathic pain in adults’ (Claydon 2014). This review replaces the original protocol for neuropathic pain that was withdrawn.

Objectives: To determine the …

The Development Of The Dutch Version Of The Fremantle Back Awareness Questionnaire, Lotte Janssens, Nina Goossens, Benedict M. Wand, Madelon Pijnenburg, Tinne Thys, Simon Brumagne

Physiotherapy Papers and Journal Articles

Background: Disturbed body perception may play a role in the aetiology of chronic low back pain (LBP). The Fremantle Back Awareness Questionnaire (FreBAQ) is currently the only self-report questionnaire to assess back-specific body perception in individuals with LBP.

Objectives: To perform a cross-cultural adaptation of the FreBAQ into Dutch.

Design: Psychometric study.

Methods: A Dutch version of the FreBAQ was generated through forward-backward translation, and was completed by 73 patients with LBP and 73 controls to assess discriminant validity. Structural validity was assessed by principal component analysis. Internal consistency was assessed by the Cronbach's alpha coefficient. Construct validity was assessed …

Increased Burn Healing Time Is Associated With Higher Vancouver Scar Scale Score, Vidya Finlay, Sally Burrows, Maddison Burmaz, Hussna Yawary, Johanna Lee, Dale Edgar, Fiona M. Wood

Physiotherapy Papers and Journal Articles

Increased burn wound healing time has been shown to influence abnormal scarring. This study hypothesized that scar severity increases commensurate to the increase in time to healing (TTH) of the wound. Wound healing and scar data from burn patients treated by the Burn Service of Western Australia at Royal Perth Hospital were examined. The relationship between TTH and scar severity, as assessed by the modified Vancouver Scar Scale (mVSS), was modelled using regression analysis. Interaction terms evaluated the effect of surgery and total body surface area – burn (TBSA) on the main relationship. Maximum likelihood estimation was used to account …