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
The effectiveness of chiropractic manipulation of cervicogenic headache in conjunction with cervical stabilization exercises
- Authors: Anderson, Michael Drew
- Date: 2014-05-08
- Subjects: Chiropractic , Manipulation (Therapeutics) , Headache - Chiropractic treatment
- Type: Thesis
- Identifier: uj:10987 , http://hdl.handle.net/10210/10560
- Description: M.Tech. (Chiropractic) , Cervicogenic Headache is a common musculoskeletal disorder afflicting people worldwide. It causes decreased productivity and mild to severe disability and thus has a large socio-economic impact on society. Much research is needed to improve the successful management of patients afflicted with this disorder. The aim of this study is to compare the effectiveness of spinal manipulation alone and spinal manipulation in conjunction with cervical stabilization exercises in the treatment of cervicogenic headache. Thirty eligible participants conforming to the North American Cervicogenic Headache Society classification of cervicogenic headache were solicited and randomly assigned to two groups of fifteen. Group 1 received spinal manipulative therapy to the full spine. Group 2 received spinal manipulative therapy to the full spine as well as cervical stabilization exercises. Patients were treated eight times over a four-week period with a six-week follow-up consultation thereafter. Objective and subjective measurements were taken at. the first, fourth, eighth and six-week follow-up consultations. Objective measurements consisted of cervical spine range of motion measurements. Subjective measures consisted of the Vernon-Mior neck pain and disability index and the numerical pain rating scale. Both groups displayed numerical improvements in all cervical spine ranges of motion. Both groups had statistically significant improvements in cervical spine right lateral flexion, while group 1 only had a statistically significant improvement in cervical spine left lateral flexion. Both groups displayed statistically significant improvements in the subjective measures. However, neither group had a statistically significant improvement over the other. It can be concluded that neither spinal manipulative therapy nor spinal manipulative therapy in conjunction with cervical stabilization exercises is more effective than the other. Thus rehabilitation of the cervicogenic headache patient yielded no measurable added benefit to spinal manipulative therapy only. However, results indicate that if more rigid or complex application of cervical spine stability training is incorporated, superior results may be achieved.
- Full Text:
- Authors: Anderson, Michael Drew
- Date: 2014-05-08
- Subjects: Chiropractic , Manipulation (Therapeutics) , Headache - Chiropractic treatment
- Type: Thesis
- Identifier: uj:10987 , http://hdl.handle.net/10210/10560
- Description: M.Tech. (Chiropractic) , Cervicogenic Headache is a common musculoskeletal disorder afflicting people worldwide. It causes decreased productivity and mild to severe disability and thus has a large socio-economic impact on society. Much research is needed to improve the successful management of patients afflicted with this disorder. The aim of this study is to compare the effectiveness of spinal manipulation alone and spinal manipulation in conjunction with cervical stabilization exercises in the treatment of cervicogenic headache. Thirty eligible participants conforming to the North American Cervicogenic Headache Society classification of cervicogenic headache were solicited and randomly assigned to two groups of fifteen. Group 1 received spinal manipulative therapy to the full spine. Group 2 received spinal manipulative therapy to the full spine as well as cervical stabilization exercises. Patients were treated eight times over a four-week period with a six-week follow-up consultation thereafter. Objective and subjective measurements were taken at. the first, fourth, eighth and six-week follow-up consultations. Objective measurements consisted of cervical spine range of motion measurements. Subjective measures consisted of the Vernon-Mior neck pain and disability index and the numerical pain rating scale. Both groups displayed numerical improvements in all cervical spine ranges of motion. Both groups had statistically significant improvements in cervical spine right lateral flexion, while group 1 only had a statistically significant improvement in cervical spine left lateral flexion. Both groups displayed statistically significant improvements in the subjective measures. However, neither group had a statistically significant improvement over the other. It can be concluded that neither spinal manipulative therapy nor spinal manipulative therapy in conjunction with cervical stabilization exercises is more effective than the other. Thus rehabilitation of the cervicogenic headache patient yielded no measurable added benefit to spinal manipulative therapy only. However, results indicate that if more rigid or complex application of cervical spine stability training is incorporated, superior results may be achieved.
- Full Text:
A survey on the use, benefit and level of training in joint manipulation by veterinarians in Johannesburg, South Africa
- Authors: Batty, Dylan Johnson
- Date: 2019
- Subjects: Manipulation (Therapeutics) , Chiropractic , Veterinarians
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/292857 , uj:31832
- Description: M.Tech. (Chiropractic) , Abstract: Purpose: To determine whether veterinarians in South Africa are using joint manipulation as part of their treatment protocol, seeing positive results from this treatment approach, and to determine if these veterinarians have received some level of training, if any, in joint manipulation therapy. This study may demonstrate, if joint manipulation is seen as beneficial, that there may be an interest in a veterinary chiropractic programme to be introduced in South Africa. Method: A survey was personally distributed to 30 veterinarians practicing in Johannesburg, with the researcher attempting to include practices from all around the city. The veterinarians were contacted in advance to ensure they would be willing to participate. The survey was anonymous, so that the answers could not be traced back to the participants. The statistical service at the University of Johannesburg (STATKON) assisted with data analysis. Results: The results of this study have shown that most veterinarians in Johannesburg are not using joint manipulation to treat their patients. Some veterinarians are using forms of joint manipulation to either diagnose or treat their patients, and to great effect, however these techniques seem to be limited by a lack of training. Most of the participants who claimed to be using joint manipulation were using these techniques to diagnose orthopaedic conditions in patients, as opposed to using these techniques as a form of treatment. When joint manipulation was used as a treatment or diagnostically, it was beneficial most of the time, and veterinarians generally were positive about its use. Conclusion: Joint manipulation was seen as a useful tool in veterinary practice, and it was implied that if more veterinarians were exposed to these techniques, they would be used more often in practice. The positive view on joint manipulation seen throughout this study may indicate that if a facility for training in veterinary chiropractic were established in South Africa, there would be plenty of interest.
- Full Text:
- Authors: Batty, Dylan Johnson
- Date: 2019
- Subjects: Manipulation (Therapeutics) , Chiropractic , Veterinarians
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/292857 , uj:31832
- Description: M.Tech. (Chiropractic) , Abstract: Purpose: To determine whether veterinarians in South Africa are using joint manipulation as part of their treatment protocol, seeing positive results from this treatment approach, and to determine if these veterinarians have received some level of training, if any, in joint manipulation therapy. This study may demonstrate, if joint manipulation is seen as beneficial, that there may be an interest in a veterinary chiropractic programme to be introduced in South Africa. Method: A survey was personally distributed to 30 veterinarians practicing in Johannesburg, with the researcher attempting to include practices from all around the city. The veterinarians were contacted in advance to ensure they would be willing to participate. The survey was anonymous, so that the answers could not be traced back to the participants. The statistical service at the University of Johannesburg (STATKON) assisted with data analysis. Results: The results of this study have shown that most veterinarians in Johannesburg are not using joint manipulation to treat their patients. Some veterinarians are using forms of joint manipulation to either diagnose or treat their patients, and to great effect, however these techniques seem to be limited by a lack of training. Most of the participants who claimed to be using joint manipulation were using these techniques to diagnose orthopaedic conditions in patients, as opposed to using these techniques as a form of treatment. When joint manipulation was used as a treatment or diagnostically, it was beneficial most of the time, and veterinarians generally were positive about its use. Conclusion: Joint manipulation was seen as a useful tool in veterinary practice, and it was implied that if more veterinarians were exposed to these techniques, they would be used more often in practice. The positive view on joint manipulation seen throughout this study may indicate that if a facility for training in veterinary chiropractic were established in South Africa, there would be plenty of interest.
- Full Text:
A comparison between chiropractic manipulative therapy and foam rolling for the treatment of low back pain in rowers
- Authors: Bolus, Kyle
- Date: 2019
- Subjects: Backache - Chiropractic treatment , Foam rollers (Exercise equipment) , Manipulation (Therapeutics) , Rowers - Health and hygiene
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/296864 , uj:32350
- Description: Abstract: Purpose: The aim of this study was to determine the effectiveness of chiropractic manipulative therapy versus foam rolling in the treatment of rowers suffering with low back pain. Method: The study comprised of 30 rowers between the ages of 16 and 30 years of age, who have had a history of low back pain. The participants were separated into three groups. Group 1 had received a combination of chiropractic manipulative therapy (CMT) and foam rolling therapy. Group 2 had received foam rolling therapy only. Group 3 had received CMT only. Participants attended a total of 7 visits over a 3 week period which consisted of 6 treatments and a 7th (final) visit where only measurements had be taken. Objective measurements were performed by a digital inclinometer to measure lumbar spine range of motion (ROM). Subjective measurements were taken in the form of two questionnaires, the numerical pain rating scale (NPRS) and the Oswestry low back pain and disability questionnaire (ODI). The data was recorded by the researcher and once the trials were completed, the results were sent to STATKON to be analysed. Results: The intra-group analysis of ROM revealed that group 3 had a greater improvement in lumbar spine ROM, especially in extension and rotation. Inter-group analysis of ROM revealed that group 1 had a significant improvement compared to the other groups. Intra-group analysis of the NPRS results revealed that all 3 group had an effect on pain levels, on intergroup analysis it was seen that group 1 had the greatest decrease in pain levels. Intra-group analysis the ODI results revealed that there was a decrease in disability across the 3 groups, however on inter-group analysis there was no statistical difference between the groups to determine which treatment is more beneficial. Conclusion: There is evidence that both CMT and foam rolling therapy has positive effects on ROM, pain and disability. Even though this study... , M.Tech. (Chiropractic)
- Full Text:
- Authors: Bolus, Kyle
- Date: 2019
- Subjects: Backache - Chiropractic treatment , Foam rollers (Exercise equipment) , Manipulation (Therapeutics) , Rowers - Health and hygiene
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/296864 , uj:32350
- Description: Abstract: Purpose: The aim of this study was to determine the effectiveness of chiropractic manipulative therapy versus foam rolling in the treatment of rowers suffering with low back pain. Method: The study comprised of 30 rowers between the ages of 16 and 30 years of age, who have had a history of low back pain. The participants were separated into three groups. Group 1 had received a combination of chiropractic manipulative therapy (CMT) and foam rolling therapy. Group 2 had received foam rolling therapy only. Group 3 had received CMT only. Participants attended a total of 7 visits over a 3 week period which consisted of 6 treatments and a 7th (final) visit where only measurements had be taken. Objective measurements were performed by a digital inclinometer to measure lumbar spine range of motion (ROM). Subjective measurements were taken in the form of two questionnaires, the numerical pain rating scale (NPRS) and the Oswestry low back pain and disability questionnaire (ODI). The data was recorded by the researcher and once the trials were completed, the results were sent to STATKON to be analysed. Results: The intra-group analysis of ROM revealed that group 3 had a greater improvement in lumbar spine ROM, especially in extension and rotation. Inter-group analysis of ROM revealed that group 1 had a significant improvement compared to the other groups. Intra-group analysis of the NPRS results revealed that all 3 group had an effect on pain levels, on intergroup analysis it was seen that group 1 had the greatest decrease in pain levels. Intra-group analysis the ODI results revealed that there was a decrease in disability across the 3 groups, however on inter-group analysis there was no statistical difference between the groups to determine which treatment is more beneficial. Conclusion: There is evidence that both CMT and foam rolling therapy has positive effects on ROM, pain and disability. Even though this study... , M.Tech. (Chiropractic)
- 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:
A comparative study of soft tissue therapy and ultrasound therapy versus Chiropractic manipulative and mobilization therapy, or a combination of both treatments in the treatment of acute Achilles Tendinitis
- Authors: Borowsky, Wayne Alan
- Date: 2012-09-10
- Subjects: Chiropractic , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: uj:9921 , http://hdl.handle.net/10210/7320
- Description: M.Tech. , This unblinded, controlled pilot study was conducted in order to compare the effectiveness of soft tissue therapy and ultrasound therapy, versus chiropractic manipulation and mobilization therapy, or a combination of the aforementioned therapeutic protocols in the treatment of acute Achilles tendinitis. In executing the comparison, it was hypothesized that both treatment protocols would be effective, but the combined therapy would be the most effective for the treatment of acute Achilles tendinitis, as this treatment protocol focused not only on the symptomatic pathological area entailing the Achilles tendon in this case, but also focused on the entire kinetic chain which perhaps was contributing to the pathomec.hanics in turn causing Achilles tendinitis. It is hoped that this combined therapy will be more effective in terms of a more speedy recovery and long term effect. This will not only benefit the patient from the point of view of health and quality of life, but financially as well, as less consultation fees will have to be paid. Patients were recruited for the study by the use of advertisements in newspapers and posters, or from patients entering the Technikon Witwatersrand Chiropractic Day Clinic complaining of Achilles pain. Only those forty-five patients who conformed to the specified delimitations and diagnostic criteria were accepted. These patients were randomly placed into three groups of fifteen patients each. Group one received chiropractic manipulative and mobilisation therapy and group two received soft tissue therapy and ultrasound therapy. Group three received a combination of the aforementioned therapies. Each patient received eight treatments over a three week period, ie. three treatments in weeks one and two, and two treatments in week three. After the treatment period there was a month break from the treatment and a follow-up consultation at the end of this month. This follow-up period was used to determine the lasting effects of the treatment protocol. The subjective data was collected with the use of the McGill Pain Questionnaire. The objective data was obtained from readings on the digital inclinometer, showing the extent of the ankle range of motion in dorsiflexion and plantarflexion, as well as from muscle activity levels in the triceps surae complex, recorded with the use of electromyography. Depending on normality being reached, both parametric testing and non-parametric tests were used to analyse the data. These tests were conducted on a 95% confidence level. The results indicated that all three treatments were in treating acute Achilles tendinitis. Treatment received by group one caused a generalized increase in EMG muscle activity levels specifically in the triceps surae, where as group two and group threes' treatment protocols caused an overall decrease in EMG muscle activity levels in the triceps surae. Group one showed the greatest improvement achieved in ankle range of motion in both dorsiflexion and plantarflexion throughout the study. And group one and group three showed the most significant response to treatment in terms of 100% reduction of pain and return to activity. Overall it was deduced that chiropractic manipulative and mobilization therapy were very effective in creating an increase in range of motion of the ankle joint as well as causing a significant improvement in reduction of pain in the Achilles tendon. It was noted that soft tissue therapy was beneficial in certain cases in terms of causing a relaxation in the triceps surae, as well as clearing any scar (fibrin) tissue found in the Achilles tendon. In summary group three showed the best response to treatment carried out in the study. The therapy used in group three not only directly treats the pathological injured-,Achilles tendon and associated triceps surae, but also the kinetic chain, thereby correcting any biomechanical dysfunction that could potentially be the cause of tension overload in the Achilles tendon.
- Full Text:
- Authors: Borowsky, Wayne Alan
- Date: 2012-09-10
- Subjects: Chiropractic , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: uj:9921 , http://hdl.handle.net/10210/7320
- Description: M.Tech. , This unblinded, controlled pilot study was conducted in order to compare the effectiveness of soft tissue therapy and ultrasound therapy, versus chiropractic manipulation and mobilization therapy, or a combination of the aforementioned therapeutic protocols in the treatment of acute Achilles tendinitis. In executing the comparison, it was hypothesized that both treatment protocols would be effective, but the combined therapy would be the most effective for the treatment of acute Achilles tendinitis, as this treatment protocol focused not only on the symptomatic pathological area entailing the Achilles tendon in this case, but also focused on the entire kinetic chain which perhaps was contributing to the pathomec.hanics in turn causing Achilles tendinitis. It is hoped that this combined therapy will be more effective in terms of a more speedy recovery and long term effect. This will not only benefit the patient from the point of view of health and quality of life, but financially as well, as less consultation fees will have to be paid. Patients were recruited for the study by the use of advertisements in newspapers and posters, or from patients entering the Technikon Witwatersrand Chiropractic Day Clinic complaining of Achilles pain. Only those forty-five patients who conformed to the specified delimitations and diagnostic criteria were accepted. These patients were randomly placed into three groups of fifteen patients each. Group one received chiropractic manipulative and mobilisation therapy and group two received soft tissue therapy and ultrasound therapy. Group three received a combination of the aforementioned therapies. Each patient received eight treatments over a three week period, ie. three treatments in weeks one and two, and two treatments in week three. After the treatment period there was a month break from the treatment and a follow-up consultation at the end of this month. This follow-up period was used to determine the lasting effects of the treatment protocol. The subjective data was collected with the use of the McGill Pain Questionnaire. The objective data was obtained from readings on the digital inclinometer, showing the extent of the ankle range of motion in dorsiflexion and plantarflexion, as well as from muscle activity levels in the triceps surae complex, recorded with the use of electromyography. Depending on normality being reached, both parametric testing and non-parametric tests were used to analyse the data. These tests were conducted on a 95% confidence level. The results indicated that all three treatments were in treating acute Achilles tendinitis. Treatment received by group one caused a generalized increase in EMG muscle activity levels specifically in the triceps surae, where as group two and group threes' treatment protocols caused an overall decrease in EMG muscle activity levels in the triceps surae. Group one showed the greatest improvement achieved in ankle range of motion in both dorsiflexion and plantarflexion throughout the study. And group one and group three showed the most significant response to treatment in terms of 100% reduction of pain and return to activity. Overall it was deduced that chiropractic manipulative and mobilization therapy were very effective in creating an increase in range of motion of the ankle joint as well as causing a significant improvement in reduction of pain in the Achilles tendon. It was noted that soft tissue therapy was beneficial in certain cases in terms of causing a relaxation in the triceps surae, as well as clearing any scar (fibrin) tissue found in the Achilles tendon. In summary group three showed the best response to treatment carried out in the study. The therapy used in group three not only directly treats the pathological injured-,Achilles tendon and associated triceps surae, but also the kinetic chain, thereby correcting any biomechanical dysfunction that could potentially be the cause of tension overload in the Achilles tendon.
- Full Text:
The effectiveness of chiropractic adjustments with ischemic compression or ultrasound on active levator scapulae trigger points in physically active people
- Authors: Bosch, Leonie
- Date: 2014-10-09
- Subjects: Neck pain - Chiropractic treatment , Manipulation (Therapeutics) , Ultrasonics in medicine , Myofascial pain syndromes - Chiropractic treatment , Acupressure
- Type: Thesis
- Identifier: uj:12572 , http://hdl.handle.net/10210/12363
- Description: M.Tech. (Chiropractic) , The aim of the study was to compare the efficacy of treating the active levator scapulae trigger point (TP1) with either chiropractic adjustments combined with ischemic compression or chiropractic adjustments combined with ultrasound therapy in physically active people in order to determine which of the two treatment protocols was superior.This study was a comparative study consisting of two groups of fifteen participants each. Participants were between the ages of eighteen and forty-five and there was an equal male to female ratio. Prior to becoming a participant in this study individuals were assessed according to the inclusion and exclusion criteria. The International Physical Activity Questionnaire, a clinical case history, full physical examination, a cervical regional examination and examination of the levator scapulae muscle for an active central trigger point (TP1) were completed. The method of treatment for each participant was determined by random group allocation. Group 1 received cervical spine chiropractic adjustments combined with ischemic compression to the active levator scapulae trigger point. Group 2 received cervical spine chiropractic adjustments combined with ultrasound therapy to the active levator scapulae trigger point. Subjective and objective readings were based on the above treatment protocols.Treatment consisted of seven consultation sessions over a three week period. There were six treatment visits with the seventh visit used only for data collection. There were two treatments each week with at least two days in between visits. The third week consisted of three visits with the last visit used only for data collection. Subjective data was collected from the Vernon-Mior Neck Pain and Disability Index Questionnaire and the Numerical Pain Rating Scale. Objective data was collected from the pressure algometer readings. Subjective and objective data was collected before treatment on the first and fourth visits and on the seventh final data collection visit. Analysis of the data collected was done by a statistician. The chiropractic adjustments used were based on motion palpation findings on the treatment visits and re-assessed on each visit.Clinically significant improvements regarding neck pain and disability and trigger point severity were seen in both Group 1 and Group 2 over the three week period. Group 2 showed greater improvements in all subjective and objective readings over the three weeks compared to Group 1.
- Full Text:
- Authors: Bosch, Leonie
- Date: 2014-10-09
- Subjects: Neck pain - Chiropractic treatment , Manipulation (Therapeutics) , Ultrasonics in medicine , Myofascial pain syndromes - Chiropractic treatment , Acupressure
- Type: Thesis
- Identifier: uj:12572 , http://hdl.handle.net/10210/12363
- Description: M.Tech. (Chiropractic) , The aim of the study was to compare the efficacy of treating the active levator scapulae trigger point (TP1) with either chiropractic adjustments combined with ischemic compression or chiropractic adjustments combined with ultrasound therapy in physically active people in order to determine which of the two treatment protocols was superior.This study was a comparative study consisting of two groups of fifteen participants each. Participants were between the ages of eighteen and forty-five and there was an equal male to female ratio. Prior to becoming a participant in this study individuals were assessed according to the inclusion and exclusion criteria. The International Physical Activity Questionnaire, a clinical case history, full physical examination, a cervical regional examination and examination of the levator scapulae muscle for an active central trigger point (TP1) were completed. The method of treatment for each participant was determined by random group allocation. Group 1 received cervical spine chiropractic adjustments combined with ischemic compression to the active levator scapulae trigger point. Group 2 received cervical spine chiropractic adjustments combined with ultrasound therapy to the active levator scapulae trigger point. Subjective and objective readings were based on the above treatment protocols.Treatment consisted of seven consultation sessions over a three week period. There were six treatment visits with the seventh visit used only for data collection. There were two treatments each week with at least two days in between visits. The third week consisted of three visits with the last visit used only for data collection. Subjective data was collected from the Vernon-Mior Neck Pain and Disability Index Questionnaire and the Numerical Pain Rating Scale. Objective data was collected from the pressure algometer readings. Subjective and objective data was collected before treatment on the first and fourth visits and on the seventh final data collection visit. Analysis of the data collected was done by a statistician. The chiropractic adjustments used were based on motion palpation findings on the treatment visits and re-assessed on each visit.Clinically significant improvements regarding neck pain and disability and trigger point severity were seen in both Group 1 and Group 2 over the three week period. Group 2 showed greater improvements in all subjective and objective readings over the three weeks compared to Group 1.
- Full Text:
A study to compare the effect of lumbar spine adjustments, rectus femoris muscle stretches and a combination of both treatments on the flexibility of the rectus femoris muscles
- Authors: Boshoff, Anèe
- Date: 2012-03-27
- Subjects: Manipulation (Therapeutics) , Chiropractic , Lumbar vertebrae treatment
- Type: Thesis
- Identifier: uj:2193 , http://hdl.handle.net/10210/4584
- Description: M.Tech. , This unblinded, randomised pilot study was performed to determine and compare the effect of innervation specific lumbar spine adjustments and stretching on the flexibility of the rectus femoris muscles in asymptomatic subjects. Twelve asymptomatic subjects between the ages of 20 and 30 years were recruited by the use of advertisements placed around the University of Johannesburg, Doornfontein Campus. The inclusion criteria required that the patient had decreased rectus femoris muscle flexibility (testing positive on the rectus femoris contracture test) and no history of, or any current osteoarthritis or pathology of the hips or knees. The patients were randomly placed into one of three groups by drawing a group number from a closed bag. Group 1 consisted of four subjects receiving a single lumbar spine adjustment per treatment relating to the most restricted segment in the L2-L4 area as well as bilateral proprioceptive neuromuscular facilitation (PNF) of the rectus femoris muscles; Group 2 consisted of four subjects receiving bilateral rectus femoris muscle stretches (PNF); and Group 3 consisted of four subjects who received a single lumbar spine adjustment at the L2-L4 area to the most restricted segment found. One adjustment per treatment was performed. With the subject in the rectus femoris contracture test position, a goniometer was used to measure the knee range of motion bilaterally before and after treatments. These measurements were used as objective data. Each subject was treated twelve times over a four to six week period. The objective results indicated that there was a statistically significant improvement in rectus femoris muscle flexibility in both Group 1 and Group 3. In conclusion, it was shown that specific adjustments at the spinal level of the nerve innervation for the rectus femoris muscle resulted in an improvement of the flexibility of the rectus femoris muscle and with a greater effect on the leg ipsilateral to the side of the spinal adjustment. This gives support for the effectiveness of innervation specific spinal adjustments.
- Full Text:
- Authors: Boshoff, Anèe
- Date: 2012-03-27
- Subjects: Manipulation (Therapeutics) , Chiropractic , Lumbar vertebrae treatment
- Type: Thesis
- Identifier: uj:2193 , http://hdl.handle.net/10210/4584
- Description: M.Tech. , This unblinded, randomised pilot study was performed to determine and compare the effect of innervation specific lumbar spine adjustments and stretching on the flexibility of the rectus femoris muscles in asymptomatic subjects. Twelve asymptomatic subjects between the ages of 20 and 30 years were recruited by the use of advertisements placed around the University of Johannesburg, Doornfontein Campus. The inclusion criteria required that the patient had decreased rectus femoris muscle flexibility (testing positive on the rectus femoris contracture test) and no history of, or any current osteoarthritis or pathology of the hips or knees. The patients were randomly placed into one of three groups by drawing a group number from a closed bag. Group 1 consisted of four subjects receiving a single lumbar spine adjustment per treatment relating to the most restricted segment in the L2-L4 area as well as bilateral proprioceptive neuromuscular facilitation (PNF) of the rectus femoris muscles; Group 2 consisted of four subjects receiving bilateral rectus femoris muscle stretches (PNF); and Group 3 consisted of four subjects who received a single lumbar spine adjustment at the L2-L4 area to the most restricted segment found. One adjustment per treatment was performed. With the subject in the rectus femoris contracture test position, a goniometer was used to measure the knee range of motion bilaterally before and after treatments. These measurements were used as objective data. Each subject was treated twelve times over a four to six week period. The objective results indicated that there was a statistically significant improvement in rectus femoris muscle flexibility in both Group 1 and Group 3. In conclusion, it was shown that specific adjustments at the spinal level of the nerve innervation for the rectus femoris muscle resulted in an improvement of the flexibility of the rectus femoris muscle and with a greater effect on the leg ipsilateral to the side of the spinal adjustment. This gives support for the effectiveness of innervation specific spinal adjustments.
- Full Text:
The efficacy of an anthroposophical complex Disci comp. cum Argento® on cervical facet syndrome
- Authors: Bredenkamp, Debra
- Date: 2010-03-31T08:39:15Z
- Subjects: Manipulation (Therapeutics) , Homeopathy , Neck pain alternative treatment
- Type: Thesis
- Identifier: uj:6735 , http://hdl.handle.net/10210/3139
- Description: M. Tech. , Cervical Facet Syndrome is a condition characterised by neck pain and decreased mobility of the cervical spine (Bovim et al., 1994). It is essentially the dysfunction of the posterior joints in the neck where muscle hypertonicity causes the ligaments to shorten (Gatterman, 1995). There is a high prevalence of Cervical Facet Syndrome in industrialised countries leading to a loss in productivity and costly expenditure in terms of treatment (Jordan et al., 1998). The aim of this research study was to assess the efficacy of treatment with injectables of the Anthroposophical medicine Disci comp. cum Argento on the symptoms of Cervical Facet Syndrome. These symptoms include pain and a decrease in range of motion. Pain was assessed using two questionnaires, namely the Visual Analogue Scale for Pain (Annexure D) and the Vernon Mior Neck Pain Disability Index (Annexure E). Range of motion was measured using the Cervical Range of Motion Goniometer (Annexure F). This was a double-blind, placebo-controlled trial. Thirty participants, male and female between the ages of 18 and 40 who had been pre-diagnosed with Cervical Facet Syndrome were recruited to participate in the research study. The study was conducted over a period of three weeks. On day one, participants were requested to complete a Consent Form (Annexure B), a Participant Profile (Annexure C), and the two questionnaires used to assess pain. Range of motion was measured by the researcher. The group was then randomly divided into two groups with 15 participants per group. The experimental group received subcutaneous injections of Disci comp. cum Argento and the control group received subcutaneous injections of saline. These injections were administered by the researcher and repeated three times a week for two weeks so that each participant received a total of six injections. A final assessment without treatment was completed in the third week. The two questionnaires and range of motion measurements were repeated at the third, sixth and seventh or final assessment. . The results of this study indicated that although both the remedy and placebo groups showed improvements, there was no significant difference in these improvements between the groups for the results obtained for the Visual Analogue Scale for Pain, Vernon Mior Neck Pain Disability Index and measurements of flexion, left rotation and left lateral flexion. There was however, significant differences in improvement between the visits in favour of the remedy group for measurements of extension, right rotation and right lateral flexion.
- Full Text:
- Authors: Bredenkamp, Debra
- Date: 2010-03-31T08:39:15Z
- Subjects: Manipulation (Therapeutics) , Homeopathy , Neck pain alternative treatment
- Type: Thesis
- Identifier: uj:6735 , http://hdl.handle.net/10210/3139
- Description: M. Tech. , Cervical Facet Syndrome is a condition characterised by neck pain and decreased mobility of the cervical spine (Bovim et al., 1994). It is essentially the dysfunction of the posterior joints in the neck where muscle hypertonicity causes the ligaments to shorten (Gatterman, 1995). There is a high prevalence of Cervical Facet Syndrome in industrialised countries leading to a loss in productivity and costly expenditure in terms of treatment (Jordan et al., 1998). The aim of this research study was to assess the efficacy of treatment with injectables of the Anthroposophical medicine Disci comp. cum Argento on the symptoms of Cervical Facet Syndrome. These symptoms include pain and a decrease in range of motion. Pain was assessed using two questionnaires, namely the Visual Analogue Scale for Pain (Annexure D) and the Vernon Mior Neck Pain Disability Index (Annexure E). Range of motion was measured using the Cervical Range of Motion Goniometer (Annexure F). This was a double-blind, placebo-controlled trial. Thirty participants, male and female between the ages of 18 and 40 who had been pre-diagnosed with Cervical Facet Syndrome were recruited to participate in the research study. The study was conducted over a period of three weeks. On day one, participants were requested to complete a Consent Form (Annexure B), a Participant Profile (Annexure C), and the two questionnaires used to assess pain. Range of motion was measured by the researcher. The group was then randomly divided into two groups with 15 participants per group. The experimental group received subcutaneous injections of Disci comp. cum Argento and the control group received subcutaneous injections of saline. These injections were administered by the researcher and repeated three times a week for two weeks so that each participant received a total of six injections. A final assessment without treatment was completed in the third week. The two questionnaires and range of motion measurements were repeated at the third, sixth and seventh or final assessment. . The results of this study indicated that although both the remedy and placebo groups showed improvements, there was no significant difference in these improvements between the groups for the results obtained for the Visual Analogue Scale for Pain, Vernon Mior Neck Pain Disability Index and measurements of flexion, left rotation and left lateral flexion. There was however, significant differences in improvement between the visits in favour of the remedy group for measurements of extension, right rotation and right lateral flexion.
- Full Text:
Effectiveness of a cervical support pillow and cervical manipulation in the management of cervicogenic headache
- Authors: Burger, Adroux
- Date: 2009-05-20T06:03:00Z
- Subjects: Chiropractic treatment of headache , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: uj:8400 , http://hdl.handle.net/10210/2564
- Description: M.Tech. , The primary aim of this investigation was to evaluate the possible effectiveness of a cervical support pillow in combination with cervical spine manipulation versus cervical spine manipulation alone, in the management of cervicogenic headache. The secondary aim of this study was to compare the efficacy of a cervical support pillow (Top Pillow) to the efficacy of the cervical support pillow used by Ross (2002) in the management of cervicogenic headache. During this study, thirty participants were recruited. The participants were divided into three groups of ten each. The three groups received the following treatments over a 3 week period: • Group one only received chiropractic cervical adjustments • Group two received a cervical support pillow and chiropractic cervical adjustments • Group three received only a cervical support pillow. After the treatment was concluded the recorded data was submitted to the staff at STATKON where the data was analysed using the Statistical Package for Social Sciences. The results of the clinical trial revealed that the group that received chiropractic manipulation and the cervical support pillow showed the most significant changes of all three the groups in all planes of cervical range of motion, with all the results being statistically significant. The group that only received chiropractic manipulation also exhibited a significant increase in all planes of cervical range of motion, with only extension not being statistically significant. The group that only received a cervical support pillow, revealed a statistically significant increase in almost all planes of cervical range of motion except for flexion where no increase was noted the increases were, however, still markedly less than those of the former two groups that received chiropractic adjustments to specific restricted motion segments. With regard to perceived pain measured on the Numerical Pain Rating Scale, the two groups that received chiropractic adjustments improved to a much greater degree than the group that only received a cervical support pillow. With regard to Vernon-Mior Neck Pain and Disability Index all three groups had a statistically significant decrease in the perception of disability although the adjustment groups once again showed a much greater decrease in disability than the pillow only group. The already proven benefits that patients with cervicogenic headache receive from chiropractic spinal manipulation, can be successfully supplemented by the use of a cervical support pillow and the top pillow performed better than the pillow used by Ross et al. (2002) in the treatment of cervicogenic headache.
- Full Text:
- Authors: Burger, Adroux
- Date: 2009-05-20T06:03:00Z
- Subjects: Chiropractic treatment of headache , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: uj:8400 , http://hdl.handle.net/10210/2564
- Description: M.Tech. , The primary aim of this investigation was to evaluate the possible effectiveness of a cervical support pillow in combination with cervical spine manipulation versus cervical spine manipulation alone, in the management of cervicogenic headache. The secondary aim of this study was to compare the efficacy of a cervical support pillow (Top Pillow) to the efficacy of the cervical support pillow used by Ross (2002) in the management of cervicogenic headache. During this study, thirty participants were recruited. The participants were divided into three groups of ten each. The three groups received the following treatments over a 3 week period: • Group one only received chiropractic cervical adjustments • Group two received a cervical support pillow and chiropractic cervical adjustments • Group three received only a cervical support pillow. After the treatment was concluded the recorded data was submitted to the staff at STATKON where the data was analysed using the Statistical Package for Social Sciences. The results of the clinical trial revealed that the group that received chiropractic manipulation and the cervical support pillow showed the most significant changes of all three the groups in all planes of cervical range of motion, with all the results being statistically significant. The group that only received chiropractic manipulation also exhibited a significant increase in all planes of cervical range of motion, with only extension not being statistically significant. The group that only received a cervical support pillow, revealed a statistically significant increase in almost all planes of cervical range of motion except for flexion where no increase was noted the increases were, however, still markedly less than those of the former two groups that received chiropractic adjustments to specific restricted motion segments. With regard to perceived pain measured on the Numerical Pain Rating Scale, the two groups that received chiropractic adjustments improved to a much greater degree than the group that only received a cervical support pillow. With regard to Vernon-Mior Neck Pain and Disability Index all three groups had a statistically significant decrease in the perception of disability although the adjustment groups once again showed a much greater decrease in disability than the pillow only group. The already proven benefits that patients with cervicogenic headache receive from chiropractic spinal manipulation, can be successfully supplemented by the use of a cervical support pillow and the top pillow performed better than the pillow used by Ross et al. (2002) in the treatment of cervicogenic headache.
- Full Text:
Dry needling versus cervical spine manipulation combined with dry needling of infraspinatus muscle myofascial trigger points
- Authors: Cloete, Gert
- Date: 2013-04-17
- Subjects: Dry needling therapy , Myofascial pain syndromes - Chiropractic treatment , Spinal adjustment , Manipulation (Therapeutics) , Acupuncture , Cervical vertebrae
- Type: Thesis
- Identifier: uj:7450 , http://hdl.handle.net/10210/8310
- Description: M.Tech. (Chiropractic) , Objective: The purpose of this study was to compare dry needling with cervical spine manipulation combined with dry needling, in the treatment of infraspinatus muscle myofascial trigger points. Study Design: This was a randomized experimental study Setting: The participants were treated at the University of Johannesburg chiropractic day clinic Subjects: 30 participants volunteered for the study. The participants were divided into groups by randomly drawing thirty numbers from a hat, and placing them into two groups: either dry needling combined with spinal manipulation (group 1) or dry needling only (group 2). Participants had to be between eighteen and fifty years old and they could have been male or female. Participants had to present with active infraspinatus muscle myofascial trigger points and also had to present with shoulder or lateral arm pain reproduced by infraspinatus trigger point palpation. Method: Participants were either treated using dry needling only or dry needling combined with spinal manipulation. There were seven consultations. The first six consultations were treatment consultations. Measurements were taken at consultations one, four and seven. Results: The results indicate statistically that participants who had dry needling on its own had a faster increased pressure pain tolerance and a faster decrease in resting electrical activity of the muscle over the treatment period than those that recieved dry needling in combination with spinal manipulation. We must emphasize however that this did not show in the numerical pain rating scale. Participants felt a relatively even relief of their pain in both groups. These overall results might have been skewed by outliers in groups and a small demographic study size. The rest of the results were statistically insignificant, however there was a clinically desired therapeutic effect noted in both groups throughout the study. Conclusion: Dry needling only and dry needling combined with spinal manipulation, individually have desired therapeutic effects in the treatment of infraspinatus myofascial trigger points. There is however no conclusive statistical results in this study that shows one treatment protocol to have a greater therapeutic effect when compared to the other. However this study size was small and therefore the results may have been coincidental.
- Full Text:
- Authors: Cloete, Gert
- Date: 2013-04-17
- Subjects: Dry needling therapy , Myofascial pain syndromes - Chiropractic treatment , Spinal adjustment , Manipulation (Therapeutics) , Acupuncture , Cervical vertebrae
- Type: Thesis
- Identifier: uj:7450 , http://hdl.handle.net/10210/8310
- Description: M.Tech. (Chiropractic) , Objective: The purpose of this study was to compare dry needling with cervical spine manipulation combined with dry needling, in the treatment of infraspinatus muscle myofascial trigger points. Study Design: This was a randomized experimental study Setting: The participants were treated at the University of Johannesburg chiropractic day clinic Subjects: 30 participants volunteered for the study. The participants were divided into groups by randomly drawing thirty numbers from a hat, and placing them into two groups: either dry needling combined with spinal manipulation (group 1) or dry needling only (group 2). Participants had to be between eighteen and fifty years old and they could have been male or female. Participants had to present with active infraspinatus muscle myofascial trigger points and also had to present with shoulder or lateral arm pain reproduced by infraspinatus trigger point palpation. Method: Participants were either treated using dry needling only or dry needling combined with spinal manipulation. There were seven consultations. The first six consultations were treatment consultations. Measurements were taken at consultations one, four and seven. Results: The results indicate statistically that participants who had dry needling on its own had a faster increased pressure pain tolerance and a faster decrease in resting electrical activity of the muscle over the treatment period than those that recieved dry needling in combination with spinal manipulation. We must emphasize however that this did not show in the numerical pain rating scale. Participants felt a relatively even relief of their pain in both groups. These overall results might have been skewed by outliers in groups and a small demographic study size. The rest of the results were statistically insignificant, however there was a clinically desired therapeutic effect noted in both groups throughout the study. Conclusion: Dry needling only and dry needling combined with spinal manipulation, individually have desired therapeutic effects in the treatment of infraspinatus myofascial trigger points. There is however no conclusive statistical results in this study that shows one treatment protocol to have a greater therapeutic effect when compared to the other. However this study size was small and therefore the results may have been coincidental.
- Full Text:
Investigating the effects of chiropractic manipulative therapy in power output over a one kilometer distance in asymptomatic amateur cyclists
- Authors: Coetzee, Marius
- Date: 2015-07-15
- Subjects: Chiropractic , Manipulation (Therapeutics) , Cycling - Physiological aspects
- Type: Thesis
- Identifier: uj:13778 , http://hdl.handle.net/10210/14043
- Description: M.Tech. (Chiropractic) , Background: Sport as a whole, and especially cycling, has become a major part of the majority of the world population’s daily lives. There have been several studies done to determine the effects of chiropractic treatment on individual muscle groups (Maris, 2003; Sher, 2002). However, very few studies have been done to look at the combined effects of chiropractic on the performance of specific sports. Objective: To investigate the effects of chiropractic manipulative therapy on power output over a one kilometer distance in asymptomatic amateur cyclists. Method: The study consisted of 30 participants. All participants accepted had to meet the inclusion criteria. They were equally and randomly allocated into 3 groups. Group 1 received chiropractic therapy of the lumbar spine. Group 2 received chiropractic therapy of the sacroiliac joint whilst participants in Group 3 received no immediate intervention as they were the control group. Participants in Group 1 and 2 were motion palpated to determine the level of spinal dysfunction. All three groups then cycled on a stationary bike for a one kilometer sprint. Allocated treatment for Group 1 and Group 2 then followed, with Group 3 receiving no intervention. Objective measurements consisted of average power output as well as time over the one kilometer distance from start to finish. Results: Both test groups showed significant clinical as well as statistical improvement over the six week clinical study period. This means that as the average power output measurements increased, the time decreased for both Group 1 and Group 2. Although there were some degree of increased power output and decrease in time of Group 3, it was not significant enough to say that they had increased performance. Conclusion: Chiropractic manipulative therapy did cause an increase in average power output in asymptomatic amateur cyclists over a one kilometer distance.
- Full Text:
- Authors: Coetzee, Marius
- Date: 2015-07-15
- Subjects: Chiropractic , Manipulation (Therapeutics) , Cycling - Physiological aspects
- Type: Thesis
- Identifier: uj:13778 , http://hdl.handle.net/10210/14043
- Description: M.Tech. (Chiropractic) , Background: Sport as a whole, and especially cycling, has become a major part of the majority of the world population’s daily lives. There have been several studies done to determine the effects of chiropractic treatment on individual muscle groups (Maris, 2003; Sher, 2002). However, very few studies have been done to look at the combined effects of chiropractic on the performance of specific sports. Objective: To investigate the effects of chiropractic manipulative therapy on power output over a one kilometer distance in asymptomatic amateur cyclists. Method: The study consisted of 30 participants. All participants accepted had to meet the inclusion criteria. They were equally and randomly allocated into 3 groups. Group 1 received chiropractic therapy of the lumbar spine. Group 2 received chiropractic therapy of the sacroiliac joint whilst participants in Group 3 received no immediate intervention as they were the control group. Participants in Group 1 and 2 were motion palpated to determine the level of spinal dysfunction. All three groups then cycled on a stationary bike for a one kilometer sprint. Allocated treatment for Group 1 and Group 2 then followed, with Group 3 receiving no intervention. Objective measurements consisted of average power output as well as time over the one kilometer distance from start to finish. Results: Both test groups showed significant clinical as well as statistical improvement over the six week clinical study period. This means that as the average power output measurements increased, the time decreased for both Group 1 and Group 2. Although there were some degree of increased power output and decrease in time of Group 3, it was not significant enough to say that they had increased performance. Conclusion: Chiropractic manipulative therapy did cause an increase in average power output in asymptomatic amateur cyclists over a one kilometer distance.
- Full Text:
Kinesio® tape therapy versus spinal manipulative therapy in the treatment of iliotibial band friction syndrome
- Authors: Conway, Candice
- Date: 2019
- Subjects: Spinal adjustment , Manipulation (Therapeutics) , Knee - Wounds and injuries - Chiropractic treatment
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/292825 , uj:31828
- Description: Abstract: Aim: The aim of this study was to determine whether the treatment protocol in the form of Kinesio® Tape therapy versus spinal manipulative therapy or a combination of both would be best suited for the treatment of iliotibial band friction syndrome. The findings were compared in terms of the changes found in pain pressure threshold measurements and the self-reported pain ratings by the participants. This study would then establish if the treatment protocols used were effective or which treatment protocol proved superior in reducing pain in ITBFS. Method: A sample of 30 participants between the ages of 18 and 50 years took part in this study. Participants were randomly allocated into three groups of ten each. Group 1 received spinal manipulative therapy of the lumbosacral spine. Group 2 received Kinesio® Tape therapy along the iliotibial band and Group 3 received a combination of both spinal manipulative therapy and Kinesio® Tape therapy. Procedure: The study period included six treatments delivered over a three week period with a seventh visit for measurement only and no administered treatment. Subjective and objective data were collected on visits 1, 4 and 7. Subjective data measurements were recorded by use of the Numerical Pain Rating Scale and the McGill Pain Questionnaire. The objective data measurements were recorded using the pressure algometer. Results: Statistical analysis was performed using a non-parametric system. The tests that were appropriate for this non-parametric system were the Friedman test (Intra-Group analysis), which was used to determine any improvements between the visits, the Kruskal-Wallis test (Inter-Group analysis), which was used to determine if the groups had significant differences as well as the Mann-Whitney test (Intra-Group analysis)... , M.Tech. (Chiropractic)
- Full Text:
- Authors: Conway, Candice
- Date: 2019
- Subjects: Spinal adjustment , Manipulation (Therapeutics) , Knee - Wounds and injuries - Chiropractic treatment
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/292825 , uj:31828
- Description: Abstract: Aim: The aim of this study was to determine whether the treatment protocol in the form of Kinesio® Tape therapy versus spinal manipulative therapy or a combination of both would be best suited for the treatment of iliotibial band friction syndrome. The findings were compared in terms of the changes found in pain pressure threshold measurements and the self-reported pain ratings by the participants. This study would then establish if the treatment protocols used were effective or which treatment protocol proved superior in reducing pain in ITBFS. Method: A sample of 30 participants between the ages of 18 and 50 years took part in this study. Participants were randomly allocated into three groups of ten each. Group 1 received spinal manipulative therapy of the lumbosacral spine. Group 2 received Kinesio® Tape therapy along the iliotibial band and Group 3 received a combination of both spinal manipulative therapy and Kinesio® Tape therapy. Procedure: The study period included six treatments delivered over a three week period with a seventh visit for measurement only and no administered treatment. Subjective and objective data were collected on visits 1, 4 and 7. Subjective data measurements were recorded by use of the Numerical Pain Rating Scale and the McGill Pain Questionnaire. The objective data measurements were recorded using the pressure algometer. Results: Statistical analysis was performed using a non-parametric system. The tests that were appropriate for this non-parametric system were the Friedman test (Intra-Group analysis), which was used to determine any improvements between the visits, the Kruskal-Wallis test (Inter-Group analysis), which was used to determine if the groups had significant differences as well as the Mann-Whitney test (Intra-Group analysis)... , M.Tech. (Chiropractic)
- Full Text:
The effect of lumbosacral manipulation on growing pains
- De Beer, Dawid, Bester, Charmaine Margaret
- Authors: De Beer, Dawid , Bester, Charmaine Margaret
- Date: 2015
- Subjects: Growing pains - Chiropractic treatment , Manipulation (Therapeutics)
- Type: Article
- Identifier: uj:5625 , ISSN 10259848 , http://hdl.handle.net/10210/14717
- Description: Background: Growing pains are a frequent clinical presentation that continues to puzzle practitioners, with very little conclusive evidence in any medical field, including Chiropractic. Objective: The aim of this study was to determine whether lumbosacral manipulations have an effect on growing pain symptoms. Methods: Thirty participants with growing pains between the ages of 4 and 12 years were recruited. The participants were placed into two groups of fifteen participants each. Group one received lumbosacral manipulations to restricted joints as determined by motion palpation, while Group two never received any professional intervention. Often parent(s)/guardian(s) of children who suffer from growing pains will rub the child’s legs and offer verbal reassurance in an attempt to console their children. Parent(s)/guardian(s) of both groups were encouraged to continue to do this throughout the duration of the trial. Instructions were given to the parents so that the same rubbing technique and rubbing cream (aqueous cream) was used. Subjective changes were tracked using a pain diary that the parent(s)/guardian(s) needed to complete, a six week post study follow up question regarding children’s GP’s and Oucher self-report pain scale. Objective measures consisted of pressure algometer readings of the tibialis anterior muscle belly. Results: The statistical data was analyzed using the Friedman test, Mann-Whitney test and the Wilcoxon Signed-Rank test. The results demonstrated that both groups responded favorably to their specific treatment over time. However, the group that received lumbosacral manipulations proved to show a quicker response to treatment; and the post-study follow up of this same group had markedly more positive feedback than the other group. These results highlighted the positive effects of Chiropractic manipulation on growing pain symptoms.
- Full Text:
- Authors: De Beer, Dawid , Bester, Charmaine Margaret
- Date: 2015
- Subjects: Growing pains - Chiropractic treatment , Manipulation (Therapeutics)
- Type: Article
- Identifier: uj:5625 , ISSN 10259848 , http://hdl.handle.net/10210/14717
- Description: Background: Growing pains are a frequent clinical presentation that continues to puzzle practitioners, with very little conclusive evidence in any medical field, including Chiropractic. Objective: The aim of this study was to determine whether lumbosacral manipulations have an effect on growing pain symptoms. Methods: Thirty participants with growing pains between the ages of 4 and 12 years were recruited. The participants were placed into two groups of fifteen participants each. Group one received lumbosacral manipulations to restricted joints as determined by motion palpation, while Group two never received any professional intervention. Often parent(s)/guardian(s) of children who suffer from growing pains will rub the child’s legs and offer verbal reassurance in an attempt to console their children. Parent(s)/guardian(s) of both groups were encouraged to continue to do this throughout the duration of the trial. Instructions were given to the parents so that the same rubbing technique and rubbing cream (aqueous cream) was used. Subjective changes were tracked using a pain diary that the parent(s)/guardian(s) needed to complete, a six week post study follow up question regarding children’s GP’s and Oucher self-report pain scale. Objective measures consisted of pressure algometer readings of the tibialis anterior muscle belly. Results: The statistical data was analyzed using the Friedman test, Mann-Whitney test and the Wilcoxon Signed-Rank test. The results demonstrated that both groups responded favorably to their specific treatment over time. However, the group that received lumbosacral manipulations proved to show a quicker response to treatment; and the post-study follow up of this same group had markedly more positive feedback than the other group. These results highlighted the positive effects of Chiropractic manipulation on growing pain symptoms.
- 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 effects of cervical manipulation alone versus cervical manipulation combined with dry needling on biceps brachii strength
- Authors: De Clercq, Colette
- Date: 2019
- Subjects: Acupuncture , Muscle strength , Manipulation (Therapeutics) , Cervical vertebrae
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/292945 , uj:31843
- Description: M.Tech. (Chiropractic) , Abstract: Purpose: According to Brown (2013), tears in the biceps brachii muscle are being reported more frequently than in the past, but the reason is still unclear. Knowledge surrounding the optimal treatment is critical to improving biceps brachii muscle strength so as to prevent injuries. Latent trigger points are also recognised risk factors for causing muscle weakness potentially resulting in future injuries (Alvarez and Rockwell, 2002). The aim of this study is to compare the effects of cervical manipulation versus cervical manipulation combined with dry needling of the biceps brachii muscle on biceps brachii muscle strength. Design: Thirty participants between the ages of 18 and 50 years old presenting with C5 and C6 cervical facet dysfunction and biceps brachii latent trigger points were included in this study. The participants were randomly divided into two groups of 15 participants each (Group A and Group B). Group A received cervical spine manipulation and Group B received cervical spine manipulation as well as dry needing of the latent trigger point in the biceps brachii muscle. Each participant was treated three times over a period of three weeks. Measurements: All measurements were collected at the first, second and third consultations prior to treatment and on the fourth consultation where no treatment was performed. Objective measurements included algometric readings of pressure pain threshold of the biceps brachii muscle trigger points and biceps brachii strength was recorded using a Lafayette Manual Muscle Testing System. Results and Conclusion: Both Group A and Group B proved to have a statistical and clinical improvement overall. In comparing the statistically significant data for biceps brachii muscle strength in this study, it would appear that Group A responded better to treatment than Group B. Therefore it can be suggested that the combined treatment therapy with dry needling did not have an additive effect on biceps brachii muscle strength...
- Full Text:
- Authors: De Clercq, Colette
- Date: 2019
- Subjects: Acupuncture , Muscle strength , Manipulation (Therapeutics) , Cervical vertebrae
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/292945 , uj:31843
- Description: M.Tech. (Chiropractic) , Abstract: Purpose: According to Brown (2013), tears in the biceps brachii muscle are being reported more frequently than in the past, but the reason is still unclear. Knowledge surrounding the optimal treatment is critical to improving biceps brachii muscle strength so as to prevent injuries. Latent trigger points are also recognised risk factors for causing muscle weakness potentially resulting in future injuries (Alvarez and Rockwell, 2002). The aim of this study is to compare the effects of cervical manipulation versus cervical manipulation combined with dry needling of the biceps brachii muscle on biceps brachii muscle strength. Design: Thirty participants between the ages of 18 and 50 years old presenting with C5 and C6 cervical facet dysfunction and biceps brachii latent trigger points were included in this study. The participants were randomly divided into two groups of 15 participants each (Group A and Group B). Group A received cervical spine manipulation and Group B received cervical spine manipulation as well as dry needing of the latent trigger point in the biceps brachii muscle. Each participant was treated three times over a period of three weeks. Measurements: All measurements were collected at the first, second and third consultations prior to treatment and on the fourth consultation where no treatment was performed. Objective measurements included algometric readings of pressure pain threshold of the biceps brachii muscle trigger points and biceps brachii strength was recorded using a Lafayette Manual Muscle Testing System. Results and Conclusion: Both Group A and Group B proved to have a statistical and clinical improvement overall. In comparing the statistically significant data for biceps brachii muscle strength in this study, it would appear that Group A responded better to treatment than Group B. Therefore it can be suggested that the combined treatment therapy with dry needling did not have an additive effect on biceps brachii muscle strength...
- 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 effects of diversified chiropractic manipulation versus sacro-occipital technique in chiropractic management of sacroiliac syndrome
- Authors: Dell, Charmaine
- Date: 2008-09-01T10:19:33Z
- Subjects: Chiropractic , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: http://ujcontent.uj.ac.za8080/10210/374055 , uj:4241 , http://hdl.handle.net/10210/959
- Description: Purpose: The purpose of this pilot study was to assess the effects of Diversified Manipulation versus Sacro-Occipital Technique in the management and treatment of Sacroiliac Syndrome. Method: This study consisted of two groups, a Diversified group consisting of 15 subjects with Sacroiliac Syndrome and a Sacro-Occipital Technique group consisting of 15 subjects with Sacroiliac Syndrome. The subjects were between the ages of 18 and 55 years. Potential candidates were examined and accepted based on the inclusion and exclusion criteria. The Diversified group received Diversified Manipulative therapy to the sacroiliac joint, while the Sacro-Occipital group received SOT Category 2 blocking, from which the subjective and objective findings were based. Procedure: Each successful candidate was treated six times over a two-week period. Before the commencement of the treatment one, three and six, the candidate completed the Oswestry Back Pain and Disability Index questionnaire and the Numerical Pain Rating Scale. Digital Inclinometer readings were taken of the thoracolumbar and lumbosacral regions of the spine. Sacroiliac Manipulation was then administered to the Diversified group based on the restrictions obtained during motion palpation. Category 2 blocking was administered to the Sacro-Occipital Technique group based on the SOT Category 2 categorization test findings. The same treatment was administered at each of the six treatment sessions. Results: Objective statistically significant differences were noted on lateral flexion range of motion, in favour of the Sacro-Occipital Technique group. Subjective readings also showed statistically significant differences with regards to Oswestry Back Pain and Disability Index and Numerical Pain Rating Scale in favour of both the Diversified group and the Sacro-Occipital Technique group. Conclusion: The results of the study indicate that both Sacro-Occipital Technique and Diversified have a positive effect on patients suffering from Sacroiliac Syndrome. However, Sacro-Occipital Technique proved to have a greater overall benefit compared to Diversified manipulation in the treatment and management of Sacroiliac Syndrome. It should be emphasized that the present study was a pilot study to determine the effects of Diversified manipulation versus Sacro-Occipital Technique in the management of Sacroiliac Syndrome. Accurate conclusions could not be formulated due to the remainder non-significant statistical findings obtained from the study; therefore further research needs to be conducted on this comparative study. , Dr. B. Losco Dr. C. D. Losco
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- Authors: Dell, Charmaine
- Date: 2008-09-01T10:19:33Z
- Subjects: Chiropractic , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: http://ujcontent.uj.ac.za8080/10210/374055 , uj:4241 , http://hdl.handle.net/10210/959
- Description: Purpose: The purpose of this pilot study was to assess the effects of Diversified Manipulation versus Sacro-Occipital Technique in the management and treatment of Sacroiliac Syndrome. Method: This study consisted of two groups, a Diversified group consisting of 15 subjects with Sacroiliac Syndrome and a Sacro-Occipital Technique group consisting of 15 subjects with Sacroiliac Syndrome. The subjects were between the ages of 18 and 55 years. Potential candidates were examined and accepted based on the inclusion and exclusion criteria. The Diversified group received Diversified Manipulative therapy to the sacroiliac joint, while the Sacro-Occipital group received SOT Category 2 blocking, from which the subjective and objective findings were based. Procedure: Each successful candidate was treated six times over a two-week period. Before the commencement of the treatment one, three and six, the candidate completed the Oswestry Back Pain and Disability Index questionnaire and the Numerical Pain Rating Scale. Digital Inclinometer readings were taken of the thoracolumbar and lumbosacral regions of the spine. Sacroiliac Manipulation was then administered to the Diversified group based on the restrictions obtained during motion palpation. Category 2 blocking was administered to the Sacro-Occipital Technique group based on the SOT Category 2 categorization test findings. The same treatment was administered at each of the six treatment sessions. Results: Objective statistically significant differences were noted on lateral flexion range of motion, in favour of the Sacro-Occipital Technique group. Subjective readings also showed statistically significant differences with regards to Oswestry Back Pain and Disability Index and Numerical Pain Rating Scale in favour of both the Diversified group and the Sacro-Occipital Technique group. Conclusion: The results of the study indicate that both Sacro-Occipital Technique and Diversified have a positive effect on patients suffering from Sacroiliac Syndrome. However, Sacro-Occipital Technique proved to have a greater overall benefit compared to Diversified manipulation in the treatment and management of Sacroiliac Syndrome. It should be emphasized that the present study was a pilot study to determine the effects of Diversified manipulation versus Sacro-Occipital Technique in the management of Sacroiliac Syndrome. Accurate conclusions could not be formulated due to the remainder non-significant statistical findings obtained from the study; therefore further research needs to be conducted on this comparative study. , Dr. B. Losco Dr. C. D. Losco
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A study to determine the effectiveness of spinal manipulative therapy versus manipulative therapy of the Glenohumeral joint treatment of impingement syndrome
- Authors: Deverneuil, Victoria
- Date: 2012-08-16
- Subjects: Spinal adjustment , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: uj:9501 , http://hdl.handle.net/10210/5930
- Description: M.Tech. , PURPOSE: Impingement syndrome of the shoulder is a very common problem, yet the diagnosis and management of it is still not completely understood. The purpose of this pilot study was to determine the most effective chiropractic treatment protocol in the management of impingement syndrome due to supraspinatus tendonitis. This was done by comparing objective and subjective measures gained during a treatment protocol consisting either of administering corrective chiropractic manipulative therapy to the cervical spine and/or the thoracic spine, to the glenohumeral joint or to both of these areas. METHODS: This randomised controlled trial consisted of three groups of fifteen patients, each between the ages of eighteen and forty-five years old. All potential candidates were examined and cleared for participation in the clinical trials subsequent to a selection process and X-ray examination if necessary. Diversified chiropractic manipulative techniques were used for all patients provided joint restrictions were detected. Group A received glenohumeral joint manipulations, Group B received spinal manipulations and Group C received a combination of spinal and glenohumeral joint manipulations. PROCEDURE: Patients were treated for six consultations over a two-week period. A follow-up appointment was scheduled for four weeks after that in order to determine the lasting effects of the treatment protocol. At the first, third, sixth and follow-up visit, measurements were recorded. Objective data included pain free shoulder abduction range of motion, the presence of a painful arc of the shoulder and the presence of a positive supraspinatus test. Subjective data included the numerical pain rating scale-101 scores. RESULTS: statistical analysis was conducted using the parametric One Way ANOVA (analysis of variance) and unpaired t-tests as well as the non-parametric Kruskal-Wallis One Way ANOVA on Ranks and Mann-Whitney Rank Sum tests to compare intragroup and intergroup data. III CONCLUSIONS: Although all three groups showed numerical improvements throughout the treatment period, only group A showed statistically significant improvements. This study therefore suggests that manipulation of the glenohumeral joint is more effective in the treatment of impingement syndrome of the shoulder with regard to short-term as well as long-term symptomatic relief. This however requires further research, as a larger sample size is required
- Full Text:
- Authors: Deverneuil, Victoria
- Date: 2012-08-16
- Subjects: Spinal adjustment , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: uj:9501 , http://hdl.handle.net/10210/5930
- Description: M.Tech. , PURPOSE: Impingement syndrome of the shoulder is a very common problem, yet the diagnosis and management of it is still not completely understood. The purpose of this pilot study was to determine the most effective chiropractic treatment protocol in the management of impingement syndrome due to supraspinatus tendonitis. This was done by comparing objective and subjective measures gained during a treatment protocol consisting either of administering corrective chiropractic manipulative therapy to the cervical spine and/or the thoracic spine, to the glenohumeral joint or to both of these areas. METHODS: This randomised controlled trial consisted of three groups of fifteen patients, each between the ages of eighteen and forty-five years old. All potential candidates were examined and cleared for participation in the clinical trials subsequent to a selection process and X-ray examination if necessary. Diversified chiropractic manipulative techniques were used for all patients provided joint restrictions were detected. Group A received glenohumeral joint manipulations, Group B received spinal manipulations and Group C received a combination of spinal and glenohumeral joint manipulations. PROCEDURE: Patients were treated for six consultations over a two-week period. A follow-up appointment was scheduled for four weeks after that in order to determine the lasting effects of the treatment protocol. At the first, third, sixth and follow-up visit, measurements were recorded. Objective data included pain free shoulder abduction range of motion, the presence of a painful arc of the shoulder and the presence of a positive supraspinatus test. Subjective data included the numerical pain rating scale-101 scores. RESULTS: statistical analysis was conducted using the parametric One Way ANOVA (analysis of variance) and unpaired t-tests as well as the non-parametric Kruskal-Wallis One Way ANOVA on Ranks and Mann-Whitney Rank Sum tests to compare intragroup and intergroup data. III CONCLUSIONS: Although all three groups showed numerical improvements throughout the treatment period, only group A showed statistically significant improvements. This study therefore suggests that manipulation of the glenohumeral joint is more effective in the treatment of impingement syndrome of the shoulder with regard to short-term as well as long-term symptomatic relief. This however requires further research, as a larger sample size is required
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Effectiveness of a supervised spinal strengthening program and chiropractic manipulation in the management of chronic lower back pain
- Authors: Dhanji, Bhavini
- Date: 2008-09-01T10:25:03Z
- Subjects: Chiropractic treatment of backache , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: uj:4458 , http://hdl.handle.net/10210/979
- Description: OBJECTIVE: To determine the most effective chiropractic treatment protocol in the management of chronic non-complicated low back pain. This was determined by comparing subjective and objective results gained from two treatment protocols, one of which included corrective spinal manipulative therapy directed towards the lumbar spine and pelvis with the implementation of an independent home prescribed rehabilitation program. The second treatment protocol consisted of a combination of corrective spinal manipulative therapy directed towards the lumbar spine and pelvis with the implementation of a spinal rehabilitation program under the close supervision and guidance of the researcher. DESIGN: The study was a clinical trial, which consisted of two groups of 15 patients each. These patients were procured using information pamphlets and advertising posters and were selected on the basis of particular inclusion and exclusion criteria. In addition, the selected candidates were also required to have a static isometric back extensor endurance test of 55 seconds and less as well as a decreased lumbar range of motion in the sagittal plane. INTERVENTION AND DURATION: Once the patients were randomized into two groups, the respective treatment protocols were implemented over a six week period. The control group was prescribed with a home exercise spinal rehabilitation program and the experimental group received a supervised spinal rehabilitation program. Both groups received chiropractic manipulation to the lumbar spine and pelvis to restore mobility and correct the mechanical dysfunction in the hypomobile joint. The frequency of follow-ups for this study was three times weekly for the first and second weeks, twice weekly for the third and fourth weeks, and then once weekly for the fifth and six weeks. MEASUREMENTS: Objective measurements included lumbar spine flexion and extension range of motion and Sorenson’s test. Subjective measurements were the Oswestry Low Back Pain and Disability Index and Numerical Pain Rating Scale 101 questionnaires. Measurements were taken at the first, sixth and twelfth consultations. CONCLUSION: The aim of this study was to determine whether chiropractic care in conjunction with a supervised “in-office” spinal rehabilitation program would prove to be a more effective method in decreasing low back pain measurements and indices when compared to a home prescribed exercise program in the management of chronic low back pain. Although the supervised group did show improvements on the areas indicated, none of the two groups showed statistically significant differences. Therefore it can be concluded from the results of this study that the home exercise group demonstrated as good a response as the supervised exercise group thus highlighting the positive effects of the adjustment alone. , Dr. E. Garlick Dr. B. Losco
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- Authors: Dhanji, Bhavini
- Date: 2008-09-01T10:25:03Z
- Subjects: Chiropractic treatment of backache , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: uj:4458 , http://hdl.handle.net/10210/979
- Description: OBJECTIVE: To determine the most effective chiropractic treatment protocol in the management of chronic non-complicated low back pain. This was determined by comparing subjective and objective results gained from two treatment protocols, one of which included corrective spinal manipulative therapy directed towards the lumbar spine and pelvis with the implementation of an independent home prescribed rehabilitation program. The second treatment protocol consisted of a combination of corrective spinal manipulative therapy directed towards the lumbar spine and pelvis with the implementation of a spinal rehabilitation program under the close supervision and guidance of the researcher. DESIGN: The study was a clinical trial, which consisted of two groups of 15 patients each. These patients were procured using information pamphlets and advertising posters and were selected on the basis of particular inclusion and exclusion criteria. In addition, the selected candidates were also required to have a static isometric back extensor endurance test of 55 seconds and less as well as a decreased lumbar range of motion in the sagittal plane. INTERVENTION AND DURATION: Once the patients were randomized into two groups, the respective treatment protocols were implemented over a six week period. The control group was prescribed with a home exercise spinal rehabilitation program and the experimental group received a supervised spinal rehabilitation program. Both groups received chiropractic manipulation to the lumbar spine and pelvis to restore mobility and correct the mechanical dysfunction in the hypomobile joint. The frequency of follow-ups for this study was three times weekly for the first and second weeks, twice weekly for the third and fourth weeks, and then once weekly for the fifth and six weeks. MEASUREMENTS: Objective measurements included lumbar spine flexion and extension range of motion and Sorenson’s test. Subjective measurements were the Oswestry Low Back Pain and Disability Index and Numerical Pain Rating Scale 101 questionnaires. Measurements were taken at the first, sixth and twelfth consultations. CONCLUSION: The aim of this study was to determine whether chiropractic care in conjunction with a supervised “in-office” spinal rehabilitation program would prove to be a more effective method in decreasing low back pain measurements and indices when compared to a home prescribed exercise program in the management of chronic low back pain. Although the supervised group did show improvements on the areas indicated, none of the two groups showed statistically significant differences. Therefore it can be concluded from the results of this study that the home exercise group demonstrated as good a response as the supervised exercise group thus highlighting the positive effects of the adjustment alone. , Dr. E. Garlick Dr. B. Losco
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