Rehabilitation and Therapy Commons^™

The Effects Of Horseback Riding On The Gait Of Adolescents, Sarah L. Hayes

Undergraduate Distinction Papers

ABSTRACT

The objective of this study was to investigate the changes that occur in the gait of a set of subjects after they ride a horse. Eleven riders with a developmental disability were selected and included in an experimental group and nineteen “typical” subjects or those without a developmental disability were included as a second comparison group. The length of time the subjects were able to remain standing in a tandem stance and in a one-legged stance without becoming unbalanced was measured and recorded. The stride length of the subject’s second and third step from heel to heel was also …

Qualitative Study Of The United States Marine Corps Wounded Warrior Regiment, Webster F. Nicholson Jr.

Dissertations

Serious health care issues were discovered first at Walter Reed Army Medical Center in 2007 and later at U.S. Department of Veteran Affairs health care organizations in 2014 (Brady, 2012; Cohen, Griffin, & Bronstein, 2014; Wright, 2013). The continued success of the Wounded Warrior Program requires a system that will constantly assess and analyze health care quality from the patient’s experience. From a systems perspective, health care quality encompasses six dimensions, and the study involved examining the dimension and four core concepts of patient-centered care (Institute of Medicine, 2001; Lees, 2011; Wexler, 2002; World Health Organization, 2006). A qualitative, phenomenological …

The Feasibility Of Delivering A Home-Based Motivational Exercise Program To African-American Breast Cancer Survivors, Denise Spector, Claudio Battaglini

Journal of Health Disparities Research and Practice

Most African-American breast cancer survivors do not meet current exercise recommendations for cancer survivors, which include both aerobic and strength-training exercises. This pilot study tested the feasibility of delivering a home-based exercise intervention to African-American breast cancer survivors. Sedentary African-American breast cancer survivors were recruited for a 16-week motivational home-based progressive aerobic and strength-training exercise pilot study. Participants completed weekly exercise logs and received weekly phone calls. To assess feasibility, we evaluated recruitment, retention, and adherence rates, as well as participant acceptance and safety. 17 women enrolled; 13 completed the intervention (76%). Participants had moderately-high adherence (70%) to walking goals, …

Self Regulation Through Art And Chocolate, Lydia Royeen

The Open Journal of Occupational Therapy

Josh Banks provided the cover art for the spring 2015 issue of The Open Journal of Occupational Therapy. The cover art is titled “Birthday Party” because the piece resembles images involved in a birthday party: multi-colored balloons, napkins, cakes, and icing. Josh created the piece using oil crayons on watercolor paper. Josh is sensory seeking and has difficulty using various types of materials, which include crayons, street chalk, and markers. After much experimentation, Josh is able to use nibs, a type of marker that does not have a cap. Josh is able to sit for 5-10 minute periods and …

Social Justice As A Moral Imperative, Barbara Hemphill

The Open Journal of Occupational Therapy

No abstract provided.

Lifesteps: An Evidence-Based Health Promotion Program For Underserved Populations – A Community Service Learning Approach, Melanie Austin-Mccain

The Open Journal of Occupational Therapy

Chronic diseases are the most common, costly, and preventable of all health problems in the United States. Chronic diseases represent the leading causes of death and are experienced at higher rates by minority populations (CDC, 2012). Innovative community-based health promotion programs are recommended that meet the diverse needs of underserved populations (Yeary, et al., 2011). LifeSteps is being developed as an evidence-based health promotion program focusing on health and wellness, a domain area defined within the Occupational Therapy Practice Framework (OTPF, 2008). LifeSteps will utilize a client-centered approach to coach individuals in making health behavior changes. Fieldwork and service-learning components …

Evidence Considerations For Mobile Devices In The Occupational Therapy Process, Kelly Erickson

The Open Journal of Occupational Therapy

Mobile app-based device utilization, including smartphones and handheld tablets, suggests a need to evaluate evidence to guide selection and implementation of these devices in the occupational therapy process. The purpose of the research was to explore the current body of evidence in relation to mobile app-based devices and to identify factors in the use of these devices throughout the occupational therapy process. Following review of available occupational therapy profession guidelines, assistive technology literature, and available mobile device research, practitioners using mobile app-based devices in occupational therapy should consider three areas: client needs, practitioner competence, and device factors. The purpose of …

A Study Of Engagement In Active And Passive Roles In Casual Leisure Occupations, Anne M. Fenech

The Open Journal of Occupational Therapy

Background: This article explores whether engagement with listening occupations varies depending on the occupational role or the level of sensory stimulation presented to participants with neuropalliative conditions.

Method: The study used a multiple case quasi-experimental study involving marginal-participant time-sampled observations of engagement of individuals with neuropalliative conditions, with casual leisure occupations using the Individual Child Engagement Record. Data was collected using the Individual Child Engagement Record with 14 participants (who had Barthel scores averaging 7/100). The participants represented a particular sub-group of individuals with profound levels of neurological disability.

Results: The time-sampled observations of engagement showed a significant difference between …

The Challenge Of Cultural Competency In The Multicultural 21st Century: A Conceptual Model To Guide Occupational Therapy Practice, Wesam Darawsheh, Gill Chard, Mona Eklund

The Open Journal of Occupational Therapy

Background: Occupational therapists increasingly encounter clients from diverse cultural backgrounds and need to meet their professional obligation of delivering culturally competent practice. Yet the process of cultural competency is poorly understood in occupational therapy practice. There is a need for a clear understanding of the meaning and process of cultural competency as it is enacted in practice with a wide range of individuals from culturally diverse backgrounds.

Aim: To investigate the process, stages, characteristics, and requirements of cultural competency as practiced by experienced occupational therapists.

Method: Semi-structured interviews were carried out with 13 community occupational therapists experienced …

Field-Testing Reusable Learning Objects Related To Sensory Over-Responsiveness, Bryan M. Gee, Kiersten Moholy, Kimberly Lloyd, Anthony Seikel

The Open Journal of Occupational Therapy

Background. There is an increased need for dynamic, mobile, and relevant parent and caregiver education related to autism spectrum disorders (ASD) and Sensory Processing (SP). This need may be due to the increased incidence of the conditions’ co-morbidity and the revision of the diagnostic criteria of ASD. Reusable learning objects (RLOs) have been implemented as instructional tools as a part of, or adjunct to, formal health care education programs. However, there is a lack of knowledge regarding the appropriateness of RLOs as a part of routine patient and caregiver instruction of children with ASD.

Method. A semi-structured interview/rating scale was …

A Novel Cognitive Cueing Approach To Gait Retraining In Parkinson’S Disease: A Pilot Study, Stephanie Morrison, Sandi Spaulding, Jeff Holmes, Mary Jenkins

The Open Journal of Occupational Therapy

Background: Parkinson’s disease (PD) impairs gait performance, which can lead to falls and decreased quality of life. This study examined the feasibility of implementing a novel home-based intervention designed to elicit gait improvement in individuals with PD.

Methods: Five participants with PD completed a two-week home-based gait retraining intervention designed around guided video feedback. Semi-structured interviews were conducted postintervention and two months postintervention to acquire feedback from the participants about their experience with the intervention. Spatiotemporal parameters of gait and functional mobility were assessed pre and postintervention and at two months postintervention.

Results: Participants reported high levels of usability …

Time And Space Use Of Adults With Intellectual Disabilities, Terry K. Crowe, Jessica Salazar Sedillo, Emily F. Kertcher, Joy H. Lasalle

The Open Journal of Occupational Therapy

Purpose: This study analyzed the time and space use of adults with intellectual disabilities (ID) in order to better understand the occupational patterns of this population.

Methods: Time and space use data were collected through observation of 15 adults with ID during 4-hour periods on typical weekdays and weekend days. Data were coded into 12 time and 10 space use descriptive categories.

Results: The participants used a greater variety of locations during weekdays that contributed to greater amounts of weekday time spent in a wider variety of activity categories. In contrast, the participants spent a majority of …

How To Make An Editor Happy, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.

Investigation Of Relationships Between Physical Characteristics Of Recreational Runners And Lower Extremity Injuries, Steven Marc Jackson

Department of Physical Therapy Student Theses, Dissertations and Capstones

Purpose: The purpose of this study was to investigate the relationship between anthropometric measurements, proximal and distal lower extremity muscle performance, core muscle endurance, lower extremity flexibility, and neuromuscular control with the incidence of injury in recreational runners over one season. Also, when a relationship was established, we sought to evaluate the predictive validity for any of the variables being investigated for risk of injury in this population. Study Design: Prospective cohort Methods: Anthropometric measurements, proximal and distal isometric lower extremity muscle performance, isometric core muscle endurance, lower extremity flexibility and neuromuscular control were measured in 75 recreational runners prior …

Progressive Supranuclear Palsy Treatment- A Systematic Review, Samah Hassan Hajjar, James K. Cooper

GW Research Days 2015

Introduction

Progressive Supranuclear Palsy (PSP) is an uncommon neurodegenerative disease associated with postural instability, falling, and memory loss. Because of clinical similarities, it is often classified as atypical Parkinson's disease. PSP may present abruptly with a relatively rapid decline, leading to death in a few years. Different therapeutic approaches have been suggested for PSP, but their efficacy is unclear. To our knowledge, there has been no systematic review of PSP treatment.

Objective

To determine the effectiveness PSP treatments.

Methods

A systematic review of published literature was completed. We searched using PubMed and SCOPUS for related articles. The search terms are …

Ua10/1 Cec Newsletter, Mary Lloyd Moore Executive Director, Wku Suzanne Vitale Clinical Education Complex

CEC Publications

No abstract provided.

Sports And Exercise Medicine For Athletes And Footballers: The Case Of Kenya, Monil Patel

Independent Study Project (ISP) Collection

Sports are one of life's greatest gifts. People love watching, discussing and participating in sports. Kenya has a rich and successful history in certain sports, notably in athletics (track and field). Since the 1960's, Kenyans have won several gold medals and numerous world champions. In addition, Kenyans have dominated the world marathons since the 1980's. Kenya has some of the best yet simplest training areas, some of the best coaches, and some of the hardest working athletes in the world. However, people do not realize that many Kenyan athletes only shine for a few years before they vanish in the …

Physical Therapy Management For A Female Student Athlete Post- Concussion: A Case Report, Matthew Johnson

All Capstone Projects

Background and purpose: The purpose of this case report is to describe vestibular, oculomotor, and cervical interventions that were theorized to improve the function and decrease symptoms typically seen in the post-concussion population.

Case Description: The patient was a 16 year old female who was status post concussion due to head trauma during gymnastics routine. Symptoms included short term memory loss, fatigue, drowsiness, dizziness, difficulty concentrating, headaches, visual disturbances, and neck pain.

Outcomes: Patient was seen for 7 treatments over the course of 6 weeks which mainly focused on oculomotor training, vestibular training, and cervicogenic relief. Outcomes were consistent with …

Outcomes Of A Comprehensive Physical Therapy Treatment Program For A 22-Year-Old Patient With Migraine Without Aura, Chronic Migraine, And Cervicogenic Type Headache: A Case Report, Katrina L. Koltz

All Capstone Projects

Background and Purpose: The purpose of this case report is to describe the interventions and outcomes of a comprehensive physical therapy (PT) treatment program that emphasized addressing musculoskeletal deficits and increasing neuromuscular control, which was theorized to decrease headache (HA) symptoms for a patient with overlapping HA diagnoses.

Case Description: The subject was a 22-year-old Caucasian female with an 8-year history of migraine without aura, chronic migraine, and cervicogenic type headaches. A comprehensive PT program was implemented to address subject’s musculoskeletal deficits, neurological impairments, and functional limitations. Assessments were performed at initial evaluation and two weeks later at re-assessment. Outcome …

The Effect Of Core Strengthening Exercises And Sciatic Nerve Glides On 65 Year-Old Female With Low Back Pain And Lower Extremity Radicular Symptoms: A Case Report, Alex Bennett

All Capstone Projects

Background/purpose: Low back pain is the single leading cause of disability worldwide and is frequently accompanied by numbness, tingling, and burning sensation in the lower extremities. Oftentimes, LBP with lower extremity symptoms is treated with core stabilization exercises and nerve gliding activities, but limited research exists for the use of nerve glides for radicular lower extremity pain.

Case Description: The patient was a 67 year-old female with a chronic episode of LBP and left lower extremity sciatic pain. The patient’s symptoms included pain in the lower back and posterior thigh after sitting, standing, or ambulating for more than 10 minutes. …