Digital Commons Network^™

The Efficacy Of Electrical Stimulation And Conservative Physical Therapy In The Treatment Of Female Genuine Stress Incontinence, Patrick Hadlock, Heath Jabs, Jason Ricci

Masters Theses

The purpose o f this study was to determine which of three treatment strategies was most effective in the treatment of female genuine stress incontinence (GSI).

Nine females ages 41-86, diagnosed with GSI, were included in the study. Subjects were randomly assigned to one of three groups, one received electrical stimulation twice a week for 15 minutes; another received electrical stimulation three times a week for thirty minutes; and a control group receiving no electrical stimulation. All groups received identical instruction in Kegel pelvic floor muscle exercises, with the assistance of audio and visual biofeedback. Each treatment was evaluated on …

Concurrent Validity Of Functional Reach In Community-Dwelling Elderly Women, Aimee Hosek, Kimberly Sackett

Masters Theses

The purpose o f this correlational study was to establish concurrent validity of functional reach, the maximal distance one can reach forward beyond arm's length without taking a step, as a measure of physical decline, by determining the relationship between functional reach and other physical performance measures. Subjects included 46 community-dwelling women over 65 years of age who performed the functional reach test, the timed Up and Go, and the 10-foot walk. Data analysis employed Pearson correlation coefficients. The association between FR and timed Up and Go and 10-foot walk was r = -.51 and r = -.53 respectively. After …

The Effect Of Upper Extremity Immobilization Following Surgical Rotator Cuff Repair On Balance In Elderly Individuals, Edward S. Gagné, Rebecca L. Schneider

Masters Theses

The purpose of this study was to determine if a relationship exists between upper extremity immobilization following surgical rotator cuff repair and balance in elderly individuals. Twenty-eight healthy volunteers (nine with rotator cuff repair, nineteen without) aged 53 to 74 participated in the study. Balance was measured using the Berg Balance Measure, Modified Berg Balance Measure, Functional Reach Test, and force plate analysis. Results were analyzed using t-tests for paired and independent samples, Mann Whitney U (Wilcoxon Rank Sum W) tests and Wilcoxon Matched-Pairs Signed- Ranks tests. Significant differences were found between the post-rotator cuff surgery and control groups for …

Developing Normative Data For Three Unilateral Lower Extremity Functional Tests, Brian Fulton, Kathleen Hegyan, Troy Wieling

Masters Theses

The purpose of this research study was to gather normative data on three unilateral extremity functional tests: single-leg triple hop for distance, single-leg timed hop, and single-leg cross-over triple hop for distance. A total o f ninety-six male and female subjects between the ages of 18-30 volunteered to participate in this study. The variables looked at in this study were: age, gender, height, weight, leg dominance, activity level, and order o f tests performed. Data from the three functional hop tests were divided into aggregated data and non-aggregated data. The data were analyzed using SPSS© for Windows and SAS® software …

A Comparison Of The Knowledge, Misconceptions, And Attitudes Toward The Elderly Of First Versus Final Year Students In Accredited Physical Therapy Programs, Christina J. Fleming, Mark A. Kandes, Jennifer E. Shultz

Masters Theses

Physical therapy is one of the many professions that must respond to the increase of health care utilization by the rapidly growing elderly population. The purposes of this cross-sectional study were to compare first and final year physical therapy students’ knowledge, misconceptions, and attitudes toward the elderly and to determine if knowledge correlates with attitudes. Students in their first year (N=168) and final year (N=149) of accredited Master’s level physical therapy programs were surveyed. Questionnaires consisted of: a short demographic sheet, Palmore’s Facts on Aging Quiz 1 with a “don’t know” response added, and a modified Aging Semantic Differential by …

Reanalysis Of Tendon Data: Availability Of Dilated Eye Exams By Optometrists, Patrice Conrad

Masters Theses

Diabetic retinopathy is the leading cause of new blindness among adults. Dilated funduscopic eye exams are necessary to screen for this complication of diabetes. It is often asymptomatic in the earliest stages when it is the most treatable. Nurses often need to refer people with diabetes for these screens.

Data were collected by TENDON through a survey of optometrists and were reexamined. The TENDON region includes ten counties in Western and Central Michigan. The original survey was sent to optometrists in the ten counties to gather information to print a survey used by nurses and others making referrals for screening. …

Normative Database Of Adult Unilateral Trans-Tibial Amputee Gait, Kevin Carley, Kristin Dart, Margery Vos

Masters Theses

The purpose of this study was to compile a database of gait characteristics for adult, unilateral trans-tibial amputees specific to the protocol for the Center of Human Kinetic Studies. Subjects were community ambulators with established gait patterns and had used their current prosthesis for greater than three months. Kinematic, kinetic, and electromyographic data of the lower extremities were collected and analyzed using a motion analysis system, force plates, and surface electrodes. Data were normalized to percent gait cycle and presented as an average of trials taken. Results of this study were similar to previously published literature. This database of amputee …

Knowledge Of Pre-Physical Therapy Students Regarding Admission Criteria At Grand Valley State University, Kerry Randolph, Beth Wieber

Masters Theses

The purpose of this study was to determine how informed pre-P.T. students at G.V.S.U. are about the admission criteria for the P.T. program. A qualitative design was used.

Twenty pre-P.T. students from G.V.S.U. participated in the survey portion of this study. Eight of these students participated in follow-up interviews.

The survey was used to collect information regarding knowledge of admission requirements and sources of information. A personal interview was used to further probe and clarify survey responses. Data was analyzed to identify common themes.

Results indicate that academic advisors for pre-P.T. students at G.V.S.U. are not used as a major …

A Preliminary Study Of Trunk Kinematics During Walking In Normal Subjects, Lisa R. Elders, Heather L. Greenwald, Celeste A. Sartor

Masters Theses

The purpose of this study was to systematically describe the three-dimensional trunk kinematics in normal subjects, to establish a baseline for comparison to future research in gait analysis and aid in the identification of pathological gait. Seventeen volunteers between the ages of twenty and fifty, who met criteria for normal subjects, participated in this study. Trunk kinematic data were collected using an optoelectronic technique. An ensemble average of trunk kinematic data in each of the cardinal planes was plotted in degrees of motion versus percentage of gait cycle. A distinct pattern of trunk kinematics during gait was found in this …

Strength And Neuromuscular Characteristics Of Female And Male High School Basketball Players, Diane M. Beach, Barbara J. Hoogenboom, Lisa M. Rose

Masters Theses

The purpose of this study was to identify possible differences in strength ratios and neuromuscular performance between high school female and male basketball players, as tested by concentric isokinetic testing using the Blodex® isokinetic system . We recruited high school basketball players, females (N=26) and males (N=27). All participants underwent isokinetic concentric testing of bilateral hamstrings and quadriceps at five speeds (60, 180, 240, 300, 450 degrees per second). Female subjects demonstrated lower hamstrlng/quadriceps ratios than males at 60 and 240 degrees per second. Compared with male subjects, the female subjects took significantly longer to generate maximum hamstring muscle torque …

Efficacy Of Neurodevelopmental Treatment With Primary Focus On Dynamic Postural Control In A Chronic Stroke Individual, Renee E. Baer, Mary Kathryn Koeninger, Neha S. Shah

Masters Theses

This study examined the efficacy of Neurodevelopmental Treatment (NDT) with primary focus on seated dynamic postural control (DPC) in a chronic stroke individual. Secondarily, the relationship between postural control and upper extremity function was examined. An 11 week ABAB single subject design was utilized. DPC was measured using the Modified Functional Reach Test (MFRT) and DPC Checklists (DPCCs). The MFRT had high interrater reliability (> 0.97) for the four reach directions and therefore could be clinically useful. Data was graphically analyzed using the two standard deviation band width method. During treatment phase 1, significant upward trends were noted in anterior …

Pain Management Practice In The Acute Adult Trauma Patient, Sally B. Ossewaarde

Masters Theses

The purpose o f this study was to compare the pain management o f acute adult trauma patients during the first hour of resuscitation at a Level I Trauma Center versus non Level 1 Trauma Center Emergency Departments.

A descriptive two group comparison design was used for this study. The sample consisted o f 74 patients at the Level I Center and 65 patients at the non Level I Centers. Data was obtained through a retrospective chart review. Type, route, dose of analgesic, time from admission to first dose, and number o f consecutive doses were determined and analyzed by …

A Comparison Of Postpartum Clients' And Nurses' Perceptions Of Priority Information Needs For Early Discharge, Karen E. Lincoln

Masters Theses

The purpose of this descriptive study was to compare the perceptions of postpartum clients and nurses as to priority information needs for early discharge. King's Theory of Goal Attainment provided the conceptual model. A convenience sample of 33 nurses and 62 clients was used for the study. A 50-item instrument by Degenhart-Leskosky (1989) was used to compare perceived maternal and infant needs.

Though the analysis of data suggested there were no significant differences between the clients' and nurses' perceptions, there were discrepancies in 14 of 50 topics, and in some mean rankings. Infant feeding appeared as top priority for both …

Women's Perceptions Of Postpartum Appointment Keeping Barriers, Carol L. Czuk

Masters Theses

An exploratory, descriptive design was used to examine women's perceptions of barriers that inhibited them from keeping their postpartum appointments. The Health Belief Model (HBM) was used as a theoretical framework, with special attention to the barriers dimension. A three-part survey consisting of basic demographic questions, a five point response scale for assessment of perceived barriers, and open-ended questions were used for data collection. A convenience sample of 15 women in a rural southwestern Michigan community who had not kept their postpartum appointment by the sixth week after delivery were included in the study. Data were collected by a structured …

Comparison Of The Effectiveness Of Intradermal Injection Of Lidocaine, Iontophoretic Delivery Of Lidocaine, And Topical Emla Cream As Local Anesthetics For Venipuncture, Carol Straight

Masters Theses

The study was undertaken to establish whether the administration of a local anesthetic, lidocaine, significantly reduces the pain of venipuncture in adults, to establish the degree of tolerability and effectiveness of each of three delivery methods for lidocaine, and to identify recipient's preferences among the three pain-relieving measures. In this study, lidocaine was administered using three different delivery techniques: (1) intradermal injection of lidocaine, (2) iontophoresis of lidocaine, and (3) topical application of lidocaine/prilocaine cream, prior to undergoing venipuncture. Participants were asked to measure the level of pain experienced with each method of local anesthesia as well as the level …

A Description Of The Health Beliefs And Skin Cancer Prevention Practices Of Michigan Farmers, Denise Ann Coats

Masters Theses

The purpose of this study was to examine the skin cancer knowledge, health beliefs, prevention practices and cues to action o f a sample of Michigan farmers. A sample o f 106 randomly selected male farmers responded to a mailed questionnaire comprised of 40 items measuring variables of the Health Belief Model and demographic information.

The farmers spent an average of 4.05 hours in the sun each day between 10 a.m. and 3 p.m., and an average o f 45.13 years living and/or working on a farm. They were quite knowledgeable about skin cancer (M = 77% correct), but most …

Cancer Health Beliefs And Knowledge In Relationship To Korean American Cigarette Smoking Status, Melissa Sue George

Masters Theses

The purpose of this study was to describe health beliefs and knowledge in relationship to Korean American cigarette smoking status. The data for this study came from the Asian American Cancer Control Study conducted at the University of Illinois at Chicago. The Asian American Cancer Control Survey examined the cigarette smoking status, demographic variables, cancer knowledge and beliefs, and alcohol use of 263 Korean Americans. The health belief model was the conceptual framework for the study. Chi square analysis indicated a statistically significant relationship between cigarette smoking status and gender, education, spoken English proficiency, years of residency in the United …

Comparison Of Pulmonary Artery, Tympanic, Oral, And Axillary Temperatures, Linda Oravec Walter

Masters Theses

Hypothermia depresses the myocardium and shifts the oxygen dissociation curve to the left. Accurate tem perature monitoring Is essential. Studies conflict regarding the accuracy of sites other than the pulmonary artery (the gold standard) In temperature measurement of intubated patients. Using Roy’s Adaptation Model as a conceptual framework, repeated measures analysis of variance found a significant difference between the pulmonary artery, tympanic, oral, and axillary temperatures when taken within 15 minutes of arriving to the cardiothoracic unit and then hourly for four hours after open heart surgery. Post hoc t-test showed significant differences during rapid temperature changes. When temperatures were …

A Social Work Assessment Of Interventions With The Chronic Obstructive Pulmonary Disease Population With Regards To Intimacy, Beverly Rushlow

Masters Theses

Social work by nature has always been a hands on type of profession. With the explosion of new technology, social workers are being called upon to utilize technology to intervene with clients. Telecommunication is technology which can bring programs and images of people from one place to another with the use of television screens and phone lines.

This study explored the effectiveness of the utilization of interactive video within a classroom setting for the purpose of social work intervention. The study examined the impact social work intervention has upon a sample of individuals diagnosed with chronic obstructive pulmonary disease participating …

Nurses' Beliefs And Perceptions About Children In Pain, Patricia A. Gorney

Masters Theses

The purpose of this study was to examine nurse's beliefs and perceptions of children in pain amongst nursing personnel employed in Northwestern Michigan, and to determine if a relationship existed between nursing education, age and years experience in nursing, and the scores on the Beliefs and Perceptions Scale. The sample consisted of 74 registered and licensed practical nurses in the area working in acute and ambulatory settings. Data collected was analyzed using Pearson's Correlational Coefficient. The Roy Adaptation Model served as a framework for the study.

No significant correlation was found to exist between the participant's age, years of nursing …

Measurement Of Self-Care In Patients With Cystic Fibrosis, Chrysanthe Porter Fooy

Masters Theses

The purpose of this descriptive correlational study was to contribute to theory regarding the self-care agency in a population of Cystic Fibrosis (CF) patients ≥ 11 years of age (n=30). The following research questions were addressed: (1) w hat is the level of self-care in a group of CF patients; (2) what is the relationship between self-care and the basic conditioning factors of age, gender, years since diagnosis, and severity of illness; and (3) what is the relationship between locus of control and self-care.

Baker’s Cystic Fibrosis Self-Care Practice Instrument was used to measure CF self-care. Wallston’s Multidimensional Health Locus …

Stress, Coping, Adaptation, And Family Hardiness In Families With An Adult Child Who Is Developmentally Disabled And Living In The Parental Home, Joan M. Vansolkema

Masters Theses

Families who successfully cope and adapt to having a child with a developmental disability are of interest to health professionals. The Typology Model of Adjustment and Adaptation and family hardiness provided the conceptual framework to explore and describe the relationships between family hardiness and family coping and adaptation. Sixty-three families returned a mailed survey that included the Family Hardiness Index, Coping Health Inventory for Parents, and Family Adaptability and Cohesion Evaluation Scales II. Higher levels of family hardiness were associated with better family coping and adaptation. Results of ANOVAs and multiple regression indicate the level of mental retardation of the …

Social Support And Well-Being In Early And Mid-Adolescents: The Mediating Role Of Hopefulness, Peggy S. Norman

Masters Theses

Adolescence is known to be a time of transition and special needs. A descriptive correlational study was conducted to examine the impact of hopefulness upon the relationship between perceived social support and general well-being in early and mid-adolescents in a convenience sample of 61 early adolescents and 54 mid-adolescents. The Hopefulness Scale for Adolescents, the Adolescent General Well-Being Questionnaire and the Personal Resource Questionnaire Part II were completed by the subjects of a rural, Midwest, high school health class.

The hypothesized and assumed positive relationships between the three variables of perceived social support, hopefulness, and general well-being were supported. Hopefulness …

Humor And Its Relationship To Cohesion Of Work Group Members In The Acute Care Setting, Marla J. Niedzwiecki

Masters Theses

The purpose of this study was to determine whether the relationship between the use of humor and cohesion of work groups. It was hypothesized that individuals with a high value and use of humor to cope would have a tendency to use humor with others. Additionally, groups with more members who value and use humor to cope would exhibit more group cohesion than groups consisting of members with minimal or no humor use. A descriptive correlational design was used. A convenience sample of hospital based staff nurses was studied. The participants completed three surveys measuring individuals’ use of humor to …

The Relationship Between Level Of Knowledge And Instruction On Sublingual Nitroglycerin Use In Cardiac Patients, Nancy Jean Rogers

Masters Theses

The purpose of this study was to investigate patients’ level of knowledge of the use of sublingual Nitroglycerin (SL NTG) after receiving individually tailored pre-discharge instructions. The study tested the following hypothesis. There will be a difference in the knowledge level between patients who receive the usual SL NTG hospital teaching and those who receive individually tailored and structured SL NTG teaching. The study utilized a pretest-posttest comparison group design with a convenience sample of 40 patients admitted to a rural 368 bed hospital. Knowledge levels were not significantly higher for those in the intervention group than for those in …

Health Beliefs And Adherence To Cardiac Exercise Following A Cardiac Event, Vince Worthington

Masters Theses

The purpose o f this study was to examine the relationship between health beliefs and adherence to cardiac exercise at eighteen to twenty four months post cardiac event. Ninety subjects participated in a study by Foster (1995) and McGinn (1995), examining the relationship of health beliefs and adherence to cardiac exercise six to eight weeks post cardiac event. This study contacted the same sample at eighteen to twenty four months post cardiac event. Thirty five subjects responded to a mailed questionnaire measuring perceived benefits, perceived barriers, self-efficacy, adherence to exercise, and demographic information.

Descriptive analysis of the data was conducted …

The Relationship Between The Timing Of Self-Care Information And Adjustment To Ostomy Surgery, Carol Irene Teneyck

Masters Theses

The purpose of this study was to explore the relationship between the timing of self-care information and a person's adjustment to ostomy surgery. A retrospective, descriptive, correlational approach was used. Information from 57 subjects was obtained by using Quality Assurance Questionnaires from the archived files of an Enterostomal Therapy (ET) Nurse Service in West Michigan. Data from these questionnaires were analyzed using the Statistical Package for Social Sciences (SPSS/PC+) software.

Analysis by linear regression indicated that timing of self-care information is a predictor of adjustment to ostomy surgery. Further analysis of variance after collapsing the groups of respondents indicated a …

The Relationship Between Organizational Climate In The Hospital And Rn Satisfaction, Dawn R. Shoemaker

Masters Theses

The purpose of this study was to explore the relationship of organizational climate in the hospital and RN satisfaction. This study examines the hospital work climate and how it affects the level of quality of care, cost-efficiency, and job satisfaction. A meta-analysis (Irvine & Evans, 1995) with Maslowian underpinnings as the basis of the conceptual framework of job satisfaction and organizational climate was used in this study. A secondary analysis was preformed on previously obtained data from a large scale database (n=330 registered nurses). This descriptive correlational study utilized two main instruments, both of which were modified for this study; …

Unlv College Of Education Multicultural & Diversity Newsletter, Steve Mccafferty, John Filler, Nancy P. Gallavan, Le Ann Putney, Kyle Higgins, Porter Troutman, Stanley Zehm, Cyndi Giorgis, Jack Starr, Sheila Gregory, Joyce Nelson-Leaf

College of Education Multicultural & Diversity Newsletter

There is a recent preoccupation in American schools to involve parents and the community in our children's education. Hillary Clinton's "It takes a village" is a phrase that has become almost as catchy in the 90's as Nancy Reagan's "Just say no" was in the 80's, and unfortunately almost as naively simplistic.

Racial Identity And The State: The Dilemmas Of Classification, Michael Omi

Minnesota Journal of Law & Inequality

Symposium: Our Private Obsession, Our Public Sin