Rehabilitation and Therapy Commons^™

Measuring The Effectiveness Of The Leave No Trace Peak Program, Jennifer Miller, Eddie Hill, Amy Shellman, Ron Ramsing, Ben Lawhon

Human Movement Studies & Special Education Faculty Publications

The Leave No Trace Center for Outdoor Ethics developed the Promoting Environmental Awareness in Kids (PEAK) program to teach children the seven Leave No Trace principles. The purpose of this study was to assess the effectiveness of the PEAK program. A significant increase was found between the pre-test (M = 3.41, SD = .34) and the post-test (M = 3.61, SD = .36) with the post-test scores being significantly higher, F(1, 140) = 11.15, p<.01. No significant difference was found between the pre-test (M = 3.48, SD = .35), post-test (M = 3.63, SD = .35), and 8-month post-test (M = 3.38, SD = .41). The 8-month post-test indicated a drop in scores, though not statistically significant, below the pre-test. Results supported the PEAK program’s effectiveness, in the short-term, in teaching children the Leave No Trace principles. However, longer-term retention was not supported.

Living With Uncertainty: The Impact On Breast Cancer Survivors And Their Intimate Partners, Kimberley Dockery

Department of Family Therapy Dissertations and Applied Clinical Projects

This study explored the lived experiences of breast cancer survivors and their intimate partners. The research was informed by a social constructionist framework and phenomenological method of inquiry. While the body of literature on the physical, psychological, and social health of breast cancer survivors is growing, only a few studies have focused solely on the lived experience of survivorship and the uncertainty of recurrence. This study sought to explore the construction of meaning in the couples' context and experiences of surviving breast cancer. The present study examined how breast cancer survivors make meaning of their survivorship in context of living …

A Randomized Clinical Trial On The Effects Of Extracorporeal Shockwave Therapy, Joint Mobilizations And Exercise On Plantar Heel Pain In Patients With Plantar Fasciitis, Paolo Sanzo, Elizabeth Oakley

Faculty Publications

Plantar fasciitis (PF) is the most common cause of heel pain today impacting on the patient’s walking ability, work tolerance, and ability to participate in active sport. Two million people in the United States (US) are treated for PF yearly with heel pain accounting for 11 to 15% of visits to medical professionals. It is estimated that 10% of the US population will develop PF during their lifetime. Treatment for PF may include a variety of interventions ranging from conservative treatment to surgical interventions. One of the suggested treatments for PF is the use of extracorporeal shockwave therapy (ECSWT). ECSWT …

A Community Grant Application To Support People With Dementia And Their Caregivers, Jessica Montomery

Occupational Therapy Capstones

In upcoming years, the population of older adults with dementia is expected to rise exponentially, with the expectation that the majority of these individuals will choose to age in place with increased caregiver support (AARP, 2011; National Alliance for Caregiving, 2009; Vincent & Velkoff, 2010). Without adequate education to prepare for the caregiving role, education, instruction, and support, informal caregivers are at an increased risk for caregiving burden, stress, and mortality rates (Morimoto, Schreiner, & Asano, 2003; Schulz & Beach, 1999; Thinnes & Padilla, 2011). The goal for this scholarly project was to create a home and community-based program for …

S/P Right Hip Orif, Brian Bartow

Physical Therapy Scholarly Projects

Background and Purpose: Hip fracture is a major medical problem among older adults, leading to impaired balance and gait and loss of functional independence. An open reduction internal fixation (ORIF) is a method of surgically repairing a fractured bone. Generally, this involves either the use of plates and screws or an intramedullary (IM) rod to stabilize the bone.

Case Description: The patient was a 51-year-old female who fractured her right hip while running. She had complained of thigh pain with running for 1 to 2 months prior. She had gamma nail pinning.

Intervention: The focus of treatment was to increase …

Altered Tendon Characteristics And Mechanical Properties Associated With Insertional Achilles Tendinopathy, Ruth L. Chimenti, Adolph S. Flemister, Joshua Tome, James M. Mcmahon, Marie A. Flannery, Ying Xue, Jeff R. Houck

Faculty Publications - College of Physical Therapy

Study Design: Case-control laboratory study.

Objectives: To compare tendon characteristics (shape, composition) and mechanical properties (strain, stiffness) on the involved side of participants with insertional Achilles tendinopathy (IAT) to the uninvolved side and to controls, and to examine if severity of tendon pathology is associated with severity of symptoms during function.

Background: Despite the severity and chronicity of IAT, the quality of theoretical evidence available to guide the development of exercise interventions is low. While tendon pathology of midportion Achilles tendinopathy has been described, there are few studies specific to IAT.

Methods: Twenty individuals with unilateral IAT and 20 age- …

Let’S Play: Understanding The Role And Significance Of Digital Gaming In Old Age, Julie A. Skalsky Brown

Theses and Dissertations--Gerontology

Despite a marked increase in the use of digital games among older persons, there is insufficient research that provides insight into the gaming experiences of this population. A major demographic shift within the senior gaming market has ushered in a new perspective on the use of digital games as a tool for physical and cognitive health, and improved socialization. It is proposed that individual notions of play, which are developed over the life course, influence digital game play engagement and interaction preferences, and contribute to well-being. This study explored how self-perceptions of play over the course of the senior gamer’s …

Data Note: Are Young Adults With Intellectual Disabilities Getting Work Experiences From Participating In The Vocational Rehabilitation Program?, Alberto Migliore, Jean Winsor

Data Note Series, Institute for Community Inclusion

To learn about whether young adults with intellectual disabilities in the vocational rehabilitation (VR) program are getting work experience, we examined the age at application of people with intellectual disabilities who exited the VR program in 2012.

Data Note: Vocational Rehabilitation Closure Trends For Individuals With Intellectual Disabilities: A Snapshot Of Five U.S. Territories, Jean Winsor, Daria Domin

Data Note Series, Institute for Community Inclusion

Beginning in FY2013, the Administration on Intellectual and Developmental Disabilities requested that each Project of National Significance include the five primary territories of the United States in data collection and analysis efforts. The five territories included in this analysis are American Samoa, Guam, Northern Marianas, Puerto Rico, and the Virgin Islands of the United States.

Service Provider Promising Practice - Via Of The Lehigh Valley (Pennsylvania): Partnership With Local Schools To Provide Customized Employment, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

Via of the Lehigh Valley is a CRP headquartered in Bethlehem, PA. Since 2008, Via and local high schools have provided customized employment services so that transition-age students graduate into well-matched, meaningful careers. Via’s transition program is supported by funds from the Pennsylvania Department of Education. The energy of students and their families has also driven the search for innovative employment services. Via’s work with schools began with hosting weekend trainings for families, sponsored by the Pennsylvania DD Council. Families learned systems navigation and advocacy skills, and followed up with special education directors at their children’s high schools to advocate …

Service Provider Promising Practice - Work Inc. (Massachusetts): Using Data To Track Job Development Activities During Organizational Change, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

Work Inc. is a medium-sized CRP in Massachusetts that has served people with IDD for the last 32 years. Over the last 15 years, since Work Inc. began tracking employment services data, its approach to employment supports in the community has evolved. The agency’s data-tracking methods have both guided and developed alongside this change process.

Service Provider Promising Practice: Lending Works From Progressive Employment Concepts (California) - Helping Business Owners Find Start-Up Capital, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

Progressive Employment Concepts (PEC), a community rehabilitation provider with several locations in northern California, was founded in 1995 to support people with intellectual and developmental disabilities (IDD) to find employment in their communities. PEC currently supports 90 people in individual jobs. A core belief at PEC is that everyone it serves is job-ready and can work in competitive employment in their communities. PEC began Lending Works, a nonprofit organization, in 2007. Lending Works provides loans to people with disabilities interested in self-employment. Loans are usually up to $2,000, and people apply for them by submitting information about themselves and their …

State Agency Promising Practice: Oregon’S Keys For Case Managers Initiative - Ensuring Case Manager Technical Capacity, Investment, And Engagement In Employment First, Jaimie Ciulla Timmons, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

After the adoption of the Employment First policy in Oregon in 2010, state administrators identified the critical role of case managers for people on the support services waiver, and acknowledged the need for their buy-in and investment in the Employment First agenda. The case managers’ knowledge of the individuals they serve, the conversations they have with individuals and their families, and their knowledge of the community are critical to each individual’s success in finding employment, as well as to the forward movement of the Employment First initiative. At that time, the state agency serving individuals with intellectual/developmental disabilities IDD conducted …

State Agency Promising Practice: Wisconsin’S Community Conversations - Building A Youth Employment Coalition Through Structured Opportunities To Communicate, Jaimie Ciulla Timmons, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

Wisconsin’s Developmental Disabilities Services agency and Vocational Rehabilitation agency, in conjunction with the Wisconsin Board for People with Developmental Disabilities and Wisconsin’s University Center for Excellence in Developmental Disabilities, implemented a series of community conversations to build dialogue and create a coalition around employment for youth with intellectual and developmental disabilities (IDD). Through this initiative, a range of community members came together in structured forums to discuss ways to improve integrated employment outcomes for youth.

Service Provider Promising Practice: Launchability Academy Training Program (Texas) - On-Site Training To Improve Employment Outcomes, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

LaunchAbility is a CRP that serves people with IDD in several locations throughout North Texas. LaunchAbility’s employment services program offers placement exclusively in the community. The LaunchAbility Academy Training Program was established in collaboration with the Department of Assistive and Rehabilitative Services (DARS) as a way to engage employers and prepare job seekers for employment. Program administrators at LaunchAbility developed the Academy model inspired by their work with Walgreens and the Project Search program www.projectsearch.us/. The Academy offers a combination of on-site direct work experience and workplace culture, etiquette, and behavior training (also known as soft skills) to people with …

State Agency Promising Practice - Missouri: Using A Regional Technical Assistance Infrastructure To Promote Employment First, Allison Hall, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

Case management services in Missouri’s Division of Developmental Disabilities underwent a shift from a state structure to a regional structure. Within this structure, 12 regions each serve approximately 12–15 counties. Each region has a technical assistance (TA) position designed to support each of the designated priority work areas. These include self-determination, family supports, individual supports and services, Employment First, and accessible housing. When the change from a state to regional structure occurred, administrators had to look for staff who could support those priorities. In addition, they created a central technical assistance staff person to act as the state content expert …

Service Provider Promising Practices: Lcs In Wisconsin - An Organizational Investment In Capacity-Building And Staff Training, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

Over the last five years, LCS, a provider in Racine, Wisconsin, has developed the capacity of its staff to expand integrated employment service options. LCS has hired and retained staff who are passionate about integrated employment, and has invested in supporting them to deliver high-quality integrated employment services. Through state-of-the-art training and other resources, LCS has navigated internal and external challenges to building staff competencies, and has solidified its mission of sustaining highly qualified staff.

Service Provider Promising Practice - Able Opportunities And The Work Independence Network (Washington): Creating An Individual Placement Model Focusing On The Needs Of Both Job Seekers And Employers, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

Able Opportunities is a certified vendor for the state of Washington’s Department of Vocational Rehabilitation, Developmental Disabilities Administration, Division of Developmental Disability, and Department of Labor and Industry. The Work Independence Network (WIN) began in 2005 as a partnership between Able Opportunities, Harrison Medical Center, and Kitsap County Developmental Disabilities to help people with intellectual and developmental disabilities (IDD) find jobs. Through WIN, Able Opportunities strives to meet the needs of both job seekers and employers through the use of innovative business model tools, including cost-benefit analysis and production charts. WIN’s goal is to help people with disabilities find meaningful …

Developing Bilateral And Spatial Concepts In Primary School-Aged Children: An Empirical Evaluation Of The Anker Bilateral Spatial System, Janet Richmond Dr, M Taylor Dr, S Evans

Research outputs 2014 to 2021

Background: Visual-spatial and visual-motor perceptual difficulties contribute to school-aged learning problems. Hence, a need exists to address children’s visual-spatial and visual-motor perceptual difficulties as early as possible in the child’s school career. Thus, this study reports on the evaluation of the Anker Bilateral Spatial System’s (ABSS) effectiveness in remediating primary school children’s perceptual difficulties.

Method: Thirty-one children (17 boys and 14 girls) aged 6 to 12 years who had been identified by their classroom teacher as having observable visual-spatial and visual-motor perceptual difficulties participated in a 10-week pre/posttest intervention study. The study’s pre/posttest assessments included the Developmental Test of Visual-Motor …

The Efficacy Of Long-Term Kinesio Tape On Grip Strength In A Healthy Population, Neel Kotrappa

CMC Senior Theses

Kinesio® Tape was invented in 1973, and since has been used in various clinical and therapy settings to prevent and heal a multitude of physical conditions. Kinesio® Tape is a 100% cotton-based elastic tape that when applied to the skin pulls the skin upwards and creates more space by lifting the fascia and soft tissue, thus increasing blood flow and decreasing edema. The tape was also purported to facilitate the strengthening of weakened muscles through neuromuscular facilitation. The objective behind this study was to determine the long-term effects of applied forearm Kinesio® Tape on maximal grip strength when paired with …