Digital Commons Network^™

Paraplegic Functional Ambulation With Long Leg Braces And Upper Extremity Support: Predicting Long Term Usage Patterns Utilizing The Functional Independence Measure, Karin Copenhaver, Matthew Sherman

Masters Theses

Individuals with a spinal cord injury (SCI) are frequently taught to ambulate with long leg braces and upper extremity support during their post-acute rehabilitation. In many cases this training fails to carry over once these individuals return to their homes after their rehabilitation course has ended. Subsequently, these individuals rely on their wheelchair as their primary mode of ambulation. Is ambulation training an expropriate intervention for patients in these cases? The purpose of this study was to investigate whether utilization of the Functional Independence Measure (FIM) may serve as a predictor of long term functional ambulation with long leg braces …

The Direct And Indirect Patient Benefits Of Orthopedic Physical Therapy Specialization, Amy Lynne Dipman

Masters Theses

This research surveyed 25% of Orthopedic Certified Specialists to determine the direct and indirect patient benefits resulting from the American Physical Therapy Association specialization process. The newly developed questionnaire included questions pertaining to demographics, professional activities, and professional opinions regarding specialty certification. The results showed a statistically significant relationship between the number of PT’s on staff at a facility and the amount of therapist mentoring. Overall, only 50% of the therapists subjectively reported improved patient care secondary to specialization. The qualitative data showed that many therapists reported providing high quality care prior to specialization. Patients are receiving direct and indirect …

The Relationship Between A Functional Throwing Performance Test And Strength Of Various Scapular Muscles, Karen L. Bos, Kellie S. Gehrs, A. Louise C. Hester

Masters Theses

The purpose of this study was to determine the relationship between the strength of the upper trapezius, middle trapezius, lower trapezius, and serratus anterior, and overhead throwing accuracy in 52 female collegiate softball players. The correlation between manual muscle testing (MMT) and hand-held dynamometry (HHD) was also examined. The Functional Throwing Performance Index (FTPI) was used to measure throwing accuracy. Spearman’s correlation analysis demonstrated no correlation between the strength assessments and throwing accuracy, as measured by the FTPI. Moderate correlations were found between MMT and HHD strength assessments of the lower and middle trapezius and serratus anterior muscles. A poor …

Effect Of Asymmetrical Loading And Walking Time On Surface Emg Activity Of The Lumbar Paraspinal Muscles, Michael Aenis, Angela Bueche, Brian Trembly

Masters Theses

BACKGROUND A high incidence of back pain is associated with carrying loads asymmetrically and is believed to be influenced by the amount of weight involved and the distance carried. PURPOSE (1) To study the effects of asymmetrical loading on lumbar paraspinal muscle activity. (2) To document ratings perceived exertion (RPE) for carrying an asymmetrical load. METHODS Electromyography (EMG) readings were obtained at the L2/L3 paraspinal level of 12 males and 12 females. All subjects completed three randomized 9-minute trials consisting of walking on a treadmill while carrying an asymmetrical load of either 0, 10 or 20% of their body weight. …

Advisors' Knowledge Of Requirements For Admission To The Physical Therapy Program At Grand Valley State University, Laura Irrer, Elizabeth Knight, Joel Vander Wall

Masters Theses

The purpose of the study was to identify the accuracy and extent of knowledge among G.V.S.U. academic advisors and the sources used to obtain information regarding the physical therapy (P.T.) admission process. Surveys were distributed to 45 advisors of pre-P.T. students. Nineteen surveys were returned and six respondents were chosen for an interview. Interpretations of the data were made using a qualitative coding system.

The authors found the advisors were inaccurate in their knowledge of the weighting of G.P.A . and interview and the role that physical appearance and leadership plays in the admission process. Advisors were accurate in the …

Emg Measurements Of Paraspinal Muscles And The Implications Of Adapting Hand Placement Protocols When Using Passive Extension Exercises, Mark Randell, Geoff Willson

Masters Theses

The purpose of this study was to determine if there is a significant difference in the EMG activity of the paraspinal musculature, based on the width of hand placement used in the McKenzie prone press-up position.

EMG recordings were taken using surface electrodes placed on the lumbar paraspinal musculature of thirty normal, volunteer subjects. These recordings were taken while the subject was in the prone press-up position. This was repeated three times with different widths of lateral hand placement. The resultant EMG recordings were normalized using a recording from a maximal effort of an isometric contraction. The mean EMG recording …

The Effects Of Prosthesis Use Versus Non-Use On Forward Reach Distance In Children Ages 5 To 15 With Unilateral Upper Extremity Amputation As Measured By The Functional Reach Test, Mary E. Weber, Scot G. Smith

Masters Theses

The purpose of this study was to investigate the possible differences in maximal forward reaching distance in children with unilateral upper extremity amputations while wearing and not wearing a prosthesis using the Functional Reach (FR) test. Trends were noted between FR scores of these children and children without disabilities.

Four children, ages 5-8, completed the FR test using the intact arm under two conditions, “prosthesis-off” and “prosthesis-on”. A paired, two-tailed t test (a = .05) was used to determine the statistical significance of the means of differences in FR scores between the two conditions.

No statistically significant difference was found …

Patients' Perceptions Of Physicians' Role In Smoking Cessation By Age And Readiness To Stop Smoking, Chris Van Ryn, Joel Wetzel

Masters Theses

It is imperative for health care providers to initiate an individually tailored program to counsel smokers in a more effectively. Finding patients’ perceptions of their physicians' role in smoking cessation is critical to aid healthcare providers to design an individualized plan to get patients to quit smoking. 68 smokers who presented to their family practice clinics in the rural area of Hastings, Michigan completed self-administered questionnaires. The questionnaires assessed patients’ perceptions of their physicians’ role according to the 4 A s protocol (asking, advising, assisting, and arranging), with a focus on age groups (18-29, 30-49, and >50) and stage of …

The Life Experiences Of Male Occupational Therapists As It Relates To Career Choice: A Qualitative Study, Jason R. Bomia

Masters Theses

This study examined the life experiences of male occupational therapists and how various life experiences influenced their choice of career. Research in occupational therapy has not addressed this topic, focusing instead on external influences, such as salary, advancement and prestige on career choice for male therapists. In order to study more intrinsic influences of male occupational therapists, this study interviewed male therapists using semi-structured interviews and hermeneutic data collection and analysis techniques. The results indicate a dynamic relationship between personal history, selfexpression and professional issues that contribute to how meaningful occupational therapy is to the males in this study. This …

The Effects Of Animal-Assisted Therapy At A Long Term Care Facility, Sarah Kendziorski, Carol Treacy

Masters Theses

This thesis is a qualitative study on how resident pets impacted the lives of residents in a nursing home. Through the hermeneutic process, ten participants were interviewed to determine their relationships with the animals. Five common themes emerged from this study; (a) the participants enjoyed the companionship of pets, (b) the participants found pleasure in feeding the pets, (c) the participants enjoyed petting the animals, (d) most of the participants were unable to care for the animals, and (e) a resident animal would be an important factor in choosing a new nursing home for these participants. This thesis supports the …

Functional Effects Of Botulinum Toxin-A Intramuscular Injections In A Patient With Traumatic Brain Injury: A Single Subject Case Design, Christina M. Higel, Molly L. Arndt

Masters Theses

This single subject case design sought to evaluated the long-term and short-term effectiveness of Botulinum Toxin-A (BTXA) treatment in conjunction with directed physical therapy on spasticity, active range of motion (AROM), passive range of motion (PROM), Functional Independence Measurement (FIM) scores, and motor performance in a patient with TBI. Researchers hyopothesized that directed physical therapy in conjunction with BTXA would maximize a subject’s motor control and performance. An "A₁-BC-B-A₂” single subject design, scheduled to last six months and three weeks, was proposed. Clinically significant changes were defined as: a decrease by one point for the Modified …

Predictors Of Successful Completion In A Physical Therapist Assistant Program, Debra S. Howell, Susan M. Stout

Masters Theses

The basis of this research was to investigate the ability of age, gender, ASSET test and science GPA (Human Anatomy & Physiology I and II, Essentials of Pathophysiology, Clinical Kinesiology, Neurological Foundation of Motor Control and Clinical Pathology) to predict the successful completion of a PTA program by a student. In this causal-comparative study (ex post facto), the sample consisted of ninety graduates and five non-graduates from the PTA program at Baker College of Muskegon (1993 -1998).

This study used a logistic regression method to make an attempt to demonstrate that Clinical Kinesiology was significant as a predictor …

Perceived Concerns Surrounding The Utilization Of Physical Therapy Aides In Michigan, Jill Bydalek, Greta Swasey-Hadlock

Masters Theses

Utilization of support personnel to perform physical therapy treatments has been a controversial topic in the physical therapy profession for many years. As Managed Care and other health care changes emerged, physical therapists have been pressured to cut costs while maintaining productivity. The use of non-licensed personnel became common place to meet these demands. The purpose of this study was to investigate five research questions. First, to what extent do physical therapists delegate patient treatment and utilize physical therapy aides in Michigan? Secondly, does aide utilization differ based on: the ways in which aides are identified to patients, various settings …

The Effect Of Antibiotic And Resistance Education On Patient Knowledge, Karen Niemchick

Masters Theses

Our society, which has enjoyed the benefits of antibiotics for over fifty years, is now experiencing an increase in bacterial resistance. One contributing factor is a lack of patient understanding about antibiotics resulting in their inappropriate usage. This study examined the effect of patient education in antibiotics and bacterial resistance on patient knowledge.

Adults from various medical facilities (a student health services clinic, an urgent care office, a family practice, and a community convenience sample) were given a ten-question survey designed to assess their knowledge of antibiotics and resistance. Half of the participants were randomly given an educational brochure to …

Health Care Provider Knowledge Of The Immunization Schedule And The Contraindications To Vaccinate, Lisa Huffstutter, Diane Kassuba, Kelly Beschoner

Masters Theses

The purpose to this study was to determine if the current knowledge of Kent county's health care providers contributed to the under immunization of children less than two years of age.

A survey, modified from a previous study done in Los Angeles, was distributed to Family Practice and Pediatrics offices within the greater Grand Rapids area. Several areas of health care provider knowledge were assessed. These included: (1) knowledge of the primary series immunization schedule in both a child on time and delinquent, (2) knowledge of timing between diptheria, tetanus, and pertussis boosters, and (3) knowledge of the contraindications to …

Examination Of The Reliability And Validity Of Rancho Los Amigos Observational Gait Analysis, Heather Groth, Sarah Novak

Masters Theses

The Rancho Los Amigos Observational Gait Analysis system (Rancho OGA) is a standardized approach utilized to assess gait impairment for various diagnoses. Physical therapists, orthotists, and physicians utilize Rancho OGA for clinical decision making and recommending treatment interventions for gait disability. This study examined the reliability and concurrent validity of Rancho OGA from gait files obtained from the GVSU/Mary Free Bed Center for Human Kinetic Studies. Comparisons were made between computerized 3-D gait analysis and Rancho OGA data from videotaped records of cerebral palsy gait to determine the level of agreement utilizing the Kappa statistic and percent agreement. Results indicated …

Validation Of The "Timed Up And Go" Test As A Functional Mobility Assessment Tool In The Pediatric Population, Susan Carman, Christina Rook, Cathy Ruprecht

Masters Theses

The purpose of this study is to determine the concurrent validity of the Timed Up and Go (TUG) as an assessment of functional mobility in the pediatric population. The TUG scores were correlated with the Pediatric Evaluation of Disability Inventory (PEDI). Eighteen subjects with a variety of cognitive and physical disabilities, aged 6 to 7 years, were recruited. A one-tailed Spearman’s Rank Correlation Coefficient was used to analyze the scores. A weak inverse relationship between the TUG and PEDI scores (r_s = -0.386, p = 0.075) was found when the scores from all participants were analyzed. A moderate inverse …

The Relationship Between A Functional Throwing Performance Test And Strength Of Various Scapular Muscles, Karen L. Bos, Kellie S. Gehrs, A. Louise C. Hester

Masters Theses

The purpose of this study was to determine the relationship between the strength of the upper trapezius, middle trapezius, lower trapezius, and serratus anterior, and overhead throwing accuracy in 52 female collegiate softball players. The correlation between manual muscle testing (MMT) and hand-held dynamometry (HHD) was also examined. The Functional Throwing Performance Index (FTPI) was used to measure throwing accuracy. Spearman’s correlation analysis demonstrated no correlation between the strength assessments and throwing accuracy, as measured by the FTPI. Moderate correlations were found between MMT and HHD strength assessments of the lower and middle trapezius and serratus anterior muscles. A poor …

A Comparison Between Primary Stage Endorectal Pull-Through Versus Two-Stage Surgical Resection In Hirschsprung's Disease, Tamara M. Bengtson

Masters Theses

Hirschsprung’s Disease (HD), congenital megacolon, in infants has been historically treated by a multiple stage surgical process. Initial diagnosis is made by a rectal biopsy followed by a diverting colostomy, subsequent pull-through procedure and finally a colostomy take-down. In recent years, a single-stage primary endorectal pull-through (PERPT) has been advocated. Advantages include a single operation with potentially equal or fewer complications. Whether a PERPT is superior to a staged procedure is yet to be proven.

The purpose of this study was to retrospectively compare the incidence of enterocolitis (EC), the most significant complication of HD in those who underwent the …

Platelet Plasma Membrane Comparison Between Pregnant And Non-Pregnant Females, Eriks A. Lusis

Masters Theses

Hemostasis is dependent on the functioning of three systems: blood vessels, platelets, and plasma proteins. During vessel injury, platelets adhere, secrete the contents of granules and aggregate. Each event in platelet activation is dependent upon plasma membrane proteins and a deficiency in any one of the plasma membrane proteins leads to excessive bleeding. Pregnancy is described as a hypercoagulable state during which frequent bleeding abnormalities are observed. The mechanism of hypercoagulability is not yet known. In an attempt to shed light on the hypercoagulable state, this study compares the plasma membrane proteins between pregnant and non-pregnant females.

The Impact Of Fast Forword On Phonological Awareness And Literacy Skills, Melissa Nulty

Masters Theses

This study investigated the impact of Fast ForWord on individual children's phonological awareness and reading skills as well as general language and auditory processing skills. Five children, ages six through eight years, served as experimental subjects. The duration of participation in the Fast ForWord (FFW) training program was approximately 2 hours per day, 5 days a week, for 6 to 8 weeks. Fast ForWord training was completed when the subject reached at least 90 percent completion on five of the seven training exercises or when it was determined by the Fast ForWord professional that the child had received maximum benefit …

A Study Investigating The Process For Designing And Implementing A Technical Academy For Decatur Public Schools, Darbe D. Brinkoetter

Masters Theses

As a result of a study conducted to consider the problems of declining enrollment and buildings in need of repair, Decatur Public Schools identified technical training and strong academics as priorities for its high school students. Following several meetings with parents, staff, and community members, plans were initiated to restructure one of the three high schools into a four-year technical academy. The objective of this paper was to design a process for establishing a technical academy. New design models for high schools were researched and resulted in the identification of design elements, key questions, characteristics, and partners critical to designing …

A Study Of The Relationship Between Personality Type And Emotional Response To Athletic Injury, Jasmin C. R. Hutchinson

Masters Theses

This investigation was designed to examine emotional response to athletic injury using personality constructs within reversal theory. Twenty-five (male = 19, female = 6) collegiate athletes, ranging in age from 18 to 22 years (mean = 19.95, SD = 1.11) who sustained a minimal criteria injury during a six-week data collection period participated in this study. Each athlete's total mood disturbance (TMD) was measured pre-injury and post-injury using the Profile of Mood States (POMS). Athlete's personality orientation was measured using the Paratelic Dominance Scale (PDS). A dependent t-test indicated a significant increase in TMD scores following injury (p < 0.05), thus indicating overall mood disturbance in injured athletes. An independent t-test comparing paratelic and telic dominant athletes on TMD difference scores revealed non-significant results (p = 0.40). Methodological and theoretical reasons for this are examined and implications for further study of reversal theory and athletic injury are discussed.

The Status Of Workplace Violence In The United States: A Model For Prevention And Intervention, Linda Meliza Moore

Masters Theses

This paper examines the scope and causes of workplace violence, the second leading cause of death in the U.S. workplace today. A comprehensive review of existing literature is presented and a new model for prevention and intervention of workplace violence is proposed for use by practitioners. Suggestions for further data collection and research are presented so that further refinement can be made to workplace violence prevention and intervention models.

Functional Outcome Measures Following Isometric Quadriceps Strengthening In Individuals With Knee Osteoarthritis, Rochelle Cibor, Damon Collier, Kris Cooper

Masters Theses

The purpose of this study was to determine if the strength gained from the performance of a six week isometric training program for the quadriceps femoris would result in improvements in the disability level, strength, pain, stiffness, and functional abilities of patients with knee osteoarthritis (OA). Twelve subjects with symptomatic knee OA were randomly assigned to either control or experimental groups, with the experimental group completing a six week isometric program. Pre- and post-test measures included strength assessment on the Biodex and completion of the WOMAC Osteoarthritis Index. Results indicate that experimental subjects had significant improvements in strength and disability …

Campus Climate For Gay, Lesbian, And Bisexual Students: A Survey Of Faculty, Staff And Students, Amanda D. Barton

Masters Theses

This study examined the campus climate for gay, lesbian, and bisexual students at Eastern Illinois University. The population (N=210) was studied to investigate three hypotheses: 1) there are no differences between the variables of gender, campus involvement, race and university status in relation to attitudes towards homosexuals; 2) there are no differences among students, and faculty/staff/administration in the type of involvement each would extend to homosexual students under duress; and 3) there are no differences among students, faculty, and staff in their willingness to be educated and their levels of education about homosexual issues. The population of students and faculty, …

Collaboration Versus Pull-Out Intervention: Effects On Vocabulary Acquisition And Classroom Communication, Jennifer J. Sturm

Masters Theses

This study investigated improvement in curricular vocabulary in school-aged children grades kindergarten through third at two different elementary schools. One school received collaborative classroom-based language lessons from the teacher and speech-language pathologist (Collaborative School). The other school received regular instruction from the classroom teacher without the input of the speech-language pathologist (Traditional School). The speech-language pathologist provided services to the children with speech or language IEP goals at the Collaborative School primarily in the classroom through these language lessons. The students who received speech or language therapy at the Traditional School received services solely through the pull-out model of intervention. …

A Comparison Of The Health Belief Model And Stages Of Change In Exercise Behavior Construct In Cardiac Rehabilitation Patients, Tracey Phillips

Masters Theses

The purpose of this study was to compare the Health Belief Model (HBM) and the STAGES theoretical constructs in the uncovering of influencing factors associated with exercise compliance behaviors in cardiac rehabilitation subjects.

Sixty subjects who had experienced a cardiac event and who were attending a phase II outpatient cardiac rehabilitation program participated in this study. A questionnaire regarding health beliefs and exercise behavior classification was administered. Questions pertained to general health motivations, effectiveness of the intervention, perception of disease severity, perception of susceptibility and the stage of exercise behavior.

An analysis of variance and Tukey's post hoc comparison statistical …

A Comparison Of Nutritional Knowledge, Eating Attitudes, Training Regimens, And Body Composition Between Normal And Abnormal Menstruating Female Adolescent Cross Country Athletes, Dena Maureen Block

Masters Theses

The purpose of this study was to compare factors that may influence menstrual irregularities of female adolescent high school cross-country runners, ranging from 13-18 years of age. A survey was utilized to determine the subjects age, year in school, exercise history, menstrual history, and training regimens and where the subjects sought nutritional information. The groups were separated according to their current menstrual status. One group (normal) consisted of subjects who currently had a normal menstrual cycle for at least one year (n=17), while the other group (abnormal) (n=18) experienced an irregular menstrual cycle.

A twenty item questionnaire was administered to …

A Comparison Of The Social Skills Rating System And The Preschool And Kindergarten Behavior Scales, Susan Hayner

Masters Theses

The Preschool and Kindergarten Behavior Scales (PKBS) and the Social Skills Rating System (SSRS), Teacher Form, at the Preschool and Elementary Levels, are fairly new instruments that purport to evaluate children's prosocial abilities and deviant problem behavior. Little research exists comparing the two instruments. Both scales have been determined to be globally technically adequate. However, the research has been limited thus far. The purpose of the current research was to further investigate the relationship between the two scales. A sample of children (n=136) in west central Illinois public and private preschools were used to collect the data. Of these, 64 …