Medicine and Health Sciences Commons^™

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 …

Impact Of Amateur Educational Video Viewing On Language Acquisition Of Preschool Children, Jennifer L. Radcliffe

Masters Theses

Child language-learning is a complex process that varies for each individual child. Researchers have found that children learn from viewing professional television programs specifically designed for children, such as Sesame Street. Professional television programming principles can be adopted to produce amateur educational videos. Video may also be a viable option to provide repetitive models to improve vocabulary acquisition within speech-language pathology. The purpose of this study was to measure the effect of direct stimulation with amateur educational videos on a child's general and specific vocabulary acquisition.

A six-week experiment included an initial two-week control period, a two-week experimental period …

Speech-Language Pathologists' Opinions Of The Reliability Of The Modified Evan's Blue Dye Test For Detecting Aspiration, Amy N. Sanders

Masters Theses

This study attempted to determine if there was a relationship between speech-language pathologists (SLP) opinion of the reliability of the Modified Evan's Blue Dye Test (MEBDT) for assessing aspiration in tracheostomized patients and three factors: (1) number of years working in the field of speech-language pathology, (2) amount of hours per week spent treating dysphagia patients , and (3) number of seminars/conferences attended related to dysphagia management in the last two years. One hundred and six SLPs in the medical setting were surveyed, 52 responded resulting in a return rate of 49.5%. The data collected through the survey was subjected …

Perceived Control Of Chronic Obstructive Pulmonary Disease And Adherence To A Therapeutic Regimen, Lori A. Booms

Masters Theses

The purpose of this research study was to examine if a difference existed between the concept of perceived control of the effects and course of the COPD and the adherence to the prescribed therapeutic regimen. The conceptual framework for the study was the Multidimensional Health Locus of Control. The study design was a comparative descriptive survey. Data collection was completed by using the three instruments: Multidimensional Health Locus of Control (Form C), Health Value Measurement, and Measurement of Compliance with a Comprehensive COPD Treatment Program. The study consisted of 20 participants. The findings of the study showed no significant difference …

Patient Perceptions Of Nurse Behaviors As Indicators Of Caring, Susan B. Tuttle

Masters Theses

The purpose of this study was to identify which nursing behaviors were perceived by the patient who has undergone coronary artery bypass grafting (CABG) as the most important and least important indicators of caring. In this descriptive study, the Caring Behaviors Assessment (CBA) was administered to 25 CABG patients. This research was a partial replication of a previous study by Cronin and Harrison (1988).

Jean Watson's theory of human care (1985) served as the theoretical framework for this study. The CBA items, ordered in seven subscales, are congruent with Watson's (1985) carative factors.

In this study, the 63 CBA items …

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 …

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 …

The Effect Of Post-Prostatectomy Urinary Incontinence On Quality Of Life, Martha Ellen Rheault

Masters Theses

The purpose o f this study was to evaluate the effect of post-operative urinary incontinence on the quality of life of men after radical retropubic prostatectomy (RRP). A convenience sample consisted of 128 males, aged 40 to 75 years, who underwent RRP between May, 1994 and June, 1996 at a 529 bed acute care hospital in a Midwest city.

Subjects were asked to complete 3 data collection tools: The Ferrans and Powers Quality of Life Index Cancer Version (Q.L.I.-C.V.); The Urinary Function Questionnaire for Men After Radical Prostatectomy (Herr, 1994); and a Demographic/Related Information Questionnaire, developed by the researcher.

A …

The Relationship Between Knowledge Of Breastfeeding And Success In Breastfeeding, Sherry M. Knoppers

Masters Theses

This correlational study examined the relationship between knowledge of breastfeeding and success in breastfeeding. A convenience sample of women attending prepared childbirth classes in a Midwestern metropolitan area was used. The women were pregnant with their first child and planning to breastfeed. Gulick’s (1981) Information on Breastfeeding Questionnaire was used to test knowledge of breastfeeding before delivery and Rentschler's (1991) Breastfeeding Experience Questionnaire was used to measure knowledge and experience.

Roy’s Theory of Adaptive Modes (Andrews & Roy, 1991) was used as a theoretical framework. This study focused on the role function mode and role transition, looking at the secondary …

Chlamydia: Universal Vs Selective Screening, Verneal Y. Glispie

Masters Theses

Women, age 20 to 39, attending three family planning clinics within a Michigan health department, were screened for Chlamydia trachomatis. A nucleic acid hybridization test (Gen-Probe) was used to collect cervical specimens for seven consecutive months. A chlamydia risk assessment form, using Michigan Department of Community Health's selective screening criteria, was used to determine the client's risk group. A chi-square test with Yates correction was used for data analysis. The prevalence rates of high and low risk groups were compared with no significant difference (p = .18). The prevalence rates were 12.% in Site A; 1.7% in Site B; …

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 …

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 …