Rehabilitation and Therapy Commons^™

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.

Clinical Decision-Making For Discharge Recommendations For A 63 Year Old Male With Foot Drop Status Post Great Toe Amputation: A Case Report, Sigmund Ku

All Capstone Projects

Background and Purpose: Making a discharge recommendation from an acute care setting involves many factors and a coordinated team effort, and discharging a patient to an inappropriate setting can have adverse effects. Physical therapists have shown to be able to make appropriate and accurate discharge recommendations. The purpose of this case report is to apply a model of discharge decision making and analyze the results in the case of an older adult male with foot drop status post great toe amputation.

Case Description: SF was a 63-year old male with a history of Type II diabetes mellitus, alcohol abuse, and …

Implementation Of A Land And Aquatic-Based Physical Therapy Program For A 6-Year-Old Male With Aicardi-Goutieres Syndrome: A Case Report, Kristin A. Cheney

All Capstone Projects

Background & Purpose: There is little research surrounding Aicardi-Goutieres Syndrome (AGS) in all aspects of patient care, including physical therapy. AGS, a rare, early-onset, neurodegenerative disorder, includes symptoms of postnatal microcephaly, spasticity, muscle hypotonia, and developmental delay. The purpose of this study was to examine the effectiveness of a land and aquatic-based physical therapy treatment program for improving functional limitations and balance for a 6 year-old male referred to physical therapy for developmental delay secondary to an onset of AGS.

Case Description: This case study included a land and aquatic-based physical therapy treatment program focused on neuromuscular re-education, strengthening exercises, …

Effectiveness Of Conservative Physical Therapy On A 17 Year Old Female Diagnosed With Legg-Calve-Perthes Disease, Bethany Hyde

All Capstone Projects

Background & Purpose: There is currently a lack of research for physical therapy as an intervention in the treatment of Legg-Calve-Perthes Disease. The purpose of this case report is to explore the effectiveness of conservative physical therapy intervention for a 17-year-old female diagnosed with Legg-Calve-Perthes Disease.

Case Description: This case report includes the examination, evaluation, and treatment of a patient with Legg-Calve-Perthes Disease. Interventions focused on increasing strength and range of motion of the left lower extremity, improving balance and proprioception, and the incorporation of functional activities. To measure the effectiveness of the intervention the following examinations where used: Lower …

Piecing The Puzzle Together With The Use Of Physical Therapy, Mikayla Pruitt

Honors Projects

For my Honors Project I decided to create a set of exercise cards for children with autism. The front of each card had a picture symbolizing the exercise/activity, and on the back included directions, supplies and tips to complete the activity. The following is a selection of a few exercise cards from each of the four exercise sections, as well as the title card, table of contents cards, information cards, and source cards.

Drug Policy In Sports, Autumn Wimbush

Nebraska College Preparatory Academy: Senior Capstone Projects

I always wanted to look at how drugs impacted high school athletes and how many of them actually start using drugs. With the research I found, I hoped to analyze why athletes aren’t gettng tested and why associations aren’t trying to test them. With my research I found that most leagues and associaNons don’t take the right precautions to testing their athletes. High school athletes feel pressured to do better because of scholarships and competitions. The pressure causes many athletes to start using performance-­‐enhancing drugs and several leagues are still trying to figure out how to end the epidemic.

Outcomes After A Comprehensive Inpatient Rehabilitation Treatment Program For A Patient With A Right Pontine Stroke: A Case Report, Traci Rzeszutko

All Capstone Projects

Background/Purpose: A stroke occurs as a result of decreased blood flow to the brain and can cause serious limitations in mobility, balance, coordination, and strength resulting in functional limitations. The purpose of this case study is to examine the effects of a comprehensive acute inpatient rehabilitation program focusing on gait, balance, lower extremity strengthening, neuromuscular control, bed mobility, coordination, and stair training on a 67-year-old male after a right pontine stroke with a medical history that includes a right stroke eight years ago.

Case Description: The subject was a 67-year-old male with a diagnosis of right pontine stroke. The subject …

Mindfulness: Being Present In The Moment, Stephanie Ann Stathas, Christine Frazer

Walden Faculty and Staff Publications

This article serves to enlighten childbirth educators’ knowledge about mindfulness and the mother-baby benefits associated with incorporating mindfulness- based interventions into practice. Jon Kabat-Zinn, who developed the Mindfulness Based Stress Reduction program, brought the concept of mindfulness into the world of healthcare and mainstream society. Mindfulness is the practice of bringing awareness to the here and now using a variety of methods. Nancy Bardacke has taken the practice of mindfulness further and developed a program for expecting mothers, known as Mindfulness Based Childbirth and Parenting. This program has been shown to reduce stress responses that may be harmful to a …

Student Adjustment To College: Examining The Impact Of An Outdoor Orientation Program, Timothy Posey, Eddie Hill, Edwin Gomez, Mike Mcfall, Shea Humenik, Dakota Clifford

Human Movement Studies & Special Education Faculty Publications

This pilot study examined the impact of an outdoor orientation program (First Ascent) on participants’ level of transference, resilience, well-being and transition to college. Pre and posttest instruments were administered during a four- day college outdoor orientation program, as well as an open-ended series of questions. Nonparametric tests revealed significant differences from the pre- and posttest of the measures on skill transference and resiliency. Additional, individual items from each questionnaire were examined.

Physical Therapy Applications For Individuals With Neurologic Dysfunction, Charlotte Chatto, Jeff Mastromonico

Nursing and Health Sciences Open Textbooks

This textbook for the Integration for Practice: Neuromuscular course is a multimedia PDF with videos embedded. The videos make the file size of the PDF almost 600MB, which is a large download but preserves offline use of videos.

Topics include interventions and assessment for patients with Guillain-Barre and spinal cord injury, respiratory assessment and interventions, and proprioceptive neuromuscular facilitation.

NOTE: Because this is a video-integrated PDF, your web browser's preview functions will not work with this file. If your browser opens the file instead of downloading it, please right-click the "Download" button to download the PDF properly.

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 …