The effectiveness of Kinesio® taping for post dry needling soreness on active quadratus lumborum muscles
- Authors: Ferreira, Gert
- Date: 2014
- Subjects: Chiropractic , Pain - Treatment , Acupuncture , Back - Muscles
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/84495 , uj:19229
- Description: Abstract: Purpose: Lower back pain is a common disorder that affects at least 60-80% of people sometime in their lives. Active or latent myofascial trigger points are also a major contributor towards the formation of lower back pain. Patients who receive myofascial dry needling may experience post needling soreness which lasts approximately three to four days after the treatment. Kinesio® tape is a modality which assists in improving the circulation of lymph drainage as well as improving circulation of blood by eliminating body fluid or bleeding under the skin by lifting the muscle. However the efficiency of Kinesio® tape for post dry needling soreness of the active quadratus lumborum muscle trigger point has not been shown. The purpose of this study was to determine the effectiveness of Kinesio® taping for post dry needling soreness of the active quadratus lumborum muscle trigger point. Method: This is a comparative study using convenient sampling and random allocation. Participants were recruited by advertising with posters that were placed strategically around the University of Johannesburg, Doornfontein campus and the Chiropractic Day Clinic (Appendix A). The research study was done at the University of Johannesburg Chiropractic Day Clinic. Males and females with lower back pain, who met all the inclusion criteria, were considered to take part in this study. Forty male and female participants between the ages of 18 - 50 years old were recruited for this study. The participants were screened according to the inclusion and exclusion criteria. The research was explained to the participants; the participants were divided up randomly into one of two groups by means of drawing a piece of paper with a number on from a box. The study consisted of 40 participants in total. Group 1 had 20 participants who represented the myofascial dry needling and heat therapy group, and group 2 had 20 participants who represented the myofascial dry needling and Kinesio® Tape group. Procedure: There were three treatment sessions, consisting of myofascial dry needling and either heat therapy or Kinesio® tape as a post dry needle intervention, the subjective and objective data were recorded at all four visits. The subjective measurement was based on the Visual Analogue Pain Scale and the Oswestry Pain and Disability Questionnaire.... , M. Tech. (Chiropractic)
- Full Text:
- Authors: Ferreira, Gert
- Date: 2014
- Subjects: Chiropractic , Pain - Treatment , Acupuncture , Back - Muscles
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/84495 , uj:19229
- Description: Abstract: Purpose: Lower back pain is a common disorder that affects at least 60-80% of people sometime in their lives. Active or latent myofascial trigger points are also a major contributor towards the formation of lower back pain. Patients who receive myofascial dry needling may experience post needling soreness which lasts approximately three to four days after the treatment. Kinesio® tape is a modality which assists in improving the circulation of lymph drainage as well as improving circulation of blood by eliminating body fluid or bleeding under the skin by lifting the muscle. However the efficiency of Kinesio® tape for post dry needling soreness of the active quadratus lumborum muscle trigger point has not been shown. The purpose of this study was to determine the effectiveness of Kinesio® taping for post dry needling soreness of the active quadratus lumborum muscle trigger point. Method: This is a comparative study using convenient sampling and random allocation. Participants were recruited by advertising with posters that were placed strategically around the University of Johannesburg, Doornfontein campus and the Chiropractic Day Clinic (Appendix A). The research study was done at the University of Johannesburg Chiropractic Day Clinic. Males and females with lower back pain, who met all the inclusion criteria, were considered to take part in this study. Forty male and female participants between the ages of 18 - 50 years old were recruited for this study. The participants were screened according to the inclusion and exclusion criteria. The research was explained to the participants; the participants were divided up randomly into one of two groups by means of drawing a piece of paper with a number on from a box. The study consisted of 40 participants in total. Group 1 had 20 participants who represented the myofascial dry needling and heat therapy group, and group 2 had 20 participants who represented the myofascial dry needling and Kinesio® Tape group. Procedure: There were three treatment sessions, consisting of myofascial dry needling and either heat therapy or Kinesio® tape as a post dry needle intervention, the subjective and objective data were recorded at all four visits. The subjective measurement was based on the Visual Analogue Pain Scale and the Oswestry Pain and Disability Questionnaire.... , M. Tech. (Chiropractic)
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The effect of cervicothoracic junction manupilation on grip strength
- Authors: Pronto, Pedro Jose Nunes
- Date: 2014-08-12
- Subjects: Chiropractic , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: uj:12054 , http://hdl.handle.net/10210/11800
- Description: M.Tech. (Chiropractic) , Please refer to full text to view abstract
- Full Text:
- Authors: Pronto, Pedro Jose Nunes
- Date: 2014-08-12
- Subjects: Chiropractic , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: uj:12054 , http://hdl.handle.net/10210/11800
- Description: M.Tech. (Chiropractic) , Please refer to full text to view abstract
- Full Text:
The effect of chiropractic manipulation combined with targeted exercises on balance
- Authors: Osler, Sarah Nomvula
- Date: 2017
- Subjects: Chiropractic , Exercise therapy , Equilibrium (Physiology)
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/226630 , uj:22920
- Description: M.Tech. (Chiropractic) , Abstract: Purpose: To determine the effect of chiropractic manipulation, combined with targeted exercises, on balance. Method: Thirty participants were divided into two groups of fifteen: an experimental group and a control group. The experimental group received chiropractic manipulation to restricted joints in the lumbar spine and sacroiliac joints, as well as a 45-minute pilates-based targeted exercise class once per week for six weeks. The control group did not receive any intervention. Both groups had their balance assessed three times using the Biodex Balance System SD: once before the study started, for a second time halfway through the study (prior to treatment for the participants in the experimental group), and a final measurement when the trials had been completed. Results: With regards to the clinical analysis of the results, both the experimental and control groups showed an improvement in their balance performance, with a larger improvement occurring in the experimental group. The experimental group showed a progressive improvement from measurement to measurement, whereas the control group showed a dramatic improvement from the first to the second measurements, with the difference between the second to the third measurement ranging from a very small improvement to a worsened performance. When analysed individually, both groups showed significant improvement between measurements, with the experimental group showing more statistically significant readings. However, no statistically significant difference was found when comparing the scores of the two groups to one another. Conclusion: As there was no statistically significant difference between the performances of the two groups, no conclusion can be made as to whether or not the combination of targeted exercise classes and chiropractic manipulation has any effect on balance. The small sample size also does not allow a generalisation of these results to the broader public. However, it is possible that with certain methodological changes, significant results may be seen.
- Full Text:
- Authors: Osler, Sarah Nomvula
- Date: 2017
- Subjects: Chiropractic , Exercise therapy , Equilibrium (Physiology)
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/226630 , uj:22920
- Description: M.Tech. (Chiropractic) , Abstract: Purpose: To determine the effect of chiropractic manipulation, combined with targeted exercises, on balance. Method: Thirty participants were divided into two groups of fifteen: an experimental group and a control group. The experimental group received chiropractic manipulation to restricted joints in the lumbar spine and sacroiliac joints, as well as a 45-minute pilates-based targeted exercise class once per week for six weeks. The control group did not receive any intervention. Both groups had their balance assessed three times using the Biodex Balance System SD: once before the study started, for a second time halfway through the study (prior to treatment for the participants in the experimental group), and a final measurement when the trials had been completed. Results: With regards to the clinical analysis of the results, both the experimental and control groups showed an improvement in their balance performance, with a larger improvement occurring in the experimental group. The experimental group showed a progressive improvement from measurement to measurement, whereas the control group showed a dramatic improvement from the first to the second measurements, with the difference between the second to the third measurement ranging from a very small improvement to a worsened performance. When analysed individually, both groups showed significant improvement between measurements, with the experimental group showing more statistically significant readings. However, no statistically significant difference was found when comparing the scores of the two groups to one another. Conclusion: As there was no statistically significant difference between the performances of the two groups, no conclusion can be made as to whether or not the combination of targeted exercise classes and chiropractic manipulation has any effect on balance. The small sample size also does not allow a generalisation of these results to the broader public. However, it is possible that with certain methodological changes, significant results may be seen.
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The effects of cervical manipulation on the edge light pupil cycle time
- Authors: Van Staden, Douween
- Date: 2009-06-22T06:53:17Z
- Subjects: Chiropractic
- Type: Thesis
- Identifier: http://ujcontent.uj.ac.za8080/10210/364451 , uj:8519 , http://hdl.handle.net/10210/2675
- Description: M.Tech.
- Full Text: false
- Authors: Van Staden, Douween
- Date: 2009-06-22T06:53:17Z
- Subjects: Chiropractic
- Type: Thesis
- Identifier: http://ujcontent.uj.ac.za8080/10210/364451 , uj:8519 , http://hdl.handle.net/10210/2675
- Description: M.Tech.
- Full Text: false
A study to determine the effectiveness of chiropractic manipulative therapy of the sacroiliac joint and pelvic stabilisation exercises in the management of post-partum lower back pain
- Authors: Rosenberg, Marie Jane
- Date: 2008-09-01T10:24:52Z
- Subjects: Manipulation (Therapeutics) , Chiropractic
- Type: Thesis
- Identifier: uj:4447 , http://hdl.handle.net/10210/978
- Description: This study compared the effectiveness of three different Chiropractic treatment protocols in the treatment of post-partum low back pain. This was done in order to establish whether or not a combined treatment of Chiropractic Manipulative Therapy (CMT) of the sacroiliac joint combined with slow dynamic strengthening exercises to strengthen and stabilise the pelvis is a more effective treatment than CMT of the sacroiliac joint alone, or slow dynamic strengthening exercises in isolation. Thirty participants were used for this study. They were randomly placed into one of three groups namely; group 1, group 2 and group 3. Group 1 received CMT solely to the involved sacroiliac joint. Group 2 received slow dynamic strengthening exercises of gluteus medius, piriformis and psoas muscles. These exercises were designed to strengthen and stabilise the pelvis. Group 3 received a combination of the above two treatments. Six treatments were administered over a period of three weeks with each participant receiving two treatments per week. Prior to the commencement of treatments one, three and six; each participant was objectively measured for forward flexion range of motion using the Modified Schober’s test. The subjective measurements used in this study were the Numerical Pain Rating Scale and the Oswestry Lower Back Pain and Disability Questionnaire, these were also completed prior to first, third and sixth treatments. All the collected data was statistically analysed using the one-way Anova test, the Scheffe Multiple Comparisons test and the Paired-t test. This statistical analysis revealed statistical differences on intra-group analysis, for all the three groups involved, mostly between treatment three and treatment six for both the objective and subjective measurements. On inter-group analysis no statistical differences were found although group three subjective and objective measurements improved by a larger percentage than both group one and group two. It was thus concluded that a combined treatment of CMT and slow dynamic strengthening exercises of gluteus medius, piriformis and psoas muscles was the most effective protocol to use on women with post-partum low back pain. , Dr. C.D. Losco Dr. B. Losco
- Full Text:
- Authors: Rosenberg, Marie Jane
- Date: 2008-09-01T10:24:52Z
- Subjects: Manipulation (Therapeutics) , Chiropractic
- Type: Thesis
- Identifier: uj:4447 , http://hdl.handle.net/10210/978
- Description: This study compared the effectiveness of three different Chiropractic treatment protocols in the treatment of post-partum low back pain. This was done in order to establish whether or not a combined treatment of Chiropractic Manipulative Therapy (CMT) of the sacroiliac joint combined with slow dynamic strengthening exercises to strengthen and stabilise the pelvis is a more effective treatment than CMT of the sacroiliac joint alone, or slow dynamic strengthening exercises in isolation. Thirty participants were used for this study. They were randomly placed into one of three groups namely; group 1, group 2 and group 3. Group 1 received CMT solely to the involved sacroiliac joint. Group 2 received slow dynamic strengthening exercises of gluteus medius, piriformis and psoas muscles. These exercises were designed to strengthen and stabilise the pelvis. Group 3 received a combination of the above two treatments. Six treatments were administered over a period of three weeks with each participant receiving two treatments per week. Prior to the commencement of treatments one, three and six; each participant was objectively measured for forward flexion range of motion using the Modified Schober’s test. The subjective measurements used in this study were the Numerical Pain Rating Scale and the Oswestry Lower Back Pain and Disability Questionnaire, these were also completed prior to first, third and sixth treatments. All the collected data was statistically analysed using the one-way Anova test, the Scheffe Multiple Comparisons test and the Paired-t test. This statistical analysis revealed statistical differences on intra-group analysis, for all the three groups involved, mostly between treatment three and treatment six for both the objective and subjective measurements. On inter-group analysis no statistical differences were found although group three subjective and objective measurements improved by a larger percentage than both group one and group two. It was thus concluded that a combined treatment of CMT and slow dynamic strengthening exercises of gluteus medius, piriformis and psoas muscles was the most effective protocol to use on women with post-partum low back pain. , Dr. C.D. Losco Dr. B. Losco
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Describing the trends of qEEG change caused by cervical manipulation
- Authors: Scott, Michelle
- Date: 2018
- Subjects: Chiropractic , Cervical vertebrae , Spinal adjustment , Electroencephalography
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/268532 , uj:28506
- Description: M.Tech. (Chiropractic) , Abstract: Background: Quantitative electroencephalogram (qEEG) is used to measure brain wave activity. qEEG is commonly used to determine and asses neural function, neurophysiology and neurological deficits. It is an inexpensive tool used for both diagnostic and prognostic information. It is alleged that chiropractic manipulation affects the central nervous system beyond the dorsal root ganglia; as well as the brain itself. Although controversial studies are demonstrating there is an effect on brain qEEG, limited research has looked at the detailed trends of qEEG changes caused by cervical manipulation. Aim: The aim of the study was to determine the trends of qEEG changes caused by cervical manipulation for the duration of 60 minutes. This could theoretically stimulate further related research and thus redefine the existing limits of chiropractic treatment of the central nervous system by influencing brain wave activity. Method: A descriptive design was used to attempt to track trends on qEEG readings before and after a chiropractic manipulation for the duration of 60 minutes. The EEG equipment that was used for the trials was a MP 150 Biopac system. On arrival at the Chiropractic clinic all participants were assessed as new patients and then randomly divided into two groups of 5. Once this was completed the EEG cap was placed on the participants head and the first of six recordings was started. Subsequent to the completion of the first recording, the participants’ cervical spine was manipulated/ sham manipulated (control group). The remainder of the recordings then took place at 15 minute intervals. Results: There was a definitive difference in the readings pre- and post-manipulation for both groups, across all three brain lobes. Group A appeared to have more consistent predictable changes. Group B appeared to have haphazard changes. Some participants showed more pronounced changes in brain wave activity than others. Conclusion: The definitive changes pre- and post- manipulation readings demonstrate that there are apparent variations in the qEEG readings post cervical manipulation...
- Full Text:
- Authors: Scott, Michelle
- Date: 2018
- Subjects: Chiropractic , Cervical vertebrae , Spinal adjustment , Electroencephalography
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/268532 , uj:28506
- Description: M.Tech. (Chiropractic) , Abstract: Background: Quantitative electroencephalogram (qEEG) is used to measure brain wave activity. qEEG is commonly used to determine and asses neural function, neurophysiology and neurological deficits. It is an inexpensive tool used for both diagnostic and prognostic information. It is alleged that chiropractic manipulation affects the central nervous system beyond the dorsal root ganglia; as well as the brain itself. Although controversial studies are demonstrating there is an effect on brain qEEG, limited research has looked at the detailed trends of qEEG changes caused by cervical manipulation. Aim: The aim of the study was to determine the trends of qEEG changes caused by cervical manipulation for the duration of 60 minutes. This could theoretically stimulate further related research and thus redefine the existing limits of chiropractic treatment of the central nervous system by influencing brain wave activity. Method: A descriptive design was used to attempt to track trends on qEEG readings before and after a chiropractic manipulation for the duration of 60 minutes. The EEG equipment that was used for the trials was a MP 150 Biopac system. On arrival at the Chiropractic clinic all participants were assessed as new patients and then randomly divided into two groups of 5. Once this was completed the EEG cap was placed on the participants head and the first of six recordings was started. Subsequent to the completion of the first recording, the participants’ cervical spine was manipulated/ sham manipulated (control group). The remainder of the recordings then took place at 15 minute intervals. Results: There was a definitive difference in the readings pre- and post-manipulation for both groups, across all three brain lobes. Group A appeared to have more consistent predictable changes. Group B appeared to have haphazard changes. Some participants showed more pronounced changes in brain wave activity than others. Conclusion: The definitive changes pre- and post- manipulation readings demonstrate that there are apparent variations in the qEEG readings post cervical manipulation...
- Full Text:
The effect of cervical spine chiropractic manipulation on balance
- Authors: Nolan, Justin Henry
- Date: 2010-03-31T07:00:52Z
- Subjects: Cervical vertebrae , Spinal adjustment , Chiropractic
- Type: Thesis
- Identifier: uj:6715 , http://hdl.handle.net/10210/3119
- Description: M. Tech. , It has been noted in the literature that the sensory system consists of the visual, vestibular and somatosensory systems (Guyton and Hall, 1997; Arnold and Schmitz, 1998; Murphy, 2000; Nakata and Yabe, 2001; Magee, 2002 and Gatterman, 2004). In congruence with the above authors Katz (1996), Gatterman (2004) and Murphy (2000), Morningstar, Pettibon, Schlappi, Schlapp and Ireland (2005) further stated that the postural reflexes can be subcategorised as the following: visual righting reflex, labyrinthine righting reflexes, neck righting reflexes, body on head righting reflexes and body on body righting reflexes. Each of these neurological mechanisms plays a role in balance / equilibrium. Furthermore it has been shown that spinal manipulative therapy has an effect on neurological systems. Therefore it stands to reason that spinal manipulative therapy may have an effect on balance or equilibrium.
- Full Text:
- Authors: Nolan, Justin Henry
- Date: 2010-03-31T07:00:52Z
- Subjects: Cervical vertebrae , Spinal adjustment , Chiropractic
- Type: Thesis
- Identifier: uj:6715 , http://hdl.handle.net/10210/3119
- Description: M. Tech. , It has been noted in the literature that the sensory system consists of the visual, vestibular and somatosensory systems (Guyton and Hall, 1997; Arnold and Schmitz, 1998; Murphy, 2000; Nakata and Yabe, 2001; Magee, 2002 and Gatterman, 2004). In congruence with the above authors Katz (1996), Gatterman (2004) and Murphy (2000), Morningstar, Pettibon, Schlappi, Schlapp and Ireland (2005) further stated that the postural reflexes can be subcategorised as the following: visual righting reflex, labyrinthine righting reflexes, neck righting reflexes, body on head righting reflexes and body on body righting reflexes. Each of these neurological mechanisms plays a role in balance / equilibrium. Furthermore it has been shown that spinal manipulative therapy has an effect on neurological systems. Therefore it stands to reason that spinal manipulative therapy may have an effect on balance or equilibrium.
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Comparing rib cervical and thoracic chiropractic adjustments versus adjustments alone on the quality of life of the adult asthmatic
- Authors: Barker, Juanita R.
- Date: 2009-06-22T07:00:42Z
- Subjects: Chiropractic
- Type: Thesis
- Identifier: uj:8529 , http://hdl.handle.net/10210/2684
- Description: M.Tech.
- Full Text: false
- Authors: Barker, Juanita R.
- Date: 2009-06-22T07:00:42Z
- Subjects: Chiropractic
- Type: Thesis
- Identifier: uj:8529 , http://hdl.handle.net/10210/2684
- Description: M.Tech.
- Full Text: false
The immediate effect of an upper cervical adjustment on mental rotation ability in individuals with asymptomatic cervical facet joint dysfunction
- Authors: Finberg, Craig Jason
- Date: 2009-11-16T06:53:02Z
- Subjects: Cervical vertebrae - Abnormalities , Spinal adjustment , Chiropractic
- Type: Thesis
- Identifier: uj:6612 , http://hdl.handle.net/10210/3002
- Description: M.Tech. , It has been reported that the sympathetic nerve fibres coursing with the vertebral arteries may potentially be irritated by cervical pathology such as cervical dysfunction causing vasoconstriction of the vertebro-basilar arterial system leading to an ischaemic state in particular areas in the brain (Wingfield and Gorman, 2000). This arterial insufficiency to the brain has been shown to effect higher level complex brain functions (Terrett, 1995). The purpose of this research was to determine whether atlanto-occipital joint as well as atlanto-axial joint adjustments had an immediate effect on mental rotation ability in individuals with asymptomatic cervical facet joint dysfunction. Sixty male and female asymptomatic patients took part in this study. These patients were recruited by means of word of mouth and through the use of advertisements placed in the University of Johannesburg Chiropractic Day Clinic, Doornfontein Campus. Inclusion criteria required for patients to participate in the study included the patients (both male or female) be between the ages of 18 and 30 years, they presented with an asymptomatic cervical facet joint dysfunction at the atlantooccipital and or atlanto-axial joints, not have had either Chiropractic or any other form of treatment to the cervical spine for at least six days prior to involvement in the study, had normal or corrected to normal vision and no contraindications to cervical adjustments. vi Objective data was collected by means of a mental rotation reaction time test installed on a laptop computer which measured the patients mental rotation reaction time ability in both accuracy and time to complete each test. The objective results demonstrated that there was no statistically significant increase in mental rotation ability following the Chiropractic adjustments. In conclusion, it was shown that Chiropractic adjustments performed on patients presenting with asymptomatic cervical facet joint dysfunction at the atlantooccipital and/or the atlanto-axial joint complexes brought about no improvement in mental rotation ability.
- Full Text:
- Authors: Finberg, Craig Jason
- Date: 2009-11-16T06:53:02Z
- Subjects: Cervical vertebrae - Abnormalities , Spinal adjustment , Chiropractic
- Type: Thesis
- Identifier: uj:6612 , http://hdl.handle.net/10210/3002
- Description: M.Tech. , It has been reported that the sympathetic nerve fibres coursing with the vertebral arteries may potentially be irritated by cervical pathology such as cervical dysfunction causing vasoconstriction of the vertebro-basilar arterial system leading to an ischaemic state in particular areas in the brain (Wingfield and Gorman, 2000). This arterial insufficiency to the brain has been shown to effect higher level complex brain functions (Terrett, 1995). The purpose of this research was to determine whether atlanto-occipital joint as well as atlanto-axial joint adjustments had an immediate effect on mental rotation ability in individuals with asymptomatic cervical facet joint dysfunction. Sixty male and female asymptomatic patients took part in this study. These patients were recruited by means of word of mouth and through the use of advertisements placed in the University of Johannesburg Chiropractic Day Clinic, Doornfontein Campus. Inclusion criteria required for patients to participate in the study included the patients (both male or female) be between the ages of 18 and 30 years, they presented with an asymptomatic cervical facet joint dysfunction at the atlantooccipital and or atlanto-axial joints, not have had either Chiropractic or any other form of treatment to the cervical spine for at least six days prior to involvement in the study, had normal or corrected to normal vision and no contraindications to cervical adjustments. vi Objective data was collected by means of a mental rotation reaction time test installed on a laptop computer which measured the patients mental rotation reaction time ability in both accuracy and time to complete each test. The objective results demonstrated that there was no statistically significant increase in mental rotation ability following the Chiropractic adjustments. In conclusion, it was shown that Chiropractic adjustments performed on patients presenting with asymptomatic cervical facet joint dysfunction at the atlantooccipital and/or the atlanto-axial joint complexes brought about no improvement in mental rotation ability.
- Full Text:
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.
- Full Text:
The effects of chiropractic treatment on patients' quality of life
- Authors: Bruckner, Rene
- Date: 2012-08-16
- Subjects: Chiropractic , Quality of life
- Type: Thesis
- Identifier: uj:9507 , http://hdl.handle.net/10210/5936
- Description: M.Tech. , The purpose of this study is to determine whether chiropractic care has an effect on a patient's quality of life using the endpoints of: "the ability to perform general activities of daily living" (patient's level of disability, and restored function) and their "general emotional state" (energy level, depression, interference from emotional problems and feeling of wellness), also how these endpoints affect quality of life. Two hundred and fifty-three subjects participated in this study. The inclusion requirements were that subjects had to be aged 20 — 60, having been under chiropractic care previously. The subjects were recruited from 14 private practices from the whole of South Africa. All subjects were required to complete a self administered quality of life questionnaire. The quality of life questionnaire was developed to suit the South African population. Each questionnaire took about 5 minutes to complete. Domains used to calculate the results were changes in aerobic activity, physical activity, hygiene, activities of daily living and emotional state, after chiropractic care compared to before chiropractic care. The results overall showed that subjects experienced an improvement in their quality of life after chiropractic care. Chiropractic care therefore, had a beneficial effect on patients' quality of life. The overall results were statistically significant. The researcher therefore concludes that chiropractic care has an effect on patients' quality of life. It is recommended that future studies / research utilize a more comprehensively developed research questionnaire
- Full Text:
- Authors: Bruckner, Rene
- Date: 2012-08-16
- Subjects: Chiropractic , Quality of life
- Type: Thesis
- Identifier: uj:9507 , http://hdl.handle.net/10210/5936
- Description: M.Tech. , The purpose of this study is to determine whether chiropractic care has an effect on a patient's quality of life using the endpoints of: "the ability to perform general activities of daily living" (patient's level of disability, and restored function) and their "general emotional state" (energy level, depression, interference from emotional problems and feeling of wellness), also how these endpoints affect quality of life. Two hundred and fifty-three subjects participated in this study. The inclusion requirements were that subjects had to be aged 20 — 60, having been under chiropractic care previously. The subjects were recruited from 14 private practices from the whole of South Africa. All subjects were required to complete a self administered quality of life questionnaire. The quality of life questionnaire was developed to suit the South African population. Each questionnaire took about 5 minutes to complete. Domains used to calculate the results were changes in aerobic activity, physical activity, hygiene, activities of daily living and emotional state, after chiropractic care compared to before chiropractic care. The results overall showed that subjects experienced an improvement in their quality of life after chiropractic care. Chiropractic care therefore, had a beneficial effect on patients' quality of life. The overall results were statistically significant. The researcher therefore concludes that chiropractic care has an effect on patients' quality of life. It is recommended that future studies / research utilize a more comprehensively developed research questionnaire
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The effect of chiropractic manipulative therapy on erector spinae and quadratus lumborum muscle endurance in the presence of leg length inequality
- Authors: Graham, Meagan
- Date: 2015
- Subjects: Chiropractic , Leg length inequality , Muscle strength
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/58171 , uj:16426
- Description: Abstract: The aim of this study was to determine whether chiropractic spinal manipulative therapy has a quantifiable effect on the endurance times of the erector spinae and quadratus lumborum muscles in the initial presence of leg length inequality. Thirty participants were recruited, all of which were between the ages of eighteen and forty-five. Participants needed to present with a leg length inequality. Exclusion criteria included pathology of the joints of the extremities. All the participants had chiropractic spinal manipulative therapy to restricted lumbar/sacroiliac joints. Participants received treatment twice weekly for three consecutive weeks (i.e. six treatments). On the seventh visit, in the fourth week, no treatment was administered. Objective measurements and subjective leg length inequality checks were performed at visits one and four, prior to treatment, and at visit seven. Objective data was obtained from the Biering-Sørensen test and quadratus lumborum endurance time. Subjective checks determined side of leg length inequality (i.e. short leg) using supine leg check. The group exhibited an increase in endurance times after administration of chiropractic spinal manipulative therapy. Improvement occurred in the latter part of the data collection indicating a need for long-term treatment. The subgroup, that exhibited a correction to leg length, displayed a greater improvement in quadratus lumborum endurance than that of the group overall. This study has shown that chiropractic spinal manipulative therapy may be used as a form of treatment to increase muscle endurance times through reduction in muscle hypertonicity. It has also confirmed clinically that when there is a correction to leg length there is a greater improvement in trunk extensor endurance times. , M.Tech. (Chiropractic)
- Full Text:
- Authors: Graham, Meagan
- Date: 2015
- Subjects: Chiropractic , Leg length inequality , Muscle strength
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/58171 , uj:16426
- Description: Abstract: The aim of this study was to determine whether chiropractic spinal manipulative therapy has a quantifiable effect on the endurance times of the erector spinae and quadratus lumborum muscles in the initial presence of leg length inequality. Thirty participants were recruited, all of which were between the ages of eighteen and forty-five. Participants needed to present with a leg length inequality. Exclusion criteria included pathology of the joints of the extremities. All the participants had chiropractic spinal manipulative therapy to restricted lumbar/sacroiliac joints. Participants received treatment twice weekly for three consecutive weeks (i.e. six treatments). On the seventh visit, in the fourth week, no treatment was administered. Objective measurements and subjective leg length inequality checks were performed at visits one and four, prior to treatment, and at visit seven. Objective data was obtained from the Biering-Sørensen test and quadratus lumborum endurance time. Subjective checks determined side of leg length inequality (i.e. short leg) using supine leg check. The group exhibited an increase in endurance times after administration of chiropractic spinal manipulative therapy. Improvement occurred in the latter part of the data collection indicating a need for long-term treatment. The subgroup, that exhibited a correction to leg length, displayed a greater improvement in quadratus lumborum endurance than that of the group overall. This study has shown that chiropractic spinal manipulative therapy may be used as a form of treatment to increase muscle endurance times through reduction in muscle hypertonicity. It has also confirmed clinically that when there is a correction to leg length there is a greater improvement in trunk extensor endurance times. , M.Tech. (Chiropractic)
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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...
- 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 immediate effect of manipulation of the talocrural, proximal tibiofibular joints and the combination thereof on ankle dorsiflexion
- Authors: Ritter, Jacques
- Date: 2019
- Subjects: Chiropractic , Ankle , Joints - Range of motion
- Language: English
- Type: Masters (Thesis)
- Identifier: http://ujcontent.uj.ac.za8080/10210/387544 , http://hdl.handle.net/10210/292964 , uj:31846
- Description: Abstract: Purpose: The aim of this study was to compare the immediate effects of a combined talocrural and proximal tibiofibular manipulation on ankle dorsiflexion with a control as well as with the effects of manipulation of each joint in isolation. Method: The study consisted of 100 asymptomatic participants. The participants were divided into four groups each comprising 25. Participants had to meet the inclusion criteria to be considered for the study and also had to present with no contra-indications for peripheral manipulation. Procedure: Group 1 received a single talocrural manipulation. Group 2 received a single proximal tibiofibular manipulation. Group 3 received both a talocrural as well as proximal tibiofibular manipulation. Group 4 did not receive any intervention and served as the control group. The talocrural dorsiflexion was measured using the weight-bearing lunge test. Measurements were taken prior to the intervention and immediately afterwards. The data was recorded by the researcher. Once the trials were completed, the results were sent to STATKON to be analysed. Results: The manipulated limbs of Groups 1, 2 and 3 all showed an increase in ankle dorsiflexion. Group 3 showed the biggest improvement. Group 4 showed no statistically significant improvement. Conclusion: It was found that all the groups that received intervention in the form of joint manipulation improved. Statistically, they had the same improvement, yet clinically it appeared that Group 3 had some additive effect. Although an increase was also noted in the unmanipulated limbs, such an increase across all analyses of unmanipulated limbs was so small it can be argued to be negligible. It could be said that manipulation of the proximal tibiofibular joint, talocrural joint or both has an immediate increase in dorsiflexion of the ankle. , M.Tech. (Chiropractic)
- Full Text:
- Authors: Ritter, Jacques
- Date: 2019
- Subjects: Chiropractic , Ankle , Joints - Range of motion
- Language: English
- Type: Masters (Thesis)
- Identifier: http://ujcontent.uj.ac.za8080/10210/387544 , http://hdl.handle.net/10210/292964 , uj:31846
- Description: Abstract: Purpose: The aim of this study was to compare the immediate effects of a combined talocrural and proximal tibiofibular manipulation on ankle dorsiflexion with a control as well as with the effects of manipulation of each joint in isolation. Method: The study consisted of 100 asymptomatic participants. The participants were divided into four groups each comprising 25. Participants had to meet the inclusion criteria to be considered for the study and also had to present with no contra-indications for peripheral manipulation. Procedure: Group 1 received a single talocrural manipulation. Group 2 received a single proximal tibiofibular manipulation. Group 3 received both a talocrural as well as proximal tibiofibular manipulation. Group 4 did not receive any intervention and served as the control group. The talocrural dorsiflexion was measured using the weight-bearing lunge test. Measurements were taken prior to the intervention and immediately afterwards. The data was recorded by the researcher. Once the trials were completed, the results were sent to STATKON to be analysed. Results: The manipulated limbs of Groups 1, 2 and 3 all showed an increase in ankle dorsiflexion. Group 3 showed the biggest improvement. Group 4 showed no statistically significant improvement. Conclusion: It was found that all the groups that received intervention in the form of joint manipulation improved. Statistically, they had the same improvement, yet clinically it appeared that Group 3 had some additive effect. Although an increase was also noted in the unmanipulated limbs, such an increase across all analyses of unmanipulated limbs was so small it can be argued to be negligible. It could be said that manipulation of the proximal tibiofibular joint, talocrural joint or both has an immediate increase in dorsiflexion of the ankle. , M.Tech. (Chiropractic)
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The effect of chiropractic cervical spine adjustment on cervical range of motion, beyond the direct effect of cavitation
- Authors: Paton, Glen James
- Date: 2014-04-01
- Subjects: Chiropractic , Spinal adjustment , Joints - Range of motion , Cervical vertebrae
- Type: Thesis
- Identifier: uj:4564 , http://hdl.handle.net/10210/9912
- Description: M.Tech. (Chiropractic) , Purpose: This study aims to ascertain the extent Chiropractic manipulative therapy increases ROM beyond the joint-separation induced ROM initially experienced via the cavitation phenomenon in the absence of neck pain. Method: Sixty participants between eighteen and thirty-five years of age, thirty male and thirty female whom met the inclusion of no neck pain and perceived decreased ROM were selected for participation. There was a single group with each participant‟s pre-adjustment readings acting as a baseline. Procedure: Participants were assessed for hypomobility and joint dysfunction. Those who met the inclusion criteria underwent a detailed history, physical and cervical spine regional examination on the initial consult. A pre-adjustment objective measurement was acquired using a cervical spine range of motion (CROM) device. Once the consent form was signed participants received Chiropractic cervical spine manipulative therapy to the area/s of the cervical spine found to be restricted on motion palpation by the researcher. Post-adjustment objective measurements were taken at one, twenty, forty and sixty minutes using the CROM device. Participants were required to remain in the researcher‟s examination room for 60 minutes post-adjustment with continuation of regular day to day activity and no strenuous activity during the twenty-four hour period of the study. The participant was required to return for a single follow up visit within a time frame of twenty-four hours of the initial visit. The follow-up visit required no treatment. At twenty-four hours, the participant was objectively measured for cervical spine ROM using the CROM. The results were based on objective data in the form of cervical spine ROM measurements. Results: Clinical analysis of the percentage change in cervical spine ROM values revealed that clinically and statistically significant improvement was seen in all ranges of motion post-adjustment. General consensus showed that a peak value of improved ROM was seen post-adjustment at the one minute interval for all ranges of motion except flexion. Flexion demonstrated a peak ROM value at the twenty minute post-adjustment interval.
- Full Text:
- Authors: Paton, Glen James
- Date: 2014-04-01
- Subjects: Chiropractic , Spinal adjustment , Joints - Range of motion , Cervical vertebrae
- Type: Thesis
- Identifier: uj:4564 , http://hdl.handle.net/10210/9912
- Description: M.Tech. (Chiropractic) , Purpose: This study aims to ascertain the extent Chiropractic manipulative therapy increases ROM beyond the joint-separation induced ROM initially experienced via the cavitation phenomenon in the absence of neck pain. Method: Sixty participants between eighteen and thirty-five years of age, thirty male and thirty female whom met the inclusion of no neck pain and perceived decreased ROM were selected for participation. There was a single group with each participant‟s pre-adjustment readings acting as a baseline. Procedure: Participants were assessed for hypomobility and joint dysfunction. Those who met the inclusion criteria underwent a detailed history, physical and cervical spine regional examination on the initial consult. A pre-adjustment objective measurement was acquired using a cervical spine range of motion (CROM) device. Once the consent form was signed participants received Chiropractic cervical spine manipulative therapy to the area/s of the cervical spine found to be restricted on motion palpation by the researcher. Post-adjustment objective measurements were taken at one, twenty, forty and sixty minutes using the CROM device. Participants were required to remain in the researcher‟s examination room for 60 minutes post-adjustment with continuation of regular day to day activity and no strenuous activity during the twenty-four hour period of the study. The participant was required to return for a single follow up visit within a time frame of twenty-four hours of the initial visit. The follow-up visit required no treatment. At twenty-four hours, the participant was objectively measured for cervical spine ROM using the CROM. The results were based on objective data in the form of cervical spine ROM measurements. Results: Clinical analysis of the percentage change in cervical spine ROM values revealed that clinically and statistically significant improvement was seen in all ranges of motion post-adjustment. General consensus showed that a peak value of improved ROM was seen post-adjustment at the one minute interval for all ranges of motion except flexion. Flexion demonstrated a peak ROM value at the twenty minute post-adjustment interval.
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A comparative study of the effectiveness of chiropractic manipulative and action potential simulation therapy on myofascial trigger points within the trapezius muscle
- Authors: Whitlock, Raydon
- Date: 2009-06-22T06:44:54Z
- Subjects: Chiropractic
- Type: Thesis
- Identifier: http://ujcontent.uj.ac.za8080/10210/384038 , uj:8511 , http://hdl.handle.net/10210/2668
- Description: M.Tech.
- Full Text: false
- Authors: Whitlock, Raydon
- Date: 2009-06-22T06:44:54Z
- Subjects: Chiropractic
- Type: Thesis
- Identifier: http://ujcontent.uj.ac.za8080/10210/384038 , uj:8511 , http://hdl.handle.net/10210/2668
- Description: M.Tech.
- Full Text: false
The effect of chiropractic manipulation on the sacroiliac joints compared to mobilisation, on the weight distribution through the lower limbs
- Authors: Scheepers, J. H. L.
- Date: 2008-09-01T10:23:13Z
- Subjects: Manipulation (Therapeutics) , Chiropractic
- Type: Thesis
- Identifier: uj:4381 , http://hdl.handle.net/10210/972
- Description: Sacro-iliac joint (S.I joint) dysfunction can result in leg length discrepancies (LLD). LLD has been associated with many musculoskeletal problems such as osteoarthritis of the hips, knee pain and lower back pain. It has been theorised that LLD alters a persons body posture, which in turn changes the forces acting on the joints in the lower extremity and spine. These unnatural forces then create the excessive forces seen as the causative factors in the previously mentioned musculoskeletal conditions. (Murrel, Cornwall, Doucet 1991) The purpose of this pilot study was to was to compare the effect of chiropractic manipulative therapy on the S.I joints with chiropractic mobilisations of the S.I joints on the weight transfer from the spine into the lower limbs. This randomised study consisted of two groups of fifteen patients between the ages of eighteen and fifty years. All potential candidates were examined and admitted once all the inclusion and exclusion criteria had been met. Once S.I joint restrictions were detected the patient received either chiropractic manipulation or mobilisation to the restricted joint. Group A received chiropractic manipulation while group B were treated with mobilisations of the S.I joints. Patients were treated over a two week treatment period. Objective measurements were taken before the 1st treatment and after the 1st ,3rd ,5th and final consultations one month later. The measurements were taken with the Spinal Analyses Machine (S.A.M). This instrument has got two scales on a platform that determines the patients weight distribution from the spine through the left and right lower limbs. The data collected was then statistically analysed using the One Way ANOVA Test (analyses of variance) as well as the Student-Newman-Keuls Method to compare the inter-group and intra-group data. Statistically significant changes in the weight distribution between the lower limbs were seen in group A. Based on the results from the study chiropractic manipulation to the S.I joint proved to be more effective than mobilisation in the treatment of S.I joint dysfunction. This does however require further research, and a larger sample size. , Dr. M. Moodley Dr. J. Kotze
- Full Text:
- Authors: Scheepers, J. H. L.
- Date: 2008-09-01T10:23:13Z
- Subjects: Manipulation (Therapeutics) , Chiropractic
- Type: Thesis
- Identifier: uj:4381 , http://hdl.handle.net/10210/972
- Description: Sacro-iliac joint (S.I joint) dysfunction can result in leg length discrepancies (LLD). LLD has been associated with many musculoskeletal problems such as osteoarthritis of the hips, knee pain and lower back pain. It has been theorised that LLD alters a persons body posture, which in turn changes the forces acting on the joints in the lower extremity and spine. These unnatural forces then create the excessive forces seen as the causative factors in the previously mentioned musculoskeletal conditions. (Murrel, Cornwall, Doucet 1991) The purpose of this pilot study was to was to compare the effect of chiropractic manipulative therapy on the S.I joints with chiropractic mobilisations of the S.I joints on the weight transfer from the spine into the lower limbs. This randomised study consisted of two groups of fifteen patients between the ages of eighteen and fifty years. All potential candidates were examined and admitted once all the inclusion and exclusion criteria had been met. Once S.I joint restrictions were detected the patient received either chiropractic manipulation or mobilisation to the restricted joint. Group A received chiropractic manipulation while group B were treated with mobilisations of the S.I joints. Patients were treated over a two week treatment period. Objective measurements were taken before the 1st treatment and after the 1st ,3rd ,5th and final consultations one month later. The measurements were taken with the Spinal Analyses Machine (S.A.M). This instrument has got two scales on a platform that determines the patients weight distribution from the spine through the left and right lower limbs. The data collected was then statistically analysed using the One Way ANOVA Test (analyses of variance) as well as the Student-Newman-Keuls Method to compare the inter-group and intra-group data. Statistically significant changes in the weight distribution between the lower limbs were seen in group A. Based on the results from the study chiropractic manipulation to the S.I joint proved to be more effective than mobilisation in the treatment of S.I joint dysfunction. This does however require further research, and a larger sample size. , Dr. M. Moodley Dr. J. Kotze
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The effect of chiropractic manipulation on the tactile sensitivity of the trigeminal nerve
- Authors: Lombard, Dayna Teresa
- Date: 2017
- Subjects: Chiropractic , Trigeminal nerve , Facial pain - Chiropractic treatment
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/231307 , uj:23555
- Description: M.Tech. (Chiropractic) , Abstract: Purpose: The trigeminocervical nucleus is found at the junction whereby the sensory input from the trigeminal nerve and the first three cervical spinal nerves overlap. Due to the close proximity of structures within the upper cervical spine and the trigeminocervical nucleus, cervical facet syndrome and its mechanism may have an effect on the trigeminal nerve and its various components, leading to potential disrupted and altered function of this nerve. Of particular interest in this research study is the tactile sensitivity of the nerve. This has been proposed after evidence has suggested that in the presence of spinal dysfunction, altered afferent input to the central nervous system may occur (Haavik-Taylor and Murphy, 2010). Aim: The aim of this study was to analyse the effect of chiropractic spinal manipulation to the upper cervical spine, with associated neck pain, and the possible resultant change in the tactile sensitivity of the trigeminal nerve distribution. Method: This was a quantitative single blinded study with random group allocation. 100 participants were assessed according to inclusion and exclusion criteria and randomly divided into group 1 (spinal manipulation group) or group 2 (control group). All participants had tactile sensitivity assessments performed before treatment as well as immediately after treatment followed by 5 and 10 minutes after treatment. All objective readings were taken by a research assistant in a separate room. Procedure: This study consisted of a once-off treatment whereby participants in group 1 (spinal manipulation group) received chiropractic spinal manipulation performed on restricted segments of the upper cervical spine and participants in group 2 (control group) did not receive treatment. Objective data in the form of Semmes-Weinstein monofilament numerical ratings and two point discrimination distances were conducted in order to note any changes in sensitivity...
- Full Text:
- Authors: Lombard, Dayna Teresa
- Date: 2017
- Subjects: Chiropractic , Trigeminal nerve , Facial pain - Chiropractic treatment
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/231307 , uj:23555
- Description: M.Tech. (Chiropractic) , Abstract: Purpose: The trigeminocervical nucleus is found at the junction whereby the sensory input from the trigeminal nerve and the first three cervical spinal nerves overlap. Due to the close proximity of structures within the upper cervical spine and the trigeminocervical nucleus, cervical facet syndrome and its mechanism may have an effect on the trigeminal nerve and its various components, leading to potential disrupted and altered function of this nerve. Of particular interest in this research study is the tactile sensitivity of the nerve. This has been proposed after evidence has suggested that in the presence of spinal dysfunction, altered afferent input to the central nervous system may occur (Haavik-Taylor and Murphy, 2010). Aim: The aim of this study was to analyse the effect of chiropractic spinal manipulation to the upper cervical spine, with associated neck pain, and the possible resultant change in the tactile sensitivity of the trigeminal nerve distribution. Method: This was a quantitative single blinded study with random group allocation. 100 participants were assessed according to inclusion and exclusion criteria and randomly divided into group 1 (spinal manipulation group) or group 2 (control group). All participants had tactile sensitivity assessments performed before treatment as well as immediately after treatment followed by 5 and 10 minutes after treatment. All objective readings were taken by a research assistant in a separate room. Procedure: This study consisted of a once-off treatment whereby participants in group 1 (spinal manipulation group) received chiropractic spinal manipulation performed on restricted segments of the upper cervical spine and participants in group 2 (control group) did not receive treatment. Objective data in the form of Semmes-Weinstein monofilament numerical ratings and two point discrimination distances were conducted in order to note any changes in sensitivity...
- Full Text:
The effect of the chiropractic adjustment with a strengthening protocol compared to chiropractic adjustment or a strengthening protocol alone
- Authors: Haywood, Craig Michael
- Date: 2009-11-16T06:27:58Z
- Subjects: Chiropractic , Spinal adjustment - Physiological aspects
- Type: Thesis
- Identifier: http://ujcontent.uj.ac.za8080/10210/377459 , uj:8641 , http://hdl.handle.net/10210/2999
- Description: M.Tech. , OBJECTIVE: The aim of this study was to determine whether adjustment of the cervico-thoracic motion segment in individuals with altered or decreased motion at that segment, in conjunction with a strengthening protocol, had a greater increase in triceps brachii muscle strength compared to a strengthening protocol or chiropractic adjustment alone. By reducing the negative neural and other effects caused by aberrant movement between vertebra, chiropractic adjustment could allow the body’s muscle physiology to function at its best, thereby allowing it to adapt to changes more readily. DESIGN: Thirty subjects participated in this study. The subjects were randomly and without being aware of it, assigned to one of three groups. The only requirement for inclusion in the research was a restriction of the seventh cervical vertebra based on motion and static palpation. Patients in two of the groups were asked to perform tricep brachii muscle strengthening exercises and patients from two of the groups received chiropractic adjustment to the cervico-thoracic motion segment. Patients were seen a total of three times over a period of two weeks. MEASUREMENTS: Triceps brachii muscle strength testing was performed using an isometric dynamometer. Three pre-treatment readings and three post-treatment readings were performed, with one-minute intervals, on all the subjects. This was done to determine if there was a change before or after treatment and if there was a long-term effect. CONCLUSION: Although measurements were taken on each visit before and after each treatment, there was only a statistically significant difference in triceps brachii muscle strength between the experimental and the other two groups before treatment on the third visit. This does however; suggest that there was a favourable result and that a combination of treatments does indeed produce better results than one of the other treatments alone.
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- Authors: Haywood, Craig Michael
- Date: 2009-11-16T06:27:58Z
- Subjects: Chiropractic , Spinal adjustment - Physiological aspects
- Type: Thesis
- Identifier: http://ujcontent.uj.ac.za8080/10210/377459 , uj:8641 , http://hdl.handle.net/10210/2999
- Description: M.Tech. , OBJECTIVE: The aim of this study was to determine whether adjustment of the cervico-thoracic motion segment in individuals with altered or decreased motion at that segment, in conjunction with a strengthening protocol, had a greater increase in triceps brachii muscle strength compared to a strengthening protocol or chiropractic adjustment alone. By reducing the negative neural and other effects caused by aberrant movement between vertebra, chiropractic adjustment could allow the body’s muscle physiology to function at its best, thereby allowing it to adapt to changes more readily. DESIGN: Thirty subjects participated in this study. The subjects were randomly and without being aware of it, assigned to one of three groups. The only requirement for inclusion in the research was a restriction of the seventh cervical vertebra based on motion and static palpation. Patients in two of the groups were asked to perform tricep brachii muscle strengthening exercises and patients from two of the groups received chiropractic adjustment to the cervico-thoracic motion segment. Patients were seen a total of three times over a period of two weeks. MEASUREMENTS: Triceps brachii muscle strength testing was performed using an isometric dynamometer. Three pre-treatment readings and three post-treatment readings were performed, with one-minute intervals, on all the subjects. This was done to determine if there was a change before or after treatment and if there was a long-term effect. CONCLUSION: Although measurements were taken on each visit before and after each treatment, there was only a statistically significant difference in triceps brachii muscle strength between the experimental and the other two groups before treatment on the third visit. This does however; suggest that there was a favourable result and that a combination of treatments does indeed produce better results than one of the other treatments alone.
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A case series describing the effect of extremity manipulation on qEEG
- Authors: Randal-Smith, Devlin Sean
- Date: 2017
- Subjects: Chiropractic , Manipulation (Therapeutics) , Ankle , Electroencephalography , Relaxation
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/246598 , uj:25577
- Description: M.Tech. (Chiropractic) , Abstract: Purpose: The aim of this study was to describe the effect that an extremity manipulation particulary a talocrural joint (TCJM) manipulation had on qEEG. Method: A descriptive case series was chosen for this study. 10 participants that met the relevant inclusion and exclusion criteria were selected. The study looked to observe changes in the qEEG readings before and immediately following the extremity manipulation, as well as 30 minutes after the manipulation was delivered. The study took place in the Chiropractic Clinic at the University of Johannesburg’s Doornfontein campus. The 10 participants were screened for long axis extension talocrural joint restrictions. The qEEG was used to record the participants’ brain wave activity with their eyes open and then closed before any manipulation was given. Immediately following the manipulation, another recording was taken, again with the eyes open and then closed. Finally, the values 30 minutes post-manipulation were captured. Once again with the eyes open and then closed. The qEEG data was converted into mean values of the brain waves, delta, theta, alpha and beta. These values were used to find any statistical significance in the results. An analysis of the results was performed to identify relationships between the manipulation and brain wave activity within each of the lobes (frontal, temporal and parietal). Results: Findings of particular interest in this study were evident in all of the lobes. Beta and delta wave changes immediately following the manipulation, in the frontal lobe and temporal lobe were indicative of the participants’ increased relaxed/ resting states.. Alpha and delta wave changes in the parietal lobe following the manipulation and 30 minutes later were also suggestive of the participants’ increased relaxed and reflective state. Also important to consider was the patients immobile and quiet state throughout the trial. Conclusion: In this study, the findings are limited and inconclusive as there is no sure way to quantify how much of the increase in relaxation of the participant was a result of the extremity manipulation or the participants’ motionless and silent state. Research is severely limited on the relationship between peripheral joint manipulation and its effect on the brain. The only studies that exist are concerned with spinal manipulation. It is interesting to see that the degree of changes following the TCJM showed a similar extent of change as seen by the spinal studies. This could suggest that there are alternative factors responsible for the changes directly following the manipulation. The study has still made an encouraging contribution to the claim that chiropractic manipulation has an effect on qEEG readings, based on the...
- Full Text:
- Authors: Randal-Smith, Devlin Sean
- Date: 2017
- Subjects: Chiropractic , Manipulation (Therapeutics) , Ankle , Electroencephalography , Relaxation
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/246598 , uj:25577
- Description: M.Tech. (Chiropractic) , Abstract: Purpose: The aim of this study was to describe the effect that an extremity manipulation particulary a talocrural joint (TCJM) manipulation had on qEEG. Method: A descriptive case series was chosen for this study. 10 participants that met the relevant inclusion and exclusion criteria were selected. The study looked to observe changes in the qEEG readings before and immediately following the extremity manipulation, as well as 30 minutes after the manipulation was delivered. The study took place in the Chiropractic Clinic at the University of Johannesburg’s Doornfontein campus. The 10 participants were screened for long axis extension talocrural joint restrictions. The qEEG was used to record the participants’ brain wave activity with their eyes open and then closed before any manipulation was given. Immediately following the manipulation, another recording was taken, again with the eyes open and then closed. Finally, the values 30 minutes post-manipulation were captured. Once again with the eyes open and then closed. The qEEG data was converted into mean values of the brain waves, delta, theta, alpha and beta. These values were used to find any statistical significance in the results. An analysis of the results was performed to identify relationships between the manipulation and brain wave activity within each of the lobes (frontal, temporal and parietal). Results: Findings of particular interest in this study were evident in all of the lobes. Beta and delta wave changes immediately following the manipulation, in the frontal lobe and temporal lobe were indicative of the participants’ increased relaxed/ resting states.. Alpha and delta wave changes in the parietal lobe following the manipulation and 30 minutes later were also suggestive of the participants’ increased relaxed and reflective state. Also important to consider was the patients immobile and quiet state throughout the trial. Conclusion: In this study, the findings are limited and inconclusive as there is no sure way to quantify how much of the increase in relaxation of the participant was a result of the extremity manipulation or the participants’ motionless and silent state. Research is severely limited on the relationship between peripheral joint manipulation and its effect on the brain. The only studies that exist are concerned with spinal manipulation. It is interesting to see that the degree of changes following the TCJM showed a similar extent of change as seen by the spinal studies. This could suggest that there are alternative factors responsible for the changes directly following the manipulation. The study has still made an encouraging contribution to the claim that chiropractic manipulation has an effect on qEEG readings, based on the...
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