The effect of thoracic spine chiropractic adjustment therapy on salivary cortisol levels and subjective stress tests
- Authors: Meekel, Claire Lauren
- Date: 2011-09-13T09:42:55Z
- Subjects: Chiropractic treatment , Spinal adjustment , Stress management
- Type: Thesis
- Identifier: uj:7206 , http://hdl.handle.net/10210/3840
- Description: M.Tech. , Background: Chiropractic spinal adjustment therapy has been shown to be an effective treatment for pain as well as many somatic, visceral and systematic complaints. Its use in the treatment of stress, however, remains speculative. Stress is a normal and healthy human response, but it is detrimental to health in excessive amounts. Salivary cortisol is an effective, accurate indicator of the stress response system. Objective: To determine whether thoracic spine Chiropractic adjustment therapy has any direct effect on salivary cortisol levels and subjective stress tests in subjects who rated themselves as having high levels of stress. Methods: Thirty-one participants, who reported having subjective high stress levels, comprising of male and female adults completed the trial, which was designed as a cross-over study. They were divided into two groups. Groups 1 and 2 delivered saliva samples and completed subjective stress questionnaires. Group 1 was then treated with thoracic spinal adjustment therapy for three weeks whilst Group 2 received no intervention. Both groups repeated the tests at the three-week interval. Thereafter, Group 2 received three weeks of the same spinal adjustment therapy, whilst Group 1 received no intervention. Again, both groups repeated the tests at the end of this second three-week interval. All tests were completed at the same time of day for each participant. Salivary cortisol was measured by enzyme-linked immunoassay (ELIZA). The stress questionnaire was recoded and analysed with descriptive statistics. vii Results: Chiropractic spinal adjustment therapy resulted in a statistically significant decrease in subjective stress levels. It did not, however, significantly change salivary cortisol levels. Conclusion: This study has shown that Chiropractic spinal adjustment therapy does not significantly change salivary cortisol levels, but is successful in lowering subjective stress levels over time. It is concluded that Chiropractic plays a role in the reduction of the subjective experience of stress.
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- Authors: Meekel, Claire Lauren
- Date: 2011-09-13T09:42:55Z
- Subjects: Chiropractic treatment , Spinal adjustment , Stress management
- Type: Thesis
- Identifier: uj:7206 , http://hdl.handle.net/10210/3840
- Description: M.Tech. , Background: Chiropractic spinal adjustment therapy has been shown to be an effective treatment for pain as well as many somatic, visceral and systematic complaints. Its use in the treatment of stress, however, remains speculative. Stress is a normal and healthy human response, but it is detrimental to health in excessive amounts. Salivary cortisol is an effective, accurate indicator of the stress response system. Objective: To determine whether thoracic spine Chiropractic adjustment therapy has any direct effect on salivary cortisol levels and subjective stress tests in subjects who rated themselves as having high levels of stress. Methods: Thirty-one participants, who reported having subjective high stress levels, comprising of male and female adults completed the trial, which was designed as a cross-over study. They were divided into two groups. Groups 1 and 2 delivered saliva samples and completed subjective stress questionnaires. Group 1 was then treated with thoracic spinal adjustment therapy for three weeks whilst Group 2 received no intervention. Both groups repeated the tests at the three-week interval. Thereafter, Group 2 received three weeks of the same spinal adjustment therapy, whilst Group 1 received no intervention. Again, both groups repeated the tests at the end of this second three-week interval. All tests were completed at the same time of day for each participant. Salivary cortisol was measured by enzyme-linked immunoassay (ELIZA). The stress questionnaire was recoded and analysed with descriptive statistics. vii Results: Chiropractic spinal adjustment therapy resulted in a statistically significant decrease in subjective stress levels. It did not, however, significantly change salivary cortisol levels. Conclusion: This study has shown that Chiropractic spinal adjustment therapy does not significantly change salivary cortisol levels, but is successful in lowering subjective stress levels over time. It is concluded that Chiropractic plays a role in the reduction of the subjective experience of stress.
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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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- 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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