The efficacy of interferential current therapy and chiropractic adjustments for the treatment of quadratus lumborum trigger points found in acute sacroiliac joint syndrome
- Authors: Von Hörsten, Marilize
- Date: 2012-07-19
- Subjects: Acute sacroiliac joint syndrome - Chiropractic treatment , Electrotherapeutics , Sacroiliac joint diseases - Chiropractic treatment
- Type: Mini-Dissertation
- Identifier: uj:8828 , 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.
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The effect of diversified side posture adjustments versus segmental drop piece adjustments on the treatment of sacroiliac joint dysfunction
- Authors: Engelbrecht, Johan
- Date: 2012-06-05
- Subjects: Sacroiliac joint diseases - Chiropractic treatment , Spinal adjustment
- Type: Thesis
- Identifier: uj:2422 , http://hdl.handle.net/10210/4882
- Description: M.Tech. , Purpose: To compare the efficacy of diversified side posture adjustments and segmental drop piece adjustments in the treatment of sacroiliac joint dysfunction. Method: Thirty-two participants were randomly divided in two equal groups. Group A (n = 16) received diversified side posture adjustments and Group B (n = 16) received segmental drop piece adjustments. The trial consisted of seven sessions over a period of three weeks, of which the first six were treatment sessions, with the final seventh session serving the purpose of obtaining final post-treatment data. Data was obtained only at the first, third, fifth and seventh sessions. Objective data consisted of measuring lumbar spine range of motion using a digital inclinometer and pain pressure tolerance over the middle of the sacroiliac joint line by using a pressure algometer. Subjective data was obtained by having each participant complete a numerical pain rating scale and the Oswestry back pain and disability questionnaire.
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A comparison between the effects of manipulation alone versus manipulation combined with dry needling on hamstring strength
- Authors: Gillingham, Miriam Taryn
- Date: 2013-09-02
- Subjects: Manipulation (Chiropractic) , Sacroiliac joint diseases - Chiropractic treatment , Hamstring injuries - Chiropractic treatment , Hamstring muscle , Muscle strength
- Type: Thesis
- Identifier: uj:7722 , http://hdl.handle.net/10210/8592
- Description: M.Tech. (Chiropractic) , Purpose: According to Jonhagen, Nemeth and Erikson (1994), hamstring muscle injury as a result of weakness is prevalent. Hoskins and Pollard (2005) states that a previous or recent hamstring muscle injury is the most recognized risk factor for future injury. Given the high reoccurrence rate, hamstring injuries provide a significant challenge to the treating clinician. Knowledge surrounding the optimal treatment is critical to improve hamstring muscle strength in preventing these injuries. The aim of this study is to determine the most effective treatment method, when comparing sacroiliac joint manipulation with or without dry needling and the effect it has on hamstring strength. Design: Thirty participants between the ages of 18 and 35 years old presenting with SI joint dysfunction and hamstring trigger points, were considered for this study. The participants were randomly divided into two groups of 15 participants each (group A and B). Group A received manipulation to the sacroiliac joint and group B received manipulation to the sacroiliac joint, as well as dry needling of the active myofascial trigger points in the semimembranosus muscles. Each participant was treated six times over a period of three weeks. Measurements: All measurements were collected at the first, third and fifth consultation prior to treatment and on the seventh consultation where no treatment was performed. Subjective measurements included the McGill questionnaire and a visual analogue pain scale. Objective measurements included algometer, readings of pressure pain threshold of the hamstring muscle trigger points and hamstring muscle strength recorded using a dynamometer instrument. Results and Conclusion: Group A and group B proved to have a statistical and clinical improvement overall. Group A had a better improvement in both subjective tests and in the objective tests. In comparing the statistically significant data for hamstring muscle strength in this study, it would appear that Group A responded better to treatment than Group B. Although both groups did improve, it suggests that Group A achieved the greatest overall improvement. Therefore it can be suggested that myofascial dry needling of the hamstring muscle was found not to have an additive effect for improving vii hamstring muscle strength, it actually appears to have done worse. The reason for this might be due to the post treatment soreness after needling. This may cause muscle inhibition and decreased muscle contraction, due to the pain or tenderness, which could have affected the muscle strength. In conclusion, the results in this study show that chiropractic manipulation combined with dry needling did not have better results in improving hamstring strength.
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The effect of lumbar and sacroiliac joint manipulation on sustaining muscle endurance in cycling
- Authors: Schalekamp, Kobus
- Date: 2014-02-05
- Subjects: Sacroiliac joint diseases - Chiropractic treatment
- Type: Thesis
- Identifier: http://ujcontent.uj.ac.za8080/10210/385463 , uj:3629 , http://hdl.handle.net/10210/9007
- Description: M.Tech. (Chiropractic) , This study was conducted in order to determine if Chiropractic Spinal Manipulative Therapy (SMT) to the lumbar spine and Sacroiliac joints can accelerate the recovery process of the Hamstring and Quadriceps femoris muscle and thus enabling the athlete to sustain endurance levels for a longer period of time. Participants used were recruited from the cycling community by means of word of mouth. Thirty participants that matched the inclusion criteria were included in the study. The participants were then randomly divided into two groups, a Test Group and a Control Group, of fifteen participants each. Motion and static palpation was used to detect spinal restrictions. The Test Group received Chiropractic SMT to the restricted lumbar vertebral segments and the Sacroiliac joints after the first test was completed. The participants then underwent a 30 minute recovery period after which they were re-tested. The Control Group received no treatment after the first test, but still had a 30 minute recovery period after which they were re-tested. Objective measurements were taken by making use of Cybex Isokinetic Dynamometer. The objective measurement indicated that there was an increase in muscle endurance of the Quadriceps femoris and Hamstring muscle groups for both the test and the Control Group. When the increase in Hamstring and Quadriceps femoris muscle endurance was compared between the Test and Control Group, it was the Control Group that showed a more significant increase in Quadriceps femoris muscle endurance which was greater than the increase of the Quadriceps femoris muscle endurance in the Test Group. The Control Group also showed a greater increase mean endurance of the Quadriceps femoris and Hamstring muscle. In conclusion to the study, muscle endurance in cyclists can be increased by rest alone and does not require Chiropractic SMT to restricted spinal segments.
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A comparative study between sacroiliac adjustments and dry needling of the gluteus medius muscle in the treatment of sacroiliac joint dysfunction
- Authors: Van Doorene, Kate
- Date: 2012-07-19
- Subjects: Sacroiliac joint diseases - Chiropractic treatment , Gluteus medius - Chiropractic treatment , Buttocks muscles , Acupuncture
- Type: Thesis
- Identifier: uj:8811 , http://hdl.handle.net/10210/5226
- Description: M.Tech. , The aim of this research study was to determine the most effective way of treating sacroiliac joint dysfunction with associated gluteus medius trigger points, using adjusting of the sacroiliac joint or needling of the gluteus medius muscle or both. The participants were recruited randomly and placed in 3 different groups. Participants in group 1 were treated with an adjustment of the sacroiliac joint, as well as needling of the most prominent gluteus medius trigger point. Participants in group 2 were adjusted only and participants in group 3 were needled only. The treatment of the participants took place at the University of Johannesburg’s chiropractic day clinic. The objective data was acquired using a Digital Inclinometer to measure the ranges of motion at the spinal levels of the 5th lumbar vertebra and the first sacral vertebra (L5/ S1). An Algometer was used to measure the amount of pressure required to evoke pain, within the most prominent trigger point being treated. The subjective data was acquired using the Oswestry Pain and Disability Questionnaire, as well as the Numerical Pain Rating Scale. The results of the trial were of no statistical significance, but clinical improvement in both objective and subjective data was found. Group 2’s mean value percentage improvement was the greatest, when looking at range of motion. Group 1’s mean value percentage improvement was the greatest, with the Algometer and the subjective readings. The outcome of this study was that overall all three treatment protocols had a positive effect on the participants. Group 1 and group 2 had a slightly greater overall improvement. Thus it is suggested that when treating sacroiliac joint dysfunction with associated gluteus medius trigger points, the doctor can use an adjustment or adjusting with needling, both are effective. It is important to take the patients preference into account in order to make them feel at ease with the treatment they are receiving.
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The effects of ischaemic compression vs integrated neurosmuscular inhibition technique on the gluteus medius muscle in the treatment of sacroiliac joint syndrome
- Authors: Nowak, Thomas
- Date: 2013-06-03
- Subjects: Gluteus medius , Sacroiliac joint diseases - Chiropractic treatment , Myofascial pain syndromes - Chiropractic treatment
- Type: Mini-Dissertation
- Identifier: uj:7574 , http://hdl.handle.net/10210/8437
- Description: M.Tech. (Chiropractic) , Objective: The purpose of the study was to determine the most effective way of treating Sacroiliac (SI) joint syndrome with associated Gluteus Medius muscle myofascial trigger points (MFTP) by using adjustive techniques performed on the SI joint with a soft tissue technique. The soft tissue techniques were either ischaemic compression (IC) vs integrated neuromuscular inhibition technique (INIT). Study Design: This was a randomised comparative trial. Setting: The participants were treated at the University of Johannesburg Chiropractic day clinic. Subjects: Thirty participants were randomly divided into two groups consisting of fifteen individuals each. There was a random selection of males and females which was not limited to any particular race or gender. Participants were limited to between the ages of 18 to 35 years of age. Participants diagnosed with SI joint syndrome and who had active Gluteus Medius myofascial trigger points were eligible for this study. Method: Subjective data was collected, by the participants completing an Oswestry low back pain and disability questionnaire and a Numerical pain rating scale (NPRS). The objective data readings involved assessing the range of motion of the hip joint, with a goniometer. Algometry readings of the most active Gluteus medius trigger point were taken, to measure the amount of force on the muscle trigger point before pain was felt. Each participant was seen seven times over the span of three weeks and underwent six treatments. Group 1 received ischemic compression to the Gluteus Medius trigger points followed by an adjustment to the predetermined restricted SI joint during visit 1-6. Group 2 received INIT to the Gluteus medius trigger points followed by an adjustment to the predetermined restricted SI joint during visits 1-6. Measurements were taken at visit 1, 4, and 7 before the treatment. Results: The results indicated that neither the IC group nor the INIT group showed statistically significant improvements when comparing the two treatment methods to each other. The comparison between the two techniques did however show clinical benefit in the subjective and objective readings throughout in the intra group analysis. It appears that that the ischemic compression had more clinical benefit in terms of subjective pain readings for the Oswestry low back pain and disability questionnaire and the NPRS. The INIT seemed to provide greater clinical improvement in terms of hip range of motion as it showed to be more beneficial in increasing hip adduction and abduction. Conclusion: The results of this study was that neither group had showed statistically significant improvements when comparing the two treatment methods to each other and therefore neither method exhibited superiority over the other according to the statistical analysis in the treatment of Gluteus Medius myofascial trigger points and SI joint syndrome.
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The effect of sacroiliac joint adjustment in conjunction with myofascial dry needling of the rectus femoris muscle and myofascial dry needling on its own on quadriceps femoris muscle strength
- Authors: Vosloo, Esther
- Date: 2012-05-30
- Subjects: Chiropractic , Acupuncture , Quadriceps muscle , Muscle strength , Sacroiliac joint diseases - Chiropractic treatment , Myofascial dry needling
- Type: Thesis
- Identifier: uj:2282 , http://hdl.handle.net/10210/4743
- Description: M.Tech. , This study was conducted to determine the effect of Sacroiliac joint adjustment to the restricted Sacroiliac joint in combination with myofascial dry needling to the active/latent Rectus Femoris muscle trigger point and Rectus Femoris myofascial dry needling on its own on Quadriceps Femoris muscle strength. Thirty participants between the ages of 18 and 40 years were recruited through the use of advertisements placed in and around the University of Johannesburg’s Chiropractic Day Clinic. Participants were assessed for exclusion criteria by performing a Full Case History, Pertinent Physical Examination, Lumbar Spine and Pelvis Regional Examination and S.O.A.P note. The participants who conformed to the specific inclusion criteria were accepted for this study. These participants were randomly placed into two groups of sixteen participants each. Group One receive Sacroiliac joint adjustment to the restricted Sacroiliac joint and ipsilateral myofascial dry needling of the Rectus Femoris muscle active/latent myofascial trigger points. Group two received myofascial dry needling of the Rectus Femoris muscle active/latent myofascial trigger point on the same side as the Sacroiliac joint restriction. Each participant received five treatments over a three week period, i.e. two treatments for the first two weeks and one follow-up treatment in the third week. The subjective data of the patients lower back pain was assessed using the Numerical Pain Rating Scale. The objective data was obtained from the Isometric Dynamometer measuring the Quadriceps Femoris muscle strength before and after each treatment. In addition the Algometer was used for measuring the pressure pain threshold of the Rectus Femoris trigger points. An analysis was performed using Repeated Measures Analysis, t-Test, Frequencis, Descriptives and Friedman’s Tests. The results of this study demonstrate that Sacroiliac joint adjustment to a restricted Sacroiliac joint with ipsilateral myofascial dry needling of the Rectus Femoris muscle showed a statistically significant, but temporary increase in Quadriceps Femoris muscle strength. Myofascial dry needling of the Rectus Femoris muscle on its own was found to be statistically insignificant for the increase in Quadriceps Femoris muscle strength.
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