The effect of chiropractic manipulation of the hip and sacroiliac joint on acceleration and sprinting time of male rugby players that present with a positive modified Thomas test
- Authors: Bleekers, Tony Kenneth
- Date: 2015
- Subjects: Chiropractic , Sacroiliac joint , Hip joint , Sprinting - Physiological aspects , Rugby football - Physiological aspects , Rugby football players - Health and hygiene
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/58531 , uj:16461
- Description: Abstract: Please refer to full text to view abstract , M.Tech. (Chiropractic)
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- Authors: Bleekers, Tony Kenneth
- Date: 2015
- Subjects: Chiropractic , Sacroiliac joint , Hip joint , Sprinting - Physiological aspects , Rugby football - Physiological aspects , Rugby football players - Health and hygiene
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/58531 , uj:16461
- Description: Abstract: Please refer to full text to view abstract , M.Tech. (Chiropractic)
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The effect of sacroiliac chiropractic adjustments on innominate angles
- Authors: Craig, Melanie Nicole
- Date: 2015
- Subjects: Chiropractic , Sacroiliac joint , Hip joint , Posture
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/58591 , uj:16466
- Description: Abstract: Please refer to full text to view abstract , M.Tech. (Chiropractic)
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- Authors: Craig, Melanie Nicole
- Date: 2015
- Subjects: Chiropractic , Sacroiliac joint , Hip joint , Posture
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/58591 , uj:16466
- Description: Abstract: Please refer to full text to view abstract , M.Tech. (Chiropractic)
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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.
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- 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 effect of sacroiliac manipulation on gait
- Authors: Ramsamy, Neerasha
- Date: 2016
- Subjects: Chiropractic , Sacroiliac joint , Gait in humans
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/226656 , uj:22923
- Description: M.Tech. (Chiropractic) , Abstract: Purpose: The ankle, foot, tibia, fibula, pelvis and femur are all joints that form part of a closed kinetic chain throughout gait. Biomechanical principles state any dysfunction may result in an increased being placed on certain regions of the kinetic chain which result increased strain being placed on different regions of the same chain. The sacroiliac joints relieve stress resulting from ‘force–motion’ relationships between lower extremities and the trunk which include gait. Increased tension placed on the sacroiliac joints may dysfunction of which potentially maximises the amount strain being placed on the lower extremities as a result changes take place along the chain which hinder a joints ability to function and thus gait anomalies may occur. Abnormal gait patterns such as waddling gait and a Trendelenburg sign which is found to be positive (inability of pelvic stabilisation in the horizontal plane), are found to be associated with sacroiliac joint dysfunction. Chiropractic manipulation may be utilised in the treatment of sacroiliac joint dysfunction. No research has been conducted to establish the long term effect of chiropractic sacroiliac manipulation on lower limb biomechanics and gait in people diagnosed with sacroiliac syndrome. The aim of this study was to determine whether a sacroiliac joint manipulation had an effect on gait by looking at gait parameters using the Zebris FDM analysis system. Method: Thirty five participants between the ages of 18 and 45 years were recruited. The participants were required to sign an informed consent form. A thorough history and physical examination was performed to ensure that participants did not have any disease or pathology that may have excluded them from the study. In order to be part of the inclusion criteria, five participants had to be asymptomatic and thirty participants had to be diagnosed with sacroiliac joint syndrome using specific diagnostic criteria. A measurement using the Zebris FDM gait analysis system was obtained prior to manipulation on specific visits in both symptomatic and asymptomatic participants (asymptomatic participants did not receive manipulation) as well as completion of the Oswestry Pain and Disability Questionnaire as well as the Numerical Pain Rating Scale which provided subjective data in the study...
- Full Text:
- Authors: Ramsamy, Neerasha
- Date: 2016
- Subjects: Chiropractic , Sacroiliac joint , Gait in humans
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/226656 , uj:22923
- Description: M.Tech. (Chiropractic) , Abstract: Purpose: The ankle, foot, tibia, fibula, pelvis and femur are all joints that form part of a closed kinetic chain throughout gait. Biomechanical principles state any dysfunction may result in an increased being placed on certain regions of the kinetic chain which result increased strain being placed on different regions of the same chain. The sacroiliac joints relieve stress resulting from ‘force–motion’ relationships between lower extremities and the trunk which include gait. Increased tension placed on the sacroiliac joints may dysfunction of which potentially maximises the amount strain being placed on the lower extremities as a result changes take place along the chain which hinder a joints ability to function and thus gait anomalies may occur. Abnormal gait patterns such as waddling gait and a Trendelenburg sign which is found to be positive (inability of pelvic stabilisation in the horizontal plane), are found to be associated with sacroiliac joint dysfunction. Chiropractic manipulation may be utilised in the treatment of sacroiliac joint dysfunction. No research has been conducted to establish the long term effect of chiropractic sacroiliac manipulation on lower limb biomechanics and gait in people diagnosed with sacroiliac syndrome. The aim of this study was to determine whether a sacroiliac joint manipulation had an effect on gait by looking at gait parameters using the Zebris FDM analysis system. Method: Thirty five participants between the ages of 18 and 45 years were recruited. The participants were required to sign an informed consent form. A thorough history and physical examination was performed to ensure that participants did not have any disease or pathology that may have excluded them from the study. In order to be part of the inclusion criteria, five participants had to be asymptomatic and thirty participants had to be diagnosed with sacroiliac joint syndrome using specific diagnostic criteria. A measurement using the Zebris FDM gait analysis system was obtained prior to manipulation on specific visits in both symptomatic and asymptomatic participants (asymptomatic participants did not receive manipulation) as well as completion of the Oswestry Pain and Disability Questionnaire as well as the Numerical Pain Rating Scale which provided subjective data in the study...
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