Abstract
M.Tech. (Chiropractic)
This unblinded controlled pilot study was conducted in order to compare the
effectiveness of chiropractic spinal manipulation/mobilisation with that of a combined
therapy involving chiropractic manipulative therapy and myofascial trigger point therapy
(dry needling of active myofascial trigger points followed by the appropriate passive
stretching of the involved muscles), in the treatment of Post Laminectomy Pain Syndrome.
This research aims to compare the effects of spinal manipulation/mobilisation alone and
in conjunction with myofascial dry needling, in the management of Postlaminectomy
Pain Syndrome. The study also investigates the effect of chiropractic care on
Postlaminectomy Pain Syndrome for the relief of pain and improved range of motion.
Candidates for the study were recruited from the local provincial hospitals, through
advertising in the local newspapers, as well as through information pamphlets, which
were distributed to chiropractors in surrounding areas, and were asked to participate in
the study conducted at the Technikon Witwatersrand Chiropractic Day Clinic. Only those
patients that conformed to the specific selection criteria were allowed to participate in the
study. These candidates were randomly assigned to one of two groups of 15 candidates
each. One group received chiropractic spinal manipulation/mobilisation alone while the
other group received the combined therapy. Each candidate received 9 treatments over a
three-week period, i.e. three treatments per week. After the treatment there was a one
month break from treatment and a follow-up consultation at the end of this month was
conducted to determine the lasting effects of the treatment.
Subjective data was collected with the use of two questionnaires i.e. Numerical Pain
Rating Scale and Oswestry Low Back Pain and Disability Questionnaire.
Objective data was gathered using an electronic inclinometer to measure lumbar spine
range of motion. Lumbar spine range of motion in flexion, extension, left and right lateral
flexion, and left and right rotation was assessed using the inclinometer.