Rehabilitation and Therapy Commons^™

Prosthetics Guide For Occupational Therapy Students And New Graduates, Chelsea De Bruto, Kayla Oates

Occupational Therapy Capstones

"The prosthetic technology is effectively an interface between that person and the life they wish to lead" (Gallagher, 2004, p. 828). Occupational therapy can help individuals with prosthetics deal with psychosocial and physical aspects of his or her condition (Gulick, 2011). Current literature covers all aspects of prosthetics, but it is scattered in many different places. The results of a study conducted by Mitchell, Gorelick, Anderson, and Atkins (2014), approximately 3-5 hours or less are spent on prosthetic training, while 85% of respondents felt that it was considered to be “very important”. This scholarly project focuses to bridge this gap …

An Occupational Therapist's Guide For Mindful Practice Under High Productivity Standards, Breanna E. Coleman, Whitney J. Wilhelmi

Occupational Therapy Capstones

In recent years, healthcare service delivery has been influenced by one factor that has shown to considerably limit occupational therapy (OT) practitioners’ ability to be mindful in the work setting (Black, 2010). This influential factor involves increased productivity standards resulting in high burnout, empathic fatigue, job dissatisfaction, lack of mindful practice, and distress to the point of clinical effectiveness (Irving, Dobkin, & Park, 2009; Poulsen et al., 2014; Vadnais, 2014). In the midst of high productivity standards, a need surfaced for the production of a tool that assisted OT practitioners to overcome these standards as well as to incorporate a …

A Pilot Study To Document Outcomes Of Occupational Therapy Intervention With Individuals Who Experience Upper Extremity Trauma Using The Role Checklist 2 And Quickdash Assessments, Devan Henderson, Jacob Kucera

Occupational Therapy Capstones

The disabilities of the arm, shoulder and hand (DASH) quick form is a selfadministered patient perception questionnaire used to measure upper extremity disability and symptoms. The Quick DASH (QD) gauges the patient’s difficulty with task performance when impacted by an upper extremity injury. The Role Checklist: Version 2 (RC-V2) is a self-administered, patient perception that focuses mainly on the individual’s daily life roles, role competence, performance, and interest in performing those roles (Scott, 2013). The purpose of this study was to determine which of these assessments best measured progress of occupational therapy interventions for patients who sustained a traumatic upper …

Physical Activities In The Nys/Bya Program On The Turtle Mountain Chippewa Reservation: A Resource Guide For Adaptation, Lauren Herbert, Melissa Hoffman

Occupational Therapy Capstones

The percentage of children with disabilities in the United States (U.S.) is increasing at an alarming rate. According to the 2000 census, 3.9% of all families reported having a child with disabilities. As of the 2010 census, there were 53.9 million school-aged children (aged 5 to 17) in the U.S with about 2.8 million (5.2%) reporting a disability. Among the American Indian population, these rates are increasing at an even higher rate. American Indians have the highest rates of disability of any group in the United States (Nichols & Keltner, 2005). According to Waldman, Perlman, and Swerdloff (2008), more than …

Modernizing Leisure Assessment Through Technology Applications, Brooke Johnson, Hanna Stevenson

Occupational Therapy Capstones

Purpose: The purpose of the product was to create an electronic based leisure interest companion for occupational therapists to utilize when treating clients. An electronic based leisure assessment would illustrate for the occupational therapy a more comprehensive understanding of the clients’ leisure interests.

Methods: A literature review was conducted using the CINAHL, OTSEARCH, Pub Med, and Google Scholar databases. The literature review results supported the value of leisure, and leisure assessment tools were explored. The UK Modified Interest Checklist was chosen as a focal point for the My Leisure Activities (MyLA™) companion tool development. A storyboard was created by the …

Occupational Therapy Interventions For Adhd: A Systematic Review, Kamela L. Kelsch, Kaci L. Miller

Occupational Therapy Capstones

Background: ADHD can have a negative impact on occupational performance of a child, interfering with ADLs, IADLs, education, leisure, and play. However, at this time, a cumulative review of evidence based occupational therapy interventions for children with ADHD do not exist.

Purpose: The purpose of this scholarly project was to complete a systematic review of what occupational therapy interventions are effective for school-aged children with ADHD.

Methods: An extensive systematic review for level T, II, or II research articles was completed using CINAHL and OT Search. Inclusion, exclusion, subject terms, and words or phrases were determined with assistance from the …

The Effects Of Self-Stigma On Occupational Engagement For Adults With Mental Illness, Alyssa A. Kostreba, Taylor E. Lavoi

Occupational Therapy Capstones

Purpose: The purpose of this study is to explore the impacts of self-stigma on everyday occupations of persons with serious and persistent mental illness. Greater understanding of the impacts of self-stigma is important to development of occupation-based interventions used by occupational therapists in mental health settings.

Methodology: A qualitative phenomenological approach was utilized to interview six participants between the ages of 31-58 years old with severe and persistent mental illness. High level in vivo coding was used to interpret participant responses.

Results: Four themes emerged from participant interviews: 1) negative impact on self, 2) coping with negative social encounters, 3) …

Studying With Successful Sensory Environments: A Pilot Study, Katrina Kotta

Occupational Therapy Capstones

Background/Purpose: Higher education institutions are facing pressure by state and federal authorities to retain and efficiently graduate students. The University of North Dakota (UND) has responded by implementing initiatives in light of declining retention rates within recent years. University of North Dakota’s approach focused on best teaching practices and classroom learning approaches versus individualized student programs for academic success. Studying With Successful Sensory Environments (SWSSE) is an individualized approach created within occupational therapy, which focuses on effective management of the environment through knowledge of sensory processing patterns to enhance focus and productivity in higher education. The purpose of this study …

Perceptions Of Adherence To Clinical Practice Guidelines For Low Back Pain Treatment Of Physical Therapy Students And Recent Graduates, Emiangeliz Gonzalez Luna

Digital Repository: Showcase of Undergraduate Research Excellence

This study aims to analyze possible factors that can affect perceptions towards adherence of clinical practice guidelines for low back pain treatment of current and past physical therapy students. An original survey was created to measure demographics, current knowledge of guidelines, influential resources, and perceptions about adherence to these guidelines.

Perceived Threat Associated With Police Officers And Black Men Predicts Support For Policing Policy Reform, Allison L. Skinner, Ingrid J. Haas

Center for Brain, Biology, and Behavior: Faculty Publications

Racial disparities in policing and recent high-profile incidents resulting in the deaths of Black men have ignited a national debate on policing policies. Given evidence that both police officers and Black men may be associated with threat, we examined the impact of perceived threat on support for reformed policing policies. Across three studies we found correlational evidence that perceiving police officers as threatening predicts increased support for reformed policing practices (e.g., limiting the use of lethal force and matching police force demographics to those of the community). In contrast, perceiving Black men as threatening predicted reduced support for policing policy …

Lessons Learned From A Major Near Miss: A Case Report Including Recommendations To Improve Future Patient Safety In Rehabilitation, Chelsea R. Van Zytveld, Jennifer W. Rodriguez, Tamara S. Struessel

Internet Journal of Allied Health Sciences and Practice

Background: Most medical errors can be traced to system failure, but often individual providers are blamed. Few articles in the allied health literature address the topic of error or the analysis of error using a system approach. Purpose: This case report analysis illustrates how both individual and system factors contribute to error in rehabilitation settings and how identification of these factors allows development of methods to improve future patient safety. Case Description: A young male was admitted to a rehabilitation hospital with residual impairments following recent surgical resection of a benign meningioma. He was treated daily by a physical …

Preventing Running Injuries Using A Pre-Running Exercise Program (Prep): A Pilot Study, P. Jaques, T. Mcgrath, K. Rasmussen, J. Irwin, J. Winslow, M. Strong, G. Macias, Tyler Cuddeford

Student-Faculty Research - College of Physical Therapy

Hypothesis: An 8 week supervised PREP implemented prior to a 5k running program will reduce the incidence of RRI's among novice runners training for a 5k below the previously published incidence rates.

Prehabilitation (Prehab): Prevention In Motion, Billie Russell

Electronic Theses and Dissertations

Cardiovascular disease is the leading cause of death for U.S. adults. It adds greater than $100 billion to U.S. health care costs annually. Rates of morbidity, mortality, and economic burden of the disease could be dramatically reduced with improvements in sedentary behaviors among adults with coronary artery disease (CAD). A regular commitment to moderate physical activity can reduce ischemic heart events up to 50%. Although the benefits of physical activity are well-known for individuals with coronary artery disease, an estimated 70% of this population remains relatively sedentary. Hospital-based cardiac rehabilitation programs are the single secondary prevention option offered to improve …

Vocal Function Exercises For Normal Voice: The Effects Of Varying Dosage, Maria H. Bane

Theses and Dissertations--Communication Sciences and Disorders

The primary purpose of this investigation was to explore the effects of variable doses of home practice Vocal Function Exercises (VFEs) on attainment of pre-established maximum phonation time (MPT) goals in individuals between the ages of 18 and 25 with normal voice. A secondary purpose was to monitor for potentially toxic effects of high doses of VFEs. Three experimental groups completed a six-week VFE protocol and practiced twice daily. The low dose group performed each exercise once, the traditional group twice, and the high dose group four times. Results indicated significant change in VFE MPT for all three groups and …

Specificity Of The Minimal Clinically Important Difference Of The Quick Disabilities Of The Arm Shoulder And Hand (Qdash) For Distal Upper Extremity Conditions, Enrique V. Smith-Forbes, Dana M. Howell, Jason Willoughby, Donald G. Pitts, Timothy L. Uhl

Physical Therapy Faculty Publications

Retrospective cohort design. The minimal clinically important difference (MCID) for the quick Disabilities of the Arm, Shoulder and Hand (QDASH) has been established using a pool of multiple conditions, and only exclusively for the shoulder. Understanding diagnoses-specific threshold change values can enhance the clinical decision-making process. Before and after QDASH scores for 406 participants with conditions of surgical distal radius fracture, non-surgical lateral epicondylitis, and surgical carpal tunnel release were obtained. The external anchor administered at each fourth visit was a 15-point global rating of change scale. The test-retest reliability of the QDASH was moderate for all diagnoses: intraclass correlation …

Enhancing Entry-Level Physiotherapy Student Learning In Interpreting Radiology – An Action Research Project, Courtney R. Clark, Andrea Bialocerkowski

Internet Journal of Allied Health Sciences and Practice

Purpose: In Australia, the ability to interpret orthopaedic x-rays is an entry-level skill for physiotherapists. Yet there is a paucity of evidence in the literature which details effective learning and teaching methods to optimise confidence and competence in x-ray interpretation. The aims of this study were to describe the content contained in an orthopaedic radiology module within an Australian 2-year graduate entry Master of Physiotherapy degree; approaches to learning and teaching used in this module; student satisfaction associated with this module over a 2-year period. Method: The University’s framework for quality assurance, which is based on the Plan-Implement-Review-Improve underpinned this …

Evaluating The Impact Of A Falls Prevention Community Of Practice In A Residential Aged Care Organisation, Jacqueline Francis-Coad

Theses

Falls in the residential aged care (RAC) sector are a global concern with humanitarian and economic consequences. Reducing falls using a multifactorial approach involving multidisciplinary staff is recommended, but it is not clear how RAC organisations in Australia can achieve this in a resource constrained environment. One potential solution is to develop a sustainable means of addressing falls prevention from within an organisation, creating a forum for staff to share ideas, expertise and achieve goals in a community of practice (CoP). The purpose of this research was to evaluate the impact of a falls prevention CoP on falls outcomes in …

The Impact Of Peer-Led Falls Prevention Education On Community-Dwelling Older Adults: A Mixed Methods Evaluation, Linda Khong

Theses

Older adults are not optimally engaged in falls prevention strategies. Peer education may be an approach to improving engagement and uptake of falls prevention strategies by community-dwelling older adults. However, empirical research regarding this approach has been inconclusive. Accordingly, the primary aim of this research was to design a peer-led falls prevention education program and evaluate its impact on community-dwelling older adults’ beliefs, knowledge, motivation, and intention to engage in falls prevention strategies. This research was a mixed methods study conducted in two phases. Phase 1 comprised three concurrent studies. These aimed to elucidate the issues regarding falls prevention education …

Physical Activity For Adults With Visual Impairments: Impact Of Socio-Demographic Factors, Justin A. Haegele, Xihe Zhu, Jihyun Lee, Lauren J. Lieberman

Human Movement Studies & Special Education Faculty Publications

Little is known about what factors influence physical activity participation for adult-aged individuals with visual impairments. Therefore, the purpose of this study was to explore the impact of socio-demographic factors on the physical activity participation of adults with visual impairments. The international physical activity questionnaire-short form and a socio-demographic factor questionnaire were distributed to individuals with visual impairments. A total of 176 adults (M_age = 47.04, 52.8% female) completed the questionnaires. Physical activity and socio-demographic variables were analyzed descriptively and relationships were explored using correlation analysis and multiple regression analysis. On average, participants reported 413.79 minutes of moderate-to-vigorous physical …

The Occupation Of Driving: A Guide For Occupational Therapists Working With Adolescents Who Have Adhd, Molly Schmitz, Morgan Voss

Occupational Therapy Capstones

Driving is a rite of passage for all teens with or without a disability. Individuals with ADHD are at a far greater risk of being in an accident or receiving a traffic violation as a compared to their developmental counterparts. In addition, parents and practitioners are often unaware of an individual’s readiness to drive skills prior to receiving formal driver’s education. Thus, this can be a stressful transition or learning process with individuals with ADHD and their families. For parents, practitioners, and teens, it is important that they understand the resources available to them and the steps to access those …