BEST SCIENTIFIC POSTER
Rajeshree Jaiswal, OTR, CHT, Laurie M. Reddy OTR, CHT and Jeff Feng, prof.
“Motion Feeedback Device to Assist Improving Joint Motion”.
A motion feedback device promotes gentle active range of motion. The device connects, via Bluetooth, to a smartphone, once the preset amount of joint motion is achieved, music begins playing. Patients must continue to actively stretch their stiff joint in order for the music to continue playing.
BEST CLINICAL POSTER
Olivia Adamson, OTD, OTR, CHT
“Smart Phones and Musculoskeletal Disorders”
The use of hand smartphones has increased significantly over the past decade. These hand-held devices are used by many for communication, business, and entertainment on a daily basis. Given the amount of time spent of these devices as well as the static postures most employed while using them, research suggests that users are at an increased risk of developing musculoskeletal disorders. Occupational therapy can offer health promotion education that includes musculoskeletal disorders and psychosocial factors that influence engagement in occupations to high school students and other populations that may be at risk
Therefore, the purpose of this capstone project was to raise awareness of the potential long-term problems and to teach practical ways to prevent musculoskeletal disorders.
In an effort to prevent these disorders related to smartphone use this capstone project delivered educational information to eighty-three high school students (ages 16-18) spread out over three separate health classes. The content that was presented to them included: information on the physiological strains associated with frequent smartphone use and the potential psychological impact, and ergonomic implications as well as preventative measures. For the high school presentation, a pre-test was provided prior to offering students the aforementioned educational content which was then followed with a post-test. The results of the post-test indicated a 34% increase in awareness to risks involved with smartphone use.
William Sit, PhD, OTR and Hannah Berry, BS, OTS
“3D Printing: Introduction for Occupational Therapy Students and Clinicians”
An overview of 3D printing in OT education and clinical practice for students, through student projects. Occupational therapy students from a school of OT in Texas have created eleven different household adaptive devices by using 3D printing technology during their rehabilitation technology class. The students were tasked with finding a 3D print file for an adaptive device online from an open domain database that is free to the public. After selecting an adaptive device file the students observed 3D printing techniques using carbon and nylon filament on two 3D printers. The students printed their chosen adaptive device file themselves in the university’s OT maker lab and reported their test notes. Various recommendations to improve the device in usability and comfort were reported through written reflections. Pictures of the projects are shown to explain the process. The future of 3D printing and tips for clinicians getting started are included in the poster. This includes knowing how the printer is setup, properly cared for, safety precautions, printing parameters and understanding the characteristics of the printing filament. Fully understanding the machine and its working parts will ensure the therapist’s success while creating custom designs for clients. Any skilled therapist considering undertaking the task of 3D printing should be aware of its advantages and disadvantages, the time constructs required, and have a knowledge of what assistive devices are best created via 3D printing.
Andrea Gentry, OTR, CHT
“Connecting the Hand to the Brain: Minimize Splinting, Maximize Outcome”
A relatively new and innovative therapy, Masgutova Neurosensorimotor Reflex Integration®, or MNRI®, is gaining acclaim in manually facilitating the brain-hand connection. This manual therapy can be used as an alternative to, or in conjunction with splinting, especially in the pediatric population. The approach facilitates the connection between a specific sensory stimulus followed by its patterned response inherent in the brain-body connection: in short, a reflex circuit. This type of stimulation is a foundation for development itself and therefore appropriate for pediatric populations where the maturing hand is particularly vulnerable, as the brain-hand connection itself is delayed by diagnosis and/or necessary surgical intervention. Specific areas of concern are management of hand spasticity, congenital anomalies, orthopedic challenges, or combinations that occur with varied diagnoses. Traditional approaches have heretofore required lengthy splint wear for range of motion, stretching, positioning, and weight bearing. Though helpful, splinting limits precious hours of sensory exploration by covering the exquisitely sensitive hand. Alternatively, manual stimulation of reflex circuitry develops the brain-hand connection naturally, and uses less time than splinting. Additionally, sensory training is a part of the manual exercise. MNRI® is particularly well-suited for hand therapy since the success of patient outcome is dependent on the intimate connection between the hand and its brain.
Rene Amaya MD, FAAP, CWSP
“Effective use of a Surfactant based gel for debidement of pediatric burn injuries of the hand”
Burn injuries of the hand are common occurrence in the pediatric population. Appropriate wound care intervention early in the course of treatment is critical to avoid complications from arising. Patient compliance is also an important factor in effective pediatric wound dressings in the outpatient setting. A surfactant-based gel has been shown to be a safe and effective debridement agent in pediatric wounds. This goal of this study was to illustrate the effective use of a surfactant based gel to debride nonviable tissue in second degree burn injuries of the hands in children.
Six pediatric burn injuries of the will be presented in this case series. All cases were defined as second degree burns. Burns arose secondary to flame injury, scald injury, contact injuries, and a treadmill friction burn. In each case the surfactant-based gel was applied at the time of the initial consult and repeated in the office and at home by parents until complete debridement of nonviable dermis was obtained.
In every case parents reported no subjective pain with application of the gel and compliance with wound dressings by patients was 100%. The surfactant-based gel effectively debrided all nonviable dermis resulting in a healthy wound bed. No complications were encountered with the surfactant gel and each patient retained full range of motion of their injured hand with no development of contractures.
Use of a surfactant based gel has proven to be an effective and pain free debridement agent for use in pediatric burn injuries of the hand.
Rene Ayala MD, FAAP, CWSP
Negative pressure wound therapy (NPWT) is a well-recognized wound care intervention. Its efficacy has also been illustrated in the pediatric population. Intravenous extravasation injuries of the extremities in infants may result in complex function and aesthetic complications later in life. Effective wound care management to is critical to avoid complications from arising. Safety is an inherent concern when wound care intervention is applied in this fragile population. The purpose of this study was to assess the safety and efficacy of NPWT device in infants who have suffered a severe IV extravasation injury of the extremity. It was the author’s hypothesis that application of a NPWT device in these patients would promote healing and reduce the risks of complications from these debilitating injuries. An alternative application technique tailored for the premature infant wound reduce the risk for additional skin trauma in these patients.
Four illustrative cases are presented. Patients ranged from 23 to 28 weeks gestation. Each premature infant suffered a severe intravenous extravasation injury of the extremities. NPWT was initiated to promote granulation and reduce the risk for contractures. Due to the diminutive size of these patients and their immature skin, the NPWT device was applied in alternative manner to reduce the amount adhesive film dressing required to attach these bulky devices to their bodies. This alternative NPWT dressing was replaced every 3 days as per standard guidelines.
In all four cases the NPWT device functioned safely and excellent wound granulation was obtained. Functional and aesthetic complications were avoided in each case.