Medicine and Health Sciences Commons^™

The Relationship Of Hamstring Length And Chronic Low Back Pain, Aaron Deline, David Doubblestein

Masters Theses

Low back pain (LBP) is one of the most complex dysfunctions facing physical therapists today. There has been some research on the correlation between decreased hamstring length and LBP, but the results have been inconclusive. The purpose of this study was to determine if there is a direct correlation between decreased hamstring length and chronic LBP among males and females aged 20 - 60 years who are non-manual laborers.

Based on responses to a questionnaire thirty-nine volunteer subjects were placed into either the no LBP group or the chronic LBP group. The subjects were then tested bilaterally for hamstring muscle …

The Interdisciplinary Treatment Of Temporomandibular Disorder, Wendy Conlon, Amy Jones, Brenda Mitus

Masters Theses

Temporomandibular disorder (TMD) is a chronic complex disorder that is treated by many health care professionals including dentists and physical therapists. The purpose of the study was to investigate the extent an interdisciplinary relationship exists between the dental and physical therapy professions in the treatment of TMD. This was accomplished by sending a survey questionnaire to 300 dentists in three midwestem metropolitan areas. The questionnaire identified treatment strategies and referral patterns used by dentists treating TMD. It is believed that the results of this study will bring attention to the advantages of using an interdisciplinary approach in the treatment of …

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 …

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 …

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 …

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 …

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 …

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 …

Perspective Discrepancy Analysis Of Health Care Provider And Well-Elderly Regarding Environmental Fall Risk Factors, Deborah A. Bliler, Catherine I. Schenten, Kay A. Smaltz

Masters Theses

The purpose of this study was to discover the discrepancies in perspectives regarding environmental hazards in the home between the well-elderly and health care professionals.

Interviews, discussion groups, and review of a videotape were used to gather information. The interviews and videotapes were used to gain the health care professional’s perspectives and the discussion groups were used to gather the elderly’s perspectives.

This qualitative study found both similarities and discrepancies between the well-elderly and physicians. The major discrepancies were: 1) that the elderly and health care professionals are not entirely aware of environmental factors contributed to falls, 2) the physicians …

Nursing Students' Perceptions Of Clinical Instructor Behaviors That Affect The Development Of Self-Confidence, Debra E. Veltkamp

Masters Theses

The purpose of this study was to determine clinical instructor behaviors that students perceive as important in promoting or hindering their development of self-confidence. One hundred fifty-eight associate degree and baccalaureate nursing students rated 21 clinical teaching behaviors on the degree each helped or hindered their self-confidence as nurses and responded to two open-ended questions by identifying additional behaviors. Factor analysis of these behaviors revealed six dimensions of clinical teaching that characterized the instructor as: encourager, evaluator, discourager, enabler, benevolent presence, and resource. All behaviors contributing to the dimensions of clinical instructor were rated by students as helpful in their …

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 …

Utilizing The Ryder's And The Thigh-Foot Angle Tests To Establish Normal Values Of Femoral Anteversion And Tibiofibular Torsion In Children Aged 5 Through 10 Years, Timothy M. Dahlke, Wendi L. Jabs

Masters Theses

The purpose of this research was to begin to establish normative data for femoral anteversion and tibiofibular torsion using the Ryder's and the Thigh-Foot Angle (TEA) tests. A secondary purpose was to establish the intertester and intratester reliability of the authors' measurements. Thirty-three normal children within the ages of 5 through 10 years volunteered for this study. All subjects' data were separated into the appropriate age groups. All data were pooled and mean/standard deviations and intertester/intratester reliability coefficients were determined. A small decreasing general trend in femoral anteversion with increasing age was found. However, no significant trend was noted in …

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 …

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 …

The Performance Of Children With Down Syndrome On The Bruininks Oseretsky Test Of Motor Proficiency, Erin Docter, Kristine Tyler, Victoria Van Horn

Masters Theses

The purpose of this study was to begin collection of nonnative data on how children with Down syndrome, that are educable and trainable mentally impaired, perform on the Bruininks Oseretsky Test of Motor Proficiency - Short Form (BOTMPSF). The researchers collected data on children with Down syndrome between the ages of 4.11 and 13.7. Twenty subjects including 15 males and 5 females volunteered for the study. All participants were from schools and support groups throughout Holland, Grand Rapids, and Muskegon, Michigan. Each child was tested using the BOTMP-SF. Results indicated that children with Down syndrome perform significantly lower than children …