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Browsing by Author "Hoseinpour, Niki"
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Item Decreasing Phantom Limb Pain for Amputees with Phantom Limb Pain and Brachial Plexus Avulsions Through Various Therapy Interventions: A Systematic Review(2021-04-30) Stevens, Sydney; Hoseinpour, Niki; Martin, Kylee; Stuckwisch, Devin; Barker, Haylee; Kramer, Martina; Chase, Tony; Department of Occupational Therapy, School of Health and Human SciencesThis rapid systematic review of the literature discusses the evidence of studies related to effective occupational therapy interventions in reducing phantom limb pain (PLP) due to amputations and brachial plexus avulsions (BPA). This review provides a comprehensive overview and analysis of 30 studies that addressed many of the interventions commonly used in phantom limb pain rehabilitation. Phantom limb pain is a painful sensation perceived in the absence of a limb or in a deafferented limb. Suffering from acute or chronic pain can decrease engagement and performance in meaningful occupations. Overall, we found moderate evidence to support the effectiveness of various therapy interventions for decreasing PLP in individuals with amputations and BPAs.Item Skills on Wheels: Development and Benefits of an Upper Extremity Home Exercise Program(2023-05-01) Hoseinpour, Niki; Albright, Megan; Department of Occupational Therapy, School of Health and Human Sciences; Albright, MeganParticipants of the Skills on Wheels Program are manual wheelchair users who are part of pediatric population and have underlying diagnoses that has impacted their functional mobility skills, such as manual wheelchair propulsion. In some cases, this has impacted their overall upper extremity functioning as well. To have adequate manual wheelchair skills, it is essential to have strong upper extremity functioning. Research suggests that providing upper extremity home exercise programs (HEPs) can have a positive impact manual wheelchair users’ upper extremity functioning, such as their range of motion (ROM) and hand strength. Other studies have suggested that manual wheelchair users will experience chronic pain from overuse injuries due to consistent manual wheelchair propulsion in their everyday life. The purpose of this doctoral capstone project was to determine the effectiveness of implementing a client centered upper extremity HEP to the Skills on Wheels program. The capstone student prepared for this by gaining clinical practice skills in the relevant focus area and conducting literature reviews. With the skills gained through preparation, the capstone student created an upper extremity HEP that was client friendly and specific. Participants of Skills on Wheels were provided with either a client centered HEP, a general HEP, or no exercises. Various outcomes were identified by the student with this implementation of an upper extremity HEP. The results suggested that although there are benefits to implementing an upper extremity HEP, there may also be implications of overuse of the upper extremity that is decreasing the participants’ overall upper extremity functioning.