The effectiveness of radial shockwave therapy and spinal manipulative therapy on gluteus medius trigger points
- Authors: Swart, Owen Simon
- Date: 2016
- Subjects: Gluteus medius , Trigger points , Radial shockwave
- Language: English
- Type: Article
- Identifier: http://hdl.handle.net/10210/227116 , uj:22978 , Citation: Swart, O.S. 2016. The effectiveness of radial shockwave therapy and spinal manipulative therapy on gluteus medius trigger points.
- Description: Abstract: Purpose: The purpose of the study was to identify the effectiveness of radial shockwave therapy in combination with spinal manipulation on active gluteus trigger points and non-specific lower back pain. Method: A total of forty participants were utilised for the research study and were randomly divided into two groups of twenty participants each. Group 1 received radial shockwave therapy on gluteus medius trigger points and spinal manipulative therapy on L4-S1 levels. Group 2 received detuned ultrasound on gluteus medius trigger points and spinal manipulative therapy on L4-S1 levels. A total of six treatment sessions were required over a three-week period Results: With regards to the subjective data readings, the results from the Visual Analogue scale from the intragroup analysis indicated that both groups improved over the treatment period, the radial shockwave group showed the greatest improvement (64,35%). The radial shockwave group and the detuned ultrasound groups yielded p-values of 0.00 and 0.00 respectively. The intergroup analysis showed a statistical significant difference between groups and showed that the radial shockwave group was the superior group. With regards to the objective measurements, the intragroup analysis of the pressure algometer readings indicated that the radial shockwave group showed the greatest improvement (51,76%) over time. The radial shockwave group and the detuned ultrasound groups yielded p-values of 0.00 and 0.01 respectively. There was no statistically significant difference with intergroup analysis. Conclusion: The results showed that both treatment group protocols were effective in reducing the active gluteus medius trigger point pain and the non-specific lower back pain.
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- Authors: Swart, Owen Simon
- Date: 2016
- Subjects: Gluteus medius , Trigger points , Radial shockwave
- Language: English
- Type: Article
- Identifier: http://hdl.handle.net/10210/227116 , uj:22978 , Citation: Swart, O.S. 2016. The effectiveness of radial shockwave therapy and spinal manipulative therapy on gluteus medius trigger points.
- Description: Abstract: Purpose: The purpose of the study was to identify the effectiveness of radial shockwave therapy in combination with spinal manipulation on active gluteus trigger points and non-specific lower back pain. Method: A total of forty participants were utilised for the research study and were randomly divided into two groups of twenty participants each. Group 1 received radial shockwave therapy on gluteus medius trigger points and spinal manipulative therapy on L4-S1 levels. Group 2 received detuned ultrasound on gluteus medius trigger points and spinal manipulative therapy on L4-S1 levels. A total of six treatment sessions were required over a three-week period Results: With regards to the subjective data readings, the results from the Visual Analogue scale from the intragroup analysis indicated that both groups improved over the treatment period, the radial shockwave group showed the greatest improvement (64,35%). The radial shockwave group and the detuned ultrasound groups yielded p-values of 0.00 and 0.00 respectively. The intergroup analysis showed a statistical significant difference between groups and showed that the radial shockwave group was the superior group. With regards to the objective measurements, the intragroup analysis of the pressure algometer readings indicated that the radial shockwave group showed the greatest improvement (51,76%) over time. The radial shockwave group and the detuned ultrasound groups yielded p-values of 0.00 and 0.01 respectively. There was no statistically significant difference with intergroup analysis. Conclusion: The results showed that both treatment group protocols were effective in reducing the active gluteus medius trigger point pain and the non-specific lower back pain.
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A comparative study between low level laser therapy and myofascial dry needling on active gluteus medius trigger points
- Authors: Van Heerden, Marili
- Date: 2014-10-13
- Subjects: Myofascial pain syndromes - Chiropractic treatment , Gluteus medius , Acupuncture , Lasers - Therapeutic use
- Type: Thesis
- Identifier: http://ujcontent.uj.ac.za8080/10210/384427 , uj:12581 , http://hdl.handle.net/10210/12371
- Description: M.Tech. (Chiropractic) , Myofascial trigger points (MTrP’s) cause acute discomfort to intense pain and often lead to the use of pain medication as well as loss of man hours (Simons, Travell and Simons, 1999a; Tough, White, Cummings, Richards and Campbell, 2009). Dry needling is very effective and is widely used for the treatment of MTrP’s (Vulfsons, Ratmansky and Kalichman, 2012), but comes with various significant drawbacks, such as the experience of pain during or after treatment (post-needling soreness) or individuals with needle phobias (Unruh, Strong and Wright, 2002). More serious risks also exist, including damage to the viscera (Dommerholt and Fernández-de-las-Peñas, 2013). Low level laser therapy (LLLT) is a non-invasive technique and very little discomfort or pain is experienced by the patient during and after treatment. LLLT is effective in the short- and long-term relief of trigger points and myofascial pain syndrome. Therefore it can easily serve as an alternative to myofacial dry needling (Chow and Barnsley, 2005). This study aimed to determine whether LLLT or myofascial dry needling is more effective in the treatment of active MTrP’s, specifically those of the gluteus medius muscle. It also aimed to determine if LLLT could serve as an alternative treatment to dry needling in cases where dry needling is contraindicated or not desired. Thirty participants who complied with the inclusion criteria were divided into one of two groups. Group 1 (n=15) received dosages of LLLT directly to the active MTrP’s in the gluteus medius muscle and Group 2 (n=15) received myofascial dry needling to active MTrP’s in the gluteus medius muscle. Each participant attended 6 treatment sessions over a course of 2 weeks as well as a 7th measurements-only session.
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- Authors: Van Heerden, Marili
- Date: 2014-10-13
- Subjects: Myofascial pain syndromes - Chiropractic treatment , Gluteus medius , Acupuncture , Lasers - Therapeutic use
- Type: Thesis
- Identifier: http://ujcontent.uj.ac.za8080/10210/384427 , uj:12581 , http://hdl.handle.net/10210/12371
- Description: M.Tech. (Chiropractic) , Myofascial trigger points (MTrP’s) cause acute discomfort to intense pain and often lead to the use of pain medication as well as loss of man hours (Simons, Travell and Simons, 1999a; Tough, White, Cummings, Richards and Campbell, 2009). Dry needling is very effective and is widely used for the treatment of MTrP’s (Vulfsons, Ratmansky and Kalichman, 2012), but comes with various significant drawbacks, such as the experience of pain during or after treatment (post-needling soreness) or individuals with needle phobias (Unruh, Strong and Wright, 2002). More serious risks also exist, including damage to the viscera (Dommerholt and Fernández-de-las-Peñas, 2013). Low level laser therapy (LLLT) is a non-invasive technique and very little discomfort or pain is experienced by the patient during and after treatment. LLLT is effective in the short- and long-term relief of trigger points and myofascial pain syndrome. Therefore it can easily serve as an alternative to myofacial dry needling (Chow and Barnsley, 2005). This study aimed to determine whether LLLT or myofascial dry needling is more effective in the treatment of active MTrP’s, specifically those of the gluteus medius muscle. It also aimed to determine if LLLT could serve as an alternative treatment to dry needling in cases where dry needling is contraindicated or not desired. Thirty participants who complied with the inclusion criteria were divided into one of two groups. Group 1 (n=15) received dosages of LLLT directly to the active MTrP’s in the gluteus medius muscle and Group 2 (n=15) received myofascial dry needling to active MTrP’s in the gluteus medius muscle. Each participant attended 6 treatment sessions over a course of 2 weeks as well as a 7th measurements-only session.
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The effectiveness of radial shockwave therapy and spinal manipulative therapy on gluteus medius trigger points
- Authors: Swart, Owen Simon
- Date: 2017
- Subjects: Spinal adjustment , Electrotherapeutics , Gluteus medius , Myofascial pain syndromes - Chiropractic treatment
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/226623 , uj:22918
- Description: M.Tech. (Chiropractic) , Abstract: PURPOSE: Myofascial pain syndrome is a common cause of discomfort and disability worldwide with various forms of literature to substantiate it. Myofascial pain syndrome is a condition that is characterised by the presence of myofascial trigger points. These trigger points often refer pain to different areas of the body. Active gluteus medius trigger points for instance may refer pain to lower back and has frequently been misdiagnosed as non-specific lower back pain. Numerous treatment protocols have been applied by specialists and therapist to reduce the pain created by these trigger points and results show indifferent evidence and efficacy. Radial shockwave therapy is an alternative modality that is used to treat a variety of different musculoskeletal conditions. It is a non-invasive treatment and ideal for musculoskeletal conditions that have failed to respond to other conservative treatment protocols. The purpose of the study was to identify the effectiveness of radial shockwave therapy in combination with spinal manipulation on active gluteus trigger points and non-specific lower back pain. DESIGN: A total of forty participants were utilised for the research study and were randomly divided into two groups of twenty participants each. Group 1 received radial shockwave therapy on gluteus medius trigger points and spinal manipulative therapy on L4-S1 levels. Group 2 received detuned ultrasound on gluteus medius trigger points and spinal manipulative therapy on L4-S1 levels. A total of six treatment sessions were required over a three-week period MEASUREMENTS: Subjective data was collected by using a Visual Analogue Scale. Objective data was collected by using a hand-held pressure algometer on active gluteus medius trigger points. Data was collected on the first, fourth and seventh consultations. OUTCOMES: With regards to the subjective data readings, the results from the Visual Analogue scale from the intragroup analysis indicated that both groups improved over the treatment period, the radial shockwave group showed the greatest improvement (64,35%). The radial shockwave group and the detuned ultrasound groups yielded p-values of 0.00 and 0.00 respectively. The intergroup analysis showed a statistical significant difference...
- Full Text:
- Authors: Swart, Owen Simon
- Date: 2017
- Subjects: Spinal adjustment , Electrotherapeutics , Gluteus medius , Myofascial pain syndromes - Chiropractic treatment
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/226623 , uj:22918
- Description: M.Tech. (Chiropractic) , Abstract: PURPOSE: Myofascial pain syndrome is a common cause of discomfort and disability worldwide with various forms of literature to substantiate it. Myofascial pain syndrome is a condition that is characterised by the presence of myofascial trigger points. These trigger points often refer pain to different areas of the body. Active gluteus medius trigger points for instance may refer pain to lower back and has frequently been misdiagnosed as non-specific lower back pain. Numerous treatment protocols have been applied by specialists and therapist to reduce the pain created by these trigger points and results show indifferent evidence and efficacy. Radial shockwave therapy is an alternative modality that is used to treat a variety of different musculoskeletal conditions. It is a non-invasive treatment and ideal for musculoskeletal conditions that have failed to respond to other conservative treatment protocols. The purpose of the study was to identify the effectiveness of radial shockwave therapy in combination with spinal manipulation on active gluteus trigger points and non-specific lower back pain. DESIGN: A total of forty participants were utilised for the research study and were randomly divided into two groups of twenty participants each. Group 1 received radial shockwave therapy on gluteus medius trigger points and spinal manipulative therapy on L4-S1 levels. Group 2 received detuned ultrasound on gluteus medius trigger points and spinal manipulative therapy on L4-S1 levels. A total of six treatment sessions were required over a three-week period MEASUREMENTS: Subjective data was collected by using a Visual Analogue Scale. Objective data was collected by using a hand-held pressure algometer on active gluteus medius trigger points. Data was collected on the first, fourth and seventh consultations. OUTCOMES: With regards to the subjective data readings, the results from the Visual Analogue scale from the intragroup analysis indicated that both groups improved over the treatment period, the radial shockwave group showed the greatest improvement (64,35%). The radial shockwave group and the detuned ultrasound groups yielded p-values of 0.00 and 0.00 respectively. The intergroup analysis showed a statistical significant difference...
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The effects of ischaemic compression vs integrated neurosmuscular inhibition technique on the gluteus medius muscle in the treatment of sacroiliac joint syndrome
- Authors: Nowak, Thomas
- Date: 2013-06-03
- Subjects: Gluteus medius , Sacroiliac joint diseases - Chiropractic treatment , Myofascial pain syndromes - Chiropractic treatment
- Type: Mini-Dissertation
- Identifier: uj:7574 , http://hdl.handle.net/10210/8437
- Description: M.Tech. (Chiropractic) , Objective: The purpose of the study was to determine the most effective way of treating Sacroiliac (SI) joint syndrome with associated Gluteus Medius muscle myofascial trigger points (MFTP) by using adjustive techniques performed on the SI joint with a soft tissue technique. The soft tissue techniques were either ischaemic compression (IC) vs integrated neuromuscular inhibition technique (INIT). Study Design: This was a randomised comparative trial. Setting: The participants were treated at the University of Johannesburg Chiropractic day clinic. Subjects: Thirty participants were randomly divided into two groups consisting of fifteen individuals each. There was a random selection of males and females which was not limited to any particular race or gender. Participants were limited to between the ages of 18 to 35 years of age. Participants diagnosed with SI joint syndrome and who had active Gluteus Medius myofascial trigger points were eligible for this study. Method: Subjective data was collected, by the participants completing an Oswestry low back pain and disability questionnaire and a Numerical pain rating scale (NPRS). The objective data readings involved assessing the range of motion of the hip joint, with a goniometer. Algometry readings of the most active Gluteus medius trigger point were taken, to measure the amount of force on the muscle trigger point before pain was felt. Each participant was seen seven times over the span of three weeks and underwent six treatments. Group 1 received ischemic compression to the Gluteus Medius trigger points followed by an adjustment to the predetermined restricted SI joint during visit 1-6. Group 2 received INIT to the Gluteus medius trigger points followed by an adjustment to the predetermined restricted SI joint during visits 1-6. Measurements were taken at visit 1, 4, and 7 before the treatment. Results: The results indicated that neither the IC group nor the INIT group showed statistically significant improvements when comparing the two treatment methods to each other. The comparison between the two techniques did however show clinical benefit in the subjective and objective readings throughout in the intra group analysis. It appears that that the ischemic compression had more clinical benefit in terms of subjective pain readings for the Oswestry low back pain and disability questionnaire and the NPRS. The INIT seemed to provide greater clinical improvement in terms of hip range of motion as it showed to be more beneficial in increasing hip adduction and abduction. Conclusion: The results of this study was that neither group had showed statistically significant improvements when comparing the two treatment methods to each other and therefore neither method exhibited superiority over the other according to the statistical analysis in the treatment of Gluteus Medius myofascial trigger points and SI joint syndrome.
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- Authors: Nowak, Thomas
- Date: 2013-06-03
- Subjects: Gluteus medius , Sacroiliac joint diseases - Chiropractic treatment , Myofascial pain syndromes - Chiropractic treatment
- Type: Mini-Dissertation
- Identifier: uj:7574 , http://hdl.handle.net/10210/8437
- Description: M.Tech. (Chiropractic) , Objective: The purpose of the study was to determine the most effective way of treating Sacroiliac (SI) joint syndrome with associated Gluteus Medius muscle myofascial trigger points (MFTP) by using adjustive techniques performed on the SI joint with a soft tissue technique. The soft tissue techniques were either ischaemic compression (IC) vs integrated neuromuscular inhibition technique (INIT). Study Design: This was a randomised comparative trial. Setting: The participants were treated at the University of Johannesburg Chiropractic day clinic. Subjects: Thirty participants were randomly divided into two groups consisting of fifteen individuals each. There was a random selection of males and females which was not limited to any particular race or gender. Participants were limited to between the ages of 18 to 35 years of age. Participants diagnosed with SI joint syndrome and who had active Gluteus Medius myofascial trigger points were eligible for this study. Method: Subjective data was collected, by the participants completing an Oswestry low back pain and disability questionnaire and a Numerical pain rating scale (NPRS). The objective data readings involved assessing the range of motion of the hip joint, with a goniometer. Algometry readings of the most active Gluteus medius trigger point were taken, to measure the amount of force on the muscle trigger point before pain was felt. Each participant was seen seven times over the span of three weeks and underwent six treatments. Group 1 received ischemic compression to the Gluteus Medius trigger points followed by an adjustment to the predetermined restricted SI joint during visit 1-6. Group 2 received INIT to the Gluteus medius trigger points followed by an adjustment to the predetermined restricted SI joint during visits 1-6. Measurements were taken at visit 1, 4, and 7 before the treatment. Results: The results indicated that neither the IC group nor the INIT group showed statistically significant improvements when comparing the two treatment methods to each other. The comparison between the two techniques did however show clinical benefit in the subjective and objective readings throughout in the intra group analysis. It appears that that the ischemic compression had more clinical benefit in terms of subjective pain readings for the Oswestry low back pain and disability questionnaire and the NPRS. The INIT seemed to provide greater clinical improvement in terms of hip range of motion as it showed to be more beneficial in increasing hip adduction and abduction. Conclusion: The results of this study was that neither group had showed statistically significant improvements when comparing the two treatment methods to each other and therefore neither method exhibited superiority over the other according to the statistical analysis in the treatment of Gluteus Medius myofascial trigger points and SI joint syndrome.
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Moist heat therapy versus ultrasound therapy as a post dry needling modality of the gluteus medius muscle
- Authors: Wright, Nicole
- Date: 2012-06-05
- Subjects: Myofascial pain syndrome , Thermotherapy , Ultrasonic waves - Therapeutic use , Gluteus medius
- Type: Thesis
- Identifier: uj:2447 , http://hdl.handle.net/10210/4905
- Description: M.Tech. , The term „myofascial‟ is derived from the word „myo‟ meaning muscle and „fascia‟ meaning connective tissue. Myofascial pain syndrome is a regional pain syndrome characterized by the presence of myofascial trigger points (Mense and Simons, 2001). The most crucial component of myofascial pain is muscle shortening from contracture (or „spasm‟). In fact, myofascial pain does not exist without muscle shortening. Prolonged shortening not only causes pain in the muscle but also physically pulls on tendons, thereby straining them and distressing the bone and joints they insert into and act upon (Gunn, 2002). Trigger points are most often discussed in the setting of myofascial pain syndromes, in which widespread or regional muscular pain is associated with hyperalgesia, psychological disturbance and significant restriction of daily activities (Huguenin, 2004).
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- Authors: Wright, Nicole
- Date: 2012-06-05
- Subjects: Myofascial pain syndrome , Thermotherapy , Ultrasonic waves - Therapeutic use , Gluteus medius
- Type: Thesis
- Identifier: uj:2447 , http://hdl.handle.net/10210/4905
- Description: M.Tech. , The term „myofascial‟ is derived from the word „myo‟ meaning muscle and „fascia‟ meaning connective tissue. Myofascial pain syndrome is a regional pain syndrome characterized by the presence of myofascial trigger points (Mense and Simons, 2001). The most crucial component of myofascial pain is muscle shortening from contracture (or „spasm‟). In fact, myofascial pain does not exist without muscle shortening. Prolonged shortening not only causes pain in the muscle but also physically pulls on tendons, thereby straining them and distressing the bone and joints they insert into and act upon (Gunn, 2002). Trigger points are most often discussed in the setting of myofascial pain syndromes, in which widespread or regional muscular pain is associated with hyperalgesia, psychological disturbance and significant restriction of daily activities (Huguenin, 2004).
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A comparative study between standard dry needling technique and rapid dry needling technique on active gluteus medius muscle trigger points
- Authors: Lyons, Carri Jo
- Date: 2012-06-05
- Subjects: Acupuncture , Myofascial pain syndromes - Chiropractic treatment , Gluteus medius , Muscle trigger points
- Type: Thesis
- Identifier: uj:2400 , http://hdl.handle.net/10210/4853
- Description: M.Tech. , This study aimed to determine the difference between the standard dry needling technique versus the rapid dry needling technique with regards to which technique would provide quicker relief of symptoms, as measured by an increase in participant’s pressure tolerance and range of motion and a decrease in subjective pain. Subjectively it was seen that both groups had a statistical decrease in the participants perceived pain with the Oswestry Disability Index, the McGill’s Pain Questionnaire and the Numeral Pain Rating Scale. Both groups showed significant changes over the two time variables (pre-Treatment one and post-Treatment four) with regards to all the questionnaires. Group 2 showed the most significant change when comparing the two groups with regards to the Oswestry Disability Index and the Numeral Pain Rating Scale. From these results it is seen that subjectively all the participants felt relief with respect to their perceived pain. However, objectively the rapid dry needling technique proved to improve pain faster and more consistently throughout the treatment period over the standard intra-muscular dry needling technique. Therefore the rapid dry needling technique is more effective in treating active Gluteus medius muscle trigger points.
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- Authors: Lyons, Carri Jo
- Date: 2012-06-05
- Subjects: Acupuncture , Myofascial pain syndromes - Chiropractic treatment , Gluteus medius , Muscle trigger points
- Type: Thesis
- Identifier: uj:2400 , http://hdl.handle.net/10210/4853
- Description: M.Tech. , This study aimed to determine the difference between the standard dry needling technique versus the rapid dry needling technique with regards to which technique would provide quicker relief of symptoms, as measured by an increase in participant’s pressure tolerance and range of motion and a decrease in subjective pain. Subjectively it was seen that both groups had a statistical decrease in the participants perceived pain with the Oswestry Disability Index, the McGill’s Pain Questionnaire and the Numeral Pain Rating Scale. Both groups showed significant changes over the two time variables (pre-Treatment one and post-Treatment four) with regards to all the questionnaires. Group 2 showed the most significant change when comparing the two groups with regards to the Oswestry Disability Index and the Numeral Pain Rating Scale. From these results it is seen that subjectively all the participants felt relief with respect to their perceived pain. However, objectively the rapid dry needling technique proved to improve pain faster and more consistently throughout the treatment period over the standard intra-muscular dry needling technique. Therefore the rapid dry needling technique is more effective in treating active Gluteus medius muscle trigger points.
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