Rehabilitation and Therapy Commons^™

Transformational Leadership Influence On Rapid Organizational Change In Procter And Gamble Global Manufacturing Operation, Timothy M. Williams Sr.

Walden Dissertations and Doctoral Studies

Most companies lack the ability to implement organizational change; over 70% of Organization Change Initiatives (OCIs) fail. This inability has negative economic and survival implications for companies. OCIs must be effective and rapid to match the high pace of change in the business environment. Transformational leadership (TL) has been linked to successful OCIs through its positive influence on employee commitment and reduced resistance to change, yet little research has been done to identify its association with OCI implementation speed. This study tested TL and change theory and their association with change implementation. It sought to determine if a relationship exists …

The Relationship Between Top Leaders' Observed Narcissistic Behaviors And Workplace Bullying, Deborah A. Regnaud

Walden Dissertations and Doctoral Studies

Workplace bullying is a global problem that leaves workers emotionally harmed and organizations financially strapped; yet in many cases, business leaders fail to adequately address the problem. The purpose of this research was to determine if the top leader had a direct impact on the presence of bullying within the workplace. Based on personality trait theory as a theoretical foundation, the key issue this study explored was the relationship between the presence of workplace bullying and observed narcissistic behaviors exhibited by the top leader. Participants consisted of 84 human resources professionals reporting directly to the CEO/president of companies located in …

The Occupational Therapy Handbook For Parents (Othp), Kristen Rosenbeck

Occupational Therapy Capstones

Children spend 60% of their day completing fine motor activities (Feder, 2007; Mackay, 2010). Therefore, it is essential that young children be exposed to a variety of fine motor activities in school and home settings to promote fine motor development. Often times parents are willing to help their children develop these skills, however, they do not feel they have the resources to do this.

The Occupational Therapy Handbook for Parents (OTHP) was designed by an occupational therapist to provide consistent parent education regarding children's fine motor skills. A literature review was completed to define typical fine motor development, best practices …

Psychosocial Assessment In Orthopedic Evaluations: A Clinical Tool For Occupational Therapists, Sara M. Sipple

Occupational Therapy Capstones

"When 1 touch a human hand, 1 touch heaven. " - Malebranche

Holistic, occupation-based treatment in a hand therapy setting is associated with enhanced patient outcomes (Chan & Spencer, 2004), yet it is easy for occupational therapists working in hand and upper extremity orthopedic settings to become fixated on the pathology and anatomy of medical diagnoses and inadvertently ignore psychosocial and contextual influences on rehabilitation. Although there is research that identifies how physical disease may lead to psychosocial role changes, there is a paucity of literature that addresses how hand and upper extremity injuries affect these roles (Schier & Chan, …

Promoting Fine Motor And Visual-Motor Skill Development In Preschool Age Children, Patty Soldner

Occupational Therapy Capstones

Fine motor skills are important in childhood development (Beilei, Lui, Qu & vonHofsten, 2002; Rosenblum, Weiss & Parush, 2003 as cited in Jackman & Stagnitti, 2007). These skills become critical when a child reaches school age when the child is expected to perform fine motor tasks such as cutting, coloring, and writing as part of his or her daily routine. Research has shown that there is a high rate of fine motor difficulties in school-age children in the United States (Hammerschmidt & Sudsawad, 2004 as cited in Jackman & Stagnitti, 2007). Caregivers of preschool age children often seek the assistance …

Living With A Spinal Cord Injury: A Workshop For Parenting And Play, Ana Sobolik, Laura Gunderson

Occupational Therapy Capstones

Individuals with newly acquired spinal cord injuries (SCI) may experience fears of inadequacy with their ability to be parents. This is a problem due to the fact that the average age of individuals who acquire SCIs is between 16 and 30, the prime child bearing years (Martin, Hamilton, Sutton, Ventura, Mathews, & Osterman, 2010; Mathews & Hamilton, 2009). There is a lack of literature to address these fears by supporting and developing parenting skills for individuals with SCIs. The purpose of this scholarly project is to address the fears of individuals with SCIs and their abilities with parenting occupations, as …

Seven Dimensions Of Wellness In Athletes With Upper Extremity Orthopedic Injuries: A Manual For Occupational Therapists, Ashley S. Chan, Micah J. Davids

Occupational Therapy Capstones

Increased attention has been placed on sports and athletes within the United States cultural. The latest reports of the noted sports economist Andrew Zimbalist estimated that the annual revenue of only 4 North American sports amounts to approximately $15 billion (Markovits, 2010). Athletes with upper extremity orthopedic injuries have traditionally been treated by occupational hand therapists (Hanson, Nabavi, & Yuen, 2000) however; research does not adequately address their needs outside of physical injury and musculoskeletal gain. Evidence is lacking within the profession of occupational therapy that encompasses the athlete as an occupational being. An occupational being is a person who …

Antecedent Techniques Used To Regulate Aggressive Behavior In Patients With Brain Injuries: A Teaching Module, Elizabeth A. Freidel, Megan J. Larson

Occupational Therapy Capstones

An estimated 1.7 million individuals sustain a brain injury each year (Centers for Disease Control & Prevention, 2010). Some behaviors associated with brain injuries include: decreased academic performance, severe aggression, self-injurious behavior, and suicidal and homicidal ideation (Finfgeld-Connet, 2009; Pace, Dunn, Luiselli, Cochran, & Skowron, 2005). The aforementioned behaviors pose a risk to the well-being of patients, therapists, healthcare providers and caregivers. The purpose of this scholarly project was to explore current methods used to minimize dangerous behavioral clients and ultimately provide a teaching module of antecedent techniques - a form of intervention used in order to reduce a behavior …

A Comparative Analysis Of Tractor Seating For Individuals With Spinal Cord Injury Using A Pressure Mapping System, William Kennington, Veronica Boeser

Occupational Therapy Capstones

Purpose: Research is limited in addressing the many factors and variables associated with enabling farmers/ranchers with disabilities and health impairments to sit within and operate dynamic agricultural equipment safely, comfortably, and without integument and musculoskeletal injury. As an initial foray into investigating this problem, an independent study project by graduate students in an occupational therapy program compared the seated pressure distribution of two people with paraplegia. Six testing conditions were completed while participants were seated upon two different tractor seats under static conditions.

Methodology: Using a quantitative cross-over design, two adult subjects with paraplegia meeting the inclusion criteria were recruited …

An Occupation-Based Program For The Dual Diagnosis Of An Eating Disorder And Post-Traumatic Stress Disorder, Tessa Larson, Dana Rome

Occupational Therapy Capstones

The purpose of this project was to develop an occupation-based occupational therapy program for the dual diagnosis of an eating disorder and post-traumatic stress disorder for use in an outpatient setting. A literature review was conducted to identify the challenges associated with the assessment and treatment of eating disorders and post-traumatic stress disorder. The literature supports the need for occupation-based interventions, especially in the areas of self-care, meal planning and preparation, sleep and rest, leisure, and various life skills. Guided by the Model of Human Occupation in conjunction with cognitive behavioral therapy techniques, an occupation-based program guide was developed. The …

Enabling Personal Occupation Through Sensory Interventions, Caroline Mattson, Gretchen Prohofsky

Occupational Therapy Capstones

Individuals with developmental disabilities and/or mental illness are predisposed to having a co-occurring sensory processing disorder. Many adults and children with sensory processing disorder have never been assessed or treated. Consequences of untreated sensory processing disorder include decreased ability to engage in meaningful occupations or healthy relationships, leading to lowered self-esteem and perception regarding quality of life. A literature review defines sensory processing, sensory processing disorders, consequences of sensory processing disorder dysfunction, sensory processing disorder co-morbidity, sensory processing disorders in individuals with mental illness and/or developmental disabilities, interventions for sensory processing disorders, the role of occupational therapy, deficiencies in knowledge, …

Children With Gastroesophageal Reflux Disease: A Guide To Therapeutic And Pharmacological Treatments, Rebecca Mcomie

Occupational Therapy Capstones

Gastroesophageal reflux disease (GERD) is becoming a more common diagnosis with young children and babies (PAGER, 2010). GERD is often misdiagnosed and there is no single test available to determine its presence (Eisen, 2001). The term reflux can be confusing and used to mean different things to different people. Often reflux is linked to colic in babies or may be considered a "normal" part of being a baby. But when a sequalae of symptoms arise in an infant, gastroesophageal reflux becomes a serious issue that needs to be addressed through a variety of interventions and sources (Sondheimer, 2006 ).

In …

Strategies To Promote Oral Motor Skills And Progression Of Foods For Infants And Young Children With Feeding Concerns, Heather Davis, Anne Winter

Occupational Therapy Capstones

Eating is a primary occupation for individuals from birth through adulthood. However, some infants and young children experience difficulty and frustration as they begin to eat and transition to foods with texture. Field, Garland, and Williams (2003) determined that up to 80% of children with developmental disabilities experienced problems with feeding. There is a need for providing education and support for the families of these children (White-Traut & Norr, 2009). Pilkington (2006) conveyed that supporting and building the parent's capacity for caring for their child resulted in enhanced outcomes for the infant or child. Current resources may not be parent-friendly …

Implementing The Integrated Dual Disorder Treatment Model In Occupational Therapy, Amber Jessen, Nicole Nelson

Occupational Therapy Capstones

The purpose of this project was to develop a resource manual for occupational therapists to guide treatment planning for persons with a co-occurring mental illness and substance use disorder, according to the stages and components of the Integrated Dual Disorder Treatment (IDDT) Model.

A comprehensive literature review of the issues facing persons with co-occurring disorders, the IDDT model, and the role of occupational therapy for persons with co-occurring disorders was conducted. The literature supported the effectiveness of the IDDT model, and indicated justification for occupational therapy’s implementation of the IDDT model.

A resource manual was developed to support occupational therapists’ …

An Afterschool Toolkit For Implementing Occupation-Based Activities, Kelsey Miller, Kayla Petersen

Occupational Therapy Capstones

"Each day in America, millions of kids go home to an empty house after school" (Afterschool Alliance, 2009, p.1). The Afterschool Alliance (2009) indicates that based on a 2009 survey of30,000 families, there are more children unsupervised each afternoon in the U.S. and the demand for afterschool programming is higher than ever. In the United States, 30% of middle school students and 4% of elementary aged children are responsible for taking care of themselves and only 15% currently participate in an afterschool program (Afterschool Alliance, 2009, pg. 4). Students are at particular risk during these hours, millions are unsupervised each …

Smart Grant Writing Project, Shannon L. Flegel

Occupational Therapy Capstones

“The estimated cost burden to the Minnesota K-12 system due to children entering kindergarten unprepared for school success is about $113 million annually” (Chase, Coffee-Borden, Anton, Morre, and Valorose, 2008, pg. 1). These delays in school readiness can lead to continued achievement gaps throughout a child’s academic career (Gonzali-Lee and Mueller, 2010). One way to decrease that achievement gap is through offering innovative early intervention programming to increase readiness skills before kindergarten. Hand in Hand Preschool, located in Northfield, MN is a preschool that is continuously looking for ways to increase all students’ readiness skills. One such program that increases …

Sarcopenia And Aging: Skeletal Muscle Fiber Type Composition Of The Long-Lived Ames Dwarf Mouse Compared To Its Wild-Type Counterpart, Cory Leier

Physical Therapy Scholarly Projects

Skeletal muscle fiber type composition has not been studied in the long-lived Ames dwarf mouse when compared to its wild-type counterpart. Hindlimb soleus skeletal muscle from two 3-month old dwarf and two 3-month old wild-type mice was analyzed for muscle fiber size, proportion of type I (slow-twitch) and type II (fast-twitch) muscle fibers, myonuclei content per muscle fiber, and total cross sectional area of the muscle. Results revealed a significant difference in muscle fiber size (t(58)=-9.71, p

Prosthetic Training Following A Transfemoral Amputation: A Case Report, Jonathan Beck

Physical Therapy Scholarly Projects

Background and Purpose: There has been an increase in amputations since the start of the Iraq/Afghanistan war, but thousands of Americans have a limb amputated each year due to peripheral vascular disease, diabetes, or infections. New technology in the field of prosthetics, especially prosthetic knees, has helped improve these individuals’ function. The most recent advancement in prosthetic knees is the C-leg, a micro-processor-controlled knee; however, a wide variety of prosthetic knees are available. Therefore, it is critical to select the right prosthetic knee to meet each individual’s needs and goals.

Case Description: The patient was a 58-year-old gentleman who underwent …

Muscle Activity In Lower Extremity During Single-Leg Squat: Role Of Supination And Pronation, Brett J. Debele

Physical Therapy Scholarly Projects

Introduction: Literature has consistently reported a high prevalence of ACL injury rates. A correlation between excessive subtalar joint pronation and ACL injury rates has been noted but research into plausible reasons for this relationship is limited. The purpose of this study was to establish potential cause-and-effect relationships between foot position and ACL injury risk.

Methods: This study used single leg squats with simulated foot positions and examined resulting knee joint forces from motion and lower extremity muscle activation patterns that may cause ACL injury risk. Methods: This study recruited male and female participants aged 18 to 30 from campus at …

Adolescents With Disabilities: The Development Of Life Skills Through Occupational Therapy, Diane Magnuson, Courtney Mohler

Occupational Therapy Capstones

Purpose: The purpose of this scholarly project was to create a workshop for occupational therapists (OTs) who work with adolescents as they transition from high school to adulthood focusing on life skill development.

Methodology: An Internet search was completed to determine the current role of OT in the transition process and the needs of adolescents as they transition to adulthood. Information was obtained from the following databases: PubMed, PsychInfo, SCOPUS, and Cumulative Index to Nursing and Allied Health Literature (CINAHL). Resources included professional journals, scholarly text books, and government websites. The literature review also included information on the Ecology of …