Digital Commons Network^™

Physical Therapist Characteristics And Practices That Affect Patient Willingness To Comply With Home Exercise Programs, Greg Angell, Andrea Glaspie, Melinda Winters

Masters Theses

Home exercise programs are a vital part of sustaining physical therapy treatment effectiveness and encourages the patient to become an active participant in their care. The purpose of this study was to examine the relationship between compliance with therapeutic home exercise programs (HEP) and the patient’s perception of a physical therapist’s characteristics such as appearance, demeanor, role modeling behaviors, and humanistic traits. 250 survey questionnaires were distributed to seven outpatient physical therapy clinics in west Michigan with a 49.6% return rate. The results of this study demonstrate physical therapist personality traits and clinical practices were perceived by patients to be …

The Pre-Absorptive, Instantaneous Effects Of Natural And Refined Sugar On Quadriceps Peak Torque, Brian Adams, Kevin Valdes, Scott Vanzanten

Masters Theses

The purpose of this study was to compare the effect of natural and refined sugar at an instantaneous, pre-absorptive level on quadriceps peak torque and to measure any prolonged effect on normal, healthy subjects. The experimental group (n=40) was randomly assigned to sugar testing order, with refined sugar testing occurring on one day and natural sugar testing occurring on the opposite day. The control group (n=10) followed the same protocol but held distilled water in their mouth. Isokinetic peak torque was recorded for each subject at three intervals, pretest, post-test I (~1 min.), and posttest n (-15 min.). Results showed …

The Effect Of Cognitive Load On Stance Width Of Healthy Older Adults, Susan Brown, Amy Thackery

Masters Theses

Research has shown that narrower stance widths lead to increased postural sway. There is also evidence of increased postural sway with cognitive loading. However, no research has been done to investigate the effect of a cognitive load on stance width. The purpose of this study was to determine if a cognitive task affected the stance widths of healthy, community dwelling 65-80 year old adults. Subjects underwent six task trials (three cognitive, three non-cognitive) after which their stance width was measured. Cognitive task trials required subjects to count backwards by 7's; non-cognitive task trials required subjects to look at a picture …

The Effect Of Nutritional Supplementation And Exercise On Subjective Pain And Function In People With Osteoarthritis Of The Knee, Anna Power, Dan Scheffer

Masters Theses

Nutritional Supplementation of glucosamine sulfate and chondroitin sulfate are being promoted in the treatment of osteoarthritis. Recent research has indicated that gelatin was found effective. Moderate exercise is also being advocated. The purpose of this eight week double blind study was to examine the effects of the inexpensive nutritional supplement gelatin, in the form of Knox Nutrajoint, and exercise on pain and functional activity in 49 subjects with osteoarthritis in one or both knees. Subjects were randomly assigned to one of four groups: placebo, placebo plus exercise, gelatin supplement plus exercise and exercise. Exercise consisted of a progressive walking program. …

Exploration Into The Validity Of Use Of The Bruininks-Oseretsky Test Of Motor Proficiency In Assessing The Adolescent With Down Syndrome, Robin J. Essebaggers, Wynne M. Martin, Gina E. Smies

Masters Theses

The purpose of this study was to investigate the validity of the Bruininks-Oseretsky Test of Motor Proficiency (BOTMP) in assessing the adolescent with Down syndrome. Thirteen individuals with Down syndrome ages 13 to 20 years with an IQ of at least 35 were administered the short form of the BOTMP (BOTMP-SF). The functional abilities of these subjects were assessed using the Pediatric Evaluation of Disability Inventory (PEDI). Four parts of the PEDI were utilized: 1) Self-Care Functional Skills, 2) Self- Care Caregiver Assistance, 3) Mobility Functional Skills, and 4) Mobility Caregiver Assistance. No evidence of significant correlation existed between the …

Research Based Practice Among Members Of The Michigan Physical Therapy Association, Sarah M. Bennett, James D. Courter, Rachel E. Hastings

Masters Theses

The purpose of this study was to investigate the extent to which research based practice (RBP) is employed by Michigan Physical Therapy Association Members by assessing attitudes toward research, level of research involvement/scholarly pursuit, and reasons for using or not using treatment interventions.

Three hundred and thirty questionnaires were distributed by mail to a random sample of Michigan Physical Therapy Association Members. A total of 133 questionnaires were used for analysis. Descriptive frequencies were calculated for each section of the questionnaire. Chi-square and Fischer's Exact tests were used to examine significant relationships.

Respondents in the present study overwhelmingly supported (~90%) …

Parental Grief Responses To Perinatal Loss, Lisa M. Peacock

Masters Theses

An exploratory, descriptive design was used to examine parental grief and coping responses to perinatal loss. Florence Selder's Life Transition Theory (1989) was used as the conceptual fiamework. A survey approach was used for data collection. This included basic demographic questions, the Perinatal Bereavement Scale and the Jalowiec Coping Scale. A convenience sample was obtained, consisting of 24 women and 6 men in northern Michigan communities who had experienced a perinatal loss at some time in the past. Data were collected by an anonymous mailed survey. The results of the study revealed that all parents in this sample did exhibit …

The Identification Of Domains And Competencies For Community Practice Occupational Therapy, Lisa Anne Werner

Masters Theses

Literature shows evidence of a shift in occupational therapy from traditional institutional settings to community-based settings. As increasing numbers of new and expert occupational therapists enter community-based practice, the need for competency identification for practice, education, and reimbursement becomes paramount. This qualitative research study sought to identify domains and competencies of community-based occupational therapy practice by interviewing three expert occupational therapists using the critical incident method in which each therapist described one therapeutic intervention with a client. This method, as seen in nursing studies (Benner, 1982, 1984), serves to elicit competencies embedded in expert practice. Thirty-nine competencies were described in …

Online Networks In Institutions Of Higher Education: An Assessment Of Student Use, Norbaiduri Ruslan

Masters Theses

Online networks in university campuses are expected to enhance the learning process, an argument founded on the theories of Cognitive Apprenticeship, Situated Cognition, and Social Constructivism. However, the extent to which students use these networks should be a significant predictor of such benefits.

This study investigated the patterns of use of online networks in universities with a survey administered to 299 students enrolled in a random sample of undergraduate classes at Western Michigan University during the summer semester of 1998.

The findings show extensive use of email and the World Wide Web for activities that arguably benefit their education. Other …

Re-Cycling The Menstrual Cycle: A Multidisciplinary Reinterpretation Of Menstruation, Heather H. Rea

Masters Theses

This thesis offers a reinterpretation of the human female menstrual cycle that understands the process as positive, functional, and practical experience. Standard western definitions and understandings of menstruation use negative terminology and focus on menstrual blood as an indicator of failed conception. This view contributes significantly to the negative perception women have of menstruation in general, their own menstrual cycles, and ultimately of their femaleness. This fundamental, physiological process that symbolizes femaleness, the menstrual cycle, has been defined both, bio-medically and culturally, as a negative experience. I propose a reconceptualization of the menstrual cycle that is not only a tool …

Perceptions Of Americanization In Puerto Limon, Costa Rica, John W. Mcconnell

Masters Theses

This thesis examines perceptions and interpretations of American cultural influences in Puerto Limon, Costa Rica. It is aimed at describing typical discourse genres and evaluative patterns in which these cultural influences are interpreted by various social groups of Costa Rican society. The study is based on a series of qualitative interviews and observations conducted in Puerto Limon, Costa Rica in the summer of 1996. The findings show that there exists a largely positive reaction to these images and objects emanating from the United States, and behind this positive evaluation lie attitudes of conformity, fatalism, and reification. The study contributes to …

Post-Secondary Retention Of The Non-Traditional Student At The Davenport College Career Center, Sheryl Roslund

Masters Theses

In order to increase understanding regarding the factors contributing to student attrition at the Davenport College Career Center, a survey was undertaken to determine how those elements over which the school has control impacted its students' decisions to discontinue pursuing their educational goals. The survey of 600 non-returning students asked questions on the following attributes of the college: admissions, advising, academics, support services, and facilities. Survey recipients were divided into two categories: those students who had intended to take a full program of study and those students who had come to college to update their skills with only a few …

Spiritual Formation Through Residential Living, Michelle Kay Northcutt

Masters Theses

Higher education institutions are continuing to advance in the area of educating students through the residence hall experience. Educating through the residence halls deals with a variety of facets, including spirituality. This study was able to ascertain what college students believe about their own spirituality, determine that peer groups and personal experiences are the greatest influencing factors that play a role in the spiritual formation of college students, determine that these factors can either have a positive impact or act as hindrances to their spiritual formation, and discover that college students believe it is important to incorporate their spirituality with …

Community Empowerment And Social Policy Design: A Case Study Of The Creation Of A School-Based Health Center, R. Ian Costello

Masters Theses

Studies of community empowerment have shown the benefits of involving recipient communities in the process of designing and implementing social aid programs. One of these benefits is the empowerment of previously disenfranchised individuals and communities. Through qualitative ethnographic research, this thesis shows how residents of one low-income community in South-West Michigan have become more empowered through their involvement in the design and implementation of a school-based health center.

Effect Of Concentrated Carbohydrate-Electrolyte Gel On Moderate-Intensity Intermittent Exercise, Sarah M. Handlogten

Masters Theses

The researcher compared the effects of a carbohydrate-electrolyte (CE) gel and water ingested 5 min before and after 20 min of moderate-intensity running for I hour. Six dependent variables were measured: heart rate (HR), VO₂, blood glucose, respiratory exchange ratio (R), rating of perceived exertion (RPE), and timed exercise performance. Independent variables were condition, trials (2), and sample time. On 4 days, subjects completed a 60-min training run at 65% of maximal oxygen consumption in 20-min bouts with 3-min rests between bouts. A timed 200-m sprint followed each run. Two trials were completed with each condition. Water was …

Perceptions Of Corporate Crime: Assessing The Seriousness, Dale J. Ardovini-Brooker

Masters Theses

Many studies have been done concerning the seriousness of traditional street crime. There is a need in the field of criminology to expand our knowledge about how serious corporate crimes are. A key feature of seriousness is how researchers measure it. Using a survey, I analyzed people's perceptions of corporate crime. I had the respondents indicate the seriousness of the crime and harm by using a Likert Scale as well as identifying the appropriate sanction/sentence for the company convicted of the crime. This proved useful in attempting to identify how seriousness is measured by the sanctions/sentences imposed by the respondents. …

The Treatment Utility Of The Arousal Predisposition Scale In Predicting The Outcome Of Exposure Therapy With Small Animal Phobias, Ellen I. Koch

Masters Theses

This study evaluated the effectiveness of an in vivo, one-session exposure procedure modified from that described by Lars-Goran Ost for the treatment of small animal phobias. This study also assessed the ability of the Arousal Predisposition Scale to predict treatment outcome. Subjects received treatment for snake, spider, rat, mouse, or crawling insect phobia. Three groups were utilized (treatment, phobic control and non-phobic control). The treatment session included both behavioral and self-report measures of anxiety. Almost all treatment subjects showed dramatic improvement on both of these types of measures during posttest and one-month follow-up. The treatment and non-phobic control groups were …

Improvement Of Epa Method 8330: Complete Separation Of Explosives Using A Two Phase Approach, Michael J. Lang

Masters Theses

A wide range of primary and secondary contaminants is found in environmental matrices containing explosive residues. HPLC methodology for the detection of explosive is now standardized in EPA Method 8330, and represents the most common method currently used for explosive analysis. However, co-elution of some of the analytes occurs even using method 8330. As a result, explosive analysis using HPLC have required the use of a confirmation column in an additional analysis step.

In the current work, all of the compounds in the EPA 8330 explosives list were resolved using a single HPLC separation. While the EPA 8330 HPLC conditions …

Development Of The Curriculum For Use In A Primary Multi-Age Classroom Using A Curriculum Map, Rae Anne Besser Hansberry

Masters Theses

Curriculum maps for multi-age classes are difficult to organize. This paper explores some of the ways that curricula has been organized in the past and a method developed by Heidi Hayes Jacobs . This method differs from other mapping strategies because it starts with the state standards and benchmarks and fits the curricula into this framework. This paper also explores the concept of multi-age groupings to insure a better understanding of the history of grouping students in education, the philosophy behind multi-age, as well as some of the benefits and detractors of this concept. The process for developing a curriculum …

Does A Phonological Intervention Program Using A Modified Auditory Discrimination In Depth Program Make A Difference In Kindergarten Students' Ability To Manipulate Phonemes?, Julie Kay Osbourne

Masters Theses

The purpose of this study was to determine if a training program based on the Lindamood Auditory Discrimination in Depth Program made a difference in students' abilities to manipulate phonemes and identify similarities and differences in initial consonants between words. Kindergarten students were pre- and post-tested using the Test of Phonological Awareness (TOPA) and the Test of Auditory Analysis Skills. While students showed substantial improvement in their abilities to manipulate phonemes, their improvement on initial consonant skills, as measured by the TAAS was not as substantial.

Psychophysically Derived Work Frequencies For Manual Pouring Operations In The Foundry, Sadat Karim

Masters Theses

This paper presents a study on a combination lift and carrying task and was designed to simulate a metal pouring operation commonly found in foundries. Two laboratory experiments were conducted. The first experiment was designed to study the effects of two different mold heights (0.6096 m. and 0.4572 m.) and two carrying distances (1.2192 m. and 4.572 m.) on physiological response variables and on subjects' rating of perceived exertion while performing a simulated pouring operation at a documented foundry frequency. The second experiment was designed to determine maximum acceptable task frequencies (MAF) for males performing a simulated pouring operation at …

Glucose Mediated Effects On Glucose-6-Phosphate Dehydrogenase Expression, Daryl Arkwright

Masters Theses

Circulating high glucose levels are believed to cause oxidative stress which is implicated in a number of pathological conditions such as cancer, aging, and diabetes. Oxidative stress regulates the expression of glucose-6-phosphate dehydrogenase (G6PDH), the key enzyme in the pentose phosphate pathway which provides reducing equivalents in the form of NADPH. These reducing equivalents are also required by fatty acid synthase (FAS), the enzyme which catalyzes fatty acid biosynthesis. We examined whether glucose, a known inducer of oxidative stress, could regulate either G6PDH or FAS activity in primary rat hepatocytes. We tested the effects of glucose alone or in combination …

The Effects Of Reminiscence Therapy On The Elderly Client's Satisfaction With Nursing Care, Nancy Strong

Masters Theses

This study tested if reminiscence therapy would improve client satisfaction with nursing care. An experimental post test only design was used on 39 clients in a moderate sized home care agency in the Midwest. Ages ranged from 65 to 98. A single, one-on-one reminiscence session was done with 22 subjects in their homes after a routine nursing visit. The control group subjects did not receive the reminiscence intervention. The groups were homogeneous except for the number of hospitalizations experienced in the past year. The control group had a significantly higher number.

The Forbes Patient Satisfaction Questionnaire, modified for the home …

The Relationship Of Hardiness And Perceived Social Support To Nurses' Appraisals Of Stress, Susan A. Groesser

Masters Theses

Lazarus' Stress and Coping Theory was used to examine the relationship between hardiness, social support, and nurses’ appraisal of stress as a threat or challenge. This descriptive correlational design used a convenience sample of 40 registered nurses on orientation at a large West Michigan hospital.

Hardiness and social support were dichotomized by splitting them at the median. The proportion of the sample viewing orientation as a challenge versus threat was not significantly different regardless of their hardiness or social support status. The results were limited by lack of variation in stress appraisal (77% challenge) and hardiness levels, sample size, and …

The Effect Of Familiar And Novel Testing Environments On The Gross Motor Function Measure Scores Of Developmentally Normal Children 17-37 Months Old, Tracey Blain, Jean Angel

Masters Theses

Our purpose in this research was to compare the reliability of the Gross Motor Function Measure in familiar and unfamiliar environments. Discrepancy between clinical assessment results and true motor functional ability may give false information leading to inefficient treatment sessions. Our research gives therapists information about optimal assessment site choice. Subjects included sixteen developmentally normal children between the ages of 17 and 37 months. Our study fit a repeated measure counterbalanced design, and ANOVA was used to analyze our data. We did not reject our null hypothesis that the child’s score on the GMFM in the familiar environment would equal …

A Kinematic And Kinetic Analysis Of First, Fourth, And Fifth Positions In The Classical Ballet Method, Mary Sue Hill

Masters Theses

The problem of the study was to compare electromyography (EMG) responses, ground reaction forces, and torques on female college-age dancers' knees in selected positions. Subjects were 18 female dancers, aged 18 to 30 years, with 6 subjects from each of three levels: Ballet Technique I, II, and III. The rectus femoris, vastus lateralis, and vastus medialis were analyzed in a grande plie in three positions, (1) first, (2) fourth, and (3) fifth, with two phases: (1) eccentric, and (2) concentric. No differences in force or EMG data were found for the concentric phases of the three positions. Significant differences were …

Community Leaders’ Perceptions Of Violence Against Women As A Public Health Issue, Deborah J. Bartz

Masters Theses

The purpose of this thesis was to identify correlates of support for the involvement of local public health departments in the prevention of violence against women. The research is a secondary analysis of data from community leaders in the 50 public health catchment areas throughout Michigan.

A total of 525 community leaders were identified by health officers and were mailed surveys that dealt with a wide range of health policy issues. Three hundred and fifty-one surveys were returned.

The analysis were designed to determine which factors would affect support for treating violence against women as a public health issue. A …

The Effects Of Music Therapy On The Self-Esteem And Locus Of Control Of Children Survivors Of Domestic Violence, Amy A. Bogetto

Masters Theses

The purpose of this study was to measure the effects of a volunteer music therapy program on the self-esteem and locus of control of children survivors of domestic violence residing in a shelter for domestic violence. An experimental group which received music therapy and a no-contact control group were used in this study. The Coopersmith Self-Esteem Inventory Scale was used to measure the subjects' selfesteem while the Nowicki-Strickland Locus of Control scale was used to measure the subjects' locus of control in both groups. These tests were administered before and after treatment for the experimental group. The control group was …

Quality Of Life In Grandparents After A Diagnosis Of Acute Lymphoblastic Leukemia In Their Grandchild, Laura S. Mullins

Masters Theses

The purpose of this study was to assess grandparents' perceptions of their quality of life (QOL) after the diagnosis and treatment of acute lymphoblastic leukemia (ALL) in their grandchild. The following questions were addressed: (a) How do grandparents of children with ALL perceive their current QOL; (b) How do grandparents of children with ALL perceive their current QOL has changed since their grandchild was diagnosed; (c) What specific changes in QOL have grandparents experienced since the diagnosis of ALL in their grandchild; (d) What is the grandparents' overall attitude about life with leukemia; (e) Is there a relationship between the …

Assessing Child Care Need In Niles, Michigan, Lori L. Mcneil

Masters Theses

Many parents struggle to secure adequate child care while they work and/or attend school. With the passage of welfare reform legislation, which in part requires AFDC parents to enter/reenter the workforce, locating child care options will likely become increasingly more difficult.

This study describes child care needs of one community based on a survey of parents at thirteen different sites. The research measured the discrepancy between existing child care resources and child care demand within the community.

Analysis of the data revealed that the ways in which parents provide care for their children differed considerably in Niles from the most …