- Title
- The efficacy of interferential current therapy and chiropractic adjustments for the treatment of quadratus lumborum trigger points found in acute sacroiliac joint syndrome
- Creator
- Von Hörsten, Marilize
- Subject
- Acute sacroiliac joint syndrome - Chiropractic treatment, Electrotherapeutics, Sacroiliac joint diseases - Chiropractic treatment
- Date
- 2012-07-19
- Type
- Mini-Dissertation
- Identifier
- uj:8828
- Identifier
- http://hdl.handle.net/10210/5241
- Description
- M.Tech., Objectives: To investigate the effects of a combined therapeutic approach from the chiropractic perspective for the treatment of acute sacroiliac joint syndrome. Chiropractic adjustments combined with interferential current (IFC) therapy were compared to chiropractic adjustments alone. Methods: Consenting participants diagnosed with acute sacroiliac joint syndrome, were randomly assigned to receive a combination of chiropractic adjustments to the sacroiliac joint and IFC therapy directed to the ipsilateral quadratus lumborum (Group 1, n = 15), or chiropractic adjustments to the sacroiliac joints alone (Group 2, n = 15). Subjective and objective measurements were taken before treatment at the first and fourth consultations, as well as at the follow-up visit, within a period of three weeks. Subjective measurements consisted of the Numerical Pain Rating Scale and the Oswestry Disability Index. Objective measurements consisted of inclinometer readings for lumbar range of motion and algometer readings for the mechanical pain threshold of quadratus lumborum. Results: Mixed between-within subjects analysis of variance tests, with post hoc analyses, were performed for all measurements taken. Within-group results were statistically significant (p < 0.05) and between-group results were statistically non-significant (p > 0.05) for all measurements. The time between visit 1 and 4 was most effective for improved flexion in both Group 1 and Group 2. Results for the Numerical Pain Rating Scale as well as left and right rotation improved most significantly between visits 1 and 4 for Group 1, compared to visits 4 to 7 for Group 2. The period between visit 4 and 7 was most significant for improved scores in both groups for the Oswestry Disability Index, extension, left and right lateral flexion, and mechanical pressure pain thresholds for both the left and right quadratus lumborum muscles. Conclusions: There was no statistically significant difference between the effects of a combined treatment approach using chiropractic adjustments and interferential current therapy, and chiropractic adjustments alone. A combined therapeutic approach is therefore unlikely to add any clinical benefit to the chiropractic adjustment for the treatment of acute sacroiliac joint syndrome.
- Contributor
- Dr. C.J. Yelverton; Dr. R. Potgieter
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