The efficacy of chiropractic care in the management of Postlaminectomy Pain Syndrome utilizing chiropractic spinal manipulation/mobilisation and myofascial dry needling techniques
- Authors: Losco, Barrett
- Date: 2014-06-04
- Subjects: Lumbar vertebrae , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: http://ujcontent.uj.ac.za8080/10210/373844 , uj:11369 , http://hdl.handle.net/10210/11007
- Description: M.Tech. (Chiropractic) , This unblinded controlled pilot study was conducted in order to compare the effectiveness of chiropractic spinal manipulation/mobilisation with that of a combined therapy involving chiropractic manipulative therapy and myofascial trigger point therapy (dry needling of active myofascial trigger points followed by the appropriate passive stretching of the involved muscles), in the treatment of Post Laminectomy Pain Syndrome. This research aims to compare the effects of spinal manipulation/mobilisation alone and in conjunction with myofascial dry needling, in the management of Postlaminectomy Pain Syndrome. The study also investigates the effect of chiropractic care on Postlaminectomy Pain Syndrome for the relief of pain and improved range of motion. Candidates for the study were recruited from the local provincial hospitals, through advertising in the local newspapers, as well as through information pamphlets, which were distributed to chiropractors in surrounding areas, and were asked to participate in the study conducted at the Technikon Witwatersrand Chiropractic Day Clinic. Only those patients that conformed to the specific selection criteria were allowed to participate in the study. These candidates were randomly assigned to one of two groups of 15 candidates each. One group received chiropractic spinal manipulation/mobilisation alone while the other group received the combined therapy. Each candidate received 9 treatments over a three-week period, i.e. three treatments per week. After the treatment there was a one month break from treatment and a follow-up consultation at the end of this month was conducted to determine the lasting effects of the treatment. Subjective data was collected with the use of two questionnaires i.e. Numerical Pain Rating Scale and Oswestry Low Back Pain and Disability Questionnaire. Objective data was gathered using an electronic inclinometer to measure lumbar spine range of motion. Lumbar spine range of motion in flexion, extension, left and right lateral flexion, and left and right rotation was assessed using the inclinometer.
- Full Text:
- Authors: Losco, Barrett
- Date: 2014-06-04
- Subjects: Lumbar vertebrae , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: http://ujcontent.uj.ac.za8080/10210/373844 , uj:11369 , http://hdl.handle.net/10210/11007
- Description: M.Tech. (Chiropractic) , This unblinded controlled pilot study was conducted in order to compare the effectiveness of chiropractic spinal manipulation/mobilisation with that of a combined therapy involving chiropractic manipulative therapy and myofascial trigger point therapy (dry needling of active myofascial trigger points followed by the appropriate passive stretching of the involved muscles), in the treatment of Post Laminectomy Pain Syndrome. This research aims to compare the effects of spinal manipulation/mobilisation alone and in conjunction with myofascial dry needling, in the management of Postlaminectomy Pain Syndrome. The study also investigates the effect of chiropractic care on Postlaminectomy Pain Syndrome for the relief of pain and improved range of motion. Candidates for the study were recruited from the local provincial hospitals, through advertising in the local newspapers, as well as through information pamphlets, which were distributed to chiropractors in surrounding areas, and were asked to participate in the study conducted at the Technikon Witwatersrand Chiropractic Day Clinic. Only those patients that conformed to the specific selection criteria were allowed to participate in the study. These candidates were randomly assigned to one of two groups of 15 candidates each. One group received chiropractic spinal manipulation/mobilisation alone while the other group received the combined therapy. Each candidate received 9 treatments over a three-week period, i.e. three treatments per week. After the treatment there was a one month break from treatment and a follow-up consultation at the end of this month was conducted to determine the lasting effects of the treatment. Subjective data was collected with the use of two questionnaires i.e. Numerical Pain Rating Scale and Oswestry Low Back Pain and Disability Questionnaire. Objective data was gathered using an electronic inclinometer to measure lumbar spine range of motion. Lumbar spine range of motion in flexion, extension, left and right lateral flexion, and left and right rotation was assessed using the inclinometer.
- Full Text:
The effectiveness of cervical spine manipulation in conjunction with interferential current and ultrasound therapy for cervicogenic headaches
- Authors: Keshav, Tina
- Date: 2012-07-19
- Subjects: Headache - Chiropractic treatment , Spinal adjustment , Manipulation (Therapeutics) , Cervical vertebrae
- Type: Thesis
- Identifier: uj:8813 , http://hdl.handle.net/10210/5228
- Description: M.Tech. , Purpose: Heachaches are a very common complaint among society today, and as a result there are a vast number of individuals seeking medical treatment specifically for headaches (Alix and Bates, 1999). The impact that headaches have on a patients quality of life far exceeds that of other conditions such as osteoarthritis and hypertension. Primary headaches such as Cervicogenic, Cluster and Tension-type headaches have no specific underlying cause. However, it has been shown that spinal manipulative therapy (SMT) can be used as an effective tool in the treatment of these primary headaches (Brontford, Assendelft, Evans, Haas, and Bouter, 2001; Khoury, 2000 and Vernon, 1995). A Cervicogenic Headache is defined by the North American Cervicogenic Society (NACHS) as referred pain perceived in any region of the head caused by a primary nociceptive source in the musculoskeletal tissues innervated by cervical nerves. The aim of this study was to determine the efficacy of upper cervical spine manipulation in conjunction with Interferential current and Ultrasound therapy, compared to upper cervical spine manipulations alone as a treatment protocol for Cervicogenic headaches. Method: This study consisted of two groups; both Group 1 and Group 2 consisted of 15 participants with Cervicogenic headaches. The participants were between the ages of 18 and 55 years. Potential participants were examined and accepted based on the inclusion and exclusion criteria. Group 1 received spinal manipulative therapy over restricted segments in the upper cervical spine C1-C3 levels. Group 2 received a combination treatment with Interferential current and Ultrasound therapy over active myofascial trigger points in the Posterior Cervical muscles in conjunction with spinal manipulative therapy over restricted segments in the upper cervical spine C1-C3 levels. Objective and subjective findings were based on the treatments. Procedure: The participants received six treatments in total over a three week period that is two treatments a week for three weeks followed by a seventh consultation visit where only subjective and objective measurements was taken. The participants completed a Numerical Pain Rating Scale and Headache Disability Index Questionnaire. Algometer readings were taken over the most sensitive trigger point in the Posterior Cervical muscles. Group 1 received spinal manipulative therapy over restricted segments in the upper cervical spine and Group 2 received a ten minute combination treatment with Interferential current and Ultrasound therapy over active myofascial trigger points in the Posterior Cervical muscles in conjunction with spinal manipulative therapy over restricted segments in the upper cervical spine. The same treatment procedures were administered over the study; subjective and objective readings were only taken at visits 1, 4 and 7. Results: In terms of objective measurements based on the pressure Algometer readings, a statistically significant difference was revealed within both Group 1 and Group 2 individually over time. No statistically significant difference in muscle sensitivity between the two groups over time was revealed. However, Group 1 showed a larger overall clinically significant difference in Posterior Cervical muscle sensitivity. In terms of subjective measurements based on the Headache Disability Index Questionnaire scores, a statistically significant difference was revealed within both Group 1 and Group 2 individually over time. No statistically significant difference in terms of intensity, duration and frequency of the headaches between the groups over time was revealed. However, Group 1 had a greater clinical reduction in intensity, duration and frequency of headaches when compared to Group 2. In terms of subjective measurements based on the Numerical Pain Rating Scale scores, a statistically significant difference was revealed within both Group 1 and Group 2 individually over time. A statistically significant difference in terms of intensity of the headaches between the groups over time was revealed. The overall clinical improvement was similar for both groups however Group 1 had a slightly greater clinical reduction in headache intensity when compared to Group 1. Conclusion: Both groups showed an overall improvement in the headache symptoms as well as Posterior Cervical muscle sensitivity; however Group 1 showed a greater clinical improvement when compared to Group 2.
- Full Text:
- Authors: Keshav, Tina
- Date: 2012-07-19
- Subjects: Headache - Chiropractic treatment , Spinal adjustment , Manipulation (Therapeutics) , Cervical vertebrae
- Type: Thesis
- Identifier: uj:8813 , http://hdl.handle.net/10210/5228
- Description: M.Tech. , Purpose: Heachaches are a very common complaint among society today, and as a result there are a vast number of individuals seeking medical treatment specifically for headaches (Alix and Bates, 1999). The impact that headaches have on a patients quality of life far exceeds that of other conditions such as osteoarthritis and hypertension. Primary headaches such as Cervicogenic, Cluster and Tension-type headaches have no specific underlying cause. However, it has been shown that spinal manipulative therapy (SMT) can be used as an effective tool in the treatment of these primary headaches (Brontford, Assendelft, Evans, Haas, and Bouter, 2001; Khoury, 2000 and Vernon, 1995). A Cervicogenic Headache is defined by the North American Cervicogenic Society (NACHS) as referred pain perceived in any region of the head caused by a primary nociceptive source in the musculoskeletal tissues innervated by cervical nerves. The aim of this study was to determine the efficacy of upper cervical spine manipulation in conjunction with Interferential current and Ultrasound therapy, compared to upper cervical spine manipulations alone as a treatment protocol for Cervicogenic headaches. Method: This study consisted of two groups; both Group 1 and Group 2 consisted of 15 participants with Cervicogenic headaches. The participants were between the ages of 18 and 55 years. Potential participants were examined and accepted based on the inclusion and exclusion criteria. Group 1 received spinal manipulative therapy over restricted segments in the upper cervical spine C1-C3 levels. Group 2 received a combination treatment with Interferential current and Ultrasound therapy over active myofascial trigger points in the Posterior Cervical muscles in conjunction with spinal manipulative therapy over restricted segments in the upper cervical spine C1-C3 levels. Objective and subjective findings were based on the treatments. Procedure: The participants received six treatments in total over a three week period that is two treatments a week for three weeks followed by a seventh consultation visit where only subjective and objective measurements was taken. The participants completed a Numerical Pain Rating Scale and Headache Disability Index Questionnaire. Algometer readings were taken over the most sensitive trigger point in the Posterior Cervical muscles. Group 1 received spinal manipulative therapy over restricted segments in the upper cervical spine and Group 2 received a ten minute combination treatment with Interferential current and Ultrasound therapy over active myofascial trigger points in the Posterior Cervical muscles in conjunction with spinal manipulative therapy over restricted segments in the upper cervical spine. The same treatment procedures were administered over the study; subjective and objective readings were only taken at visits 1, 4 and 7. Results: In terms of objective measurements based on the pressure Algometer readings, a statistically significant difference was revealed within both Group 1 and Group 2 individually over time. No statistically significant difference in muscle sensitivity between the two groups over time was revealed. However, Group 1 showed a larger overall clinically significant difference in Posterior Cervical muscle sensitivity. In terms of subjective measurements based on the Headache Disability Index Questionnaire scores, a statistically significant difference was revealed within both Group 1 and Group 2 individually over time. No statistically significant difference in terms of intensity, duration and frequency of the headaches between the groups over time was revealed. However, Group 1 had a greater clinical reduction in intensity, duration and frequency of headaches when compared to Group 2. In terms of subjective measurements based on the Numerical Pain Rating Scale scores, a statistically significant difference was revealed within both Group 1 and Group 2 individually over time. A statistically significant difference in terms of intensity of the headaches between the groups over time was revealed. The overall clinical improvement was similar for both groups however Group 1 had a slightly greater clinical reduction in headache intensity when compared to Group 1. Conclusion: Both groups showed an overall improvement in the headache symptoms as well as Posterior Cervical muscle sensitivity; however Group 1 showed a greater clinical improvement when compared to Group 2.
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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 immediate effect of chiropractic manipulation on the visual fields of individuals with asymptomatic cervical facet joint dysfunction at the atlanto-occipital joint complex
- Authors: De Coning, Carl
- Date: 2009-07-29T07:37:18Z
- Subjects: Chiropractic treatment of vision disorders , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: http://ujcontent.uj.ac.za8080/10210/371499 , uj:8580 , http://hdl.handle.net/10210/2842
- Description: M.Tech.
- Full Text: false
- Authors: De Coning, Carl
- Date: 2009-07-29T07:37:18Z
- Subjects: Chiropractic treatment of vision disorders , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: http://ujcontent.uj.ac.za8080/10210/371499 , uj:8580 , http://hdl.handle.net/10210/2842
- Description: M.Tech.
- Full Text: false
The role of chiropractic manipulative therapy in the treatment of chronic/persistent Otitis media with effusion in children
- Authors: Philips, Margeaux
- Date: 2009-06-17T07:22:36Z
- Subjects: Otitis media with effusion in children , Otitis media chiropractic treatment , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: uj:8488 , http://hdl.handle.net/10210/2647
- Description: M.Tech.
- Full Text: false
- Authors: Philips, Margeaux
- Date: 2009-06-17T07:22:36Z
- Subjects: Otitis media with effusion in children , Otitis media chiropractic treatment , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: uj:8488 , http://hdl.handle.net/10210/2647
- 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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The effectiveness of chiropractic manipulative therapy and Spidertech therapy in the treatment of chronic neck pain
- Authors: Uria, Craig Jonathon
- Date: 2012-08-01
- Subjects: Manipulation (Therapeutics) , Neck pain - Chiropractic treatment , SpiderTech therapy , Cervical syndrome - Chiropractic treatment
- Type: Thesis
- Identifier: uj:8917 , http://hdl.handle.net/10210/5388
- Description: M.Tech. , Purpose: This study aims to compare the effects of Chiropractic manipulative therapy of the cervical spine in conjunction with SpiderTech therapy in the treatment of chronic neck pain with regards to pain, disability and cervical spine range of motion. Method: This study consisted of two groups of 15 participants between the ages of eighteen and forty, ensuring equal male to female and age ratios. The potential participants were examined and accepted according to the inclusion and exclusion criteria. The method of treatment administered to each participant was determined by group allocation. Group 1 received chiropractic manipulative therapy to restriction(s) of the cervical spine, with the SpiderTech Neck Spider applied to the posterior aspect of the neck. Group received chiropractic manipulative therapy to restriction(s) of the cervical spine only. Procedure: Treatment consisted of 6 treatment sessions with an additional follow up consultation, with two consultations being performed per week interval. Subjective data and objective data was taken at the beginning of the first, fourth and seventh sessions. The subjective data collected was in the form of a Numerical Pain Rating Scale and a Vernon- Mior Neck Pain and Disability Index. Objective data consisted of cervical spine range of motion readings taken using a Cervical Range of Motion measuring instrument (CROM). Analysis of collected data was performed by a statistician. The Chiropractic manipulative techniques used were based on restrictions identified during motion palpation and were applied at the first six consultations, with the seventh consultation consisting of data gathering only. Results: Statistically significant changes were noted in group 1 and group 2 with reference to pain and disability, and in group 1 and group 2 with reference to cervical spine range of motion. Clinically significant improvements in group 1 and group 2 were noted over the duration of the study with reference to pain, disability and cervical spine range of motion. However, the combined treatment group (group 1) had a clinically greater effect than that of the manipulation only group. Conclusion: The results show that both Chiropractic manipulative therapy, as well as Chiropractic manipulation in conjunction with the SpiderTech Neck Spider are effective treatment protocols in decreasing pain and disability and increasing cervical spine range of motion in patients with chronic neck pain. However, neither treatment protocol proved to be preferential. When compared to Chiropractic manipulative therapy alone, SpiderTech therapy in conjunction with Chiropractic manipulative therapy has a clinically larger effect on neck pain, disability and range of motion of the cervical spine.
- Full Text:
- Authors: Uria, Craig Jonathon
- Date: 2012-08-01
- Subjects: Manipulation (Therapeutics) , Neck pain - Chiropractic treatment , SpiderTech therapy , Cervical syndrome - Chiropractic treatment
- Type: Thesis
- Identifier: uj:8917 , http://hdl.handle.net/10210/5388
- Description: M.Tech. , Purpose: This study aims to compare the effects of Chiropractic manipulative therapy of the cervical spine in conjunction with SpiderTech therapy in the treatment of chronic neck pain with regards to pain, disability and cervical spine range of motion. Method: This study consisted of two groups of 15 participants between the ages of eighteen and forty, ensuring equal male to female and age ratios. The potential participants were examined and accepted according to the inclusion and exclusion criteria. The method of treatment administered to each participant was determined by group allocation. Group 1 received chiropractic manipulative therapy to restriction(s) of the cervical spine, with the SpiderTech Neck Spider applied to the posterior aspect of the neck. Group received chiropractic manipulative therapy to restriction(s) of the cervical spine only. Procedure: Treatment consisted of 6 treatment sessions with an additional follow up consultation, with two consultations being performed per week interval. Subjective data and objective data was taken at the beginning of the first, fourth and seventh sessions. The subjective data collected was in the form of a Numerical Pain Rating Scale and a Vernon- Mior Neck Pain and Disability Index. Objective data consisted of cervical spine range of motion readings taken using a Cervical Range of Motion measuring instrument (CROM). Analysis of collected data was performed by a statistician. The Chiropractic manipulative techniques used were based on restrictions identified during motion palpation and were applied at the first six consultations, with the seventh consultation consisting of data gathering only. Results: Statistically significant changes were noted in group 1 and group 2 with reference to pain and disability, and in group 1 and group 2 with reference to cervical spine range of motion. Clinically significant improvements in group 1 and group 2 were noted over the duration of the study with reference to pain, disability and cervical spine range of motion. However, the combined treatment group (group 1) had a clinically greater effect than that of the manipulation only group. Conclusion: The results show that both Chiropractic manipulative therapy, as well as Chiropractic manipulation in conjunction with the SpiderTech Neck Spider are effective treatment protocols in decreasing pain and disability and increasing cervical spine range of motion in patients with chronic neck pain. However, neither treatment protocol proved to be preferential. When compared to Chiropractic manipulative therapy alone, SpiderTech therapy in conjunction with Chiropractic manipulative therapy has a clinically larger effect on neck pain, disability and range of motion of the cervical spine.
- Full Text:
The effectiveness of stretch and spray technique versus a combination of stretch and spray and spinal manipulative therapy in the treatment of myofascial pain and dysfunction syndrome
- Authors: De Bruyn, Renier Pieter
- Date: 2009-06-22T07:01:10Z
- Subjects: Manipulation (Therapeutics) , Treatment of Myofascial pain syndromes
- Type: Thesis
- Identifier: uj:8530 , http://hdl.handle.net/10210/2685
- Description: M.Tech.
- Full Text: false
- Authors: De Bruyn, Renier Pieter
- Date: 2009-06-22T07:01:10Z
- Subjects: Manipulation (Therapeutics) , Treatment of Myofascial pain syndromes
- Type: Thesis
- Identifier: uj:8530 , http://hdl.handle.net/10210/2685
- Description: M.Tech.
- Full Text: false
The immediate effect of cervicothoracic junction manipulation on triceps muscle strength
- Authors: Swartz, Brett
- Date: 2009-06-22T07:07:45Z
- Subjects: Manipulation (Therapeutics)
- Type: Thesis
- Identifier: http://ujcontent.uj.ac.za8080/10210/385380 , uj:8534 , http://hdl.handle.net/10210/2689
- Description: M.Tech.
- Full Text: false
- Authors: Swartz, Brett
- Date: 2009-06-22T07:07:45Z
- Subjects: Manipulation (Therapeutics)
- Type: Thesis
- Identifier: http://ujcontent.uj.ac.za8080/10210/385380 , uj:8534 , http://hdl.handle.net/10210/2689
- Description: M.Tech.
- Full Text: false
A comparison of discus compositum® and diversified chiropractic manipulative therapy and a combined treatment for lumbar facet syndrome
- Authors: Saaiman, Madri
- Date: 2010-02-24T08:41:15Z
- Subjects: Chiropractic treatment of backache , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: uj:6640 , http://hdl.handle.net/10210/3040
- Description: M.Tech.
- Full Text:
- Authors: Saaiman, Madri
- Date: 2010-02-24T08:41:15Z
- Subjects: Chiropractic treatment of backache , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: uj:6640 , http://hdl.handle.net/10210/3040
- Description: M.Tech.
- Full Text:
A comparative study to determine the efficacy of chiropractic spinal manipulative therapy and allopathic medication in the treatment of infantile colic
- Authors: Koonin, Sheree Debbie
- Date: 2009-06-17T07:20:19Z
- Subjects: Manipulation (Therapeutics) , Infants colic
- Type: Thesis
- Identifier: uj:8481 , http://hdl.handle.net/10210/2640
- Description: M.Tech.
- Full Text: false
- Authors: Koonin, Sheree Debbie
- Date: 2009-06-17T07:20:19Z
- Subjects: Manipulation (Therapeutics) , Infants colic
- Type: Thesis
- Identifier: uj:8481 , http://hdl.handle.net/10210/2640
- Description: M.Tech.
- Full Text: false
A pilot study into mefenamic acid and chiropractic manipulation for the treatment of primary dysmenorrhoea
- Authors: Lamberti, Louise Ann
- Date: 2017
- Subjects: Mefenamic acid - Health aspects , Manipulation (Therapeutics) , Dysmenorrhea - Chiropractic treatment
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/226559 , uj:22910
- Description: M.Tech. (Chiropractic) , Abstract: Purpose: The aim of this study was to determine whether conventional treatment of mefenamic acid administration in conjunction with chiropractic manipulation of the thoracolumbar junction was more effective in treating primary dysmenorrhoea than conventional treatment alone. Methods: Twenty female participants between the ages of 18 and 30 years old who met the inclusion criteria were chosen to participate in the study. The study took place over three consecutive menstrual cycles. Participants saw the University of Johannesburg nursing sister at the start of the first menstruation where they completed the Revised Short Form McGill Pain Questionnaire and received 12 250mg mefenamic acid tablets to be taken three times a day for two days. Participants then returned to the nursing sister at the start of the second menstrual cycle and completed the Revised Short Form McGill Pain Questionnaire again and received the same dose of mefenamic acid tablets. Participants then received two chiropractic manipulations per week for three weeks. At the start of the third menstrual cycle participants then completed the Revised Short Form McGill Pain Questionnaire for the last time Results: The subjective measure used included 22 pain descriptor questions with an 11 point numerical rating scale (0 being no pain experienced and 10 being the worst pain possible). Of these 22 questions, 13 showed p values < 0,05 and were statistically significant. 9 of these questions had p values > 0,05 and were of no statistical significance. Of the 13 statistically significant questions, 7 showed greater reductions in pain following mefenamic acid administration in conjunction with chiropractic manipulation than mefenamic acid adminitration alone. 6 of the questions showed mefenamic acid administration alone to be more successful at reducing pain associated with primary dysmenorrhoea. Conclusion: It can be concluded that majority of the results recorded supported the claim that mefenamic acid administration in conjunction with chiropractic manipulation of the thoracolumbar junction was more effective at relieving these types of pain than mefenamic administration alone. This means that the research has provided an effective treatment protocol for the chiropractic profession.
- Full Text:
- Authors: Lamberti, Louise Ann
- Date: 2017
- Subjects: Mefenamic acid - Health aspects , Manipulation (Therapeutics) , Dysmenorrhea - Chiropractic treatment
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/226559 , uj:22910
- Description: M.Tech. (Chiropractic) , Abstract: Purpose: The aim of this study was to determine whether conventional treatment of mefenamic acid administration in conjunction with chiropractic manipulation of the thoracolumbar junction was more effective in treating primary dysmenorrhoea than conventional treatment alone. Methods: Twenty female participants between the ages of 18 and 30 years old who met the inclusion criteria were chosen to participate in the study. The study took place over three consecutive menstrual cycles. Participants saw the University of Johannesburg nursing sister at the start of the first menstruation where they completed the Revised Short Form McGill Pain Questionnaire and received 12 250mg mefenamic acid tablets to be taken three times a day for two days. Participants then returned to the nursing sister at the start of the second menstrual cycle and completed the Revised Short Form McGill Pain Questionnaire again and received the same dose of mefenamic acid tablets. Participants then received two chiropractic manipulations per week for three weeks. At the start of the third menstrual cycle participants then completed the Revised Short Form McGill Pain Questionnaire for the last time Results: The subjective measure used included 22 pain descriptor questions with an 11 point numerical rating scale (0 being no pain experienced and 10 being the worst pain possible). Of these 22 questions, 13 showed p values < 0,05 and were statistically significant. 9 of these questions had p values > 0,05 and were of no statistical significance. Of the 13 statistically significant questions, 7 showed greater reductions in pain following mefenamic acid administration in conjunction with chiropractic manipulation than mefenamic acid adminitration alone. 6 of the questions showed mefenamic acid administration alone to be more successful at reducing pain associated with primary dysmenorrhoea. Conclusion: It can be concluded that majority of the results recorded supported the claim that mefenamic acid administration in conjunction with chiropractic manipulation of the thoracolumbar junction was more effective at relieving these types of pain than mefenamic administration alone. This means that the research has provided an effective treatment protocol for the chiropractic profession.
- 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:
Combining memory foam pillows with manipulation in the treatment of chronic cervical facet syndrome
- Authors: Soal, Laura Jessica
- Date: 2014-04-15
- Subjects: Cervical syndrome - Chiropractic treatment , Pillows - Health aspects , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: uj:10694 , http://hdl.handle.net/10210/10208
- Description: M.Tech. (Chiropractic) , The aim of this study was to determine whether improving a patient’s sleep ergonomics with the use of a cervical memory foam pillow was beneficial when combined with. A total of thirty participants volunteered to take part in this study - fifteen females and fifteen males. All were between the ages of eighteen and forty years old. The participants were randomly placed into one of two groups, each group consisting of fifteen participants. Group 1 received chiropractic manipulation to the restricted segment/s of the cervical spine, while Group 2 received both chiropractic manipulation to the restricted segment/s of the cervical spine and a Sleep Active® Memory Foam® cervical spine pillow. The participant of Group 2 were given their pillow and were given instructions on how to use the pillow at home whilst sleeping, and were requested to sleep with this pillow throughout the duration of the study. Procedure: In this study each participant received six chiropractic treatments over a period of three weeks and one final follow-up visit where no treatment was administered. Subjective and objective data was recorded at the beginning of the first, fourth and seventh consultations. The subjective data included the Numerical Pain Rating scale (NPRS), Vernon-Mior Neck Pain and Disability Index, the sleep component of the Vernon-Mior Neck Pain and Disability Index (component 7) and a modified Pittsburg Sleep Quality Index (PSQI). Objective data included measurement of cervical spine range of motion with the use of a goniometer. Results: Statistical analysis performed included the non-parametric tests to determine if significant statistical results were found over time. The Friedman and Wilcoxon Signed Rank Tests were performed for intra-group analysis and the Mann-Whitney U Test for intergroup analysis. Further correlation studies were conducted using the parametric, Pearson’s Test. The statistical analysis revealed significant statistical changes for intra-group results for both Group 1 and Group 2 and also significant statistical results for the intergroup analysis of the NPRS. The Vernon-Mior Neck Pain and Disability Index and the PSQI, yielded similar results - significant statistical changes within the intra-group analysis were found. The sleep component of the Vernon-Mior Neck Pain and Disability Index (Component 7) showed no significant statistical change for the participants of Group 1, however, a significant statistical change was found for the participants of Group 2. No significant statistical difference was found between the groups for the intergroup analysis, over time. Correlation studies between pain (NPRS) and sleep (Sleep Component of the Vernon-Mior Neck Pain and Disability Index) were included in the statistical analysis. It was found that no correlation between sleep and pain existed for those participants in Group 1, whereas Group 2 showed a trend between pain and sleep. The objective data collected from this study (cervical spine range of motion) was inconclusive. Conclusion: The results demonstrated that addressing sleep ergonomics with the use of Sleep Active® Memory Foam® Pillows to be an effective addition to a chiropractic treatment protocol when treating patients diagnosed with chronic cervical facet syndrome. Additionally, a relationship between sleep and pain was shown to exist and poor sleep should be considered when treating patients with chronic pain syndromes.
- Full Text:
- Authors: Soal, Laura Jessica
- Date: 2014-04-15
- Subjects: Cervical syndrome - Chiropractic treatment , Pillows - Health aspects , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: uj:10694 , http://hdl.handle.net/10210/10208
- Description: M.Tech. (Chiropractic) , The aim of this study was to determine whether improving a patient’s sleep ergonomics with the use of a cervical memory foam pillow was beneficial when combined with. A total of thirty participants volunteered to take part in this study - fifteen females and fifteen males. All were between the ages of eighteen and forty years old. The participants were randomly placed into one of two groups, each group consisting of fifteen participants. Group 1 received chiropractic manipulation to the restricted segment/s of the cervical spine, while Group 2 received both chiropractic manipulation to the restricted segment/s of the cervical spine and a Sleep Active® Memory Foam® cervical spine pillow. The participant of Group 2 were given their pillow and were given instructions on how to use the pillow at home whilst sleeping, and were requested to sleep with this pillow throughout the duration of the study. Procedure: In this study each participant received six chiropractic treatments over a period of three weeks and one final follow-up visit where no treatment was administered. Subjective and objective data was recorded at the beginning of the first, fourth and seventh consultations. The subjective data included the Numerical Pain Rating scale (NPRS), Vernon-Mior Neck Pain and Disability Index, the sleep component of the Vernon-Mior Neck Pain and Disability Index (component 7) and a modified Pittsburg Sleep Quality Index (PSQI). Objective data included measurement of cervical spine range of motion with the use of a goniometer. Results: Statistical analysis performed included the non-parametric tests to determine if significant statistical results were found over time. The Friedman and Wilcoxon Signed Rank Tests were performed for intra-group analysis and the Mann-Whitney U Test for intergroup analysis. Further correlation studies were conducted using the parametric, Pearson’s Test. The statistical analysis revealed significant statistical changes for intra-group results for both Group 1 and Group 2 and also significant statistical results for the intergroup analysis of the NPRS. The Vernon-Mior Neck Pain and Disability Index and the PSQI, yielded similar results - significant statistical changes within the intra-group analysis were found. The sleep component of the Vernon-Mior Neck Pain and Disability Index (Component 7) showed no significant statistical change for the participants of Group 1, however, a significant statistical change was found for the participants of Group 2. No significant statistical difference was found between the groups for the intergroup analysis, over time. Correlation studies between pain (NPRS) and sleep (Sleep Component of the Vernon-Mior Neck Pain and Disability Index) were included in the statistical analysis. It was found that no correlation between sleep and pain existed for those participants in Group 1, whereas Group 2 showed a trend between pain and sleep. The objective data collected from this study (cervical spine range of motion) was inconclusive. Conclusion: The results demonstrated that addressing sleep ergonomics with the use of Sleep Active® Memory Foam® Pillows to be an effective addition to a chiropractic treatment protocol when treating patients diagnosed with chronic cervical facet syndrome. Additionally, a relationship between sleep and pain was shown to exist and poor sleep should be considered when treating patients with chronic pain syndromes.
- Full Text:
A study to determine the prevalence of low back pain in registered pharmacists in Johannesburg and the individual and work-related risk factors involved
- Authors: Frese, Monica
- Date: 2014-06-04
- Subjects: Backache , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: uj:11348 , http://hdl.handle.net/10210/10986
- Description: M.Tech. (Chiropractic) , The purpose of this study was to assess the prevalence of lower back pain in registered pharmacists in Johannesburg, in terms of workplace and individual factors, in order to establish under which circumstances workplace and individual factors could influence the prevalence of lower back pain in pharmacists. The sample population of registered pharmacists in Johannesburg (N=300) was selected from the register of pharmacists of Gauteng and a questionnaire was sent to the relevant pharmacists. A total of 92 questionnaires were returned and represented a 30,7% response rate. The questionnaire consisted of questions regarding : The prevalences of previous and current lower back pain; the intensities and frequencies of previous and current lower back pain; the location of previous and current lower back pain; the radiation of pain occurring in the lower extremities during previous and current lower back pain; the weakness or numbness perceived in the lower extremities during previous and current lower back pain; the professionals consulted for previous and current lower back pain; the medication administered for previous and current lower back pain. The questions asked regarding individual factors included : age; gender; anthropometry; exercise and smoking; the workplace factors included : number of years in practice; number of hours and days worked per week; bending, twisting and lifting; static work postures and repetitive work. The results were statistically analysed using frequency distributions, cross-tabulations and the Kruskal-Wallis.Chi-squared approximation test. The results were represented by pie charts, frequency tables and cross-tabulations, and descriptively analysed. The overall prevalence of lower back pain in registered pharmacists in Johannesburg was 41,3%. Among other findings, the weight and build were found to be significantly associated with the respondents increased lower back pain. Other significant findings were that respondents who worked more days per week as well as those who had an increased frequency of reaching above shoulder height at work, had an increased incidence of lower back pain. It must be emphasised that great caution should be exercised in attempting to generalise the findings of this survey, 'since workplace and individual factors associated with the lower back pain were based on the respondent's subjective evaluations. This study was not designed to establish cause and effect relationships between individual and workplace factors, and prevalence of lower back pain among pharmacists.
- Full Text:
- Authors: Frese, Monica
- Date: 2014-06-04
- Subjects: Backache , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: uj:11348 , http://hdl.handle.net/10210/10986
- Description: M.Tech. (Chiropractic) , The purpose of this study was to assess the prevalence of lower back pain in registered pharmacists in Johannesburg, in terms of workplace and individual factors, in order to establish under which circumstances workplace and individual factors could influence the prevalence of lower back pain in pharmacists. The sample population of registered pharmacists in Johannesburg (N=300) was selected from the register of pharmacists of Gauteng and a questionnaire was sent to the relevant pharmacists. A total of 92 questionnaires were returned and represented a 30,7% response rate. The questionnaire consisted of questions regarding : The prevalences of previous and current lower back pain; the intensities and frequencies of previous and current lower back pain; the location of previous and current lower back pain; the radiation of pain occurring in the lower extremities during previous and current lower back pain; the weakness or numbness perceived in the lower extremities during previous and current lower back pain; the professionals consulted for previous and current lower back pain; the medication administered for previous and current lower back pain. The questions asked regarding individual factors included : age; gender; anthropometry; exercise and smoking; the workplace factors included : number of years in practice; number of hours and days worked per week; bending, twisting and lifting; static work postures and repetitive work. The results were statistically analysed using frequency distributions, cross-tabulations and the Kruskal-Wallis.Chi-squared approximation test. The results were represented by pie charts, frequency tables and cross-tabulations, and descriptively analysed. The overall prevalence of lower back pain in registered pharmacists in Johannesburg was 41,3%. Among other findings, the weight and build were found to be significantly associated with the respondents increased lower back pain. Other significant findings were that respondents who worked more days per week as well as those who had an increased frequency of reaching above shoulder height at work, had an increased incidence of lower back pain. It must be emphasised that great caution should be exercised in attempting to generalise the findings of this survey, 'since workplace and individual factors associated with the lower back pain were based on the respondent's subjective evaluations. This study was not designed to establish cause and effect relationships between individual and workplace factors, and prevalence of lower back pain among pharmacists.
- Full Text:
The effects of lumbar spine manipulation versus lower extremity manipulation on agility in asymptomatic athletes
- Authors: Lindeque, Corné
- Date: 2016
- Subjects: Motor ability , Manipulation (Therapeutics) , Athletes - Health and hygiene , Chiropractic
- Language: English
- Type: Article
- Identifier: http://hdl.handle.net/10210/93111 , uj:20309 , Citation: Lindeque, C. 2016. The effects of lumbar spine manipulation versus Lower extremity manipulation on agility in Asymptomatic athletes.
- Description: Abstract:Purpose: The purpose of this study was to determine the most effective method of pre-event treatment for asymptomatic patients through comparing lumbar spine manipulation, lower extremity manipulation and a combination of both on the effect of explosive power and agility, as a measure of improvement. Method: Thirty asymptomatic athletes of moderate to high activity, indicated by the International Physical Activity Questionnaire (IPAQ) participated in this study. Participants were randomly allocated into three equal groups. Group 1 received lumbar spine and pelvis manipulation. Group 2 received lower limb manipulation only and Group 3 received a combination of lumbar spine, pelvis and lower extremity manipulation. Participants had to meet the inclusion and exclusion criteria to be part of the study. Procedure: The study consisted of six consultations over a three week period, with intervention on every consultation and objective data obtained before and after intervention. The intervention period consisted of motion palpation of the specific groups’ regions and manipulative therapy of the findings in each region. Results: All three groups showed improvements in jump height, jump pressure output and the Illinois test. Group 1 showed an average increase in jump height of 3.26 cm, 2.5 Pa average increase in pressure output and 1.32 seconds average increase for the run of the Illinois test. Group 2 showed an average increase in jump height of 3.10 cm, 1.7 Pa average increase in pressure output and 1.03 second average increase for the run of the Illinois test. Group 3 showed an average increase in jump height of 3.09 cm, 2.8 Pa average increase in pressure output and 1.86 second average increase for the run of the Illinois test. Analysis done on the immediate effect of Chiropractic Manipulative Therapy (CMT) on the hang time during the vertical jump test, displayed an overall statistically significant effect 33 %. Although some effect was achieved, the intervention had no constant improvement on the jump hang time. The minor result was attributed to the small changes in readings. Conclusion: Although results obtained were not statistically significant (p>0.05), it demonstrated from a clinical perspective that interventions caused an improvement in jump height, jump pressure output and the Illinois tests’ time in all three groups. Group 3 showed a greater improvement in every aspect, despite being the group with the least demographical advantage. Group 1 had the second best results...
- Full Text:
- Authors: Lindeque, Corné
- Date: 2016
- Subjects: Motor ability , Manipulation (Therapeutics) , Athletes - Health and hygiene , Chiropractic
- Language: English
- Type: Article
- Identifier: http://hdl.handle.net/10210/93111 , uj:20309 , Citation: Lindeque, C. 2016. The effects of lumbar spine manipulation versus Lower extremity manipulation on agility in Asymptomatic athletes.
- Description: Abstract:Purpose: The purpose of this study was to determine the most effective method of pre-event treatment for asymptomatic patients through comparing lumbar spine manipulation, lower extremity manipulation and a combination of both on the effect of explosive power and agility, as a measure of improvement. Method: Thirty asymptomatic athletes of moderate to high activity, indicated by the International Physical Activity Questionnaire (IPAQ) participated in this study. Participants were randomly allocated into three equal groups. Group 1 received lumbar spine and pelvis manipulation. Group 2 received lower limb manipulation only and Group 3 received a combination of lumbar spine, pelvis and lower extremity manipulation. Participants had to meet the inclusion and exclusion criteria to be part of the study. Procedure: The study consisted of six consultations over a three week period, with intervention on every consultation and objective data obtained before and after intervention. The intervention period consisted of motion palpation of the specific groups’ regions and manipulative therapy of the findings in each region. Results: All three groups showed improvements in jump height, jump pressure output and the Illinois test. Group 1 showed an average increase in jump height of 3.26 cm, 2.5 Pa average increase in pressure output and 1.32 seconds average increase for the run of the Illinois test. Group 2 showed an average increase in jump height of 3.10 cm, 1.7 Pa average increase in pressure output and 1.03 second average increase for the run of the Illinois test. Group 3 showed an average increase in jump height of 3.09 cm, 2.8 Pa average increase in pressure output and 1.86 second average increase for the run of the Illinois test. Analysis done on the immediate effect of Chiropractic Manipulative Therapy (CMT) on the hang time during the vertical jump test, displayed an overall statistically significant effect 33 %. Although some effect was achieved, the intervention had no constant improvement on the jump hang time. The minor result was attributed to the small changes in readings. Conclusion: Although results obtained were not statistically significant (p>0.05), it demonstrated from a clinical perspective that interventions caused an improvement in jump height, jump pressure output and the Illinois tests’ time in all three groups. Group 3 showed a greater improvement in every aspect, despite being the group with the least demographical advantage. Group 1 had the second best results...
- Full Text:
The effect of cervical spine adjustments on low back pain in the workforce of the corporate environment
- Authors: Bornman, Jaco Casper
- Date: 2008-08-06T09:33:20Z
- Subjects: Manipulation (Therapeutics) , Chiropractic treatment of backache
- Type: Thesis
- Identifier: uj:7583 , http://hdl.handle.net/10210/844
- Description: This unblinded, controlled pilot study was undertaken to determine if cervical spine adjustments had an effect on improving the low back pain in the workforce of the corporate environment. Subjects were treated at the Technikon Witwatersrand chiropractic day clinic in Johannesburg, South Africa. Thirty corporate employees suffering from low back pain were selected for this study. Subjects were recruited using posters put up at the Technikon Witwatersrand campus and at companies in and around Johannesburg. The patients were divided into three groups of ten. One group received chiropractic adjustments of the cervical spine. The second group received chiropractic adjustments of the lumbar spine and sacroiliac joints. The third group received a combination of chiropractic adjustments of the cervical spine, lumbar spine and sacroiliac joints. Patients were treated nine times over a four-week period. Objective data was recorded using a Digital Inclinometer to measure lumbar spine range of motion. Subjective data was obtained by participants recording their progress on the Oswestry Back Disability Index and Visual Analogue Pain Scale. The results showed that there was a statistically significant improvement in the pain and disability experienced by the patients in all three groups for the subjective measurements. There was however no statistically significant increase in range of motion in the lumbar spine for all three groups according to the objective measurements. This study concluded that cervical spine adjustments had a positive effect on improving the low back pain and disability experienced by the workforce in the corporate environment. , Dr. Barrett Losco Dr. Pauline Moolman
- Full Text:
- Authors: Bornman, Jaco Casper
- Date: 2008-08-06T09:33:20Z
- Subjects: Manipulation (Therapeutics) , Chiropractic treatment of backache
- Type: Thesis
- Identifier: uj:7583 , http://hdl.handle.net/10210/844
- Description: This unblinded, controlled pilot study was undertaken to determine if cervical spine adjustments had an effect on improving the low back pain in the workforce of the corporate environment. Subjects were treated at the Technikon Witwatersrand chiropractic day clinic in Johannesburg, South Africa. Thirty corporate employees suffering from low back pain were selected for this study. Subjects were recruited using posters put up at the Technikon Witwatersrand campus and at companies in and around Johannesburg. The patients were divided into three groups of ten. One group received chiropractic adjustments of the cervical spine. The second group received chiropractic adjustments of the lumbar spine and sacroiliac joints. The third group received a combination of chiropractic adjustments of the cervical spine, lumbar spine and sacroiliac joints. Patients were treated nine times over a four-week period. Objective data was recorded using a Digital Inclinometer to measure lumbar spine range of motion. Subjective data was obtained by participants recording their progress on the Oswestry Back Disability Index and Visual Analogue Pain Scale. The results showed that there was a statistically significant improvement in the pain and disability experienced by the patients in all three groups for the subjective measurements. There was however no statistically significant increase in range of motion in the lumbar spine for all three groups according to the objective measurements. This study concluded that cervical spine adjustments had a positive effect on improving the low back pain and disability experienced by the workforce in the corporate environment. , Dr. Barrett Losco Dr. Pauline Moolman
- Full Text:
The effects of manipulation versus manipulation combined with dynamic stabilization of the sacroiliac joint in chronic lower back pain
- Authors: Seedat, Mihaad
- Date: 2009-06-22T07:03:20Z
- Subjects: Manipulation (Therapeutics) , Chiropractic treatment of backache
- Type: Thesis
- Identifier: uj:8532 , http://hdl.handle.net/10210/2687
- Description: M.Tech.
- Full Text: false
- Authors: Seedat, Mihaad
- Date: 2009-06-22T07:03:20Z
- Subjects: Manipulation (Therapeutics) , Chiropractic treatment of backache
- Type: Thesis
- Identifier: uj:8532 , http://hdl.handle.net/10210/2687
- Description: M.Tech.
- Full Text: false
A treatment protocol for the treatment of cervical facet syndrome comparing the use of cryotherapy before or after the chiropractic adjustment
- Authors: Abader, Andre Michael
- Date: 2009-06-22T06:57:35Z
- Subjects: Manipulation (Therapeutics)
- Type: Thesis
- Identifier: uj:8523 , http://hdl.handle.net/10210/2679
- Description: M.Tech.
- Full Text: false
- Authors: Abader, Andre Michael
- Date: 2009-06-22T06:57:35Z
- Subjects: Manipulation (Therapeutics)
- Type: Thesis
- Identifier: uj:8523 , http://hdl.handle.net/10210/2679
- Description: M.Tech.
- Full Text: false
Chiropractic manipulative therapy and proprioceptive neck exercises for the treatment of chronic mechanical neck pain and its effect on head repositioning accuracy
- Authors: Panagis, Lana
- Date: 2013-12-09
- Subjects: Posture disorders - Chiropractic treatment , Neck pain - Chiropractic treatment , Manipulation (Therapeutics) , Proprioception
- Type: Thesis
- Identifier: uj:7875 , http://hdl.handle.net/10210/8767
- Description: M.Tech. (Chiropractic) , Mechanical neck pain is the most common type of cervical spine pain encountered. It is also referred to as simple or non-specific neck pain and is common in all groups of people (Plaugher, 1993). A majority of individuals with neck pain do not experience a resolution in their pain and disability and this thus results in chronicity (Cote, Cassidy, Carrol and Kristman, 2004). Chiropractic manipulative therapy (CMT) is a specific form of articular manipulation, especially of the vertebral column. This is performed either manually, mechanically, actively or passively in order to restore normal articular alignment and function (Gatterman, 2005). Proprioceptive neck exercises are designed to retrain the cervical musculature to regain its position sense in space. Specific exercises are designed to locate the head to a neutral position and then to do a series of movements in other planes, and then to return the head to the neutral position (Revel, Minguet, Gergoy, Valliant and Manuel, 1994). Chiropractic manipulative therapy does have documented positive effects on the proprioceptive system within the cervical spine (Palmgren, 2006) as does proprioceptive exercises (Sarig-Bahat, 2003; Revel, Minguet, Gergoy, Vaillant, Manuel, 1994). The desired effects of combining both these treatments would be to increase the response rate in patients suffering from chronic mechanical neck pain. The aim of this study was to compare the effects of Chiropractic manipulative therapy (CMT) and proprioceptive neck exercises as stand-alone treatment protocols, as well as a combination treatment protocol with regards to neck pain, disability, cervical spine range of motion and Head Repositioning Accuracy (HRA). Participants were recruited from the University of Johannesburg Chiropractic Day Clinic. They were eligible to participate in the study once they met the inclusion and exclusion criteria. Participants were recruited by means of advertisements that were placed around the respective campuses of the University of Johannesburg as well as by word of mouth. Thirty participants, who presented with chronic mechanical neck pain, volunteered for this randomised comparative clinical study. The participants, aged between 18 - 40, were randomly divided into three groups of ten, with a half female to male ratio. Group 1 received Chiropractic manipulative therapy to the restricted joints in the cervical spine, Group 2 received proprioceptive neck exercises and Group 3 received a combination of both treatments. Participants were treated for a total of 6 visits over a three week period. Subjective and objective measurements were taken at the beginning of visits 1, 4 and at a final visit 7 during which only measurements were taken. Subjective measurements consisted of the Vernon-Mior Neck Pain and Disability Index (VMNPDI) and the Numerical Pain Rating Scale (NPRS) to assess the participants‟ neck pain and disability as well as their perception of pain. Objective measurements were obtained by using the Cervical Range of Motion device (CROM) as well as measuring the Head Repositioning Accuracy (HRA) as described by Revel, Andre-Deshays and Minguet (1991). Based on the results of the study, it could be concluded that both Group 1 (Chiropractic manipulative therapy to the restricted joints in the cervical spine) and Group 3 (a combination of cervical spine manipulation and proprioceptive neck exercises) can be used effectively to treat chronic mechanical neck pain and improve HRA. Group 1, 2 and 3 showed statistical improvements in certain areas and clinical improvements in all areas over time. It could not be statistically concluded whether one treatment is superior to the other, although clinically, Group 1 and Group 3 seemed to be more effective. Considering that Group 3 is a combination of cervical spine manipulation and proprioceptive neck exercises, it could be considered as a valid treatment protocol for chronic mechanical neck pain and improving HRA and could thus be used in a clinical setting.
- Full Text:
- Authors: Panagis, Lana
- Date: 2013-12-09
- Subjects: Posture disorders - Chiropractic treatment , Neck pain - Chiropractic treatment , Manipulation (Therapeutics) , Proprioception
- Type: Thesis
- Identifier: uj:7875 , http://hdl.handle.net/10210/8767
- Description: M.Tech. (Chiropractic) , Mechanical neck pain is the most common type of cervical spine pain encountered. It is also referred to as simple or non-specific neck pain and is common in all groups of people (Plaugher, 1993). A majority of individuals with neck pain do not experience a resolution in their pain and disability and this thus results in chronicity (Cote, Cassidy, Carrol and Kristman, 2004). Chiropractic manipulative therapy (CMT) is a specific form of articular manipulation, especially of the vertebral column. This is performed either manually, mechanically, actively or passively in order to restore normal articular alignment and function (Gatterman, 2005). Proprioceptive neck exercises are designed to retrain the cervical musculature to regain its position sense in space. Specific exercises are designed to locate the head to a neutral position and then to do a series of movements in other planes, and then to return the head to the neutral position (Revel, Minguet, Gergoy, Valliant and Manuel, 1994). Chiropractic manipulative therapy does have documented positive effects on the proprioceptive system within the cervical spine (Palmgren, 2006) as does proprioceptive exercises (Sarig-Bahat, 2003; Revel, Minguet, Gergoy, Vaillant, Manuel, 1994). The desired effects of combining both these treatments would be to increase the response rate in patients suffering from chronic mechanical neck pain. The aim of this study was to compare the effects of Chiropractic manipulative therapy (CMT) and proprioceptive neck exercises as stand-alone treatment protocols, as well as a combination treatment protocol with regards to neck pain, disability, cervical spine range of motion and Head Repositioning Accuracy (HRA). Participants were recruited from the University of Johannesburg Chiropractic Day Clinic. They were eligible to participate in the study once they met the inclusion and exclusion criteria. Participants were recruited by means of advertisements that were placed around the respective campuses of the University of Johannesburg as well as by word of mouth. Thirty participants, who presented with chronic mechanical neck pain, volunteered for this randomised comparative clinical study. The participants, aged between 18 - 40, were randomly divided into three groups of ten, with a half female to male ratio. Group 1 received Chiropractic manipulative therapy to the restricted joints in the cervical spine, Group 2 received proprioceptive neck exercises and Group 3 received a combination of both treatments. Participants were treated for a total of 6 visits over a three week period. Subjective and objective measurements were taken at the beginning of visits 1, 4 and at a final visit 7 during which only measurements were taken. Subjective measurements consisted of the Vernon-Mior Neck Pain and Disability Index (VMNPDI) and the Numerical Pain Rating Scale (NPRS) to assess the participants‟ neck pain and disability as well as their perception of pain. Objective measurements were obtained by using the Cervical Range of Motion device (CROM) as well as measuring the Head Repositioning Accuracy (HRA) as described by Revel, Andre-Deshays and Minguet (1991). Based on the results of the study, it could be concluded that both Group 1 (Chiropractic manipulative therapy to the restricted joints in the cervical spine) and Group 3 (a combination of cervical spine manipulation and proprioceptive neck exercises) can be used effectively to treat chronic mechanical neck pain and improve HRA. Group 1, 2 and 3 showed statistical improvements in certain areas and clinical improvements in all areas over time. It could not be statistically concluded whether one treatment is superior to the other, although clinically, Group 1 and Group 3 seemed to be more effective. Considering that Group 3 is a combination of cervical spine manipulation and proprioceptive neck exercises, it could be considered as a valid treatment protocol for chronic mechanical neck pain and improving HRA and could thus be used in a clinical setting.
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