Rehabilitation and Therapy Commons^™

Exercise Dosage And Pelvic Floor Muscle Function In Young Women With And Without Urinary Incontinence, Briana Dewitt

2014 Symposium

Approximately 38% of young, healthy females who have never been pregnant experience urinary incontinence (UI). Some research suggests there may be a correlation between the amount and intensity of physical activity and pelvic floor muscle dysfunction leading to UI in this population. This study used trans-abdominal real-time ultrasound imaging to describe pelvic floor performance in forty-eight females aged 18-30 (n=11 with reported UI, three of whom reported experiencing moderate to severe UI). While vigorous exercise was not significantly related to presence of UI, pelvic floor 64 contraction performance was significantly worse in those women with UI. These findings suggest that …

Perceptions Of Employers In Spokane County Regarding Employing Individuals With Autism Spectrum Disorder, Shannon White, Curtis Pearson, Amylynne Sargent, Jennifer Mcquillan, Molly Hobbs

2014 Symposium

There is limited research available addressing employment opportunities for adolescents or adults with autism spectrum disorder (ASD). With the growing population of adults with ASD in the United States, there will likely be an increase in the demand for support to help them live independently. The purpose of this research is to obtain employers’ perceptions on employing individuals with ASD. Businesses in Spokane County were mailed invitations to participate in an on-line survey. Results will be analyzed and shared with local agencies for potential program development.

The Viability Of Organ Printing, Estie Schick

The Science Journal of the Lander College of Arts and Sciences

Organ printing is an emerging technology that can potentially replace the need for human organ transplants altogether. Organ printing uses bioprinting methods to create three-dimensional biological constructs. Although it has not yet been implemented successfully, with nearly two decades of research devoted to this area, much progress has been made. This article outlines the various aspects of the organ printing process, describes both the accomplishments and challenges of bioprinting, and discusses the feasibility of bioprinting as a viable method for organ replacement.

Play In Children With Motor Disabilities, Suzanne Martin

Theses and Dissertations--Rehabilitation Sciences

The purpose of this research was to explore and describe the relationship among the child, family, home environment, and pretend play of children with motor disabilities. The environment is a powerful force in early child development. This research is based on Bronfennbrenner’s ecological theory of development and the ubiquitous role of play in all domains of development. Children with motor disabilities may lack exploration of the environment and as a consequence demonstrate deficits in play. Play was measured in 32 children with motor disabilities aged 24.8 to 61.3 months with a mean age of 33.7 (SD 9.3) months. Children demonstrated …

Interventions Used By Occupational Therapists And Allied Health Providers In Regards To Chronic Musculoskeletal Pain, Kara L. Maatz, Jared Q. Zimmerman

Occupational Therapy Capstones

Problem: Chronic musculoskeletal pain is the most widely known disability in the American health care system (National Institute of Health [NIH], 2010). Chronic pain affects how individuals are able to engage in meaningful activities of daily life. Unrelieved pain can potentially result in longer hospital visits, emotional distress, and increased re-admission rates to hospitals (The American Academy of Pain Medicine, 2012). A review of research in the American Occupational Therapy Association (AOTA) database revealed that few clinically useful references were available for practitioners regarding interventions used with chronic musculoskeletal pain (AOTA, 2014). As a result, it was determined that effective …

Fostering Self-Identity In Adolescents Who Experience Spinal Cord Injuries, Lauren Schneibel, Terese Boeder

Occupational Therapy Capstones

The purpose of this scholarly project is to identify a need and to guide occupational therapists during the treatment of adolescents who have acquired a spinal cord injury. During the adolescence stage, an individual begins to develop a sense of self and sense of direction, as well as formulate values which all contribute to personal identity formation (Erickson, 1968). The manual will guide the occupational therapist to address identity formation through use of the chosen assessments and interventions. It is believed that focusing on aspects of identity formation as experienced in the midst of a traumatic spinal cord injury will …

A Study Examining The Effectiveness Of A Sensory-Based Feeding Group For Children With Problematic Eating Behaviors, Laura Notch, Brionna Simenson

Occupational Therapy Capstones

KEY WORDS: children, problematic eating behaviors, sensory, intervention

OBJECTIVE: The purpose of this pilot study was to analyze the process and outcomes of a routine sensory-based feeding group on a child’s problematic eating behaviors.

METHODS: An experimental pretest-posttest research design was used to gather and analyze quantitative and qualitative data on 4 children who demonstrated problematic eating behaviors. The children participated in a routine 8-week sensory-based feeding group, which utilized sensory activities to promote change. The Children’s Eating Behavior Inventory (CEBI) and the Feeding Intake Form (FIF) were completed through parental report prior to and upon completion of the intervention. …

Retained Primitive Reflexes And Adhd: Examining Atypical Symptomology In The School-Aged Population, Quincey Adams, Jamie Craft

Occupational Therapy Capstones

Purpose: Typical development begins in-utero and progresses throughout the lifespan. Jean Piaget authored a theory that encompasses core aspects of the lifespan stages related to typical development of sensory and motor systems. Piaget outlined the developmental stages as: sensorimotor stage, preoperational stage, concrete operational stage, and formal operational stage. Within these stages, the typically developing child learns to adapt and respond effectively to his or her environment (Cole & Tufano, 2008). Dr. Jean Ayres described a similar developmental process, termed Sensory Integration. This process is defined as the coordination of the sensory systems in order for an individual to effectively …

Weight Management For The Elderly Population Who Have Sustained A Lower Limb Amputation: Resource Manuals For Clinicians, Lauren Battles, Maia Sobolik

Occupational Therapy Capstones

It is becoming more common for individuals to sustain a lower limb amputation, thus impacting their ability to participate in functional tasks of daily living such as ambulation, balance, dressing, driving, and toileting. Approximately two million people within the United States are living with an amputation, most commonly in the lower extremity (Amputation Coalition, 2013). According to Resnik and Borgia (2011), by the year 2050, the number of lower limb amputations will increase significantly due to the aging population who encounter a variety of debilitating diseases such as diabetes, peripheral artery disease (PAD), dysvascular, and/or heart diseases. Weight management is …

Reducing Recidivism For Youth Through An Integrated Residential And Community-Based Program, Alexandra Berdal, Megan Meyer, Nicolet Sadlowski

Occupational Therapy Capstones

Purpose: Reportedly, 95% of youth in the juvenile justice system have had prior involvement with the juvenile justice system, suggesting that intervention does not adequately address the needs of these youth (Sedlack & Bruce, 2010; OJJDP, 2003). The purpose of this project was to address the problem of recidivism with an emphasis on preparing for transition from residential placements to community engagement.

Methods: An extensive literature review was conducted in order to understand the occupational performance deficits that youth in the juvenile justice system face in transitioning to their community. The information obtained from the literature review was then analyzed …

Adherence To Home Programs In Patients With Acute Orthopedic Injuries Of The Upper Extremity, Brien J. Buckentine, Justin L. Fredrickson

Occupational Therapy Capstones

The purpose of this project was to explore the relationship between occupational therapy home program of clients with acute upper extremity injuries, client factors, and performance patterns that are influential in clients’ adherence to their prescribed home programs. A secondary purpose was to develop an instrument intended to measure adherence in patients with an orthopedic injury of the upper extremity.

Using the Occupational Adaptation Model and Occupational Therapy Practice Framework Domain and Practice as guiding foundations, a thorough literature review of client home program adherence was completed. This led to the development of a prospective, online survey designed to capture …

Assisting Occupational Therapists In North Dakota: An Agricultural Resource Guide, Teresa Bunn, Caitlin Layden

Occupational Therapy Capstones

Within the state of North Dakota, agriculture and farming are of the most essential and influential factors within the state's economy (Rathge et. al 2012). Rural communities are among the medically under-served areas within the United States; establishing the dire need of healthcare services (Hagglund et al., 1998; Schweitzer et al., 2011). A study conducted by Meyer and Fetsch (2006) deduced the four prominent disabilities affecting farmer's engagement in occupations as arthritis, spinal cord injury, amputation, and back injuries. Farmers, and their family members, are also at higher risk for work related stressors which may result in severely disabling conditions; …

Increasing Collaborative Communication Regarding Proper Positioning: A Photographic Guide, Kyle Donner, Rachel Newman

Occupational Therapy Capstones

Approximately 98,000 people die annually in the United States due to medical errors (Institute of medicine, 2013). These medical errors are most often due to miscommunication between healthcare providers (Sutcliffe, Lewton, & Rosenthal, 2004). Impaired positioning is one type of medical error, which leads to severe complications such as contractures, pressure ulcers, and occupational deficits (Amidei, 2012; de Jong, Nieuwboer, & Aufdemkampe, 2006; Gordon, Gottschlich, Helvig, Marvin, & Richard, 2004). The purpose of this scholarly project is to provide a communication tool that will increase interprofessional communication and collaboration in regards to client positioning needs in healthcare settings. A literature …

Promoting Social Participation, Leisure And Community Integration For Adults With Developmental Disabilities: An Intervention Guide, Joelle Evenson, Rebekah Miesbauer

Occupational Therapy Capstones

Upon an initial review of literature, it was found that life expectancy of individuals with developmental disabilities has been increasing which is leading to a greater number of adults with developmental disabilities living in the community. Because these individuals are living longer, it puts an extended burden on caregivers and the adults with developmental disabilities are being placed in group homes. Adults with developmental disabilities have limited access to activities outside of group homes (Mansell, Elliott, Beadle-Brown, Ashman, & Macdonald, 2002; Abbott & McConkey, 2006). They are spending most of their time engaged in more passive activities and have little …

Integration Of Sexuality Content Into An Occupational Therapy Curriculum, Brittany L. Larson, Sarah R. Stutz

Occupational Therapy Capstones

Sexuality is a broad term that can be used to encompass other terms such as sexual expression and sexual functioning, and can be defined as a holistic concept of the individual that is more than just physical sexual behavior but also relates to thoughts and feelings of everyday life (Couldrick, 1998a). Sexuality and sexual functioning are considered an activity of daily living (ADL) by the Occupational Therapy Practice Framework: Domain and Process (2008); however, it is a topic that is not being routinely addressed with clients by occupational therapists or other healthcare professionals (Hattjar, 2012). Studies show there is a …

A Guide For Occupational Therapists On Mild Traumatic Brain Injury, Kelsey Lindstrom, Molly Simmons

Occupational Therapy Capstones

Purpose: The purpose of this project was to develop the occupational therapy (OT) role and a practice guide for OTs to use with their young adult client who has sustained a sports-related mild traumatic brain injury (mTBI).

Methods: An extensive literature review was completed on mTBI to examine risks when engaging in sports, common symptoms occurring due to mTBI, OT and rehabilitation assessments and interventions used following an mTBI. Further literature reviewed included current guidelines used in OT and other disciplines, integration of individuals affected by mTBI back into daily occupations, effects of intervention, and identifying when retirement from the …

Examining The Effects Of Human-Animal Interaction On Individuals With Developmental Disabilities, Jennie Feinstein

Theses and Dissertations

Companion animals play a pivotal role in typical human development. It remains unknown how animals affect individuals with developmental disabilities. Based on the knowledge that companion animals help typically developing individuals, this research examined the effects of human-animal interactions on individuals with developmental disabilities.

Human-animal interactions are based on the Biophilia hypothesis, an assertion that an emotional and beneficial relationship exists between humans and nature, in which there is an “innate tendency to focus on life and lifelike processes.” These are the shared, dynamic associations between people and animals, and the effects of those relationships on health and well-being. Sparse …

Arch Height In Individuals With Multiple Sclerosis: A Pilot Study, Christopher Aeschliman, Rebecca Demattia, Rex Hurlbut, Adam Joy

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Multiple Sclerosis (MS) is the most common neurological disorder affecting younger adults. MS causes demyelination of nerves in the central nervous system, which impairs the ability of the nerve to conduct its impulse to other nerves and muscles. Over time, weaknesses and sensory deficits in the limbs may lead to structural changes in the musculoskeletal system, such as tightness in certain muscles and joints (calf and ankle) and excessive motion in others (foot and knee). Structural changes in the foot, including arch height and mid-foot flexibility, have yet to be measured or studied in persons with MS.

Test Items In The Complete And Short Forms Of The Bot-2 That Correlate To Subtest Score In Typically Developing Children 6-10 Years Of Age, Betsy Donahoe-Fillmore, C. Jayne Brahler, Kadi Carmosino, Ashley Grzeszczak, Kaylie Mcmurray, Bo Slutz, Brittany Zoll, Susan Aebker, Megan Kreill

University of Dayton Doctor of Physical Therapy Annual Research Symposium

The Bruininks-Oseretsky Test of Motor Proficiency, second edition (BOT-2), is used to measure fine and gross motor proficiency in children ages 4- 21 years.1 The BOT-2 consists of both a Complete and Short Form and is comprised of 4 composites with 8 subtests. The Short Form consists of 14 items proportionally selected from the subtests of the Complete Form. Despite requiring less time to administer and score, a group of researchers found that the BOT-2 Short Form is not a valid measure for assessing motor proficiency in 4-6 year olds, suggesting that a revision of the Short Form may be …

Effects Of Yoga On Arm Volume Among Women With Breast Cancer Related Lymphedema: A Pilot Study, Mary I. Fisher, Betsy Donahoe-Fillmore, Laura Leach, Colleen O'Malley, Cheryl Paeplow, Tess Prescott

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Early detection efforts and aggressive treatment have resulted in female breast cancer survival rates approaching 90%. Treatments for breast cancer often result in upper extremity morbidities including the development of lymphedema. Impairments may result from the development of lymphedema, including decreased arm function, range of motion and strength along with increased arm swelling and heaviness. This arm swelling can be accompanied by a general decline in the quality of life (QOL). Therefore, it is important to determine effective methods to manage lymphedema. Exercise is one aspect of lymphedema management that has been supported by research to improve physiologic function of …