The effects of chiropractic manipulative therapy and therapeutic ultrasound therapy in chronic mechanical lower back pain
- Authors: Arundale, Kerry
- Date: 2013-04-17
- Subjects: Backache - Chiropractic treatment , Spinal adjustment , Ultrasonics in medicine
- Type: Thesis
- Identifier: uj:7447 , http://hdl.handle.net/10210/8307
- Description: M.Tech. (Chiropractic) , The aim of this study is to compare Chiropractic Manipulative Therapy of the lumbar spine combined with Therapeutic Ultrasound Therapy over the adjacent lumbar paraspinal muscles to ascertain the most effective protocol in the treatment of Chronic Mechanical Lower Back Pain. Thirty participants with Chronic Mechanical Lower Back Pain between the ages of 18 and 35 years were recruited. Successful participants were randomly placed in two groups, of fifteen participants each, which would receive different treatment protocols according to their group allocation. Group One received Chiropractic Manipulative Therapy to lumbar spine restrictions. Group Two received Chiropractic Manipulative Therapy to the lumbar spine restrictions as well as Therapeutic Ultrasound Therapy to the adjacent paraspinal muscles. The participants completed a total of seven visits, including 6 treatments over 3 weeks. Subjective and Objective readings were taken on the first, fourth and seventh visits. Subjective readings from each participant were recorded using the Oswestry Disability Iindex and Numerical Pain Rating Scale. Objective readings were taken and recorded three times consecutively using a Pressure Algometer over the adjacent lumbar paraspinal muscles and a Digital Inclinometer to measure lumbar spine range of motions. The statistical data was analysed using the Friedman test, Mann-Whitney test and the Bonferroni test. The results demonstrated overall that both groups responded favourably to their specific treatment protocols, however no significant differences between groups was noted, highlighting the positive effects of the manipulation alone.
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- Authors: Arundale, Kerry
- Date: 2013-04-17
- Subjects: Backache - Chiropractic treatment , Spinal adjustment , Ultrasonics in medicine
- Type: Thesis
- Identifier: uj:7447 , http://hdl.handle.net/10210/8307
- Description: M.Tech. (Chiropractic) , The aim of this study is to compare Chiropractic Manipulative Therapy of the lumbar spine combined with Therapeutic Ultrasound Therapy over the adjacent lumbar paraspinal muscles to ascertain the most effective protocol in the treatment of Chronic Mechanical Lower Back Pain. Thirty participants with Chronic Mechanical Lower Back Pain between the ages of 18 and 35 years were recruited. Successful participants were randomly placed in two groups, of fifteen participants each, which would receive different treatment protocols according to their group allocation. Group One received Chiropractic Manipulative Therapy to lumbar spine restrictions. Group Two received Chiropractic Manipulative Therapy to the lumbar spine restrictions as well as Therapeutic Ultrasound Therapy to the adjacent paraspinal muscles. The participants completed a total of seven visits, including 6 treatments over 3 weeks. Subjective and Objective readings were taken on the first, fourth and seventh visits. Subjective readings from each participant were recorded using the Oswestry Disability Iindex and Numerical Pain Rating Scale. Objective readings were taken and recorded three times consecutively using a Pressure Algometer over the adjacent lumbar paraspinal muscles and a Digital Inclinometer to measure lumbar spine range of motions. The statistical data was analysed using the Friedman test, Mann-Whitney test and the Bonferroni test. The results demonstrated overall that both groups responded favourably to their specific treatment protocols, however no significant differences between groups was noted, highlighting the positive effects of the manipulation alone.
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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.
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- 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.
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The effect of ultrasound therapy and upper cervical manipulative therapy as well as the combination thereof on chronic sinusitis
- De Bruyn, Cornelius Johannes
- Authors: De Bruyn, Cornelius Johannes
- Date: 2017
- Subjects: Sinusitis - Chiropractic treatment , Spinal adjustment , Cervical vertebrae , Ultrasonics in medicine , Chiropractic
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/226484 , uj:22900
- Description: M.Tech. (Chiropractic) , Abstract: Purpose: The purpose of this study was to establish the effect of ultrasound therapy and upper cervical manipulative therapy as well as the combination thereof on chronic sinusitis. Method: Thirty participants who suffered from chronic sinusitis as indicated by the Sino-Nasal Outcome Test, participated in this study. Participants were randomly allocated into three equal groups. Group 1 received upper cervical manipulative therapy. Group 2 received ultrasound therapy on the frontal and maxillary sinuses and Group 3 received a combination of ultrasound therapy on the frontal and maxillary sinuses as well as upper cervical manipulative therapy. The study consisted of seven consultations over a three week period, with intervention on the first six consultations and subjective as well as objective data obtained at the first, fourth and seventh consultations. The intervention for Group 1 consisted of motion palpation of any restriction in the upper cervical spine. Diversified chiropractic techniques were used by the researcher to manipulate the restricted segment. Group 2 received ultrasound therapy on the frontal and maxillary sinuses and Group 3 received a combination of both cervical manipulative therapy as well as ultrasound therapy on the frontal and maxillary sinuses. Results: The subjective data had a positive average improvement of 74.9 % for Group 1, 68.9 % for Group 2 and 73 % for Group 3. The objective data had a positive average improvement of 34 % for Group 1, 21.9 % for Group 2 and 29.1 % for Group 3. Conclusion: This research thus proved that ultrasound therapy and upper cervical manipulative therapy as well as the combination thereof did benefit participants with chronic sinusitis. Participants had to receive all six treatments to experience a significant difference in their signs and symptoms...
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- Authors: De Bruyn, Cornelius Johannes
- Date: 2017
- Subjects: Sinusitis - Chiropractic treatment , Spinal adjustment , Cervical vertebrae , Ultrasonics in medicine , Chiropractic
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/226484 , uj:22900
- Description: M.Tech. (Chiropractic) , Abstract: Purpose: The purpose of this study was to establish the effect of ultrasound therapy and upper cervical manipulative therapy as well as the combination thereof on chronic sinusitis. Method: Thirty participants who suffered from chronic sinusitis as indicated by the Sino-Nasal Outcome Test, participated in this study. Participants were randomly allocated into three equal groups. Group 1 received upper cervical manipulative therapy. Group 2 received ultrasound therapy on the frontal and maxillary sinuses and Group 3 received a combination of ultrasound therapy on the frontal and maxillary sinuses as well as upper cervical manipulative therapy. The study consisted of seven consultations over a three week period, with intervention on the first six consultations and subjective as well as objective data obtained at the first, fourth and seventh consultations. The intervention for Group 1 consisted of motion palpation of any restriction in the upper cervical spine. Diversified chiropractic techniques were used by the researcher to manipulate the restricted segment. Group 2 received ultrasound therapy on the frontal and maxillary sinuses and Group 3 received a combination of both cervical manipulative therapy as well as ultrasound therapy on the frontal and maxillary sinuses. Results: The subjective data had a positive average improvement of 74.9 % for Group 1, 68.9 % for Group 2 and 73 % for Group 3. The objective data had a positive average improvement of 34 % for Group 1, 21.9 % for Group 2 and 29.1 % for Group 3. Conclusion: This research thus proved that ultrasound therapy and upper cervical manipulative therapy as well as the combination thereof did benefit participants with chronic sinusitis. Participants had to receive all six treatments to experience a significant difference in their signs and symptoms...
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A comparison between ultrasound therapy and dry needling in the treatment of active trapezius myofascial trigger points
- Authors: De Klerk, Anika
- Date: 2014-10-09
- Subjects: Myofascial pain syndromes - Chiropractic treatment , Trapezius muscle , Acupuncture , Ultrasonics in medicine
- Type: Thesis
- Identifier: uj:12571 , http://hdl.handle.net/10210/12362
- Description: M.Tech. (Chiropractic) , Myofascial pain syndrome has become a significant cause of chronic pain and disability in today‟s society. Conditions causing chronic pain can not only cause disability due to pain, but can also lead to other problems such as psychological and behavioural disturbances. Physical deconditioning can also occur due to lack of exercise because of myofascial pain (Rachlin, 1994). The aim of this study was to compare dry needling therapy and ultrasound therapy in the treatment of myofascial trigger points in order to demonstrate any superiority between the two modalities. Participants for this study were recruited by word of mouth and advertisements that were placed around the University of Johannesburg Doornfontein Campus. Thirty people participated in the trial, all of whom conformed to the specific inclusion and exclusion criteria. The participants were randomly placed into two groups. Group A received dry needling therapy, namely the fanning technique, and Group B received ultrasound therapy. Participants in Group A received one treatment per week for four weeks and subjective and objective measurements were taken at each visit. Participants in Group B received two treatments per week for three weeks and measurements were taken at visits one, three, five and seven. Subjective data was obtained through the use of the Visual Analogue Pain Scale, which measured the perception of pain of the participants. Objective data was obtained from pressure algometer readings, which measured pain pressure thresholds of participants, and through the Cervical Range Of Motion (CROM) device. The results of this study indicated that dry needling therapy and ultrasound therapy both significantly benefited participants in terms of the treatment of active myofascial trigger points. Based on the final results, both dry needling therapy and ultrasound therapy are equally effective modalities in the treatment of active myofascial trigger points, with neither modality showing superiority over the other.
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- Authors: De Klerk, Anika
- Date: 2014-10-09
- Subjects: Myofascial pain syndromes - Chiropractic treatment , Trapezius muscle , Acupuncture , Ultrasonics in medicine
- Type: Thesis
- Identifier: uj:12571 , http://hdl.handle.net/10210/12362
- Description: M.Tech. (Chiropractic) , Myofascial pain syndrome has become a significant cause of chronic pain and disability in today‟s society. Conditions causing chronic pain can not only cause disability due to pain, but can also lead to other problems such as psychological and behavioural disturbances. Physical deconditioning can also occur due to lack of exercise because of myofascial pain (Rachlin, 1994). The aim of this study was to compare dry needling therapy and ultrasound therapy in the treatment of myofascial trigger points in order to demonstrate any superiority between the two modalities. Participants for this study were recruited by word of mouth and advertisements that were placed around the University of Johannesburg Doornfontein Campus. Thirty people participated in the trial, all of whom conformed to the specific inclusion and exclusion criteria. The participants were randomly placed into two groups. Group A received dry needling therapy, namely the fanning technique, and Group B received ultrasound therapy. Participants in Group A received one treatment per week for four weeks and subjective and objective measurements were taken at each visit. Participants in Group B received two treatments per week for three weeks and measurements were taken at visits one, three, five and seven. Subjective data was obtained through the use of the Visual Analogue Pain Scale, which measured the perception of pain of the participants. Objective data was obtained from pressure algometer readings, which measured pain pressure thresholds of participants, and through the Cervical Range Of Motion (CROM) device. The results of this study indicated that dry needling therapy and ultrasound therapy both significantly benefited participants in terms of the treatment of active myofascial trigger points. Based on the final results, both dry needling therapy and ultrasound therapy are equally effective modalities in the treatment of active myofascial trigger points, with neither modality showing superiority over the other.
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Chiropractic manipulative therapy, therapeutic ultrasound and interferential current in lateral elbow tendinopathy
- Authors: Downing, Lauren Jessica
- Date: 2015-07-14
- Subjects: Elbow , Tendinitis - Chiropractic treatment , Ultrasonics in medicine , Electrotherapeutics
- Type: Thesis
- Identifier: uj:13721 , http://hdl.handle.net/10210/13987
- Description: M.Tech. (Chiropractic) , Lateral elbow tendinopathy is the most frequent periarticular lesion which affects 1% to 3% of the general population and is a difficult condition to manage with a wide range of procedures and management protocols advocated (Abrahamson and Comfort, 2010). This study aimed to assess the efficacy of managing lateral elbow tendinopathy using therapeutic ultrasound (U/S), interferential current (IFC) or alternatively a combination of IFC and therapeutic U/S in addition to chiropractic manipulative therapy of the cervical spine and elbow. This study was a comparative study consisting of three groups of ten participants each with an equal gender ratio. Prior to becoming a participant in this study individuals were assessed according to the inclusion and exclusion criteria. Group A received therapeutic U/S; Group B received IFC and Group C received combination therapy of IFC and therapeutic U/S. All three groups received chiropractic manipulative therapy to the cervical spine and joints of the elbow complex. Subjective data was obtained using the Numerical Pain Rating Scale (NPRS). Objective data was obtained using the pressure algometer (pain pressure threshold) and the Jamar grip strength dynamometer (pain-free grip strength) on the affected side. The study was conducted over a course of three weeks for a total of seven visits per participant. Subjective and objective data was collected pre-intervention on the first and fourth visits and on the seventh evaluation only visit. Analysis of the data collected was performed by a statistician. All three groups showed statistically significant clinical improvements in all measures. The only group not exhibiting a statistical significance was the therapeutic U/S group in the initial pain pressure threshold results. In the objective measures of all intervals none of the groups showed statistical superiority over one another. However, the final NPRS results showed statistically significant improvement in therapeutic U/S and combination therapy groups over IFC alone. From the results it can be concluded that all groups were effective for lateral elbow tendinopathy in conjunction with chiropractic manipulative therapy. With respects to subjective pain therapeutic U/S and combination therapy appeared to have a greater efficacy than IFC, but no superior modality was identified with respects to objective measures.
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- Authors: Downing, Lauren Jessica
- Date: 2015-07-14
- Subjects: Elbow , Tendinitis - Chiropractic treatment , Ultrasonics in medicine , Electrotherapeutics
- Type: Thesis
- Identifier: uj:13721 , http://hdl.handle.net/10210/13987
- Description: M.Tech. (Chiropractic) , Lateral elbow tendinopathy is the most frequent periarticular lesion which affects 1% to 3% of the general population and is a difficult condition to manage with a wide range of procedures and management protocols advocated (Abrahamson and Comfort, 2010). This study aimed to assess the efficacy of managing lateral elbow tendinopathy using therapeutic ultrasound (U/S), interferential current (IFC) or alternatively a combination of IFC and therapeutic U/S in addition to chiropractic manipulative therapy of the cervical spine and elbow. This study was a comparative study consisting of three groups of ten participants each with an equal gender ratio. Prior to becoming a participant in this study individuals were assessed according to the inclusion and exclusion criteria. Group A received therapeutic U/S; Group B received IFC and Group C received combination therapy of IFC and therapeutic U/S. All three groups received chiropractic manipulative therapy to the cervical spine and joints of the elbow complex. Subjective data was obtained using the Numerical Pain Rating Scale (NPRS). Objective data was obtained using the pressure algometer (pain pressure threshold) and the Jamar grip strength dynamometer (pain-free grip strength) on the affected side. The study was conducted over a course of three weeks for a total of seven visits per participant. Subjective and objective data was collected pre-intervention on the first and fourth visits and on the seventh evaluation only visit. Analysis of the data collected was performed by a statistician. All three groups showed statistically significant clinical improvements in all measures. The only group not exhibiting a statistical significance was the therapeutic U/S group in the initial pain pressure threshold results. In the objective measures of all intervals none of the groups showed statistical superiority over one another. However, the final NPRS results showed statistically significant improvement in therapeutic U/S and combination therapy groups over IFC alone. From the results it can be concluded that all groups were effective for lateral elbow tendinopathy in conjunction with chiropractic manipulative therapy. With respects to subjective pain therapeutic U/S and combination therapy appeared to have a greater efficacy than IFC, but no superior modality was identified with respects to objective measures.
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The effect of upper cervical spine chiropractic manipulation in conjuction with ultrasound therapy in the treatment of cervicogenic headaches
- Authors: Dulabh, Kavish
- Date: 2017
- Subjects: Headache - Chiropractic treatment , Cervical vertebrae , Spinal adjustment , Ultrasonics in medicine
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/268491 , uj:28501
- Description: M.Tech. (Chiropractic) , Abstract: Purpose: A correlation between cervicogenic headache, upper cervical spine joint dysfunction and therapeutic ultrasound exists. The aim of this study was to determine whether chiropractic manipulation in conjunction with ultrasound therapy over the restricted segments of the upper cervical spine would be a more effective treatment protocol in patients suffering from cervicogenic headaches with regards to the perception of pain caused by their headache, the effect it had on their daily living, and cervical range of motion. Treatment was aimed at the upper cervical spine segments (C0- C3) as nociception arising from almost any structure innervated by the upper four cervical nerves may refer to the head, resulting in headaches and therapeutic ultrasound may aid in the relaxation of muscle tissues subsequently decreasing muscle spasm and pain and improving joint motion. Method: This study consisted of two groups. Both Groups 1 and 2 consisted of 15 participants each presenting with cervicogenic headaches. The participants were between the ages of 18 and 50 years. The participants were thoroughly examined and assessed according to the inclusion and exclusion criteria as well as a case history, full physical examination and cervical spine regional examination. Group 1 received chiropractic manipulation to the restricted segments of the upper cervical spine only. Group 2 received chiropractic manipulation and ultrasound therapy of the restricted segments of the upper cervical spine. Procedure: Participants were seen seven times over a three week period. They were treated twice a week for three weeks where a seventh follow-up visit followed. Subjective and objective measurements were taken on the first, fourth and seventh visits. Subjective measurements consisted of the Numerical Pain Rating Scale and Headache Disability Index. Objective measurements included cervical spine range of motion which was measured with the Cervical Range of Motion device in full cervical spine flexion, full cervical spine extension, right and left cervical spine lateral flexion and right and left cervical spine rotation. Results: Regarding subjective measurements based on the Numerical Pain Rating Scale, a statistically significant difference was found with Groups 1 and 2 individually over time. No statistically significant difference was found between the two groups overtime. However...
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- Authors: Dulabh, Kavish
- Date: 2017
- Subjects: Headache - Chiropractic treatment , Cervical vertebrae , Spinal adjustment , Ultrasonics in medicine
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/268491 , uj:28501
- Description: M.Tech. (Chiropractic) , Abstract: Purpose: A correlation between cervicogenic headache, upper cervical spine joint dysfunction and therapeutic ultrasound exists. The aim of this study was to determine whether chiropractic manipulation in conjunction with ultrasound therapy over the restricted segments of the upper cervical spine would be a more effective treatment protocol in patients suffering from cervicogenic headaches with regards to the perception of pain caused by their headache, the effect it had on their daily living, and cervical range of motion. Treatment was aimed at the upper cervical spine segments (C0- C3) as nociception arising from almost any structure innervated by the upper four cervical nerves may refer to the head, resulting in headaches and therapeutic ultrasound may aid in the relaxation of muscle tissues subsequently decreasing muscle spasm and pain and improving joint motion. Method: This study consisted of two groups. Both Groups 1 and 2 consisted of 15 participants each presenting with cervicogenic headaches. The participants were between the ages of 18 and 50 years. The participants were thoroughly examined and assessed according to the inclusion and exclusion criteria as well as a case history, full physical examination and cervical spine regional examination. Group 1 received chiropractic manipulation to the restricted segments of the upper cervical spine only. Group 2 received chiropractic manipulation and ultrasound therapy of the restricted segments of the upper cervical spine. Procedure: Participants were seen seven times over a three week period. They were treated twice a week for three weeks where a seventh follow-up visit followed. Subjective and objective measurements were taken on the first, fourth and seventh visits. Subjective measurements consisted of the Numerical Pain Rating Scale and Headache Disability Index. Objective measurements included cervical spine range of motion which was measured with the Cervical Range of Motion device in full cervical spine flexion, full cervical spine extension, right and left cervical spine lateral flexion and right and left cervical spine rotation. Results: Regarding subjective measurements based on the Numerical Pain Rating Scale, a statistically significant difference was found with Groups 1 and 2 individually over time. No statistically significant difference was found between the two groups overtime. However...
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A comparative study investigating the effects of ultrasound therapy and hot pack therapy as post dry needling procedures
- Authors: Kok, Lian
- Date: 2017
- Subjects: Ultrasonics in medicine , Thermotherapy , Acupuncture , Myofascial pain syndromes - Chiropractic treatment
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/246701 , uj:25589
- Description: M.Tech. (Chiropractic) , Abstract: PURPOSE: Myofascial pain syndrome is a common cause of discomfort and disability worldwide with various forms of literature to substantiate it. Myofascial pain syndrome is a condition that is characterised by the presence of myofascial trigger points. These trigger points often refer pain to different areas of the body. Pain associated with myofascial trigger points can present as an acute or chronic pain. This pain is often felt at a site distal from the origin of the trigger point and can be associated with many visceral and systemic conditions. This association between trigger points and other conditions often lead to misdiagnosis e.g. headaches experienced over the orbit or pain at the base of the skull are often a result of trapezius trigger points and not conditions more local to the pain. The purpose of this study was to determine whether hot pack therapy or ultrasound therapy used post dry needling was more beneficial in reducing post needle tenderness of an active trapezius muscle trigger points. The goal of this study was to establish the most effective post needling modality of the treatment of active trapezius muscle trigger points. DESIGN: A total of thirty participants were utilised for the research study and were randomly divided into two groups of fifteen participants each. Group A received ultrasound therapy as a post needling procedure on active trapezius muscle trigger points. Group B received hot pack therapy as a post needling procedure on active trapezius muscle trigger points. A total of 4 treatments sessions were required over a two-week period with a 5th visit to take the last readings. MEASUREMENTS: Subjective data was collected by using a Visual Analogue scale. Objective data was collected by using a hand-held pressure algometer on active trapezius muscle trigger points. Data was collected on the first, third and fifth consultations. OUTCOMES: With regards to the subjective data readings, the results from the Visual Analogue scale from the intragroup analysis, indicated that both groups improved over the treatment period, with neither group showing a statistically significant improvement over the other. The intergroup analysis showed no statistical significant difference between groups and showed that neither group was superior. With regards to the objective measurements, the intragroup analysis of the pressure algometer readings indicated that both post needling...
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- Authors: Kok, Lian
- Date: 2017
- Subjects: Ultrasonics in medicine , Thermotherapy , Acupuncture , Myofascial pain syndromes - Chiropractic treatment
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/246701 , uj:25589
- Description: M.Tech. (Chiropractic) , Abstract: PURPOSE: Myofascial pain syndrome is a common cause of discomfort and disability worldwide with various forms of literature to substantiate it. Myofascial pain syndrome is a condition that is characterised by the presence of myofascial trigger points. These trigger points often refer pain to different areas of the body. Pain associated with myofascial trigger points can present as an acute or chronic pain. This pain is often felt at a site distal from the origin of the trigger point and can be associated with many visceral and systemic conditions. This association between trigger points and other conditions often lead to misdiagnosis e.g. headaches experienced over the orbit or pain at the base of the skull are often a result of trapezius trigger points and not conditions more local to the pain. The purpose of this study was to determine whether hot pack therapy or ultrasound therapy used post dry needling was more beneficial in reducing post needle tenderness of an active trapezius muscle trigger points. The goal of this study was to establish the most effective post needling modality of the treatment of active trapezius muscle trigger points. DESIGN: A total of thirty participants were utilised for the research study and were randomly divided into two groups of fifteen participants each. Group A received ultrasound therapy as a post needling procedure on active trapezius muscle trigger points. Group B received hot pack therapy as a post needling procedure on active trapezius muscle trigger points. A total of 4 treatments sessions were required over a two-week period with a 5th visit to take the last readings. MEASUREMENTS: Subjective data was collected by using a Visual Analogue scale. Objective data was collected by using a hand-held pressure algometer on active trapezius muscle trigger points. Data was collected on the first, third and fifth consultations. OUTCOMES: With regards to the subjective data readings, the results from the Visual Analogue scale from the intragroup analysis, indicated that both groups improved over the treatment period, with neither group showing a statistically significant improvement over the other. The intergroup analysis showed no statistical significant difference between groups and showed that neither group was superior. With regards to the objective measurements, the intragroup analysis of the pressure algometer readings indicated that both post needling...
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The efficacy of MSM (methylsulfonylmethane) incorporated into ultrasound gel using phonophoresis in the treatment of an acute facet syndrome in the cervical spine
- Authors: Potgieter, Anrie
- Date: 2013-05-27
- Subjects: Cervical syndrome - Chiropractic treatment , Ultrasonics in medicine , Methylsulfonylmethane , Dimethyl sulfone
- Type: Mini-Dissertation
- Identifier: uj:7556 , http://hdl.handle.net/10210/8414
- Description: M.Tech. (Chiropractic) , Health professionals, while differentiated in their philosophies and choice of practice, still endeavour to expand the choice of effective and trustworthy techniques that can be applied to the individual needs of a patient. Therapeutic ultrasound is one such treatment that is used by many health practitioners. Ultrasound is one of the complementary treatments used to treat an acute cervical facet syndrome. Thermal ultrasound has the ability to decrease pain, stiffness, muscle spasm and inflammation of the tissue surrounding an acute cervical facet (Wyatt, 2004 and Reid, 1992). The current ultrasound treatment regimens for acute cervical facet syndromes are time consuming, in that they require a series of ultrasound treatments (Wyatt, 2004). Methods that could improve ultrasound treatment regimens in the treatment of acute cervical facets, by decreasing the amount of ultrasound treatments required and by increasing the effectiveness of the treatment would be beneficial. This research aims to test, in a clinical environment, the efficacy of MSM (methylsulfonylmethane) incorporated into ultrasound gel used with ultrasound in the treatment of an acute cervical facet syndrome. Participants were recruited from the University of Johannesburg Chiropractic Day Clinic. They were eligible to participate in the study once they met the inclusion and exclusion criteria. Participants were recruited by means of word of mouth as well as with the use of advertisements that were placed around the respective campuses of the University of Johannesburg. Thirty participants who presented with an acute cervical facet syndrome, volunteered for this comparative study. The study was double blinded, in which neither the researcher nor the participants knew which bottle contained the MSM incorporated into ultrasound gel or the standard ultrasound gel. It was only after the trials were completed that it was made know that group A received the MSM incorporated into ultrasound and group B the standard ultrasound. Group A received ultrasound treatment utilising MSM incorporated into ultrasound gel causing phonophoresis of the product’s ions, over the acute facets in the cervical spine. Group B received ultrasound treatment, using regular ultrasound gel, over the acute facets in the cervical spine.
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- Authors: Potgieter, Anrie
- Date: 2013-05-27
- Subjects: Cervical syndrome - Chiropractic treatment , Ultrasonics in medicine , Methylsulfonylmethane , Dimethyl sulfone
- Type: Mini-Dissertation
- Identifier: uj:7556 , http://hdl.handle.net/10210/8414
- Description: M.Tech. (Chiropractic) , Health professionals, while differentiated in their philosophies and choice of practice, still endeavour to expand the choice of effective and trustworthy techniques that can be applied to the individual needs of a patient. Therapeutic ultrasound is one such treatment that is used by many health practitioners. Ultrasound is one of the complementary treatments used to treat an acute cervical facet syndrome. Thermal ultrasound has the ability to decrease pain, stiffness, muscle spasm and inflammation of the tissue surrounding an acute cervical facet (Wyatt, 2004 and Reid, 1992). The current ultrasound treatment regimens for acute cervical facet syndromes are time consuming, in that they require a series of ultrasound treatments (Wyatt, 2004). Methods that could improve ultrasound treatment regimens in the treatment of acute cervical facets, by decreasing the amount of ultrasound treatments required and by increasing the effectiveness of the treatment would be beneficial. This research aims to test, in a clinical environment, the efficacy of MSM (methylsulfonylmethane) incorporated into ultrasound gel used with ultrasound in the treatment of an acute cervical facet syndrome. Participants were recruited from the University of Johannesburg Chiropractic Day Clinic. They were eligible to participate in the study once they met the inclusion and exclusion criteria. Participants were recruited by means of word of mouth as well as with the use of advertisements that were placed around the respective campuses of the University of Johannesburg. Thirty participants who presented with an acute cervical facet syndrome, volunteered for this comparative study. The study was double blinded, in which neither the researcher nor the participants knew which bottle contained the MSM incorporated into ultrasound gel or the standard ultrasound gel. It was only after the trials were completed that it was made know that group A received the MSM incorporated into ultrasound and group B the standard ultrasound. Group A received ultrasound treatment utilising MSM incorporated into ultrasound gel causing phonophoresis of the product’s ions, over the acute facets in the cervical spine. Group B received ultrasound treatment, using regular ultrasound gel, over the acute facets in the cervical spine.
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