Chiropractic Manipulative Therapy of the Thoracic Spine in Combination with Stretch and Strengthening Exercises, in Improving Postural Kyphosis in Woman
- Branco, Kim Castelo, Moodley, M.
- Authors: Branco, Kim Castelo , Moodley, M.
- Date: 2016
- Subjects: Chiropractic , Exercises , Flexicurve® ruler
- Language: English
- Type: Article
- Identifier: http://hdl.handle.net/10210/214912 , uj:21340 , Citation: Branco, K.C & Moodley, M. 2016. Chiropractic Manipulative Therapy of the Thoracic Spine in Combination with Stretch and Strengthening Exercises, in Improving Postural Kyphosis in Woman.
- Description: Abstract: Purpose: This study serves to determine the effectiveness of either chiropractic spinal manipulative therapy to the thoracic spine or stretch and strengthening exercises (stretching the pectoralis major muscle and strengthening the rhomboid, middle and inferior trapezius muscles) versus the combined treatment of chiropractic spinal manipulative therapy to the thoracic spine in conjunction with stretch and strengthening exercises. Method: A randomised study design with thirty female participants between the ages of twenty and thirty nine was selected. Group 1 (n= 10) received chiropractic spinal manipulative therapy to the thoracic spine. Group 2 (n = 10) received chiropractic spinal manipulative therapy to the thoracic spine as well as stretch and strengthening exercises i.e. stretching the pectoralis major muscles and strengthening the rhomboid, middle and inferior trapezius muscles. Group 3 (n = 10) received stretch and strengthening exercises. The stretch and strengthening exercises were performed in the consultation rooms to ensure that the participants were complying with the treatment and doing the exercises properly. The study consisted of seven consultations for group 1 (they received treatment once a week for six weeks) and for groups 2 and 3 there were nineteen consultations (they received three treatments a week for six weeks). Objective data was recorded at the beginning of the first, fourth and seventh consultations for group 1, and the first, tenth and nineteenth consultations for groups 2 and 3. On the seventh consultation (for group 1) and nineteenth consultation for groups 2 and 3, only data collection was done. Objective data were obtained by using the Flexicurve® Ruler measurements for the angle of kyphosis. Visual analysis was done by taking lateral (sagittal) view photographs at the beginning of the initial and final consultations...
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- Authors: Branco, Kim Castelo , Moodley, M.
- Date: 2016
- Subjects: Chiropractic , Exercises , Flexicurve® ruler
- Language: English
- Type: Article
- Identifier: http://hdl.handle.net/10210/214912 , uj:21340 , Citation: Branco, K.C & Moodley, M. 2016. Chiropractic Manipulative Therapy of the Thoracic Spine in Combination with Stretch and Strengthening Exercises, in Improving Postural Kyphosis in Woman.
- Description: Abstract: Purpose: This study serves to determine the effectiveness of either chiropractic spinal manipulative therapy to the thoracic spine or stretch and strengthening exercises (stretching the pectoralis major muscle and strengthening the rhomboid, middle and inferior trapezius muscles) versus the combined treatment of chiropractic spinal manipulative therapy to the thoracic spine in conjunction with stretch and strengthening exercises. Method: A randomised study design with thirty female participants between the ages of twenty and thirty nine was selected. Group 1 (n= 10) received chiropractic spinal manipulative therapy to the thoracic spine. Group 2 (n = 10) received chiropractic spinal manipulative therapy to the thoracic spine as well as stretch and strengthening exercises i.e. stretching the pectoralis major muscles and strengthening the rhomboid, middle and inferior trapezius muscles. Group 3 (n = 10) received stretch and strengthening exercises. The stretch and strengthening exercises were performed in the consultation rooms to ensure that the participants were complying with the treatment and doing the exercises properly. The study consisted of seven consultations for group 1 (they received treatment once a week for six weeks) and for groups 2 and 3 there were nineteen consultations (they received three treatments a week for six weeks). Objective data was recorded at the beginning of the first, fourth and seventh consultations for group 1, and the first, tenth and nineteenth consultations for groups 2 and 3. On the seventh consultation (for group 1) and nineteenth consultation for groups 2 and 3, only data collection was done. Objective data were obtained by using the Flexicurve® Ruler measurements for the angle of kyphosis. Visual analysis was done by taking lateral (sagittal) view photographs at the beginning of the initial and final consultations...
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The effect of ultrasound therapy and upper cervical manipulative therapy as well as the combination thereof on chronic sinusitis
- De Bruyn, Cornelius Johannes
- Authors: De Bruyn, Cornelius Johannes
- Date: 2017
- Subjects: Chronic Sinusitis , Ultrasound , Chiropractic
- Language: English
- Type: Article
- Identifier: http://hdl.handle.net/10210/227125 , uj:22979 , Citation: De Bruyn, C.J. 2017. The effect of ultrasound therapy and upper cervical manipulative therapy as well as the combination thereof on chronic sinusitis.
- Description: Abstract: Purpose: The purpose of this study was to establish the effect of ultrasound therapy and upper cervical manipulative therapy as well as the combination thereof on chronic sinusitis. Method: Thirty participants who suffered from chronic sinusitis as indicated by the Sino-Nasal Outcome Test, participated in this study. Participants were randomly allocated into three equal groups. Group 1 received upper cervical manipulative therapy. Group 2 received ultrasound therapy on the frontal and maxillary sinuses and Group 3 received a combination of ultrasound therapy on the frontal and maxillary sinuses as well as upper cervical manipulative therapy. The study consisted of seven consultations over a three week period, with intervention on the first six consultations and subjective as well as objective data obtained occurred at the first, fourth and seventh consultations. The intervention period for Group 1 consisted of motion palpation of any restriction in the upper cervical spine. Diversified chiropractic techniques were used by the researcher to manipulate the restricted segment. Group 2 received ultrasound therapy on the frontal and maxillary sinuses and Group 3 received a combination of both cervical manipulative therapy as well as ultrasound therapy on the frontal and maxillary sinuses. Results: The subjective data had a positive average improvement of 74.9 % for Group 1, 68.9 % for Group 2 and 73 % for Group 3. The objective data had a positive average improvement of 34 % for Group 1, 21.9 % for Group 2 and 29.1 % for Group 3. Conclusion: This research thus proved that ultrasound therapy and upper cervical manipulative therapy as well as the combination thereof did benefit participants with chronic sinusitis. Participants had to receive all six treatments to experience a significant difference in their signs and symptoms. This research further proved that no treatment protocol was more beneficial than another for the treatment of chronic sinusitis. Therefore, depending on practitioner’s preference of a treatment protocol, all individuals will still benefit from the three treatments tested.
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- Authors: De Bruyn, Cornelius Johannes
- Date: 2017
- Subjects: Chronic Sinusitis , Ultrasound , Chiropractic
- Language: English
- Type: Article
- Identifier: http://hdl.handle.net/10210/227125 , uj:22979 , Citation: De Bruyn, C.J. 2017. The effect of ultrasound therapy and upper cervical manipulative therapy as well as the combination thereof on chronic sinusitis.
- Description: Abstract: Purpose: The purpose of this study was to establish the effect of ultrasound therapy and upper cervical manipulative therapy as well as the combination thereof on chronic sinusitis. Method: Thirty participants who suffered from chronic sinusitis as indicated by the Sino-Nasal Outcome Test, participated in this study. Participants were randomly allocated into three equal groups. Group 1 received upper cervical manipulative therapy. Group 2 received ultrasound therapy on the frontal and maxillary sinuses and Group 3 received a combination of ultrasound therapy on the frontal and maxillary sinuses as well as upper cervical manipulative therapy. The study consisted of seven consultations over a three week period, with intervention on the first six consultations and subjective as well as objective data obtained occurred at the first, fourth and seventh consultations. The intervention period for Group 1 consisted of motion palpation of any restriction in the upper cervical spine. Diversified chiropractic techniques were used by the researcher to manipulate the restricted segment. Group 2 received ultrasound therapy on the frontal and maxillary sinuses and Group 3 received a combination of both cervical manipulative therapy as well as ultrasound therapy on the frontal and maxillary sinuses. Results: The subjective data had a positive average improvement of 74.9 % for Group 1, 68.9 % for Group 2 and 73 % for Group 3. The objective data had a positive average improvement of 34 % for Group 1, 21.9 % for Group 2 and 29.1 % for Group 3. Conclusion: This research thus proved that ultrasound therapy and upper cervical manipulative therapy as well as the combination thereof did benefit participants with chronic sinusitis. Participants had to receive all six treatments to experience a significant difference in their signs and symptoms. This research further proved that no treatment protocol was more beneficial than another for the treatment of chronic sinusitis. Therefore, depending on practitioner’s preference of a treatment protocol, all individuals will still benefit from the three treatments tested.
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Analysis of fractures and dislocations caused by chiropractors in South Africa
- Authors: Hendrikz, Kimon
- Date: 2016
- Subjects: Fractures , Dislocations , Chiropractic
- Language: English
- Type: Article
- Identifier: http://hdl.handle.net/10210/227172 , uj:22985 , Citation: Hendrikz, K. 2016. Analysis of fractures and dislocations caused by chiropractors in South Africa.
- Description: Abstract: Purpose: The purpose of the study was to perform a retrospective analysis of fractures and dislocations caused by chiropractors in South Africa. Method: An online survey was distributed to the Allied Health Profession Council of South Africa's database, inviting all registered chiropractors to partake in the survey by use of an email. The participants received an information letter, which explained the anonymity and confidentiality, as well as the fact that their participation were voluntary. Participant's consent was automatically recorded by clicking on the link to the survey. The survey consisted of three sections involving the chiropractor demographics, detail regarding the fracture or dislocation and patient information. Once the survey was completed, participants submitted the survey and results were analyzed by the University of Johannesburg's statistics program (STATKON). Results: The retrospective analysis revealed that South African chiropractors had caused fractures and dislocations. The percentage of chiropractors who had caused a fracture or dislocation was 14% (18 participants) and resulted in full recovery in all case reports. This indicates that the extent of injury was minor and did not cause long term complication. More specifically, 1 fracture occurred in the treatment of every 1382 patients. With regards to dislocations, 1 dislocation occurred in every 8639 patients treated. 95.5% of fractures were found along the ribs. Fractures were caused by spinal manipulative therapy and dislocations were caused by mobilization techniques. Taking note that 80% of the patients had osteoporosis. Also, the majority of patients were over the age of 50 (79.2%). Clinical signs and symptoms were used as diagnostic method by 14 participants (60.9%). Conclusion: The chiropractic profession should take these findings into consideration when presented with similar cases. Altering the force used during posterior to anterior thoracic manipulation and lumbar side posture manipulation in patients over 50 or rather using mobilizations in such cases, might decrease the risk of fractures and dislocations occurring in the future. The location of fractures and dislocations mainly occurred at the ribs. Therefore, care should be taken when manipulating or...
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- Authors: Hendrikz, Kimon
- Date: 2016
- Subjects: Fractures , Dislocations , Chiropractic
- Language: English
- Type: Article
- Identifier: http://hdl.handle.net/10210/227172 , uj:22985 , Citation: Hendrikz, K. 2016. Analysis of fractures and dislocations caused by chiropractors in South Africa.
- Description: Abstract: Purpose: The purpose of the study was to perform a retrospective analysis of fractures and dislocations caused by chiropractors in South Africa. Method: An online survey was distributed to the Allied Health Profession Council of South Africa's database, inviting all registered chiropractors to partake in the survey by use of an email. The participants received an information letter, which explained the anonymity and confidentiality, as well as the fact that their participation were voluntary. Participant's consent was automatically recorded by clicking on the link to the survey. The survey consisted of three sections involving the chiropractor demographics, detail regarding the fracture or dislocation and patient information. Once the survey was completed, participants submitted the survey and results were analyzed by the University of Johannesburg's statistics program (STATKON). Results: The retrospective analysis revealed that South African chiropractors had caused fractures and dislocations. The percentage of chiropractors who had caused a fracture or dislocation was 14% (18 participants) and resulted in full recovery in all case reports. This indicates that the extent of injury was minor and did not cause long term complication. More specifically, 1 fracture occurred in the treatment of every 1382 patients. With regards to dislocations, 1 dislocation occurred in every 8639 patients treated. 95.5% of fractures were found along the ribs. Fractures were caused by spinal manipulative therapy and dislocations were caused by mobilization techniques. Taking note that 80% of the patients had osteoporosis. Also, the majority of patients were over the age of 50 (79.2%). Clinical signs and symptoms were used as diagnostic method by 14 participants (60.9%). Conclusion: The chiropractic profession should take these findings into consideration when presented with similar cases. Altering the force used during posterior to anterior thoracic manipulation and lumbar side posture manipulation in patients over 50 or rather using mobilizations in such cases, might decrease the risk of fractures and dislocations occurring in the future. The location of fractures and dislocations mainly occurred at the ribs. Therefore, care should be taken when manipulating or...
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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: 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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- 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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Manual therapy interventions in the treatment of plantar fasciitis : A comparison of three approaches
- Yelverton, Christopher, Rama, Sunil, Zipfel, Bernhard
- Authors: Yelverton, Christopher , Rama, Sunil , Zipfel, Bernhard
- Date: 2019
- Subjects: Chiropractic , McGill Pain Questionnaire and Foot Functional Index , Goniometer
- Language: English
- Type: Article
- Identifier: http://hdl.handle.net/10210/398889 , uj:33227 , Citation: Yelverton, C., Rama, S. & Zipfel, B., 2019, ‘Manual therapy interventions in the treatment of plantar fasciitis: A comparison of three approaches’, Health SA Gesondheid 24(0), a1244. https://doi.org/10.4102/ hsag.v24i0.1244 , ISSN: 2071-9736 (Online) , ISSN: 1025-9848 (Print)
- Description: Abstract: Plantar fasciitis is one of the common causes of heel pain and a common musculoskeletal problem often observed by clinicians. Numerous options are available in treating plantar fasciitis conservatively, but no previous studies have compared combined conservative management protocols. Aim: The aim of this study was to compare manipulation of the foot and ankle and cross friction massage of the plantar fascia; cross friction massage of the plantar fascia and gastrocsoleus complex stretching; and a combination of the aforementioned protocols in the treatment of plantar fasciitis...
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- Authors: Yelverton, Christopher , Rama, Sunil , Zipfel, Bernhard
- Date: 2019
- Subjects: Chiropractic , McGill Pain Questionnaire and Foot Functional Index , Goniometer
- Language: English
- Type: Article
- Identifier: http://hdl.handle.net/10210/398889 , uj:33227 , Citation: Yelverton, C., Rama, S. & Zipfel, B., 2019, ‘Manual therapy interventions in the treatment of plantar fasciitis: A comparison of three approaches’, Health SA Gesondheid 24(0), a1244. https://doi.org/10.4102/ hsag.v24i0.1244 , ISSN: 2071-9736 (Online) , ISSN: 1025-9848 (Print)
- Description: Abstract: Plantar fasciitis is one of the common causes of heel pain and a common musculoskeletal problem often observed by clinicians. Numerous options are available in treating plantar fasciitis conservatively, but no previous studies have compared combined conservative management protocols. Aim: The aim of this study was to compare manipulation of the foot and ankle and cross friction massage of the plantar fascia; cross friction massage of the plantar fascia and gastrocsoleus complex stretching; and a combination of the aforementioned protocols in the treatment of plantar fasciitis...
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