Rehabilitation and Therapy Commons^™

A Review Of Transcranial Magnetic Stimulation And Multimodal Neuroimaging To Characterize Post-Stroke Neuroplasticity, Angela M. Auriat, Jason L. Neva, Sue Peters, Lara A. Boyd

Physical Therapy Publications

Following stroke, the brain undergoes various stages of recovery where the central nervous system can reorganize neural circuitry (neuroplasticity) both spontaneously and with the aid of behavioral rehabilitation and non-invasive brain stimulation. Multiple neuroimaging techniques can characterize common structural and functional stroke-related deficits, and importantly, help predict recovery of function. Diffusion tensor imaging (DTI) typically reveals increased overall diffusivity throughout the brain following stroke, and is capable of indexing the extent of white matter damage. Magnetic resonance spectroscopy (MRS) provides an index of metabolic changes in surviving neural tissue after stroke, serving as a marker of brain function. The neural …

The Lifestyle-Integrated Functional Exercise Program For Older Adults, Jessica Lim, Courtney Beyer, Anna Lee, Sienna Anderson

Student Research Posters

According to the Centers for Disease Control and Prevention, falls are the most common cause of fatal and non-fatal injuries among older adults over the age of 65 (Centers for Disease Control and Prevention [CDC], 2009). Falls can lead to a myriad of traumatic physical and emotional consequences. Integrated exercise programs such as the Lifestyle-integrated Functional Exercise (LiFE) program are effective in preventing falls and increasing fall efficacy in individuals who have previously fallen (Clemson et al., 2012). The purpose of our study was to examine if the LiFE program is as effective in reducing fall risk and increasing fall …

Bridge/Adapt: Transfer From Computer Remediation To Functional Skill, Eugene Cheung, Janice S. Li, Diana Lopez, Angela Talamantez

Student Research Posters

This study explored the effectiveness of the Bridge/Adapt program for generalizing increased cognition to functional skills. Three participants, identified as having significant cognitive impairments as measured by the Cognistat assessment, participated in the Bridge/Adapt program, an eight-week program that includes both remedial and compensatory components. The remedial component used was a computer-based cognitive rehabilitation program called Parrot Software. Past studies have proven computer-based cognitive rehabilitation to be effective in increasing overall cognition. The Bridge/Adapt module is the compensatory component that utilized a variety of strategies and everyday tasks to facilitate the generalization of improved cognition to functional performance. A homework …

Sleep As An Occupation In College Students, Michelle Del Rosario, Lisa Mrsny, Amanda Cervantes, Carl Fitzgerald

Student Research Posters

The purpose of this study was to measure the quality of sleep in undergraduate college students and explore the relationship between academic self-efficacy and performance in student-related occupations. A quantitative, exploratory, descriptive and correlational research design was used to explore the relationship among sleep quality, perceived self-efficacy, and selected student characteristics. This study included undergraduate students, as well as self-identified student athletes, first generation students, and students with disabilities. To collect data, the researchers conducted an online survey, which consisted of the Pittsburgh Sleep Quality Index (PSQI), a demographic and self-efficacy questionnaire. The PSQI was used to evaluate the sleep …

Implications Of Screen Use In Young Children's Occupations, Denise G. Doria, Ots, Michele Mathew, Ots, Mary Muhlenhaupt, Otd, Otr/L, Faota

Department of Occupational Therapy Posters and Presentations

Introduction:

OTs need to address both the duration and quality of screen media children use, to promote their development and participation in healthy occupations.

Research Brief: "Receipt Of Employment Services Among Veterans Health Administration Users With Psychiatric Diagnoses", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This study found that about four percent (4.2%) of VHA users with psychiatric diagnoses accessed employment services in a given year. VHA patients with a psychiatric diagnosis of schizophrenia had higher odds of accessing employment services relative to VHA users with other psychiatric diagnoses, including PTSD, depression, and other anxiety disorders. In practice, veterans should be aware that receiving VHA employment services should not affect VA benefits and should discuss their medical and financial benefits with benefits advisors and other appropriate advisors. In policy, Policymakers could consider allocating funds to further study the efficacy and effectiveness of various employment services …

Mild Cognitive Impairment In Heart Failure Affects Care Transition, Kitsum Li, Kristin Myers

Collected Faculty Scholarship

Objectives

After attending the presentation, the audiences will be able to:

• Understand the importance of cognition in everyday activity and the cognitive hierarchy to guide practice.
• Recognize the incidence of mild cognitive impairment in individuals with heart failure.
• Understand how mild cognitive impairment may affect heart failure self- care practice and hospitalization readmission.
• Identify the evidence that support use of cognitive screen to identify mild cognitive impairment in individuals with heart failure.
• Compare the evidence among three cognitive screens (Mini-mental Status Exam, Montreal Cognitive Assessment and St. Louis University Mental State Exam).
• (Using Montreal Cognitive Assessment as an example)Identify cognitive …

A Comparison Of Static Stretching Versus Combined Static And Ballistic Stretching In Active Knee Range Of Motion, Nathan R. Blackhurst, James C. Peterson, Valerie W. Herzog, Ericka P. Zimmerman

Internet Journal of Allied Health Sciences and Practice

Background: There is continued controversy related to flexibility gains from different stretching protocols and within single protocols. Stretching methods include static, ballistic, dynamic, and proprioceptive neuromuscular facilitation (PNF). A combination of stretching methods may be an improved way to increase active knee range of motion (ROM). This study evaluated a single program formulated with static and ballistic components. Objective: To compare active knee ROM following stretching programs which either included combined static and ballistic stretching (CSBS) or static stretching (SS) alone. It was hypothesized that CSBS would show a greater increase in active knee ROM than SS. Setting …

Tobramycin-Treated Pseudomonas Aeruginosa Pa14 Enhances Streptococcus Constellatus 7155 Biofilm Formation In A Cystic Fibrosis Model System, Katherine E. E. Price, Amanda A. Naimie, Edward F. Griffin, Charles Bay, George A. O'Toole

Dartmouth Scholarship

Cystic fibrosis (CF) is a human genetic disorder which results in a lung environment that is highly conducive to chronic microbial infection. Over the past decade, deep-sequencing studies have demonstrated that the CF lung can harbor a highly diverse polymicrobial community. We expanded our existing in vitro model of Pseudomonas aeruginosa biofilm formation on CF-derived airway cells to include this broader set of CF airway colonizers to investigate their contributions to CF lung disease, particularly as they relate to the antibiotic response of the population. Using this system, we identified an interspecies interaction between P. aeruginosa, a bacterium associated with …

A Progressive Physical Therapy Plan Of Care For A Patient With Charcot-Marie-Tooth Disease Following Myocardial Infarction: A Case Report, Paige Blasco, Kirsten Buchanan

Case Report Posters

Charcot-Marie-Tooth disease (CMT) is an inherited neuromuscular disease caused by mutations in genes that produce proteins involved in the structure and function of either the myelin sheath or the peripheral nerve axon. The slow degeneration of the nerves results in a decreased ability to communicate with their distant targets leading to symmetric distal muscle atrophy and weakness, hand and foot deformities, and sensory loss. There is currently no treatment that reverses or stops the progression of the disease; however, there are physical therapy (PT) interventions that reduce the level of disability in individuals with CMT. Research has shown that interval …

Faculty And Student Perceptions Of A Physical Therapy Professional Behavior Mentoring Program, Ethel Frese, Cheryl Cavallo, Kelly Hawthorne, Ginge Kettenback, Barbara Yemm

Internet Journal of Allied Health Sciences and Practice

Purpose: Mentoring is a process and a relationship between a novice and an expert that fosters intellectual, personal, and professional growth. The purposes and scope of this article are to describe 1) the structured professional development component of a comprehensive mentoring program for students in a physical therapy program; and 2) the perceptions of faculty and students regarding this mentoring program. Method: Faculty and students completed electronic questionnaires developed specifically for each group. Results: Return rate was 54.50% (N=286) for physical therapist students and 100% (N=18) for physical therapy faculty. Student positive ratings regarding the mentoring program exceeded 89.00%. Additionally, …

Physical Therapy Clinical Instructor Self-Reported Evidence-Based Practice Use, Debra Bierwas, Joan Leafman, Lisa Wallace, Donald Shaw, Steven Fehrer

Internet Journal of Allied Health Sciences and Practice

Introduction: Evidence-based practice is a required component of student physical therapist education. Practice applying the five steps of evidence-based practice to patient care (formulate question, retrieve evidence, appraise evidence, integrate evidence, evaluate outcomes), most effectively performed during clinical education, must occur for students to become proficient. Clinical instructor use of evidence-based practice is essential to assure that student physical therapist practice occurs during clinical education. Purpose: The purpose of this study was to assess self-reported evidence-based practice use by physical therapy clinical instructors and examine whether an association exists between professional characteristics and evidence-based practice use. Methods: This study …

Church Pew Exercise Integrated With Conventional Physical Therapy Following Total Knee Arthroplasty (Tka): Case Report, Randell Gonzales, Jerome Danoff

Internet Journal of Allied Health Sciences and Practice

Background and Purpose: Physical therapy treatment following Total knee Arthroplasty (TKA) consists of a combination of strengthening and range of motion exercises. The exercise technique, church pew exercise (CPE), has been proposed to enhance quadriceps facilitation and improve function. This is a technique that has the patient standing and rocking forward/back. The backward motion is arrested by engagement of the upper calf against a solid object, creating a sudden flexion torque at the knee and a sudden extension torque at the hip. The combination of CPE with standard physical therapy is claimed to provide better quadriceps control and faster walking …

A Description Of Current Curricular Design Models Used In Physical Therapy Clinical Education And Their Relationship To Pass Rates On The National Physical Therapy Examination, Chalee Engelhard, Christine Mccallum

Internet Journal of Allied Health Sciences and Practice

Purpose. The purpose of this study was to develop descriptions and identify commonalities of current clinical education models used in physical therapy programs; then, using this information, to examine differences in first-time and ultimate pass rates among the derived formula from Commission on Accreditation in Physical Therapy Education (CAPTE) accredited programs in 2011-2013. Methods. This mixed methods study captured qualitative and quantitative data from the 204 PT programs located in the United States and Puerto Rico from 2011 to 2013. The data were coded into 11 different clinical education models which represented all programs. The models were then linked to …

The Style Evolution Of Glasses: Acknowledging Well-Being For Wearable Medical Device, Lydia Royeen

The Open Journal of Occupational Therapy

The focus of Peta Bush’s work is to create wearable medical devices that address all qualities of the individual, including physical, mental, emotional, and psychosocial aspects. Peta is completing a practice-based research PhD titled “Therapeutic jewelry: The craft of people-centric devices for wellbeing.” Her passion for creating wearable medical devices that are multi-dimensional stems from her personal experiences, as she has Ehlers-Danlos syndrome. In addition, she uses her knowledge of well-being and the biopsychosocial model when creating her wearable medical devices. Peta currently uses technology, such as 3D printing, as one method to fabricate her collection. Her aspirations are for …

More Tips For Making An Editor Happy, Jan Andersen

The Open Journal of Occupational Therapy

No abstract provided.

Concise Arm And Hand Rehabilitation Approach In Stroke (Caras): A Practical And Evidence-Based Framework For Clinical Rehabilitation Management, Johan A. Franck, Jos Halfens, Rob Smeets, Henk Seelen

The Open Journal of Occupational Therapy

The volume of information on new treatment techniques supporting the restoration of arm-hand function (AHF) and arm-hand skill performance (ASHP) in stroke survivors overwhelms therapists in everyday clinical practice when choosing the appropriate therapy. The Concise Arm and Hand Rehabilitation Approach in Stroke (CARAS) is designed for paramedical staff to structure and implement training of AHF and AHSP in stroke survivors. The CARAS is based on four constructs: (a) stratification according to the severity of arm–hand impairment (using the Utrecht Arm/Hand -Test [UAT]), (b) the individual’s rehabilitation goals and concomitant potential rehabilitation outcomes, (c) principles of self-efficacy, and (d) possibilities …

Occupational Therapy Students’ Perspectives Of Professionalism: An Exploratory Study, Theresa M. Sullivan, Andrea K. Thiessen

The Open Journal of Occupational Therapy

Background: Professionalism is a dynamic, socially constructed idea, rendering it difficult to comprehend. Though characterized by the demonstration of values and behaviors, its meaning has not been fully explored and remains tacit. To explore how first- and second-year master’s of occupational therapy students conceptualize professionalism.

Method: This qualitative pilot study evolved from an interpretivist theoretical perspective. Convenience sampling yielded four first-year and seven second-year students from one entry-level master’s program to participate in two separate focus groups. Line-by-line constant comparison methods were used to analyze the data and identify categories. An audit trail, peer debriefing, and member checking were employed. …

High-Fidelity Simulation: A Tool For Occupational Therapy Education, Chi-Kwan Shea

The Open Journal of Occupational Therapy

High-fidelity simulation (HFS) is an educational tool commonly used by professional education programs of medicine and nursing for student training and assessment. Although its use in occupational therapy (OT) education is emerging, implementation of simulation in OT education varies broadly across programs, and, in general, the tool remains underused. This paper describes how the OT education program at Samuel Merritt University (SMU) has systematically expanded the use of HFS in various formats throughout the curriculum. The specific processes and procedures of using HFS in facilitating student critical thinking and clinical skills are explained to emphasize the potential educational value of …

Fieldwork Educators' Perspectives: Professional Behavior Attributes Of Level Ii Fieldwork Students, Marcie K. Campbell, Katelyn Corpus, Tracy M. Wussow, Teresa Plummer, Debra Gibbs, Shelley Hix

The Open Journal of Occupational Therapy

A review of the literature revealed a lack of consistent expectations for professional behaviors required of level II fieldwork students. This study sought to obtain a consensus of perspectives of level II fieldwork educators by asking, “What are the essential professional behavior attributes for level II fieldwork students?” Delphi methodology was used to collect data in two rounds of surveys. In the first, 49 fieldwork educators listed professional behavior attributes they believed to be important for fieldwork students. The data was synthesized into themes for distribution in the second survey, which were identified as essential, non-essential, or site-specific by 53 …