The effectiveness of chiropractic manipulation of cervicogenic headache in conjunction with cervical stabilization exercises
- Authors: Anderson, Michael Drew
- Date: 2014-05-08
- Subjects: Chiropractic , Manipulation (Therapeutics) , Headache - Chiropractic treatment
- Type: Thesis
- Identifier: uj:10987 , http://hdl.handle.net/10210/10560
- Description: M.Tech. (Chiropractic) , Cervicogenic Headache is a common musculoskeletal disorder afflicting people worldwide. It causes decreased productivity and mild to severe disability and thus has a large socio-economic impact on society. Much research is needed to improve the successful management of patients afflicted with this disorder. The aim of this study is to compare the effectiveness of spinal manipulation alone and spinal manipulation in conjunction with cervical stabilization exercises in the treatment of cervicogenic headache. Thirty eligible participants conforming to the North American Cervicogenic Headache Society classification of cervicogenic headache were solicited and randomly assigned to two groups of fifteen. Group 1 received spinal manipulative therapy to the full spine. Group 2 received spinal manipulative therapy to the full spine as well as cervical stabilization exercises. Patients were treated eight times over a four-week period with a six-week follow-up consultation thereafter. Objective and subjective measurements were taken at. the first, fourth, eighth and six-week follow-up consultations. Objective measurements consisted of cervical spine range of motion measurements. Subjective measures consisted of the Vernon-Mior neck pain and disability index and the numerical pain rating scale. Both groups displayed numerical improvements in all cervical spine ranges of motion. Both groups had statistically significant improvements in cervical spine right lateral flexion, while group 1 only had a statistically significant improvement in cervical spine left lateral flexion. Both groups displayed statistically significant improvements in the subjective measures. However, neither group had a statistically significant improvement over the other. It can be concluded that neither spinal manipulative therapy nor spinal manipulative therapy in conjunction with cervical stabilization exercises is more effective than the other. Thus rehabilitation of the cervicogenic headache patient yielded no measurable added benefit to spinal manipulative therapy only. However, results indicate that if more rigid or complex application of cervical spine stability training is incorporated, superior results may be achieved.
- Full Text:
- Authors: Anderson, Michael Drew
- Date: 2014-05-08
- Subjects: Chiropractic , Manipulation (Therapeutics) , Headache - Chiropractic treatment
- Type: Thesis
- Identifier: uj:10987 , http://hdl.handle.net/10210/10560
- Description: M.Tech. (Chiropractic) , Cervicogenic Headache is a common musculoskeletal disorder afflicting people worldwide. It causes decreased productivity and mild to severe disability and thus has a large socio-economic impact on society. Much research is needed to improve the successful management of patients afflicted with this disorder. The aim of this study is to compare the effectiveness of spinal manipulation alone and spinal manipulation in conjunction with cervical stabilization exercises in the treatment of cervicogenic headache. Thirty eligible participants conforming to the North American Cervicogenic Headache Society classification of cervicogenic headache were solicited and randomly assigned to two groups of fifteen. Group 1 received spinal manipulative therapy to the full spine. Group 2 received spinal manipulative therapy to the full spine as well as cervical stabilization exercises. Patients were treated eight times over a four-week period with a six-week follow-up consultation thereafter. Objective and subjective measurements were taken at. the first, fourth, eighth and six-week follow-up consultations. Objective measurements consisted of cervical spine range of motion measurements. Subjective measures consisted of the Vernon-Mior neck pain and disability index and the numerical pain rating scale. Both groups displayed numerical improvements in all cervical spine ranges of motion. Both groups had statistically significant improvements in cervical spine right lateral flexion, while group 1 only had a statistically significant improvement in cervical spine left lateral flexion. Both groups displayed statistically significant improvements in the subjective measures. However, neither group had a statistically significant improvement over the other. It can be concluded that neither spinal manipulative therapy nor spinal manipulative therapy in conjunction with cervical stabilization exercises is more effective than the other. Thus rehabilitation of the cervicogenic headache patient yielded no measurable added benefit to spinal manipulative therapy only. However, results indicate that if more rigid or complex application of cervical spine stability training is incorporated, superior results may be achieved.
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A survey on the use, benefit and level of training in joint manipulation by veterinarians in Johannesburg, South Africa
- Authors: Batty, Dylan Johnson
- Date: 2019
- Subjects: Manipulation (Therapeutics) , Chiropractic , Veterinarians
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/292857 , uj:31832
- Description: M.Tech. (Chiropractic) , Abstract: Purpose: To determine whether veterinarians in South Africa are using joint manipulation as part of their treatment protocol, seeing positive results from this treatment approach, and to determine if these veterinarians have received some level of training, if any, in joint manipulation therapy. This study may demonstrate, if joint manipulation is seen as beneficial, that there may be an interest in a veterinary chiropractic programme to be introduced in South Africa. Method: A survey was personally distributed to 30 veterinarians practicing in Johannesburg, with the researcher attempting to include practices from all around the city. The veterinarians were contacted in advance to ensure they would be willing to participate. The survey was anonymous, so that the answers could not be traced back to the participants. The statistical service at the University of Johannesburg (STATKON) assisted with data analysis. Results: The results of this study have shown that most veterinarians in Johannesburg are not using joint manipulation to treat their patients. Some veterinarians are using forms of joint manipulation to either diagnose or treat their patients, and to great effect, however these techniques seem to be limited by a lack of training. Most of the participants who claimed to be using joint manipulation were using these techniques to diagnose orthopaedic conditions in patients, as opposed to using these techniques as a form of treatment. When joint manipulation was used as a treatment or diagnostically, it was beneficial most of the time, and veterinarians generally were positive about its use. Conclusion: Joint manipulation was seen as a useful tool in veterinary practice, and it was implied that if more veterinarians were exposed to these techniques, they would be used more often in practice. The positive view on joint manipulation seen throughout this study may indicate that if a facility for training in veterinary chiropractic were established in South Africa, there would be plenty of interest.
- Full Text:
- Authors: Batty, Dylan Johnson
- Date: 2019
- Subjects: Manipulation (Therapeutics) , Chiropractic , Veterinarians
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/292857 , uj:31832
- Description: M.Tech. (Chiropractic) , Abstract: Purpose: To determine whether veterinarians in South Africa are using joint manipulation as part of their treatment protocol, seeing positive results from this treatment approach, and to determine if these veterinarians have received some level of training, if any, in joint manipulation therapy. This study may demonstrate, if joint manipulation is seen as beneficial, that there may be an interest in a veterinary chiropractic programme to be introduced in South Africa. Method: A survey was personally distributed to 30 veterinarians practicing in Johannesburg, with the researcher attempting to include practices from all around the city. The veterinarians were contacted in advance to ensure they would be willing to participate. The survey was anonymous, so that the answers could not be traced back to the participants. The statistical service at the University of Johannesburg (STATKON) assisted with data analysis. Results: The results of this study have shown that most veterinarians in Johannesburg are not using joint manipulation to treat their patients. Some veterinarians are using forms of joint manipulation to either diagnose or treat their patients, and to great effect, however these techniques seem to be limited by a lack of training. Most of the participants who claimed to be using joint manipulation were using these techniques to diagnose orthopaedic conditions in patients, as opposed to using these techniques as a form of treatment. When joint manipulation was used as a treatment or diagnostically, it was beneficial most of the time, and veterinarians generally were positive about its use. Conclusion: Joint manipulation was seen as a useful tool in veterinary practice, and it was implied that if more veterinarians were exposed to these techniques, they would be used more often in practice. The positive view on joint manipulation seen throughout this study may indicate that if a facility for training in veterinary chiropractic were established in South Africa, there would be plenty of interest.
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A comparative study of soft tissue therapy and ultrasound therapy versus Chiropractic manipulative and mobilization therapy, or a combination of both treatments in the treatment of acute Achilles Tendinitis
- Authors: Borowsky, Wayne Alan
- Date: 2012-09-10
- Subjects: Chiropractic , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: uj:9921 , http://hdl.handle.net/10210/7320
- Description: M.Tech. , This unblinded, controlled pilot study was conducted in order to compare the effectiveness of soft tissue therapy and ultrasound therapy, versus chiropractic manipulation and mobilization therapy, or a combination of the aforementioned therapeutic protocols in the treatment of acute Achilles tendinitis. In executing the comparison, it was hypothesized that both treatment protocols would be effective, but the combined therapy would be the most effective for the treatment of acute Achilles tendinitis, as this treatment protocol focused not only on the symptomatic pathological area entailing the Achilles tendon in this case, but also focused on the entire kinetic chain which perhaps was contributing to the pathomec.hanics in turn causing Achilles tendinitis. It is hoped that this combined therapy will be more effective in terms of a more speedy recovery and long term effect. This will not only benefit the patient from the point of view of health and quality of life, but financially as well, as less consultation fees will have to be paid. Patients were recruited for the study by the use of advertisements in newspapers and posters, or from patients entering the Technikon Witwatersrand Chiropractic Day Clinic complaining of Achilles pain. Only those forty-five patients who conformed to the specified delimitations and diagnostic criteria were accepted. These patients were randomly placed into three groups of fifteen patients each. Group one received chiropractic manipulative and mobilisation therapy and group two received soft tissue therapy and ultrasound therapy. Group three received a combination of the aforementioned therapies. Each patient received eight treatments over a three week period, ie. three treatments in weeks one and two, and two treatments in week three. After the treatment period there was a month break from the treatment and a follow-up consultation at the end of this month. This follow-up period was used to determine the lasting effects of the treatment protocol. The subjective data was collected with the use of the McGill Pain Questionnaire. The objective data was obtained from readings on the digital inclinometer, showing the extent of the ankle range of motion in dorsiflexion and plantarflexion, as well as from muscle activity levels in the triceps surae complex, recorded with the use of electromyography. Depending on normality being reached, both parametric testing and non-parametric tests were used to analyse the data. These tests were conducted on a 95% confidence level. The results indicated that all three treatments were in treating acute Achilles tendinitis. Treatment received by group one caused a generalized increase in EMG muscle activity levels specifically in the triceps surae, where as group two and group threes' treatment protocols caused an overall decrease in EMG muscle activity levels in the triceps surae. Group one showed the greatest improvement achieved in ankle range of motion in both dorsiflexion and plantarflexion throughout the study. And group one and group three showed the most significant response to treatment in terms of 100% reduction of pain and return to activity. Overall it was deduced that chiropractic manipulative and mobilization therapy were very effective in creating an increase in range of motion of the ankle joint as well as causing a significant improvement in reduction of pain in the Achilles tendon. It was noted that soft tissue therapy was beneficial in certain cases in terms of causing a relaxation in the triceps surae, as well as clearing any scar (fibrin) tissue found in the Achilles tendon. In summary group three showed the best response to treatment carried out in the study. The therapy used in group three not only directly treats the pathological injured-,Achilles tendon and associated triceps surae, but also the kinetic chain, thereby correcting any biomechanical dysfunction that could potentially be the cause of tension overload in the Achilles tendon.
- Full Text:
- Authors: Borowsky, Wayne Alan
- Date: 2012-09-10
- Subjects: Chiropractic , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: uj:9921 , http://hdl.handle.net/10210/7320
- Description: M.Tech. , This unblinded, controlled pilot study was conducted in order to compare the effectiveness of soft tissue therapy and ultrasound therapy, versus chiropractic manipulation and mobilization therapy, or a combination of the aforementioned therapeutic protocols in the treatment of acute Achilles tendinitis. In executing the comparison, it was hypothesized that both treatment protocols would be effective, but the combined therapy would be the most effective for the treatment of acute Achilles tendinitis, as this treatment protocol focused not only on the symptomatic pathological area entailing the Achilles tendon in this case, but also focused on the entire kinetic chain which perhaps was contributing to the pathomec.hanics in turn causing Achilles tendinitis. It is hoped that this combined therapy will be more effective in terms of a more speedy recovery and long term effect. This will not only benefit the patient from the point of view of health and quality of life, but financially as well, as less consultation fees will have to be paid. Patients were recruited for the study by the use of advertisements in newspapers and posters, or from patients entering the Technikon Witwatersrand Chiropractic Day Clinic complaining of Achilles pain. Only those forty-five patients who conformed to the specified delimitations and diagnostic criteria were accepted. These patients were randomly placed into three groups of fifteen patients each. Group one received chiropractic manipulative and mobilisation therapy and group two received soft tissue therapy and ultrasound therapy. Group three received a combination of the aforementioned therapies. Each patient received eight treatments over a three week period, ie. three treatments in weeks one and two, and two treatments in week three. After the treatment period there was a month break from the treatment and a follow-up consultation at the end of this month. This follow-up period was used to determine the lasting effects of the treatment protocol. The subjective data was collected with the use of the McGill Pain Questionnaire. The objective data was obtained from readings on the digital inclinometer, showing the extent of the ankle range of motion in dorsiflexion and plantarflexion, as well as from muscle activity levels in the triceps surae complex, recorded with the use of electromyography. Depending on normality being reached, both parametric testing and non-parametric tests were used to analyse the data. These tests were conducted on a 95% confidence level. The results indicated that all three treatments were in treating acute Achilles tendinitis. Treatment received by group one caused a generalized increase in EMG muscle activity levels specifically in the triceps surae, where as group two and group threes' treatment protocols caused an overall decrease in EMG muscle activity levels in the triceps surae. Group one showed the greatest improvement achieved in ankle range of motion in both dorsiflexion and plantarflexion throughout the study. And group one and group three showed the most significant response to treatment in terms of 100% reduction of pain and return to activity. Overall it was deduced that chiropractic manipulative and mobilization therapy were very effective in creating an increase in range of motion of the ankle joint as well as causing a significant improvement in reduction of pain in the Achilles tendon. It was noted that soft tissue therapy was beneficial in certain cases in terms of causing a relaxation in the triceps surae, as well as clearing any scar (fibrin) tissue found in the Achilles tendon. In summary group three showed the best response to treatment carried out in the study. The therapy used in group three not only directly treats the pathological injured-,Achilles tendon and associated triceps surae, but also the kinetic chain, thereby correcting any biomechanical dysfunction that could potentially be the cause of tension overload in the Achilles tendon.
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A study to compare the effect of lumbar spine adjustments, rectus femoris muscle stretches and a combination of both treatments on the flexibility of the rectus femoris muscles
- Authors: Boshoff, Anèe
- Date: 2012-03-27
- Subjects: Manipulation (Therapeutics) , Chiropractic , Lumbar vertebrae treatment
- Type: Thesis
- Identifier: uj:2193 , http://hdl.handle.net/10210/4584
- Description: M.Tech. , This unblinded, randomised pilot study was performed to determine and compare the effect of innervation specific lumbar spine adjustments and stretching on the flexibility of the rectus femoris muscles in asymptomatic subjects. Twelve asymptomatic subjects between the ages of 20 and 30 years were recruited by the use of advertisements placed around the University of Johannesburg, Doornfontein Campus. The inclusion criteria required that the patient had decreased rectus femoris muscle flexibility (testing positive on the rectus femoris contracture test) and no history of, or any current osteoarthritis or pathology of the hips or knees. The patients were randomly placed into one of three groups by drawing a group number from a closed bag. Group 1 consisted of four subjects receiving a single lumbar spine adjustment per treatment relating to the most restricted segment in the L2-L4 area as well as bilateral proprioceptive neuromuscular facilitation (PNF) of the rectus femoris muscles; Group 2 consisted of four subjects receiving bilateral rectus femoris muscle stretches (PNF); and Group 3 consisted of four subjects who received a single lumbar spine adjustment at the L2-L4 area to the most restricted segment found. One adjustment per treatment was performed. With the subject in the rectus femoris contracture test position, a goniometer was used to measure the knee range of motion bilaterally before and after treatments. These measurements were used as objective data. Each subject was treated twelve times over a four to six week period. The objective results indicated that there was a statistically significant improvement in rectus femoris muscle flexibility in both Group 1 and Group 3. In conclusion, it was shown that specific adjustments at the spinal level of the nerve innervation for the rectus femoris muscle resulted in an improvement of the flexibility of the rectus femoris muscle and with a greater effect on the leg ipsilateral to the side of the spinal adjustment. This gives support for the effectiveness of innervation specific spinal adjustments.
- Full Text:
- Authors: Boshoff, Anèe
- Date: 2012-03-27
- Subjects: Manipulation (Therapeutics) , Chiropractic , Lumbar vertebrae treatment
- Type: Thesis
- Identifier: uj:2193 , http://hdl.handle.net/10210/4584
- Description: M.Tech. , This unblinded, randomised pilot study was performed to determine and compare the effect of innervation specific lumbar spine adjustments and stretching on the flexibility of the rectus femoris muscles in asymptomatic subjects. Twelve asymptomatic subjects between the ages of 20 and 30 years were recruited by the use of advertisements placed around the University of Johannesburg, Doornfontein Campus. The inclusion criteria required that the patient had decreased rectus femoris muscle flexibility (testing positive on the rectus femoris contracture test) and no history of, or any current osteoarthritis or pathology of the hips or knees. The patients were randomly placed into one of three groups by drawing a group number from a closed bag. Group 1 consisted of four subjects receiving a single lumbar spine adjustment per treatment relating to the most restricted segment in the L2-L4 area as well as bilateral proprioceptive neuromuscular facilitation (PNF) of the rectus femoris muscles; Group 2 consisted of four subjects receiving bilateral rectus femoris muscle stretches (PNF); and Group 3 consisted of four subjects who received a single lumbar spine adjustment at the L2-L4 area to the most restricted segment found. One adjustment per treatment was performed. With the subject in the rectus femoris contracture test position, a goniometer was used to measure the knee range of motion bilaterally before and after treatments. These measurements were used as objective data. Each subject was treated twelve times over a four to six week period. The objective results indicated that there was a statistically significant improvement in rectus femoris muscle flexibility in both Group 1 and Group 3. In conclusion, it was shown that specific adjustments at the spinal level of the nerve innervation for the rectus femoris muscle resulted in an improvement of the flexibility of the rectus femoris muscle and with a greater effect on the leg ipsilateral to the side of the spinal adjustment. This gives support for the effectiveness of innervation specific spinal adjustments.
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Investigating the effects of chiropractic manipulative therapy in power output over a one kilometer distance in asymptomatic amateur cyclists
- Authors: Coetzee, Marius
- Date: 2015-07-15
- Subjects: Chiropractic , Manipulation (Therapeutics) , Cycling - Physiological aspects
- Type: Thesis
- Identifier: uj:13778 , http://hdl.handle.net/10210/14043
- Description: M.Tech. (Chiropractic) , Background: Sport as a whole, and especially cycling, has become a major part of the majority of the world population’s daily lives. There have been several studies done to determine the effects of chiropractic treatment on individual muscle groups (Maris, 2003; Sher, 2002). However, very few studies have been done to look at the combined effects of chiropractic on the performance of specific sports. Objective: To investigate the effects of chiropractic manipulative therapy on power output over a one kilometer distance in asymptomatic amateur cyclists. Method: The study consisted of 30 participants. All participants accepted had to meet the inclusion criteria. They were equally and randomly allocated into 3 groups. Group 1 received chiropractic therapy of the lumbar spine. Group 2 received chiropractic therapy of the sacroiliac joint whilst participants in Group 3 received no immediate intervention as they were the control group. Participants in Group 1 and 2 were motion palpated to determine the level of spinal dysfunction. All three groups then cycled on a stationary bike for a one kilometer sprint. Allocated treatment for Group 1 and Group 2 then followed, with Group 3 receiving no intervention. Objective measurements consisted of average power output as well as time over the one kilometer distance from start to finish. Results: Both test groups showed significant clinical as well as statistical improvement over the six week clinical study period. This means that as the average power output measurements increased, the time decreased for both Group 1 and Group 2. Although there were some degree of increased power output and decrease in time of Group 3, it was not significant enough to say that they had increased performance. Conclusion: Chiropractic manipulative therapy did cause an increase in average power output in asymptomatic amateur cyclists over a one kilometer distance.
- Full Text:
- Authors: Coetzee, Marius
- Date: 2015-07-15
- Subjects: Chiropractic , Manipulation (Therapeutics) , Cycling - Physiological aspects
- Type: Thesis
- Identifier: uj:13778 , http://hdl.handle.net/10210/14043
- Description: M.Tech. (Chiropractic) , Background: Sport as a whole, and especially cycling, has become a major part of the majority of the world population’s daily lives. There have been several studies done to determine the effects of chiropractic treatment on individual muscle groups (Maris, 2003; Sher, 2002). However, very few studies have been done to look at the combined effects of chiropractic on the performance of specific sports. Objective: To investigate the effects of chiropractic manipulative therapy on power output over a one kilometer distance in asymptomatic amateur cyclists. Method: The study consisted of 30 participants. All participants accepted had to meet the inclusion criteria. They were equally and randomly allocated into 3 groups. Group 1 received chiropractic therapy of the lumbar spine. Group 2 received chiropractic therapy of the sacroiliac joint whilst participants in Group 3 received no immediate intervention as they were the control group. Participants in Group 1 and 2 were motion palpated to determine the level of spinal dysfunction. All three groups then cycled on a stationary bike for a one kilometer sprint. Allocated treatment for Group 1 and Group 2 then followed, with Group 3 receiving no intervention. Objective measurements consisted of average power output as well as time over the one kilometer distance from start to finish. Results: Both test groups showed significant clinical as well as statistical improvement over the six week clinical study period. This means that as the average power output measurements increased, the time decreased for both Group 1 and Group 2. Although there were some degree of increased power output and decrease in time of Group 3, it was not significant enough to say that they had increased performance. Conclusion: Chiropractic manipulative therapy did cause an increase in average power output in asymptomatic amateur cyclists over a one kilometer distance.
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The effects of diversified chiropractic manipulation versus sacro-occipital technique in chiropractic management of sacroiliac syndrome
- Authors: Dell, Charmaine
- Date: 2008-09-01T10:19:33Z
- Subjects: Chiropractic , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: http://ujcontent.uj.ac.za8080/10210/374055 , uj:4241 , http://hdl.handle.net/10210/959
- Description: Purpose: The purpose of this pilot study was to assess the effects of Diversified Manipulation versus Sacro-Occipital Technique in the management and treatment of Sacroiliac Syndrome. Method: This study consisted of two groups, a Diversified group consisting of 15 subjects with Sacroiliac Syndrome and a Sacro-Occipital Technique group consisting of 15 subjects with Sacroiliac Syndrome. The subjects were between the ages of 18 and 55 years. Potential candidates were examined and accepted based on the inclusion and exclusion criteria. The Diversified group received Diversified Manipulative therapy to the sacroiliac joint, while the Sacro-Occipital group received SOT Category 2 blocking, from which the subjective and objective findings were based. Procedure: Each successful candidate was treated six times over a two-week period. Before the commencement of the treatment one, three and six, the candidate completed the Oswestry Back Pain and Disability Index questionnaire and the Numerical Pain Rating Scale. Digital Inclinometer readings were taken of the thoracolumbar and lumbosacral regions of the spine. Sacroiliac Manipulation was then administered to the Diversified group based on the restrictions obtained during motion palpation. Category 2 blocking was administered to the Sacro-Occipital Technique group based on the SOT Category 2 categorization test findings. The same treatment was administered at each of the six treatment sessions. Results: Objective statistically significant differences were noted on lateral flexion range of motion, in favour of the Sacro-Occipital Technique group. Subjective readings also showed statistically significant differences with regards to Oswestry Back Pain and Disability Index and Numerical Pain Rating Scale in favour of both the Diversified group and the Sacro-Occipital Technique group. Conclusion: The results of the study indicate that both Sacro-Occipital Technique and Diversified have a positive effect on patients suffering from Sacroiliac Syndrome. However, Sacro-Occipital Technique proved to have a greater overall benefit compared to Diversified manipulation in the treatment and management of Sacroiliac Syndrome. It should be emphasized that the present study was a pilot study to determine the effects of Diversified manipulation versus Sacro-Occipital Technique in the management of Sacroiliac Syndrome. Accurate conclusions could not be formulated due to the remainder non-significant statistical findings obtained from the study; therefore further research needs to be conducted on this comparative study. , Dr. B. Losco Dr. C. D. Losco
- Full Text:
- Authors: Dell, Charmaine
- Date: 2008-09-01T10:19:33Z
- Subjects: Chiropractic , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: http://ujcontent.uj.ac.za8080/10210/374055 , uj:4241 , http://hdl.handle.net/10210/959
- Description: Purpose: The purpose of this pilot study was to assess the effects of Diversified Manipulation versus Sacro-Occipital Technique in the management and treatment of Sacroiliac Syndrome. Method: This study consisted of two groups, a Diversified group consisting of 15 subjects with Sacroiliac Syndrome and a Sacro-Occipital Technique group consisting of 15 subjects with Sacroiliac Syndrome. The subjects were between the ages of 18 and 55 years. Potential candidates were examined and accepted based on the inclusion and exclusion criteria. The Diversified group received Diversified Manipulative therapy to the sacroiliac joint, while the Sacro-Occipital group received SOT Category 2 blocking, from which the subjective and objective findings were based. Procedure: Each successful candidate was treated six times over a two-week period. Before the commencement of the treatment one, three and six, the candidate completed the Oswestry Back Pain and Disability Index questionnaire and the Numerical Pain Rating Scale. Digital Inclinometer readings were taken of the thoracolumbar and lumbosacral regions of the spine. Sacroiliac Manipulation was then administered to the Diversified group based on the restrictions obtained during motion palpation. Category 2 blocking was administered to the Sacro-Occipital Technique group based on the SOT Category 2 categorization test findings. The same treatment was administered at each of the six treatment sessions. Results: Objective statistically significant differences were noted on lateral flexion range of motion, in favour of the Sacro-Occipital Technique group. Subjective readings also showed statistically significant differences with regards to Oswestry Back Pain and Disability Index and Numerical Pain Rating Scale in favour of both the Diversified group and the Sacro-Occipital Technique group. Conclusion: The results of the study indicate that both Sacro-Occipital Technique and Diversified have a positive effect on patients suffering from Sacroiliac Syndrome. However, Sacro-Occipital Technique proved to have a greater overall benefit compared to Diversified manipulation in the treatment and management of Sacroiliac Syndrome. It should be emphasized that the present study was a pilot study to determine the effects of Diversified manipulation versus Sacro-Occipital Technique in the management of Sacroiliac Syndrome. Accurate conclusions could not be formulated due to the remainder non-significant statistical findings obtained from the study; therefore further research needs to be conducted on this comparative study. , Dr. B. Losco Dr. C. D. Losco
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The immediate effect of sacroiliac joint adjustment on functional leg length inequality
- Authors: Dryden-Schofield, Cherie
- Date: 2013-12-09
- Subjects: Chiropractic , Sacroiliac joint , Leg length inequality , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: uj:7823 , http://hdl.handle.net/10210/8717
- Description: M.Tech. (Chiropractic) , Purpose: To establish the immediate effect of sacroiliac joint adjustment on functional leg length Method: Seventy participants were randomly divided in two equal groups. Participants of Group A (n=35) leg length was measured pre and immediately post adjustment of dysfunctional sacroiliac joint. Group B (n=35) received the same assessment protocol with no adjustment being administered. The trial consisted of one treatment session only in which all data was obtained. Objective data consisted of measuring participant’s leg length from the anterior superior iliac spine to the apex of the medial malleolus using the standardized tape measure method. Subjective data was obtained through performing four sacroiliac joint orthopaedic tests or each participant’s and recording the results. Results: The subjective results showed positive results in at least three out of four of the orthopedic tests for the participants of both groups. The sacral thrust technique and sacroiliac joint compression showed a greater percentage positive result in Group A at 91.4% where as the sacroiliac joint distraction was positive in 94.3% of the participants in Group B. Gaenslen’s showed the least accuracy with a positive result in 82.9% of participants in Group A and 74.3% in Group B. Objectively, Shapiro-Wilk analysis indicated a statistically significant (p =0.014) change in the length of the left leg after treatment in Group A. A significant change in the length of both the right (p = 0.002) and left (p = 0.034) leg was found in Group B following assessment. Conclusion: The study showed that adjustment of the sacroiliac joint does not consistently result in change in functional leg length inequality. This information suggests that the assessment of functional leg length should not be used as the sole assessment tool in the diagnosis of sacroiliac joint dysfunction. Practitioners should rather incorporate a variety of assessment methods as the inequality may be caused by factors unrelated to the dysfunction.
- Full Text:
- Authors: Dryden-Schofield, Cherie
- Date: 2013-12-09
- Subjects: Chiropractic , Sacroiliac joint , Leg length inequality , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: uj:7823 , http://hdl.handle.net/10210/8717
- Description: M.Tech. (Chiropractic) , Purpose: To establish the immediate effect of sacroiliac joint adjustment on functional leg length Method: Seventy participants were randomly divided in two equal groups. Participants of Group A (n=35) leg length was measured pre and immediately post adjustment of dysfunctional sacroiliac joint. Group B (n=35) received the same assessment protocol with no adjustment being administered. The trial consisted of one treatment session only in which all data was obtained. Objective data consisted of measuring participant’s leg length from the anterior superior iliac spine to the apex of the medial malleolus using the standardized tape measure method. Subjective data was obtained through performing four sacroiliac joint orthopaedic tests or each participant’s and recording the results. Results: The subjective results showed positive results in at least three out of four of the orthopedic tests for the participants of both groups. The sacral thrust technique and sacroiliac joint compression showed a greater percentage positive result in Group A at 91.4% where as the sacroiliac joint distraction was positive in 94.3% of the participants in Group B. Gaenslen’s showed the least accuracy with a positive result in 82.9% of participants in Group A and 74.3% in Group B. Objectively, Shapiro-Wilk analysis indicated a statistically significant (p =0.014) change in the length of the left leg after treatment in Group A. A significant change in the length of both the right (p = 0.002) and left (p = 0.034) leg was found in Group B following assessment. Conclusion: The study showed that adjustment of the sacroiliac joint does not consistently result in change in functional leg length inequality. This information suggests that the assessment of functional leg length should not be used as the sole assessment tool in the diagnosis of sacroiliac joint dysfunction. Practitioners should rather incorporate a variety of assessment methods as the inequality may be caused by factors unrelated to the dysfunction.
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The effects of sacroiliac manipulative therapy versus functional and kinetic treatment with rehabilitation on improving hamstring flexibility
- Authors: Gouws, Estelle
- Date: 2015-07-14
- Subjects: Hamstring muscle , Sacroiliac joint , Joints - Range of motion , Manipulation (Therapeutics) , Chiropractic
- Type: Thesis
- Identifier: uj:13725 , http://hdl.handle.net/10210/13991
- Description: M.Tech. (Chiropractic) , Background: In sporting activity, especially rugby, soccer, cricket and hockey, re-occurring hamstring injuries are a common sight that suggests that there is an opening for an improvement in the treatment and management of these injuries. This can be debilitating to any sportsman as it results in recurrent time away from his/her sporting activity. A study by Fyfer, Yelverton and Sher (2005), found that sacroiliac manipulation alone had a positive effect in the treatment of recurrent hamstring injuries. Cibuklka, Rose, Delitto and Sinacore (1986), proposed a possible link between hamstring muscle injuries and sacroiliac joint dysfunction. A study conducted by Donahue, Docherty and Schrader (2010), on the effects of Graston technique on pressure pain threshold, revealed a significant improvement in the patient’s pain threshold due to the fact that the instrument assisted technique effectively broke down scar tissue and correct fascial restrictions. The FAKTR approach to soft tissue dysfunction combines instrument-assisted soft tissue mobilization (Graston Technique) with proprioceptive (functional) techniques to reduce pain and return to function (Hyde and Doerr, 2012). Objective: This blinded, randomised pilot study was done to investigate the effects of sacroiliac joint manipulative therapy versus functional and kinetic treatment with rehabilitation on hamstring flexibility in previously injured hamstring muscle. Design: The study consisted of 30 participants recruited from the University of Johannesburg by word of mouth and posters, which met the inclusion criteria. They were equally and randomly divided into 2 groups. Group 1 received chiropractic therapy of the sacroiliac joint. Group 2 received functional and kinetic treatment with rehabilitation. Objective measurements consisted of digital inclinometer which measured the flexibility and range of motion of the hamstring muscle. The pressure algometry was used to measure pain pressure threshold. Procedure: Both group participants hamstring flexibility and ranges of motion were tested. Group 1 participants were motion palpated to determine sacroiliac joint dysfunction and treated with a high velocity, low amplitude trust to restricted segment, group 2 received functional and kinetic treatment with rehabilitation. Results: The statistical results should be viewed with regards that this study only represent a small group of thirty participants and therefore no assumption can be made with respect to whole population. The p-value was set at 0.05 and represents the level of significance of the results. If the p-value was less or equal to 0.05 (p≤0.05) there was a statistical significance finding. If the p-value is greater than 0.05 (p>0.05) vi there was no statistical finding. Statistical significance only means that a given result is unlikely to have occurred by chance. Analysis included demographic data analysis of age and gender. Objective data were collected using Digital Inclinometer and Pressure Algometry. Intra-group and inter-group analysis was done on straight leg raise, passive knee extension, hip extension, lateral rotation of the hip and medial rotation of the hip. The Shapiro-Wilk test was performed to determine normality. As normality could not be assumed, non-parametric testing were used to do intra-group analysis. The Non-parametric Friedman test was used to determine if a change occurred over time. As change did occur over time the Wilcoxon Signed Rank Test was use to determined where the change within each group occurred. The Mann-Whitney U test was also used to determine if any difference between the groups were present at any given time. At the end of the study both test groups showed significant clinical as well as statistical improvement over the three week course of the study. Conclusion: The FAKTR treatment did clinically have the greatest improvement, however the changes seen was not statistically superior to those seen with the sacroiliac joint manipulation treatment. A statistical significant improvement was seen in both treatment protocols, concluding that both the spinal manipulative therapy and the functional and kinetic treatment with rehabilitation could be proficient protocols in treating hamstring flexibility.
- Full Text:
- Authors: Gouws, Estelle
- Date: 2015-07-14
- Subjects: Hamstring muscle , Sacroiliac joint , Joints - Range of motion , Manipulation (Therapeutics) , Chiropractic
- Type: Thesis
- Identifier: uj:13725 , http://hdl.handle.net/10210/13991
- Description: M.Tech. (Chiropractic) , Background: In sporting activity, especially rugby, soccer, cricket and hockey, re-occurring hamstring injuries are a common sight that suggests that there is an opening for an improvement in the treatment and management of these injuries. This can be debilitating to any sportsman as it results in recurrent time away from his/her sporting activity. A study by Fyfer, Yelverton and Sher (2005), found that sacroiliac manipulation alone had a positive effect in the treatment of recurrent hamstring injuries. Cibuklka, Rose, Delitto and Sinacore (1986), proposed a possible link between hamstring muscle injuries and sacroiliac joint dysfunction. A study conducted by Donahue, Docherty and Schrader (2010), on the effects of Graston technique on pressure pain threshold, revealed a significant improvement in the patient’s pain threshold due to the fact that the instrument assisted technique effectively broke down scar tissue and correct fascial restrictions. The FAKTR approach to soft tissue dysfunction combines instrument-assisted soft tissue mobilization (Graston Technique) with proprioceptive (functional) techniques to reduce pain and return to function (Hyde and Doerr, 2012). Objective: This blinded, randomised pilot study was done to investigate the effects of sacroiliac joint manipulative therapy versus functional and kinetic treatment with rehabilitation on hamstring flexibility in previously injured hamstring muscle. Design: The study consisted of 30 participants recruited from the University of Johannesburg by word of mouth and posters, which met the inclusion criteria. They were equally and randomly divided into 2 groups. Group 1 received chiropractic therapy of the sacroiliac joint. Group 2 received functional and kinetic treatment with rehabilitation. Objective measurements consisted of digital inclinometer which measured the flexibility and range of motion of the hamstring muscle. The pressure algometry was used to measure pain pressure threshold. Procedure: Both group participants hamstring flexibility and ranges of motion were tested. Group 1 participants were motion palpated to determine sacroiliac joint dysfunction and treated with a high velocity, low amplitude trust to restricted segment, group 2 received functional and kinetic treatment with rehabilitation. Results: The statistical results should be viewed with regards that this study only represent a small group of thirty participants and therefore no assumption can be made with respect to whole population. The p-value was set at 0.05 and represents the level of significance of the results. If the p-value was less or equal to 0.05 (p≤0.05) there was a statistical significance finding. If the p-value is greater than 0.05 (p>0.05) vi there was no statistical finding. Statistical significance only means that a given result is unlikely to have occurred by chance. Analysis included demographic data analysis of age and gender. Objective data were collected using Digital Inclinometer and Pressure Algometry. Intra-group and inter-group analysis was done on straight leg raise, passive knee extension, hip extension, lateral rotation of the hip and medial rotation of the hip. The Shapiro-Wilk test was performed to determine normality. As normality could not be assumed, non-parametric testing were used to do intra-group analysis. The Non-parametric Friedman test was used to determine if a change occurred over time. As change did occur over time the Wilcoxon Signed Rank Test was use to determined where the change within each group occurred. The Mann-Whitney U test was also used to determine if any difference between the groups were present at any given time. At the end of the study both test groups showed significant clinical as well as statistical improvement over the three week course of the study. Conclusion: The FAKTR treatment did clinically have the greatest improvement, however the changes seen was not statistically superior to those seen with the sacroiliac joint manipulation treatment. A statistical significant improvement was seen in both treatment protocols, concluding that both the spinal manipulative therapy and the functional and kinetic treatment with rehabilitation could be proficient protocols in treating hamstring flexibility.
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The effects of chiropractic mobilisation and oral administration of Seatone in the treatment of osteoarthritis of the knee joint
- Authors: Hawkings, Tanith
- Date: 2012-08-28
- Subjects: Chiropractic , Manipulation (Therapeutics) , Osteoarthritis - Chiropractic treatment , Seatone
- Type: Thesis
- Identifier: uj:3286 , http://hdl.handle.net/10210/6691
- Description: M.Tech. , Osteoarthritis (OA) is a common and severely disabling disease (I). Chiropractic mobilisation functions well to improve mobility, relieve pain and promote healing (2). Non-steroidal anti-inflammatory drugs (NSAIDs) are commonly used for the treatment of OA. Their role in OA, however, is not clearly understood (3). Adverse side effects and the cost of NSAIDs also remain a problem (4). Seatone is a health supplement that has therapeutic properties that provides symptomatic relief of OA by means of its anti-inflammatory action (5,6). Seatone produces a slow, but progressive relief from pain and stiffness and improves quality of life (7' 8). The purpose of this study was to determine the effect of Seatone on the treatment of OA. This was achieved by comparing Chiropractic mobilisation (in preference to Chiropractic manipulation) in conjunction with oral administration of Seatone to Chiropractic mobilisation or oral administration of Seatone alone, by means of subjective and objective measurements. The study required forty-five subjects, above the age of thirty-eight years, suffering from OA of the knee joint, according to the classification criteria (Appendix A). The subjects were screened according to the exclusion and inclusion criteria and all the relevant forms, questionnaires and clinical examinations were completed. The subjects were randomly assigned to one of three treatment groups. Treatment was conducted over a period of eight weeks. Objective or goniometer readings and subjective measurements were done prior to and following treatment to determine the effect of the therapies. The subjective measurements were taken from the Numerical Rating Scale (NRS), the Visual Analogue Scale (VAS) and the McGill Pain Questionnaire. The Cincinnati Knee Rating System, a comprehensive knee questionnaire, was completed at the initial and final consultation. A combined treatment of Chiropractic mobilisation and oral administration of Seatone or oral administration of Seatone alone showed a greater mean improvement than Chiropractic mobilisation alone, in mobility. There was no significant difference in the assessment of pain between the three groups. However, results show that Seatone has a positive effect in the treatment of OA of the knee, for improving mobility.
- Full Text:
- Authors: Hawkings, Tanith
- Date: 2012-08-28
- Subjects: Chiropractic , Manipulation (Therapeutics) , Osteoarthritis - Chiropractic treatment , Seatone
- Type: Thesis
- Identifier: uj:3286 , http://hdl.handle.net/10210/6691
- Description: M.Tech. , Osteoarthritis (OA) is a common and severely disabling disease (I). Chiropractic mobilisation functions well to improve mobility, relieve pain and promote healing (2). Non-steroidal anti-inflammatory drugs (NSAIDs) are commonly used for the treatment of OA. Their role in OA, however, is not clearly understood (3). Adverse side effects and the cost of NSAIDs also remain a problem (4). Seatone is a health supplement that has therapeutic properties that provides symptomatic relief of OA by means of its anti-inflammatory action (5,6). Seatone produces a slow, but progressive relief from pain and stiffness and improves quality of life (7' 8). The purpose of this study was to determine the effect of Seatone on the treatment of OA. This was achieved by comparing Chiropractic mobilisation (in preference to Chiropractic manipulation) in conjunction with oral administration of Seatone to Chiropractic mobilisation or oral administration of Seatone alone, by means of subjective and objective measurements. The study required forty-five subjects, above the age of thirty-eight years, suffering from OA of the knee joint, according to the classification criteria (Appendix A). The subjects were screened according to the exclusion and inclusion criteria and all the relevant forms, questionnaires and clinical examinations were completed. The subjects were randomly assigned to one of three treatment groups. Treatment was conducted over a period of eight weeks. Objective or goniometer readings and subjective measurements were done prior to and following treatment to determine the effect of the therapies. The subjective measurements were taken from the Numerical Rating Scale (NRS), the Visual Analogue Scale (VAS) and the McGill Pain Questionnaire. The Cincinnati Knee Rating System, a comprehensive knee questionnaire, was completed at the initial and final consultation. A combined treatment of Chiropractic mobilisation and oral administration of Seatone or oral administration of Seatone alone showed a greater mean improvement than Chiropractic mobilisation alone, in mobility. There was no significant difference in the assessment of pain between the three groups. However, results show that Seatone has a positive effect in the treatment of OA of the knee, for improving mobility.
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Investigating the presence of an intra-articular gas bubble after an adjustment
- Authors: Jones, Allan Ray
- Date: 2012-06-07
- Subjects: Physical therapy , Manipulation (Therapeutics) , Chiropractic
- Type: Thesis
- Identifier: uj:8677 , http://hdl.handle.net/10210/5032
- Description: M.Tech. , This study aims to, using diagnostic musculoskeletal ultrasound, investigate the presence of intra-articular gas bubbles in the trapeziometacarpal (TMC) joint cavity in the absence of an axial distractive load, after a high velocity low amplitude (HVLA) Chiropractic adjustment and assess the state of the gas bubble after a 20 minute refractory period. Using plain film radiography, several authors, (Roston and Wheeler Haines, 1947, Semlak and Ferguson, 1970, Unsworth, Dowson and Wright, 1971 and Watson, Kernohan and Mollan, 1989) have consistently demonstrated the presence of an intra-articular radiolucent space in an MCP joint after cavitation. The MCP joint was always manipulated with an axial distractive load. The singular radiolucent cavity was shown to be visible only if an axial distractive force was acting across the joint at the time of the post-manipulation radiograph. Cramer, Tuck, Todd Knudsen, Fonda, Schliesser, Fournier and Patel, (2000), have used magnetic resonance imaging (MRI) to demonstrate a significant increase in the lumbar zygapophyseal joint spaces (0,7 mm) after an adjustment versus the control group (0,0 mm increase). The observed increase in joint space was the primary aim of their research and no reference is made to the presence of an intra-articular gas bubble or any apparent changes in joint space density on post-adjustment MRI scans. They attribute this increase in joint space to breaking of intra-articular adhesions. Using computed tomography (CT) and Radiography, Cascioli, Corr and Till, (2002), reported that no gas bubbles were visualised in the cervical facet joints after an adjustment, with and without traction. This study consisted of 18 participants between the ages of 21 and 26. A pertinent physical examination and a regional examination of the forearm hand and wrist were conducted to ensure no significant pathologies would exclude them from the study. The TMC articular cavity was scanned by an experienced musculoskeletal ultrasonographer at three intervals: pre-adjustment, directly post-adjustment, and at 20 minutes post- adjustment. The ultrasonograms were saved as digital copies for subsequent reports which were correlated with reports compiled during dynamic visualisation of the articular cavity at the time of scanning. The TMC joint was scanned in a physiological position i.e. there was no axial distractive load acting across the joint during any of the three scans.
- Full Text:
- Authors: Jones, Allan Ray
- Date: 2012-06-07
- Subjects: Physical therapy , Manipulation (Therapeutics) , Chiropractic
- Type: Thesis
- Identifier: uj:8677 , http://hdl.handle.net/10210/5032
- Description: M.Tech. , This study aims to, using diagnostic musculoskeletal ultrasound, investigate the presence of intra-articular gas bubbles in the trapeziometacarpal (TMC) joint cavity in the absence of an axial distractive load, after a high velocity low amplitude (HVLA) Chiropractic adjustment and assess the state of the gas bubble after a 20 minute refractory period. Using plain film radiography, several authors, (Roston and Wheeler Haines, 1947, Semlak and Ferguson, 1970, Unsworth, Dowson and Wright, 1971 and Watson, Kernohan and Mollan, 1989) have consistently demonstrated the presence of an intra-articular radiolucent space in an MCP joint after cavitation. The MCP joint was always manipulated with an axial distractive load. The singular radiolucent cavity was shown to be visible only if an axial distractive force was acting across the joint at the time of the post-manipulation radiograph. Cramer, Tuck, Todd Knudsen, Fonda, Schliesser, Fournier and Patel, (2000), have used magnetic resonance imaging (MRI) to demonstrate a significant increase in the lumbar zygapophyseal joint spaces (0,7 mm) after an adjustment versus the control group (0,0 mm increase). The observed increase in joint space was the primary aim of their research and no reference is made to the presence of an intra-articular gas bubble or any apparent changes in joint space density on post-adjustment MRI scans. They attribute this increase in joint space to breaking of intra-articular adhesions. Using computed tomography (CT) and Radiography, Cascioli, Corr and Till, (2002), reported that no gas bubbles were visualised in the cervical facet joints after an adjustment, with and without traction. This study consisted of 18 participants between the ages of 21 and 26. A pertinent physical examination and a regional examination of the forearm hand and wrist were conducted to ensure no significant pathologies would exclude them from the study. The TMC articular cavity was scanned by an experienced musculoskeletal ultrasonographer at three intervals: pre-adjustment, directly post-adjustment, and at 20 minutes post- adjustment. The ultrasonograms were saved as digital copies for subsequent reports which were correlated with reports compiled during dynamic visualisation of the articular cavity at the time of scanning. The TMC joint was scanned in a physiological position i.e. there was no axial distractive load acting across the joint during any of the three scans.
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A comparison of the effects of ultrasound interferential current therapy versus a combination of lumbar spine chiropractic adjustments and ultrasound interferential current therapy in the treatment of lumbar facet syndrome
- Authors: Kaye-Eddie, Cheri
- Date: 2014-06-19
- Subjects: Chiropractic , Chiropractic adjustments , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: uj:11546 , http://hdl.handle.net/10210/11253
- Description: M.Tech. (Chiropractic) , Please refer to full text to view abstract
- Full Text:
- Authors: Kaye-Eddie, Cheri
- Date: 2014-06-19
- Subjects: Chiropractic , Chiropractic adjustments , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: uj:11546 , http://hdl.handle.net/10210/11253
- Description: M.Tech. (Chiropractic) , Please refer to full text to view abstract
- Full Text:
The effect of cervical spinal manipulative therapy on attention and higher-level cognitive functioning and processing
- Authors: Kotze, Elize
- Date: 2009-03-31T09:32:39Z
- Subjects: Manipulation (Therapeutics) , Chiropractic
- Type: Thesis
- Identifier: uj:8256 , http://hdl.handle.net/10210/2367
- Description: M.Tech. , Terrett (1994) has a theory that diminished blood flow to the brain causes some areas to ‘hibernate’ that is, remain alive, but not function, resulting in diminished mental capacity. He also states that he is sure this is exactly what happens to many people every day, and that it could be the reason they suffer from problems such as tiredness, headache, depression, irritability, difficulty concentrating, poor attention span, visual difficulty, and so forth (Terrett, 1994). Brain function can be detrimentally affected by occipito-atlanto-axial subluxations (Eriksen, 2004). Research showed an improved brain stem evoked response after patients were adjusted. This indicated that the neural messages were going through their brain stems more quickly or with less delay (Shambaugh, Pearlman & Hauck, 1991). The aim of this study was to determine whether spinal manipulative therapy of the cervical spinal segments have any influence on the attention and higherlevel cognitive functioning and processing of an individual who has not received any chiropractic treatment to his/her cervical spine three months prior to the study. Any patient presenting to the University of Johannesburg Chiropractic Day Clinic was considered a potential candidate for the study. The patients were briefly screened through a case history, pertinent physical examination, cervical spine examination and soap note (Appendix E, F, G and H) that were performed at the initial consultation to determine the patients’ suitability for the study. The participants were invited to sign a consent form. In total forty participants were invited to take part in the study. Participants were put into either the adjusting group, or the control group, according to their gender and age. Participants received spinal manipulative therapy to all restricted segments in their cervical spines. Participants in the PDF created with pdfFactory Pro trial version www.pdffactory.com iv control group received detuned ultrasound therapy over the posterior aspect of their cervical spines. Both groups performed the coding test (Appendix D) before their first treatment and after their third treatment, as well as a questionnaire to obtain some personal information and to indicate their present feelings and emotions (Appendix C). The results indicate that there was a statistical difference at the ten percent level of significance in terms of the average number of blocks completed and the average number of blocks filled in correctly for the adjusting group. There was also a statistical difference at the ten percent level of significance in terms of the average number of blocks / symbols changed for the control group. The adjusting group worked more effectively and made fewer mistakes than the control group after the treatment trial was completed. For the chiropractic profession this opens huge potential with regards to the chiropractic benefits and improving the functioning of the society.
- Full Text:
- Authors: Kotze, Elize
- Date: 2009-03-31T09:32:39Z
- Subjects: Manipulation (Therapeutics) , Chiropractic
- Type: Thesis
- Identifier: uj:8256 , http://hdl.handle.net/10210/2367
- Description: M.Tech. , Terrett (1994) has a theory that diminished blood flow to the brain causes some areas to ‘hibernate’ that is, remain alive, but not function, resulting in diminished mental capacity. He also states that he is sure this is exactly what happens to many people every day, and that it could be the reason they suffer from problems such as tiredness, headache, depression, irritability, difficulty concentrating, poor attention span, visual difficulty, and so forth (Terrett, 1994). Brain function can be detrimentally affected by occipito-atlanto-axial subluxations (Eriksen, 2004). Research showed an improved brain stem evoked response after patients were adjusted. This indicated that the neural messages were going through their brain stems more quickly or with less delay (Shambaugh, Pearlman & Hauck, 1991). The aim of this study was to determine whether spinal manipulative therapy of the cervical spinal segments have any influence on the attention and higherlevel cognitive functioning and processing of an individual who has not received any chiropractic treatment to his/her cervical spine three months prior to the study. Any patient presenting to the University of Johannesburg Chiropractic Day Clinic was considered a potential candidate for the study. The patients were briefly screened through a case history, pertinent physical examination, cervical spine examination and soap note (Appendix E, F, G and H) that were performed at the initial consultation to determine the patients’ suitability for the study. The participants were invited to sign a consent form. In total forty participants were invited to take part in the study. Participants were put into either the adjusting group, or the control group, according to their gender and age. Participants received spinal manipulative therapy to all restricted segments in their cervical spines. Participants in the PDF created with pdfFactory Pro trial version www.pdffactory.com iv control group received detuned ultrasound therapy over the posterior aspect of their cervical spines. Both groups performed the coding test (Appendix D) before their first treatment and after their third treatment, as well as a questionnaire to obtain some personal information and to indicate their present feelings and emotions (Appendix C). The results indicate that there was a statistical difference at the ten percent level of significance in terms of the average number of blocks completed and the average number of blocks filled in correctly for the adjusting group. There was also a statistical difference at the ten percent level of significance in terms of the average number of blocks / symbols changed for the control group. The adjusting group worked more effectively and made fewer mistakes than the control group after the treatment trial was completed. For the chiropractic profession this opens huge potential with regards to the chiropractic benefits and improving the functioning of the society.
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The effect of chiropractic manipulation of the elbow on joint position sense
- Authors: Leggett, Evan
- Date: 2015
- Subjects: Elbow , Chiropractic , Manipulation (Therapeutics) , Proprioception
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/58601 , uj:16468
- Description: Abstract: Please refer to full text to view abstract , M.Tech. (Chiropractic)
- Full Text:
- Authors: Leggett, Evan
- Date: 2015
- Subjects: Elbow , Chiropractic , Manipulation (Therapeutics) , Proprioception
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/58601 , uj:16468
- Description: Abstract: Please refer to full text to view abstract , M.Tech. (Chiropractic)
- Full Text:
The effect of cervical and lumbar chiropractic adjustments on the bi-lateral weight distribution through the lower limbs
- Authors: Lester, Rory Kayl
- Date: 2014-06-02
- Subjects: Chiropractic , Manipulation (Therapeutics) , Gait in humans , Equilibrium (Physiology)
- Type: Thesis
- Identifier: uj:11289 , http://hdl.handle.net/10210/10882
- Description: M.Tech. (Chiropractic) , During gait the force transferred through the body is dived between the two lower limbs, according to Kaplan, Barak & Spiel (2012) this force should to be constant and equal with each gait cycle in an asymptomatic individual. In the presence of spinal dysfunction there is an alteration of sensory motor integration as a result of impaired proprioception (Taylor & Murphy, 2007), this altered proprioception may then produce a negative effect on the fore distribution during gait, resulting in abnormal biomechanics and an altered gait pattern. Chiropractic adjustments have been shown to restore normal biomechanics to the spine and in so doing improve proprioception. The purpose of this study was to determine the effects of cervical and lumbar chiropractic adjustments on the force distribution through the lower limbs during gait. Method: Thirty participants between the ages of 18 and 45 were invited to participate in the study. The details of the study were fully explained to each participant, after which an informed consent form was signed, followed by a full physical examination to determine if the potential participant was eligible for inclusion in the study, and did not have any of the following exclusion criteria. Individuals suffering from any form of mechanical back pain, hip, knee and ankle pathologies, females, and individuals were manipulation was contra-indicated were excluded from the study. A full lumbar or cervical spine examination was then performed in order to test for joint dysfunction. The participants then underwent gait testing after which they then received either a cervical or lumbar spine adjustment to the dysfunctioning joint. Procedure: The participants received a total of seven chiropractic adjustments with the objective data being recorded on the first, fourth and seventh consultations. The objective data was captured with the Zebris FDM gait analysis system. The system consisted of a 3 meter long sensory platform that is built into the floor, the pressure platform was made up of multiple force sensors arranged in a matrix of columns and rows and was capable of measuring the exact force through each lower limb during gait. The recorded sensory information was transferred to the WinFDM program which then interpreted all the data.
- Full Text:
- Authors: Lester, Rory Kayl
- Date: 2014-06-02
- Subjects: Chiropractic , Manipulation (Therapeutics) , Gait in humans , Equilibrium (Physiology)
- Type: Thesis
- Identifier: uj:11289 , http://hdl.handle.net/10210/10882
- Description: M.Tech. (Chiropractic) , During gait the force transferred through the body is dived between the two lower limbs, according to Kaplan, Barak & Spiel (2012) this force should to be constant and equal with each gait cycle in an asymptomatic individual. In the presence of spinal dysfunction there is an alteration of sensory motor integration as a result of impaired proprioception (Taylor & Murphy, 2007), this altered proprioception may then produce a negative effect on the fore distribution during gait, resulting in abnormal biomechanics and an altered gait pattern. Chiropractic adjustments have been shown to restore normal biomechanics to the spine and in so doing improve proprioception. The purpose of this study was to determine the effects of cervical and lumbar chiropractic adjustments on the force distribution through the lower limbs during gait. Method: Thirty participants between the ages of 18 and 45 were invited to participate in the study. The details of the study were fully explained to each participant, after which an informed consent form was signed, followed by a full physical examination to determine if the potential participant was eligible for inclusion in the study, and did not have any of the following exclusion criteria. Individuals suffering from any form of mechanical back pain, hip, knee and ankle pathologies, females, and individuals were manipulation was contra-indicated were excluded from the study. A full lumbar or cervical spine examination was then performed in order to test for joint dysfunction. The participants then underwent gait testing after which they then received either a cervical or lumbar spine adjustment to the dysfunctioning joint. Procedure: The participants received a total of seven chiropractic adjustments with the objective data being recorded on the first, fourth and seventh consultations. The objective data was captured with the Zebris FDM gait analysis system. The system consisted of a 3 meter long sensory platform that is built into the floor, the pressure platform was made up of multiple force sensors arranged in a matrix of columns and rows and was capable of measuring the exact force through each lower limb during gait. The recorded sensory information was transferred to the WinFDM program which then interpreted all the data.
- Full Text:
The effects of lumbar spine manipulation versus lower extremity manipulation on agility in asymptomatic athletes
- Authors: Lindeque, Corné
- Date: 2016
- Subjects: Motor ability , Manipulation (Therapeutics) , Athletes - Health and hygiene , Chiropractic
- Language: English
- Type: Article
- Identifier: http://hdl.handle.net/10210/93111 , uj:20309 , Citation: Lindeque, C. 2016. The effects of lumbar spine manipulation versus Lower extremity manipulation on agility in Asymptomatic athletes.
- Description: Abstract:Purpose: The purpose of this study was to determine the most effective method of pre-event treatment for asymptomatic patients through comparing lumbar spine manipulation, lower extremity manipulation and a combination of both on the effect of explosive power and agility, as a measure of improvement. Method: Thirty asymptomatic athletes of moderate to high activity, indicated by the International Physical Activity Questionnaire (IPAQ) participated in this study. Participants were randomly allocated into three equal groups. Group 1 received lumbar spine and pelvis manipulation. Group 2 received lower limb manipulation only and Group 3 received a combination of lumbar spine, pelvis and lower extremity manipulation. Participants had to meet the inclusion and exclusion criteria to be part of the study. Procedure: The study consisted of six consultations over a three week period, with intervention on every consultation and objective data obtained before and after intervention. The intervention period consisted of motion palpation of the specific groups’ regions and manipulative therapy of the findings in each region. Results: All three groups showed improvements in jump height, jump pressure output and the Illinois test. Group 1 showed an average increase in jump height of 3.26 cm, 2.5 Pa average increase in pressure output and 1.32 seconds average increase for the run of the Illinois test. Group 2 showed an average increase in jump height of 3.10 cm, 1.7 Pa average increase in pressure output and 1.03 second average increase for the run of the Illinois test. Group 3 showed an average increase in jump height of 3.09 cm, 2.8 Pa average increase in pressure output and 1.86 second average increase for the run of the Illinois test. Analysis done on the immediate effect of Chiropractic Manipulative Therapy (CMT) on the hang time during the vertical jump test, displayed an overall statistically significant effect 33 %. Although some effect was achieved, the intervention had no constant improvement on the jump hang time. The minor result was attributed to the small changes in readings. Conclusion: Although results obtained were not statistically significant (p>0.05), it demonstrated from a clinical perspective that interventions caused an improvement in jump height, jump pressure output and the Illinois tests’ time in all three groups. Group 3 showed a greater improvement in every aspect, despite being the group with the least demographical advantage. Group 1 had the second best results...
- Full Text:
- Authors: Lindeque, Corné
- Date: 2016
- Subjects: Motor ability , Manipulation (Therapeutics) , Athletes - Health and hygiene , Chiropractic
- Language: English
- Type: Article
- Identifier: http://hdl.handle.net/10210/93111 , uj:20309 , Citation: Lindeque, C. 2016. The effects of lumbar spine manipulation versus Lower extremity manipulation on agility in Asymptomatic athletes.
- Description: Abstract:Purpose: The purpose of this study was to determine the most effective method of pre-event treatment for asymptomatic patients through comparing lumbar spine manipulation, lower extremity manipulation and a combination of both on the effect of explosive power and agility, as a measure of improvement. Method: Thirty asymptomatic athletes of moderate to high activity, indicated by the International Physical Activity Questionnaire (IPAQ) participated in this study. Participants were randomly allocated into three equal groups. Group 1 received lumbar spine and pelvis manipulation. Group 2 received lower limb manipulation only and Group 3 received a combination of lumbar spine, pelvis and lower extremity manipulation. Participants had to meet the inclusion and exclusion criteria to be part of the study. Procedure: The study consisted of six consultations over a three week period, with intervention on every consultation and objective data obtained before and after intervention. The intervention period consisted of motion palpation of the specific groups’ regions and manipulative therapy of the findings in each region. Results: All three groups showed improvements in jump height, jump pressure output and the Illinois test. Group 1 showed an average increase in jump height of 3.26 cm, 2.5 Pa average increase in pressure output and 1.32 seconds average increase for the run of the Illinois test. Group 2 showed an average increase in jump height of 3.10 cm, 1.7 Pa average increase in pressure output and 1.03 second average increase for the run of the Illinois test. Group 3 showed an average increase in jump height of 3.09 cm, 2.8 Pa average increase in pressure output and 1.86 second average increase for the run of the Illinois test. Analysis done on the immediate effect of Chiropractic Manipulative Therapy (CMT) on the hang time during the vertical jump test, displayed an overall statistically significant effect 33 %. Although some effect was achieved, the intervention had no constant improvement on the jump hang time. The minor result was attributed to the small changes in readings. Conclusion: Although results obtained were not statistically significant (p>0.05), it demonstrated from a clinical perspective that interventions caused an improvement in jump height, jump pressure output and the Illinois tests’ time in all three groups. Group 3 showed a greater improvement in every aspect, despite being the group with the least demographical advantage. Group 1 had the second best results...
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The effects of lumbar spine manipulation versus lower extremity manipulation on agility in asymptomatic athletes
- Authors: Lindeque, Corné
- Date: 2016
- Subjects: Motor ability , Manipulation (Therapeutics) , Athletes - Health and hygiene , Chiropractic
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/91298 , uj:20092
- Description: Abstract: Purpose: The purpose of this study was to determine the most effective method of pre-event treatment for asymptomatic patients through comparing lumbar spine manipulation, lower extremity manipulation and a combination of both on the effect of explosive power and agility, as a measure of improvement. Method: Thirty asymptomatic athletes of moderate to high activity, indicated by the International Physical Activity Questionnaire (IPAQ) participated in this study. Participants were be randomly allocated into three equal groups. Group 1 received lumbar spine and pelvis manipulation. Group 2 received lower limb manipulation only and Group 3 received a combination of lumbar spine, pelvis and lower extremity manipulation. Participants had to meet the inclusion and exclusion criteria to be part of the study. The study consisted of six consultations over a three week period, with intervention on every consultation and objective data obtained before and after intervention. The intervention period consisted of motion palpation of the specific groups’ regions and manipulative therapy of the findings in each region. Results: All three groups showed improvements in jump height, jump pressure output and the Illinois test. Group 1 showed an average increase in jump height of 3.26 cm, 2.5 Pa average increase in pressure output and 1.32 seconds average increase for the run of the Illinois test. Group 2 showed an average increase in jump height of 3.10 cm, 1.7 Pa average increase in pressure output and 1.03 second average increase for the run of the Illinois test. Group 3 showed an average increase in jump height of 3.09 cm, 2.8 Pa average increase in pressure output and 1.86 second average increase for the run of the Illinois test... , M.Tech. (Chiropractic)
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- Authors: Lindeque, Corné
- Date: 2016
- Subjects: Motor ability , Manipulation (Therapeutics) , Athletes - Health and hygiene , Chiropractic
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/91298 , uj:20092
- Description: Abstract: Purpose: The purpose of this study was to determine the most effective method of pre-event treatment for asymptomatic patients through comparing lumbar spine manipulation, lower extremity manipulation and a combination of both on the effect of explosive power and agility, as a measure of improvement. Method: Thirty asymptomatic athletes of moderate to high activity, indicated by the International Physical Activity Questionnaire (IPAQ) participated in this study. Participants were be randomly allocated into three equal groups. Group 1 received lumbar spine and pelvis manipulation. Group 2 received lower limb manipulation only and Group 3 received a combination of lumbar spine, pelvis and lower extremity manipulation. Participants had to meet the inclusion and exclusion criteria to be part of the study. The study consisted of six consultations over a three week period, with intervention on every consultation and objective data obtained before and after intervention. The intervention period consisted of motion palpation of the specific groups’ regions and manipulative therapy of the findings in each region. Results: All three groups showed improvements in jump height, jump pressure output and the Illinois test. Group 1 showed an average increase in jump height of 3.26 cm, 2.5 Pa average increase in pressure output and 1.32 seconds average increase for the run of the Illinois test. Group 2 showed an average increase in jump height of 3.10 cm, 1.7 Pa average increase in pressure output and 1.03 second average increase for the run of the Illinois test. Group 3 showed an average increase in jump height of 3.09 cm, 2.8 Pa average increase in pressure output and 1.86 second average increase for the run of the Illinois test... , M.Tech. (Chiropractic)
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The effect of lumbosacral manipulation therapy, interferential current therapy andthe combination thereof on hamstring strength and flexibility
- Authors: Long, Leezy
- Date: 2017
- Subjects: Chiropractic , Electrotherapeutics , Manipulation (Therapeutics) , Hamstring muscle , Muscle strength
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/246700 , uj:25588
- Description: M.Tech. (Chiropractic) , Abstract: Purpose: The purpose of this study was to establish the effect of lumbosacral manipulation and interferential current therapy as well as the combination thereof on hamstring flexibility and strength. Method: Thirty participants that had one hamstring muscle weaker and less flexible than the other, as indicated by the dynamometer and digital inclinometer, participated in this study. The participants were randomly allocated to one of three groups. Group 1 received lumbosacral manipulation therapy. Group 2 received interferential current therapy on both the hamstring muscles and Group3 received both lumbosacral manipulation therapy and interferential current therapy on the hamstring muscles. The study included seven visits, over a period of three weeks, with intervention on the first six consultations and objective data collected on the first, fourth and seventh visits. The intervention for Group 1 consisted of motion palpation of any lumbosacral restriction. Diversified chiropractic techniques were used by the researcher to manipulate the restricted segment/s. Group 2 received interferential current therapy on both the hamstring muscles and Group 3 received a combination of both lumbosacral manipulation therapy as well as interferential current therapy on both the hamstring muscles. Results: Both objective data (dynamometer and digital inclinometer) had a positive average improvement on both sides. The dynamometer data showed an increase of 23.48% on the left hand side and 27.91% on the right hand side of Group 1. Group 2 showed an average increase of 28.46% on the left hand side and 33.11% on the right hand side, while Group 3 showed an average increase of 25.77% on the left hand side and 33.11 % on the right hand side...
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- Authors: Long, Leezy
- Date: 2017
- Subjects: Chiropractic , Electrotherapeutics , Manipulation (Therapeutics) , Hamstring muscle , Muscle strength
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/246700 , uj:25588
- Description: M.Tech. (Chiropractic) , Abstract: Purpose: The purpose of this study was to establish the effect of lumbosacral manipulation and interferential current therapy as well as the combination thereof on hamstring flexibility and strength. Method: Thirty participants that had one hamstring muscle weaker and less flexible than the other, as indicated by the dynamometer and digital inclinometer, participated in this study. The participants were randomly allocated to one of three groups. Group 1 received lumbosacral manipulation therapy. Group 2 received interferential current therapy on both the hamstring muscles and Group3 received both lumbosacral manipulation therapy and interferential current therapy on the hamstring muscles. The study included seven visits, over a period of three weeks, with intervention on the first six consultations and objective data collected on the first, fourth and seventh visits. The intervention for Group 1 consisted of motion palpation of any lumbosacral restriction. Diversified chiropractic techniques were used by the researcher to manipulate the restricted segment/s. Group 2 received interferential current therapy on both the hamstring muscles and Group 3 received a combination of both lumbosacral manipulation therapy as well as interferential current therapy on both the hamstring muscles. Results: Both objective data (dynamometer and digital inclinometer) had a positive average improvement on both sides. The dynamometer data showed an increase of 23.48% on the left hand side and 27.91% on the right hand side of Group 1. Group 2 showed an average increase of 28.46% on the left hand side and 33.11% on the right hand side, while Group 3 showed an average increase of 25.77% on the left hand side and 33.11 % on the right hand side...
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The efficacy of soft tissue therapy in the chiropractic management of subacute and chronic Grade I and Grade II ankle inversion sprains
- Authors: Lyons, Craig
- Date: 2009-06-17T07:18:35Z
- Subjects: Chiropractic , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: uj:8477 , http://hdl.handle.net/10210/2637
- Description: M.Tech.
- Full Text: false
- Authors: Lyons, Craig
- Date: 2009-06-17T07:18:35Z
- Subjects: Chiropractic , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: uj:8477 , http://hdl.handle.net/10210/2637
- Description: M.Tech.
- Full Text: false
Cervical spine manipulation versus sub-occipital muscle release technique in the treatment of tension type headaches
- Authors: Orr, Craig Ross
- Date: 2019
- Subjects: Chiropractic , Manipulation (Therapeutics) , Spinal adjustment
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/292988 , uj:31849
- Description: Abstract: Objective: The aim of the study was to determine the efficacy of cervical spine chiropractic manipulation and muscle tension release technique of the sub occipital muscles in relieving tension-type headaches. This study was also used to determine which treatment protocol would be most effective in relieving tension-type headaches, cervical spine chiropractic manipulation, and muscle tension release technique of the sub occipital muscles or a combination of both treatment protocols. Study design: A randomized clinical study was used in this research study. Setting: University of Johannesburg, Chiropractic Day Clinic, Johannesburg, South Africa. Subjects: A total of thirty participants were used, male and female, between the ages of 18-50 years. The participants were divided into three groups, with each group consisting of ten participants. Group A received cervical spine manipulations; Group B received muscle tension release technique of the sub occipital muscles and Group C a combination of cervical spine manipulation and muscle tension release technique of the sub occipital muscles . Methods: Prior to becoming a participant, each individual was assessed according to inclusion and exclusion criteria. Thereafter participants had to read and sign relevant information and consent forms. A full case history, physical examination and cervical spine regional examination was then completed. Procedure: Subjective data was collected from the participants using the Numerical Pain Rating Scale, Headache Impact Questionnaire and the Neck Disability Index. Objective data was collected from the participants by using the Pressure Algometer. Objective and subjective data was collected prior to the 1st and 3rd treatment consultations and at the 5th final consultation. Each participant was treated four times, over a two week period. An additional 5th consultation was done to obtain objective and subjective data only. Results: Statistically significant improvements regarding the Headache Impact Questionnaire, Numerical Pain Rating Scale, Neck Disability Index and Pressure Algometer occurred in all three groups. However in terms of intergroup analysis regarding the Headache Impact Questionnaire, Numerical Pain Rating Scale, Neck Disability Index and Pressure Algometer, no statistically significant improvements occurred, meaning that no group proved to be more superior to the others... , M.Tech. (Chiropractic)
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- Authors: Orr, Craig Ross
- Date: 2019
- Subjects: Chiropractic , Manipulation (Therapeutics) , Spinal adjustment
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/292988 , uj:31849
- Description: Abstract: Objective: The aim of the study was to determine the efficacy of cervical spine chiropractic manipulation and muscle tension release technique of the sub occipital muscles in relieving tension-type headaches. This study was also used to determine which treatment protocol would be most effective in relieving tension-type headaches, cervical spine chiropractic manipulation, and muscle tension release technique of the sub occipital muscles or a combination of both treatment protocols. Study design: A randomized clinical study was used in this research study. Setting: University of Johannesburg, Chiropractic Day Clinic, Johannesburg, South Africa. Subjects: A total of thirty participants were used, male and female, between the ages of 18-50 years. The participants were divided into three groups, with each group consisting of ten participants. Group A received cervical spine manipulations; Group B received muscle tension release technique of the sub occipital muscles and Group C a combination of cervical spine manipulation and muscle tension release technique of the sub occipital muscles . Methods: Prior to becoming a participant, each individual was assessed according to inclusion and exclusion criteria. Thereafter participants had to read and sign relevant information and consent forms. A full case history, physical examination and cervical spine regional examination was then completed. Procedure: Subjective data was collected from the participants using the Numerical Pain Rating Scale, Headache Impact Questionnaire and the Neck Disability Index. Objective data was collected from the participants by using the Pressure Algometer. Objective and subjective data was collected prior to the 1st and 3rd treatment consultations and at the 5th final consultation. Each participant was treated four times, over a two week period. An additional 5th consultation was done to obtain objective and subjective data only. Results: Statistically significant improvements regarding the Headache Impact Questionnaire, Numerical Pain Rating Scale, Neck Disability Index and Pressure Algometer occurred in all three groups. However in terms of intergroup analysis regarding the Headache Impact Questionnaire, Numerical Pain Rating Scale, Neck Disability Index and Pressure Algometer, no statistically significant improvements occurred, meaning that no group proved to be more superior to the others... , M.Tech. (Chiropractic)
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The efficacy of low back strengthening with and without Chiropractic adjustment in the treatment of chronic mechanical low back pain
- Authors: Phillips, Clinton Glen
- Date: 2008-09-01T10:20:15Z
- Subjects: Chiropractic , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: uj:4274 , http://hdl.handle.net/10210/962
- Description: Objectives: To determine the efficacy of chiropractic spinal manipulative therapy (CSMT) in the resolution of the persistent or chronic middle ear effusion that is associated with otitis media. This treatment was compared to the insertion of tympanostomy tubes with regards to parent perception and satisfaction. Methods: Thirty patients under the age of seven that were diagnosed as having persistent or chronic middle ear effusion were assigned to receive either tympanostomy tubes or chiropractic treatment according to parental choice. Results: After chiropractic treatment, an objective improvement in the middle ear status was noted by serial tympanography, demonstrating resolution of middle ear effusion. This was noted in 64.3% in the right ear, where a type B tympanogram improved to a type A or type C tympanogram, and in 58.3% in the left ear, where a type B improved to a type A or C tympanogram, or a type C improved to a type A tympanogram. After chiropractic treatment, subjective improvements were noted in the patient’s health, hearing, speech and language, behaviour and social skills, balance, gross and fine motor skills, otalgia and the amount of disturbed nights. Additional benefits from chiropractic treatment were noted in 93.3% of cases. Conclusions: The manner in which the middle ear effusion was resolved by chiropractic manipulation is by normalising the function of the eustachian tube. Eustachian tube dysfunction is a commonly reported aetiological factor in the development of otitis media with effusion, yet previously there was no treatment type to address this problem. Improvement of middle ear effusion occurred in 58.3-64.3% of cases, indicating that chiropractic spinal manipulative therapy could be a viable treatment option to correct the eustachian tube dysfunction. , Dr. Harold Humphries Dr. Chris Yelverton
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- Authors: Phillips, Clinton Glen
- Date: 2008-09-01T10:20:15Z
- Subjects: Chiropractic , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: uj:4274 , http://hdl.handle.net/10210/962
- Description: Objectives: To determine the efficacy of chiropractic spinal manipulative therapy (CSMT) in the resolution of the persistent or chronic middle ear effusion that is associated with otitis media. This treatment was compared to the insertion of tympanostomy tubes with regards to parent perception and satisfaction. Methods: Thirty patients under the age of seven that were diagnosed as having persistent or chronic middle ear effusion were assigned to receive either tympanostomy tubes or chiropractic treatment according to parental choice. Results: After chiropractic treatment, an objective improvement in the middle ear status was noted by serial tympanography, demonstrating resolution of middle ear effusion. This was noted in 64.3% in the right ear, where a type B tympanogram improved to a type A or type C tympanogram, and in 58.3% in the left ear, where a type B improved to a type A or C tympanogram, or a type C improved to a type A tympanogram. After chiropractic treatment, subjective improvements were noted in the patient’s health, hearing, speech and language, behaviour and social skills, balance, gross and fine motor skills, otalgia and the amount of disturbed nights. Additional benefits from chiropractic treatment were noted in 93.3% of cases. Conclusions: The manner in which the middle ear effusion was resolved by chiropractic manipulation is by normalising the function of the eustachian tube. Eustachian tube dysfunction is a commonly reported aetiological factor in the development of otitis media with effusion, yet previously there was no treatment type to address this problem. Improvement of middle ear effusion occurred in 58.3-64.3% of cases, indicating that chiropractic spinal manipulative therapy could be a viable treatment option to correct the eustachian tube dysfunction. , Dr. Harold Humphries Dr. Chris Yelverton
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