The efficacy of low back strengthening with and without Chiropractic adjustment in the treatment of chronic mechanical low back pain
- Authors: Phillips, Clinton Glen
- Date: 2008-09-01T10:20:15Z
- Subjects: Chiropractic , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: uj:4274 , http://hdl.handle.net/10210/962
- Description: Objectives: To determine the efficacy of chiropractic spinal manipulative therapy (CSMT) in the resolution of the persistent or chronic middle ear effusion that is associated with otitis media. This treatment was compared to the insertion of tympanostomy tubes with regards to parent perception and satisfaction. Methods: Thirty patients under the age of seven that were diagnosed as having persistent or chronic middle ear effusion were assigned to receive either tympanostomy tubes or chiropractic treatment according to parental choice. Results: After chiropractic treatment, an objective improvement in the middle ear status was noted by serial tympanography, demonstrating resolution of middle ear effusion. This was noted in 64.3% in the right ear, where a type B tympanogram improved to a type A or type C tympanogram, and in 58.3% in the left ear, where a type B improved to a type A or C tympanogram, or a type C improved to a type A tympanogram. After chiropractic treatment, subjective improvements were noted in the patient’s health, hearing, speech and language, behaviour and social skills, balance, gross and fine motor skills, otalgia and the amount of disturbed nights. Additional benefits from chiropractic treatment were noted in 93.3% of cases. Conclusions: The manner in which the middle ear effusion was resolved by chiropractic manipulation is by normalising the function of the eustachian tube. Eustachian tube dysfunction is a commonly reported aetiological factor in the development of otitis media with effusion, yet previously there was no treatment type to address this problem. Improvement of middle ear effusion occurred in 58.3-64.3% of cases, indicating that chiropractic spinal manipulative therapy could be a viable treatment option to correct the eustachian tube dysfunction. , Dr. Harold Humphries Dr. Chris Yelverton
- Full Text:
- Authors: Phillips, Clinton Glen
- Date: 2008-09-01T10:20:15Z
- Subjects: Chiropractic , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: uj:4274 , http://hdl.handle.net/10210/962
- Description: Objectives: To determine the efficacy of chiropractic spinal manipulative therapy (CSMT) in the resolution of the persistent or chronic middle ear effusion that is associated with otitis media. This treatment was compared to the insertion of tympanostomy tubes with regards to parent perception and satisfaction. Methods: Thirty patients under the age of seven that were diagnosed as having persistent or chronic middle ear effusion were assigned to receive either tympanostomy tubes or chiropractic treatment according to parental choice. Results: After chiropractic treatment, an objective improvement in the middle ear status was noted by serial tympanography, demonstrating resolution of middle ear effusion. This was noted in 64.3% in the right ear, where a type B tympanogram improved to a type A or type C tympanogram, and in 58.3% in the left ear, where a type B improved to a type A or C tympanogram, or a type C improved to a type A tympanogram. After chiropractic treatment, subjective improvements were noted in the patient’s health, hearing, speech and language, behaviour and social skills, balance, gross and fine motor skills, otalgia and the amount of disturbed nights. Additional benefits from chiropractic treatment were noted in 93.3% of cases. Conclusions: The manner in which the middle ear effusion was resolved by chiropractic manipulation is by normalising the function of the eustachian tube. Eustachian tube dysfunction is a commonly reported aetiological factor in the development of otitis media with effusion, yet previously there was no treatment type to address this problem. Improvement of middle ear effusion occurred in 58.3-64.3% of cases, indicating that chiropractic spinal manipulative therapy could be a viable treatment option to correct the eustachian tube dysfunction. , Dr. Harold Humphries Dr. Chris Yelverton
- Full Text:
The effect of cervical spine adjustment on grip strength and its rate of decline
- Authors: Prinsloo, Luchelle
- Date: 2017
- Subjects: Spinal adjustment , Grip strength , Chiropractic
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/226573 , uj:22911
- Description: M.Tech. (Chiropractic) , Abstract: Purpose: The aim of the study was to determine the immediate effect of chiropractic manipulation of the cervico-thoracic junction on grip strength and its rate of decline after manipulation. Method: Fifty participants with asymptomatic cervico-thoracic dysfunction were selected. All participants were placed in a single group as they all received the same treatment. Participants had to meet the inclusion criteria to be part of the study and they had to be free of any contra-indications to chiropractic manipulation. Procedure: Each participant was treated only once with a manipulation to the cervico-thoracic junction. Four measurements of grip strength were taken over a 24 hour period. Each participant’s grip strength was measured prior to manipulation with a Jamar handgrip dynamometer. Thereafter the restricted cervico-thoracic segmented was manipulated and grip strength was measured immediately thereafter. The participants were requested to return one hour after the initial treatment when another reading was taken. The last visit took place 24 hours after manipulation, where the final grip strength measurement was taken. All data was recorded by the researcher and analysed by Statkon. Results: A significant increase in grip strength was noted immediately post treatment, with grip strength peaking one hour post treatment. Although a decline was noted twenty four hours post treatment, it did not return to the initial values. Conclusion: The results indicated an increase in grip strength after manipulation of the cervico-thoracic junction. An increase was visible on all readings (immediately post treatment, one hour post treatment and twenty four hours post treatment), tested with the Jamar handgrip dynamometer. Most results were found to be statistically insignificant, with exclusion of measurement three (one hour post treatment) on the left hand side. In conclusion it was noted that manipulation directed to the cervico-thoracic junction increases muscle strength up to twenty four hours as measured by the Jamar Handgrip Dynamometer. Further readings are necessary in order to determine when the grip strength of participants would return to pre treatment values as the true rate of decline could not be determined in only a twenty four hour period...
- Full Text:
- Authors: Prinsloo, Luchelle
- Date: 2017
- Subjects: Spinal adjustment , Grip strength , Chiropractic
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/226573 , uj:22911
- Description: M.Tech. (Chiropractic) , Abstract: Purpose: The aim of the study was to determine the immediate effect of chiropractic manipulation of the cervico-thoracic junction on grip strength and its rate of decline after manipulation. Method: Fifty participants with asymptomatic cervico-thoracic dysfunction were selected. All participants were placed in a single group as they all received the same treatment. Participants had to meet the inclusion criteria to be part of the study and they had to be free of any contra-indications to chiropractic manipulation. Procedure: Each participant was treated only once with a manipulation to the cervico-thoracic junction. Four measurements of grip strength were taken over a 24 hour period. Each participant’s grip strength was measured prior to manipulation with a Jamar handgrip dynamometer. Thereafter the restricted cervico-thoracic segmented was manipulated and grip strength was measured immediately thereafter. The participants were requested to return one hour after the initial treatment when another reading was taken. The last visit took place 24 hours after manipulation, where the final grip strength measurement was taken. All data was recorded by the researcher and analysed by Statkon. Results: A significant increase in grip strength was noted immediately post treatment, with grip strength peaking one hour post treatment. Although a decline was noted twenty four hours post treatment, it did not return to the initial values. Conclusion: The results indicated an increase in grip strength after manipulation of the cervico-thoracic junction. An increase was visible on all readings (immediately post treatment, one hour post treatment and twenty four hours post treatment), tested with the Jamar handgrip dynamometer. Most results were found to be statistically insignificant, with exclusion of measurement three (one hour post treatment) on the left hand side. In conclusion it was noted that manipulation directed to the cervico-thoracic junction increases muscle strength up to twenty four hours as measured by the Jamar Handgrip Dynamometer. Further readings are necessary in order to determine when the grip strength of participants would return to pre treatment values as the true rate of decline could not be determined in only a twenty four hour period...
- Full Text:
The effect of cervicothoracic junction manupilation on grip strength
- Authors: Pronto, Pedro Jose Nunes
- Date: 2014-08-12
- Subjects: Chiropractic , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: uj:12054 , http://hdl.handle.net/10210/11800
- Description: M.Tech. (Chiropractic) , Please refer to full text to view abstract
- Full Text:
- Authors: Pronto, Pedro Jose Nunes
- Date: 2014-08-12
- Subjects: Chiropractic , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: uj:12054 , http://hdl.handle.net/10210/11800
- Description: M.Tech. (Chiropractic) , Please refer to full text to view abstract
- Full Text:
The effect of sacroiliac manipulation on gait
- Authors: Ramsamy, Neerasha
- Date: 2016
- Subjects: Chiropractic , Sacroiliac joint , Gait in humans
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/226656 , uj:22923
- Description: M.Tech. (Chiropractic) , Abstract: Purpose: The ankle, foot, tibia, fibula, pelvis and femur are all joints that form part of a closed kinetic chain throughout gait. Biomechanical principles state any dysfunction may result in an increased being placed on certain regions of the kinetic chain which result increased strain being placed on different regions of the same chain. The sacroiliac joints relieve stress resulting from ‘force–motion’ relationships between lower extremities and the trunk which include gait. Increased tension placed on the sacroiliac joints may dysfunction of which potentially maximises the amount strain being placed on the lower extremities as a result changes take place along the chain which hinder a joints ability to function and thus gait anomalies may occur. Abnormal gait patterns such as waddling gait and a Trendelenburg sign which is found to be positive (inability of pelvic stabilisation in the horizontal plane), are found to be associated with sacroiliac joint dysfunction. Chiropractic manipulation may be utilised in the treatment of sacroiliac joint dysfunction. No research has been conducted to establish the long term effect of chiropractic sacroiliac manipulation on lower limb biomechanics and gait in people diagnosed with sacroiliac syndrome. The aim of this study was to determine whether a sacroiliac joint manipulation had an effect on gait by looking at gait parameters using the Zebris FDM analysis system. Method: Thirty five participants between the ages of 18 and 45 years were recruited. The participants were required to sign an informed consent form. A thorough history and physical examination was performed to ensure that participants did not have any disease or pathology that may have excluded them from the study. In order to be part of the inclusion criteria, five participants had to be asymptomatic and thirty participants had to be diagnosed with sacroiliac joint syndrome using specific diagnostic criteria. A measurement using the Zebris FDM gait analysis system was obtained prior to manipulation on specific visits in both symptomatic and asymptomatic participants (asymptomatic participants did not receive manipulation) as well as completion of the Oswestry Pain and Disability Questionnaire as well as the Numerical Pain Rating Scale which provided subjective data in the study...
- Full Text:
- Authors: Ramsamy, Neerasha
- Date: 2016
- Subjects: Chiropractic , Sacroiliac joint , Gait in humans
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/226656 , uj:22923
- Description: M.Tech. (Chiropractic) , Abstract: Purpose: The ankle, foot, tibia, fibula, pelvis and femur are all joints that form part of a closed kinetic chain throughout gait. Biomechanical principles state any dysfunction may result in an increased being placed on certain regions of the kinetic chain which result increased strain being placed on different regions of the same chain. The sacroiliac joints relieve stress resulting from ‘force–motion’ relationships between lower extremities and the trunk which include gait. Increased tension placed on the sacroiliac joints may dysfunction of which potentially maximises the amount strain being placed on the lower extremities as a result changes take place along the chain which hinder a joints ability to function and thus gait anomalies may occur. Abnormal gait patterns such as waddling gait and a Trendelenburg sign which is found to be positive (inability of pelvic stabilisation in the horizontal plane), are found to be associated with sacroiliac joint dysfunction. Chiropractic manipulation may be utilised in the treatment of sacroiliac joint dysfunction. No research has been conducted to establish the long term effect of chiropractic sacroiliac manipulation on lower limb biomechanics and gait in people diagnosed with sacroiliac syndrome. The aim of this study was to determine whether a sacroiliac joint manipulation had an effect on gait by looking at gait parameters using the Zebris FDM analysis system. Method: Thirty five participants between the ages of 18 and 45 years were recruited. The participants were required to sign an informed consent form. A thorough history and physical examination was performed to ensure that participants did not have any disease or pathology that may have excluded them from the study. In order to be part of the inclusion criteria, five participants had to be asymptomatic and thirty participants had to be diagnosed with sacroiliac joint syndrome using specific diagnostic criteria. A measurement using the Zebris FDM gait analysis system was obtained prior to manipulation on specific visits in both symptomatic and asymptomatic participants (asymptomatic participants did not receive manipulation) as well as completion of the Oswestry Pain and Disability Questionnaire as well as the Numerical Pain Rating Scale which provided subjective data in the study...
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Demonstrating microbial contamination routes in chiropractic clinics using Glo-GermTM as a surrogate for microbial pathogens
- Authors: Ramsden, Devin
- Date: 2019
- Subjects: Chiropractic , Chiropractic clinics , Microbial contamination
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/296776 , uj:32339
- Description: Abstract: OBJECTIVE Within the chiropractic profession there may be the possibility that microorganisms can be transmitted between the chiropractor, the patient and the treatment bed. This transmission could potentially lead to further infection. With the identification of potential routes of transmission within the chiropractic profession, the transmission and risk of infection from pathogenic microorganisms may be reduced. The purpose of this study was to explore and describe the possible routes of microbial transmission between a chiropractor, patient and treatment bed using Glo-GermTM cream (fluoresces when exposed to Ultraviolet (UV) lights) as a surrogate for microorganisms. METHODOLOGY The study design was a qualitative, descriptive study. Glo-GermTM cream was applied to either the chiropractor, patient or treatment bed depending on the route studied. Following a mock treatment, which consisted of an initial greeting (handshake) and three Chiropractic manipulation set-ups, the spread of the Glo-GermTM cream was visualized with black lights which emit long-wave UVA radiation and little visible light in order to observe fluorescence. Transmission of the Glo-GermTM in the treatment room between the chiropractor, patient and treatment bed was noted. This was done in triplicate for each contamination source tested. RESULTS The results showed that there was transfer of the Glo-GermTM cream between the chiropractor, patient and treatment bed. The transfer routes were determined by the visual transmission of Glo-GermTM from the area of the application to the area being tested. The intensity and the amount of Glo-GermTM that was transmitted determined the level of risk for the... , M.Tech. (Chiropractic)
- Full Text:
- Authors: Ramsden, Devin
- Date: 2019
- Subjects: Chiropractic , Chiropractic clinics , Microbial contamination
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/296776 , uj:32339
- Description: Abstract: OBJECTIVE Within the chiropractic profession there may be the possibility that microorganisms can be transmitted between the chiropractor, the patient and the treatment bed. This transmission could potentially lead to further infection. With the identification of potential routes of transmission within the chiropractic profession, the transmission and risk of infection from pathogenic microorganisms may be reduced. The purpose of this study was to explore and describe the possible routes of microbial transmission between a chiropractor, patient and treatment bed using Glo-GermTM cream (fluoresces when exposed to Ultraviolet (UV) lights) as a surrogate for microorganisms. METHODOLOGY The study design was a qualitative, descriptive study. Glo-GermTM cream was applied to either the chiropractor, patient or treatment bed depending on the route studied. Following a mock treatment, which consisted of an initial greeting (handshake) and three Chiropractic manipulation set-ups, the spread of the Glo-GermTM cream was visualized with black lights which emit long-wave UVA radiation and little visible light in order to observe fluorescence. Transmission of the Glo-GermTM in the treatment room between the chiropractor, patient and treatment bed was noted. This was done in triplicate for each contamination source tested. RESULTS The results showed that there was transfer of the Glo-GermTM cream between the chiropractor, patient and treatment bed. The transfer routes were determined by the visual transmission of Glo-GermTM from the area of the application to the area being tested. The intensity and the amount of Glo-GermTM that was transmitted determined the level of risk for the... , M.Tech. (Chiropractic)
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A case series describing the effect of extremity manipulation on qEEG
- Authors: Randal-Smith, Devlin Sean
- Date: 2017
- Subjects: Chiropractic , Manipulation (Therapeutics) , Ankle , Electroencephalography , Relaxation
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/246598 , uj:25577
- Description: M.Tech. (Chiropractic) , Abstract: Purpose: The aim of this study was to describe the effect that an extremity manipulation particulary a talocrural joint (TCJM) manipulation had on qEEG. Method: A descriptive case series was chosen for this study. 10 participants that met the relevant inclusion and exclusion criteria were selected. The study looked to observe changes in the qEEG readings before and immediately following the extremity manipulation, as well as 30 minutes after the manipulation was delivered. The study took place in the Chiropractic Clinic at the University of Johannesburg’s Doornfontein campus. The 10 participants were screened for long axis extension talocrural joint restrictions. The qEEG was used to record the participants’ brain wave activity with their eyes open and then closed before any manipulation was given. Immediately following the manipulation, another recording was taken, again with the eyes open and then closed. Finally, the values 30 minutes post-manipulation were captured. Once again with the eyes open and then closed. The qEEG data was converted into mean values of the brain waves, delta, theta, alpha and beta. These values were used to find any statistical significance in the results. An analysis of the results was performed to identify relationships between the manipulation and brain wave activity within each of the lobes (frontal, temporal and parietal). Results: Findings of particular interest in this study were evident in all of the lobes. Beta and delta wave changes immediately following the manipulation, in the frontal lobe and temporal lobe were indicative of the participants’ increased relaxed/ resting states.. Alpha and delta wave changes in the parietal lobe following the manipulation and 30 minutes later were also suggestive of the participants’ increased relaxed and reflective state. Also important to consider was the patients immobile and quiet state throughout the trial. Conclusion: In this study, the findings are limited and inconclusive as there is no sure way to quantify how much of the increase in relaxation of the participant was a result of the extremity manipulation or the participants’ motionless and silent state. Research is severely limited on the relationship between peripheral joint manipulation and its effect on the brain. The only studies that exist are concerned with spinal manipulation. It is interesting to see that the degree of changes following the TCJM showed a similar extent of change as seen by the spinal studies. This could suggest that there are alternative factors responsible for the changes directly following the manipulation. The study has still made an encouraging contribution to the claim that chiropractic manipulation has an effect on qEEG readings, based on the...
- Full Text:
- Authors: Randal-Smith, Devlin Sean
- Date: 2017
- Subjects: Chiropractic , Manipulation (Therapeutics) , Ankle , Electroencephalography , Relaxation
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/246598 , uj:25577
- Description: M.Tech. (Chiropractic) , Abstract: Purpose: The aim of this study was to describe the effect that an extremity manipulation particulary a talocrural joint (TCJM) manipulation had on qEEG. Method: A descriptive case series was chosen for this study. 10 participants that met the relevant inclusion and exclusion criteria were selected. The study looked to observe changes in the qEEG readings before and immediately following the extremity manipulation, as well as 30 minutes after the manipulation was delivered. The study took place in the Chiropractic Clinic at the University of Johannesburg’s Doornfontein campus. The 10 participants were screened for long axis extension talocrural joint restrictions. The qEEG was used to record the participants’ brain wave activity with their eyes open and then closed before any manipulation was given. Immediately following the manipulation, another recording was taken, again with the eyes open and then closed. Finally, the values 30 minutes post-manipulation were captured. Once again with the eyes open and then closed. The qEEG data was converted into mean values of the brain waves, delta, theta, alpha and beta. These values were used to find any statistical significance in the results. An analysis of the results was performed to identify relationships between the manipulation and brain wave activity within each of the lobes (frontal, temporal and parietal). Results: Findings of particular interest in this study were evident in all of the lobes. Beta and delta wave changes immediately following the manipulation, in the frontal lobe and temporal lobe were indicative of the participants’ increased relaxed/ resting states.. Alpha and delta wave changes in the parietal lobe following the manipulation and 30 minutes later were also suggestive of the participants’ increased relaxed and reflective state. Also important to consider was the patients immobile and quiet state throughout the trial. Conclusion: In this study, the findings are limited and inconclusive as there is no sure way to quantify how much of the increase in relaxation of the participant was a result of the extremity manipulation or the participants’ motionless and silent state. Research is severely limited on the relationship between peripheral joint manipulation and its effect on the brain. The only studies that exist are concerned with spinal manipulation. It is interesting to see that the degree of changes following the TCJM showed a similar extent of change as seen by the spinal studies. This could suggest that there are alternative factors responsible for the changes directly following the manipulation. The study has still made an encouraging contribution to the claim that chiropractic manipulation has an effect on qEEG readings, based on the...
- Full Text:
A medical perspective of chiropractic, based on a survey conducted amongst medical professionals in the western region of Johannesburg and how they view chiropractic compared to physiotherapy in the treatment of neuromusculoskeletal conditions
- Authors: Ratzeburg, Brenda
- Date: 2008-09-01T10:23:54Z
- Subjects: Chiropractic , Physical therapy , Treatment of neuromuscular diseases
- Type: Thesis
- Identifier: uj:4403 , http://hdl.handle.net/10210/974
- Description: Worldwide there was a growing trend towards the recognition of Chiropractic, but little was known of this recognition in South Africa. However, with regards to the Western Region of Johannesburg, it was unclear how the medical profession viewed Chiropractic and how effective they viewed Chiropractic in the treatment of neuromusculoskeletal conditions. This study attempted to establish how medical doctors viewed Chiropractic and to determine how Chiropractors compared to physiotherapists in the opinion of the medical profession in the treatment of common neuromusculoskeletal conditions. A questionnaire was hand-delivered to the consulting rooms of each general practitioner, orthopedic surgeon and neurologist/neurosurgeon in the Western Region of Johannesburg. The researcher with the aid of a statistical consultant drew up the questionnaire. The data was analysed using the SPSS 13 (2005), SPSS Incorporated, Chicago using descriptives and frequencies. To compare Chiropractic treatment to physiotherapy, statistical significance was calculated using a Paired Samples Test (T-Test). The results of this study found that the doctors had a positive view of Chiropractic as a profession. When comparing Chiropractic to physiotherapy, statistical analysis revealed that physiotherapy was seen as more effective. Physiotherapists were also more likely to receive referrals from medical doctors than Chiropractors. The results of this study were in accordance with worldwide trends in that Chiropractic was growing in recognition and was viewed as beneficial in the health care system. However, more education of the medical profession with regards to Chiropractic and more research comparing Chiropractic effectiveness compared to physiotherapy were needed. , Dr. M. Moodley Dr. J. Mitchell
- Full Text:
- Authors: Ratzeburg, Brenda
- Date: 2008-09-01T10:23:54Z
- Subjects: Chiropractic , Physical therapy , Treatment of neuromuscular diseases
- Type: Thesis
- Identifier: uj:4403 , http://hdl.handle.net/10210/974
- Description: Worldwide there was a growing trend towards the recognition of Chiropractic, but little was known of this recognition in South Africa. However, with regards to the Western Region of Johannesburg, it was unclear how the medical profession viewed Chiropractic and how effective they viewed Chiropractic in the treatment of neuromusculoskeletal conditions. This study attempted to establish how medical doctors viewed Chiropractic and to determine how Chiropractors compared to physiotherapists in the opinion of the medical profession in the treatment of common neuromusculoskeletal conditions. A questionnaire was hand-delivered to the consulting rooms of each general practitioner, orthopedic surgeon and neurologist/neurosurgeon in the Western Region of Johannesburg. The researcher with the aid of a statistical consultant drew up the questionnaire. The data was analysed using the SPSS 13 (2005), SPSS Incorporated, Chicago using descriptives and frequencies. To compare Chiropractic treatment to physiotherapy, statistical significance was calculated using a Paired Samples Test (T-Test). The results of this study found that the doctors had a positive view of Chiropractic as a profession. When comparing Chiropractic to physiotherapy, statistical analysis revealed that physiotherapy was seen as more effective. Physiotherapists were also more likely to receive referrals from medical doctors than Chiropractors. The results of this study were in accordance with worldwide trends in that Chiropractic was growing in recognition and was viewed as beneficial in the health care system. However, more education of the medical profession with regards to Chiropractic and more research comparing Chiropractic effectiveness compared to physiotherapy were needed. , Dr. M. Moodley Dr. J. Mitchell
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To determine the effectiveness of a chiropractic adjustment on the speed of a soccer ball in soccer players with lumbar facet and sacroiliac joint dysfunction
- Authors: Rebelo, Ricardo Jorge Silva
- Date: 2012-09-05
- Subjects: Soccer injuries - Chiropractic treatment , Biomechanics , Joints - Range of motion , Chiropractic
- Type: Thesis
- Identifier: uj:3582 , http://hdl.handle.net/10210/6964
- Description: M.Tech. , Soccer is the most widely played sport in the world and, of all the skills required to participate, the instep soccer kick is considered to be the primary offensive action within the game of soccer. Biomechanical analysis of the instep soccer kick has revealed that the action of kicking is characterised by a proximal to distal series of multi-articular movements with distal segmental movements being predetermined by more proximal ones (Kellis and Katis, 2007). According to Smith, Gilleard, Hammond and Brooks (2006), the lower spine and pelvis play a pivotal role in determining the placement and actions of distal segmental motion during the action of the instep soccer kick. The aim of this study was to determine the effectiveness of chiropractic adjustments in soccer players with lumbar facet and sacroiliac joint dysfunctions by assessing the resultant speed of a soccer ball once kicked with an instep soccer kick. By correcting the lumbar facet and sacroiliac joint dysfunction of the affected soccer players, it was postulated that with restoration of joint motion and reduction of pain, the speed of the soccer ball, when kicked, would improve. When kicked the resultant ball speed is indicative of biomechanical kicking success. Thirty male professional soccer players from the Jomo Cosmos football establishment who met the study’s selection criteria were selected and randomly divided into one of two groups. The study group received chiropractic adjustments of dysfunctional lumbar facets and sacroiliac joints and the control group received a placebo treatment in form of a de-tuned stationary ultra-sound head over the effected facets joints for five minutes. Treatment for both groups occurred over a two week period with treatment being administered twice a week, totalling of four treatments per participant. Data capture was collected 3 times over the 2-week period; 1st reading done before the 1st treatment, the 2nd reading before the 3rd treatment and the final reading taken after the 4th and final treatment. Data capture consisted of both subjective and objective readings. The subjective data consisted of the measurements of pain experienced by the participants in the form of a Numerical Pain Rating Scale. Objective data involved the measurement of ball speed once kicked, with the use of a radar speed gun as well as lumbar spine range of motion measurements by means of a Digital Inclinometer. In executing the group comparisons, it was found that both groups would present with contrasting results. The group undergoing the chiropractic adjustments would show an improvement in their ball speed, reduction in their overall pain and increased lumbar spine extension and rotation ROM; where as the group undergoing the placebo treatment experienced a decrease in their ball speed, an increase in their overall pain and decreased lumbar spine ROM. The results obtained from the study demonstrated that the majority of the data was not statistically significant in either of the groups however, from a clinical perspective there was a definite effect on the lumbar spine range of motion, ball speed and pain reduction as a result of the Chiropractic adjustments that would warrant further investigation. There is a definite link with the negative effects that lumbar facet and sacroiliac joint dysfunctions have on the proximal to distal sequence of events that take place during the instep soccer kick. Therefore, treating the lumbar facet and sacroiliac joint dysfunction with chiropractic adjustments allows for better transfer of energy between segments and for greater resultant ball speed. In conclusion, the study demonstrated that chiropractic adjustment of lumbar facet and Sacroiliac joint dysfunctions showed good improvement in the resultant ball speed, reduction in lower back pain and improved lumbar spine extension and rotation ROM. From these results, it would be prudent to incorporate more chiropractic treatment into mainstream soccer and encourage further research into the advantages that chiropractic treatment has in better understanding the biomechanics involved in the instep soccer kick.
- Full Text:
- Authors: Rebelo, Ricardo Jorge Silva
- Date: 2012-09-05
- Subjects: Soccer injuries - Chiropractic treatment , Biomechanics , Joints - Range of motion , Chiropractic
- Type: Thesis
- Identifier: uj:3582 , http://hdl.handle.net/10210/6964
- Description: M.Tech. , Soccer is the most widely played sport in the world and, of all the skills required to participate, the instep soccer kick is considered to be the primary offensive action within the game of soccer. Biomechanical analysis of the instep soccer kick has revealed that the action of kicking is characterised by a proximal to distal series of multi-articular movements with distal segmental movements being predetermined by more proximal ones (Kellis and Katis, 2007). According to Smith, Gilleard, Hammond and Brooks (2006), the lower spine and pelvis play a pivotal role in determining the placement and actions of distal segmental motion during the action of the instep soccer kick. The aim of this study was to determine the effectiveness of chiropractic adjustments in soccer players with lumbar facet and sacroiliac joint dysfunctions by assessing the resultant speed of a soccer ball once kicked with an instep soccer kick. By correcting the lumbar facet and sacroiliac joint dysfunction of the affected soccer players, it was postulated that with restoration of joint motion and reduction of pain, the speed of the soccer ball, when kicked, would improve. When kicked the resultant ball speed is indicative of biomechanical kicking success. Thirty male professional soccer players from the Jomo Cosmos football establishment who met the study’s selection criteria were selected and randomly divided into one of two groups. The study group received chiropractic adjustments of dysfunctional lumbar facets and sacroiliac joints and the control group received a placebo treatment in form of a de-tuned stationary ultra-sound head over the effected facets joints for five minutes. Treatment for both groups occurred over a two week period with treatment being administered twice a week, totalling of four treatments per participant. Data capture was collected 3 times over the 2-week period; 1st reading done before the 1st treatment, the 2nd reading before the 3rd treatment and the final reading taken after the 4th and final treatment. Data capture consisted of both subjective and objective readings. The subjective data consisted of the measurements of pain experienced by the participants in the form of a Numerical Pain Rating Scale. Objective data involved the measurement of ball speed once kicked, with the use of a radar speed gun as well as lumbar spine range of motion measurements by means of a Digital Inclinometer. In executing the group comparisons, it was found that both groups would present with contrasting results. The group undergoing the chiropractic adjustments would show an improvement in their ball speed, reduction in their overall pain and increased lumbar spine extension and rotation ROM; where as the group undergoing the placebo treatment experienced a decrease in their ball speed, an increase in their overall pain and decreased lumbar spine ROM. The results obtained from the study demonstrated that the majority of the data was not statistically significant in either of the groups however, from a clinical perspective there was a definite effect on the lumbar spine range of motion, ball speed and pain reduction as a result of the Chiropractic adjustments that would warrant further investigation. There is a definite link with the negative effects that lumbar facet and sacroiliac joint dysfunctions have on the proximal to distal sequence of events that take place during the instep soccer kick. Therefore, treating the lumbar facet and sacroiliac joint dysfunction with chiropractic adjustments allows for better transfer of energy between segments and for greater resultant ball speed. In conclusion, the study demonstrated that chiropractic adjustment of lumbar facet and Sacroiliac joint dysfunctions showed good improvement in the resultant ball speed, reduction in lower back pain and improved lumbar spine extension and rotation ROM. From these results, it would be prudent to incorporate more chiropractic treatment into mainstream soccer and encourage further research into the advantages that chiropractic treatment has in better understanding the biomechanics involved in the instep soccer kick.
- Full Text:
The effects of thoracic spine manipulation on local skin temperature
- Authors: Rees, Warren Raymond
- Date: 2015
- Subjects: Spinal adjustment , Body temperature , Skin , Chiropractic
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/58523 , uj:16460
- Description: Abstract: Please refer to full text to view abstract , M.Tech. (Chiropractic)
- Full Text:
- Authors: Rees, Warren Raymond
- Date: 2015
- Subjects: Spinal adjustment , Body temperature , Skin , Chiropractic
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/58523 , uj:16460
- Description: Abstract: Please refer to full text to view abstract , M.Tech. (Chiropractic)
- Full Text:
The immediate effect of manipulation of the talocrural, proximal tibiofibular joints and the combination thereof on ankle dorsiflexion
- Authors: Ritter, Jacques
- Date: 2019
- Subjects: Chiropractic , Ankle , Joints - Range of motion
- Language: English
- Type: Masters (Thesis)
- Identifier: http://ujcontent.uj.ac.za8080/10210/387544 , http://hdl.handle.net/10210/292964 , uj:31846
- Description: Abstract: Purpose: The aim of this study was to compare the immediate effects of a combined talocrural and proximal tibiofibular manipulation on ankle dorsiflexion with a control as well as with the effects of manipulation of each joint in isolation. Method: The study consisted of 100 asymptomatic participants. The participants were divided into four groups each comprising 25. Participants had to meet the inclusion criteria to be considered for the study and also had to present with no contra-indications for peripheral manipulation. Procedure: Group 1 received a single talocrural manipulation. Group 2 received a single proximal tibiofibular manipulation. Group 3 received both a talocrural as well as proximal tibiofibular manipulation. Group 4 did not receive any intervention and served as the control group. The talocrural dorsiflexion was measured using the weight-bearing lunge test. Measurements were taken prior to the intervention and immediately afterwards. The data was recorded by the researcher. Once the trials were completed, the results were sent to STATKON to be analysed. Results: The manipulated limbs of Groups 1, 2 and 3 all showed an increase in ankle dorsiflexion. Group 3 showed the biggest improvement. Group 4 showed no statistically significant improvement. Conclusion: It was found that all the groups that received intervention in the form of joint manipulation improved. Statistically, they had the same improvement, yet clinically it appeared that Group 3 had some additive effect. Although an increase was also noted in the unmanipulated limbs, such an increase across all analyses of unmanipulated limbs was so small it can be argued to be negligible. It could be said that manipulation of the proximal tibiofibular joint, talocrural joint or both has an immediate increase in dorsiflexion of the ankle. , M.Tech. (Chiropractic)
- Full Text:
- Authors: Ritter, Jacques
- Date: 2019
- Subjects: Chiropractic , Ankle , Joints - Range of motion
- Language: English
- Type: Masters (Thesis)
- Identifier: http://ujcontent.uj.ac.za8080/10210/387544 , http://hdl.handle.net/10210/292964 , uj:31846
- Description: Abstract: Purpose: The aim of this study was to compare the immediate effects of a combined talocrural and proximal tibiofibular manipulation on ankle dorsiflexion with a control as well as with the effects of manipulation of each joint in isolation. Method: The study consisted of 100 asymptomatic participants. The participants were divided into four groups each comprising 25. Participants had to meet the inclusion criteria to be considered for the study and also had to present with no contra-indications for peripheral manipulation. Procedure: Group 1 received a single talocrural manipulation. Group 2 received a single proximal tibiofibular manipulation. Group 3 received both a talocrural as well as proximal tibiofibular manipulation. Group 4 did not receive any intervention and served as the control group. The talocrural dorsiflexion was measured using the weight-bearing lunge test. Measurements were taken prior to the intervention and immediately afterwards. The data was recorded by the researcher. Once the trials were completed, the results were sent to STATKON to be analysed. Results: The manipulated limbs of Groups 1, 2 and 3 all showed an increase in ankle dorsiflexion. Group 3 showed the biggest improvement. Group 4 showed no statistically significant improvement. Conclusion: It was found that all the groups that received intervention in the form of joint manipulation improved. Statistically, they had the same improvement, yet clinically it appeared that Group 3 had some additive effect. Although an increase was also noted in the unmanipulated limbs, such an increase across all analyses of unmanipulated limbs was so small it can be argued to be negligible. It could be said that manipulation of the proximal tibiofibular joint, talocrural joint or both has an immediate increase in dorsiflexion of the ankle. , M.Tech. (Chiropractic)
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The effect of manual versus mechanical cervical manipulation on QEEG
- Authors: Robertson, Kim Nicole
- Date: 2017
- Subjects: Chiropractic , Spinal adjustment , Cervical vertebrae , Electroencephalography
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/231436 , uj:23576
- Description: M.Tech. (Chiropractic) , Abstract: Purpose: The aim of this study was to compare the effect of manual chiropractic manipulations versus a mechanical manipulating device on the influence on oscillations at different frequencies with an extracranial scalp quantitative electroencephalogram (QEEG). Method: A comparative design using random group allocation was chosen for this study. This study looked for changes in the QEEG readings before and after manual chiropractic manipulations and compared them to before and after readings of the mechanical manipulating device results. The study took place in the Chiropractic Clinic at the University of Johannesburg’s Doornfontein campus. The study comprised twenty participants with cervical spine motion restrictions who were randomly allocated into two groups of ten. The QEEG was used to record the participants’ brain wave activity with their eyes open and then closed before any manipulation was given. Post-manipulation, there was a reading done immediately after, again with the eyes open and then closed, as well as thirty minutes post-manipulation. The QEEG data was converted into mean values of the brain waves, theta and beta. These values were used to find any statistical significance in the results. An exploratory analysis was performed with the assistance of Statkon to identify relationships in the results using the theta: beta ratio. Results: Findings of particular interest in this study were evident in the parietal lobe. In the parietal lobe, there was a significant difference between Group A (mechanical manipulation) and Group B (manual manipulation) in the intergroup analysis pre-manipulation (p=0.019) and post-manipulation (p=0.023) when the participants’ eyes were open. After assessing the mean ranks, it could be concluded that manual manipulation had a greater effect on the parietal lobe than mechanical manipulation. In the frontal and temporal lobe, although important, no findings were of particular interest as there were no statistically significant findings evident in the results relating to these lobes. Conclusion: In this study, the limited findings indicate that no clear conclusions can be drawn with regards to whether or not mechanical manipulation has a similar effect to manual manipulation. The study has contributed positively to the claim that manual manipulation does have an effect on QEEG as there were significant changes present post-manual manipulation in
- Full Text:
- Authors: Robertson, Kim Nicole
- Date: 2017
- Subjects: Chiropractic , Spinal adjustment , Cervical vertebrae , Electroencephalography
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/231436 , uj:23576
- Description: M.Tech. (Chiropractic) , Abstract: Purpose: The aim of this study was to compare the effect of manual chiropractic manipulations versus a mechanical manipulating device on the influence on oscillations at different frequencies with an extracranial scalp quantitative electroencephalogram (QEEG). Method: A comparative design using random group allocation was chosen for this study. This study looked for changes in the QEEG readings before and after manual chiropractic manipulations and compared them to before and after readings of the mechanical manipulating device results. The study took place in the Chiropractic Clinic at the University of Johannesburg’s Doornfontein campus. The study comprised twenty participants with cervical spine motion restrictions who were randomly allocated into two groups of ten. The QEEG was used to record the participants’ brain wave activity with their eyes open and then closed before any manipulation was given. Post-manipulation, there was a reading done immediately after, again with the eyes open and then closed, as well as thirty minutes post-manipulation. The QEEG data was converted into mean values of the brain waves, theta and beta. These values were used to find any statistical significance in the results. An exploratory analysis was performed with the assistance of Statkon to identify relationships in the results using the theta: beta ratio. Results: Findings of particular interest in this study were evident in the parietal lobe. In the parietal lobe, there was a significant difference between Group A (mechanical manipulation) and Group B (manual manipulation) in the intergroup analysis pre-manipulation (p=0.019) and post-manipulation (p=0.023) when the participants’ eyes were open. After assessing the mean ranks, it could be concluded that manual manipulation had a greater effect on the parietal lobe than mechanical manipulation. In the frontal and temporal lobe, although important, no findings were of particular interest as there were no statistically significant findings evident in the results relating to these lobes. Conclusion: In this study, the limited findings indicate that no clear conclusions can be drawn with regards to whether or not mechanical manipulation has a similar effect to manual manipulation. The study has contributed positively to the claim that manual manipulation does have an effect on QEEG as there were significant changes present post-manual manipulation in
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A study to determine the effectiveness of chiropractic manipulative therapy of the sacroiliac joint and pelvic stabilisation exercises in the management of post-partum lower back pain
- Authors: Rosenberg, Marie Jane
- Date: 2008-09-01T10:24:52Z
- Subjects: Manipulation (Therapeutics) , Chiropractic
- Type: Thesis
- Identifier: uj:4447 , http://hdl.handle.net/10210/978
- Description: This study compared the effectiveness of three different Chiropractic treatment protocols in the treatment of post-partum low back pain. This was done in order to establish whether or not a combined treatment of Chiropractic Manipulative Therapy (CMT) of the sacroiliac joint combined with slow dynamic strengthening exercises to strengthen and stabilise the pelvis is a more effective treatment than CMT of the sacroiliac joint alone, or slow dynamic strengthening exercises in isolation. Thirty participants were used for this study. They were randomly placed into one of three groups namely; group 1, group 2 and group 3. Group 1 received CMT solely to the involved sacroiliac joint. Group 2 received slow dynamic strengthening exercises of gluteus medius, piriformis and psoas muscles. These exercises were designed to strengthen and stabilise the pelvis. Group 3 received a combination of the above two treatments. Six treatments were administered over a period of three weeks with each participant receiving two treatments per week. Prior to the commencement of treatments one, three and six; each participant was objectively measured for forward flexion range of motion using the Modified Schober’s test. The subjective measurements used in this study were the Numerical Pain Rating Scale and the Oswestry Lower Back Pain and Disability Questionnaire, these were also completed prior to first, third and sixth treatments. All the collected data was statistically analysed using the one-way Anova test, the Scheffe Multiple Comparisons test and the Paired-t test. This statistical analysis revealed statistical differences on intra-group analysis, for all the three groups involved, mostly between treatment three and treatment six for both the objective and subjective measurements. On inter-group analysis no statistical differences were found although group three subjective and objective measurements improved by a larger percentage than both group one and group two. It was thus concluded that a combined treatment of CMT and slow dynamic strengthening exercises of gluteus medius, piriformis and psoas muscles was the most effective protocol to use on women with post-partum low back pain. , Dr. C.D. Losco Dr. B. Losco
- Full Text:
- Authors: Rosenberg, Marie Jane
- Date: 2008-09-01T10:24:52Z
- Subjects: Manipulation (Therapeutics) , Chiropractic
- Type: Thesis
- Identifier: uj:4447 , http://hdl.handle.net/10210/978
- Description: This study compared the effectiveness of three different Chiropractic treatment protocols in the treatment of post-partum low back pain. This was done in order to establish whether or not a combined treatment of Chiropractic Manipulative Therapy (CMT) of the sacroiliac joint combined with slow dynamic strengthening exercises to strengthen and stabilise the pelvis is a more effective treatment than CMT of the sacroiliac joint alone, or slow dynamic strengthening exercises in isolation. Thirty participants were used for this study. They were randomly placed into one of three groups namely; group 1, group 2 and group 3. Group 1 received CMT solely to the involved sacroiliac joint. Group 2 received slow dynamic strengthening exercises of gluteus medius, piriformis and psoas muscles. These exercises were designed to strengthen and stabilise the pelvis. Group 3 received a combination of the above two treatments. Six treatments were administered over a period of three weeks with each participant receiving two treatments per week. Prior to the commencement of treatments one, three and six; each participant was objectively measured for forward flexion range of motion using the Modified Schober’s test. The subjective measurements used in this study were the Numerical Pain Rating Scale and the Oswestry Lower Back Pain and Disability Questionnaire, these were also completed prior to first, third and sixth treatments. All the collected data was statistically analysed using the one-way Anova test, the Scheffe Multiple Comparisons test and the Paired-t test. This statistical analysis revealed statistical differences on intra-group analysis, for all the three groups involved, mostly between treatment three and treatment six for both the objective and subjective measurements. On inter-group analysis no statistical differences were found although group three subjective and objective measurements improved by a larger percentage than both group one and group two. It was thus concluded that a combined treatment of CMT and slow dynamic strengthening exercises of gluteus medius, piriformis and psoas muscles was the most effective protocol to use on women with post-partum low back pain. , Dr. C.D. Losco Dr. B. Losco
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The immediate effect of chiropractic lumbosacral manipulative therapy on power output in elite cyclists
- Authors: Ross, Michelle Lisa
- Date: 2016
- Subjects: Chiropractic , Spinal adjustment , Athletic ability , Cyclists - Health and hygiene
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/91064 , uj:20060
- Description: Abstract: The purpose of this study was to determine whether chiropractic spinal manipulative therapy had an immediate effect on athletic performance in the elite cyclist. Changes in performance were quantified using objective data from power measurements (in Watts) recorded while the participants were cycling. The study was a pre-test-post-test control group design. Eighty participants were randomly allocated into either the treatment group or the control group. Data was collected using the air-braked cycle ergometer, the Wattbike Trainer. The test protocol comprised of a ten-minute warm up followed by three six-second sprint efforts, each sprint at a different resistance level. The test protocol was repeated after a thirty-minute rest period. During the rest period the treatment group received chiropractic manipulative therapy to the lumbar spine and sacroiliac joints and the control group received no intervention. Both the treatment and control group increased their mean power output, possibly due to a learned response. However the treatment group had a noticeably greater increase in mean power output across all three sprint efforts, post chiropractic spinal manipulative therapy. This improvement in performance of asymptomatic, elite cyclists could possibly be attributed to the effects of the chiropractic spinal manipulative therapy. , M.Tech. (Chiropractic)
- Full Text:
- Authors: Ross, Michelle Lisa
- Date: 2016
- Subjects: Chiropractic , Spinal adjustment , Athletic ability , Cyclists - Health and hygiene
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/91064 , uj:20060
- Description: Abstract: The purpose of this study was to determine whether chiropractic spinal manipulative therapy had an immediate effect on athletic performance in the elite cyclist. Changes in performance were quantified using objective data from power measurements (in Watts) recorded while the participants were cycling. The study was a pre-test-post-test control group design. Eighty participants were randomly allocated into either the treatment group or the control group. Data was collected using the air-braked cycle ergometer, the Wattbike Trainer. The test protocol comprised of a ten-minute warm up followed by three six-second sprint efforts, each sprint at a different resistance level. The test protocol was repeated after a thirty-minute rest period. During the rest period the treatment group received chiropractic manipulative therapy to the lumbar spine and sacroiliac joints and the control group received no intervention. Both the treatment and control group increased their mean power output, possibly due to a learned response. However the treatment group had a noticeably greater increase in mean power output across all three sprint efforts, post chiropractic spinal manipulative therapy. This improvement in performance of asymptomatic, elite cyclists could possibly be attributed to the effects of the chiropractic spinal manipulative therapy. , M.Tech. (Chiropractic)
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The effect of chiropractic manipulative therapy and low level laser therapy on cervical facet syndrome
- Authors: Saayman, Lindie Cornelia
- Date: 2014-05-13
- Subjects: Chiropractic , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: uj:11028 , http://hdl.handle.net/10210/10600
- Description: M.Tech. (Chiropractic) , Please refer to full text to view abstract
- Full Text:
- Authors: Saayman, Lindie Cornelia
- Date: 2014-05-13
- Subjects: Chiropractic , Manipulation (Therapeutics)
- Type: Thesis
- Identifier: uj:11028 , http://hdl.handle.net/10210/10600
- Description: M.Tech. (Chiropractic) , Please refer to full text to view abstract
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The effectiveness of chiropractic treatment in combination with dry needling of the vastus medialis oblique muscle in the management of patellofemoral pain syndrome
- Authors: Sayers, Adam Cornelius
- Date: 2009-05-04T09:49:48Z
- Subjects: Chiropractic treatment of pain , Chiropractic
- Type: Thesis
- Identifier: uj:8347 , http://hdl.handle.net/10210/2472
- Description: M.Tech. , The purpose of this unblinded controlled study was to determine the effective of dry needling of the Vastus Medialis Oblique muscle when utilised in conjunction with conservative chiropractic management for Patellofemoral Pain Syndrome (PFPS). The subjects of the trial were treated at the Chiropractic Day Clinic at the University of Johannesburg. Thirty patients suffering from chronic Patellofemoral Pain Syndrome were chosen for the study and they were divided into two groups of fifteen. The first group received conservative chiropractic care which consisted of manipulation of the sacroiliac joint, mobilisation of the knee and patella joints and stretching and strengthening exercises consisting of Quadriceps standing self stretch and Quadriceps setting as the strengthening exercise. The second group received the above treatment but also underwent dry needling of the Vastus Medialis Oblique muscle. The objective data for this research was recorded using a lower limb isometric dynamometer and the subjective data was recorded with a pain scale. Both sets of data were recorded on the first, third and fifth treatments. The results of the trial showed that there was a significant increase in strength with a reduction in pain levels for both groups but there was no statistically significant difference when comparing the two groups. The dry needling group did however improve at a faster rate than the other group but it did even out after the five treatments. What was noteworthy is that the males of the study improved their strength by a much greater extent than the females which is uncommon for PFPS. The end result of this study is that overall, dry needling of the Vastus Medialis Oblique muscle is not highly beneficial in the long term management of PFPS but does have its benefits in the early stages of the treatment in order to relieve the acute pain and increase the Quadriceps muscle strength rapidly.
- Full Text:
- Authors: Sayers, Adam Cornelius
- Date: 2009-05-04T09:49:48Z
- Subjects: Chiropractic treatment of pain , Chiropractic
- Type: Thesis
- Identifier: uj:8347 , http://hdl.handle.net/10210/2472
- Description: M.Tech. , The purpose of this unblinded controlled study was to determine the effective of dry needling of the Vastus Medialis Oblique muscle when utilised in conjunction with conservative chiropractic management for Patellofemoral Pain Syndrome (PFPS). The subjects of the trial were treated at the Chiropractic Day Clinic at the University of Johannesburg. Thirty patients suffering from chronic Patellofemoral Pain Syndrome were chosen for the study and they were divided into two groups of fifteen. The first group received conservative chiropractic care which consisted of manipulation of the sacroiliac joint, mobilisation of the knee and patella joints and stretching and strengthening exercises consisting of Quadriceps standing self stretch and Quadriceps setting as the strengthening exercise. The second group received the above treatment but also underwent dry needling of the Vastus Medialis Oblique muscle. The objective data for this research was recorded using a lower limb isometric dynamometer and the subjective data was recorded with a pain scale. Both sets of data were recorded on the first, third and fifth treatments. The results of the trial showed that there was a significant increase in strength with a reduction in pain levels for both groups but there was no statistically significant difference when comparing the two groups. The dry needling group did however improve at a faster rate than the other group but it did even out after the five treatments. What was noteworthy is that the males of the study improved their strength by a much greater extent than the females which is uncommon for PFPS. The end result of this study is that overall, dry needling of the Vastus Medialis Oblique muscle is not highly beneficial in the long term management of PFPS but does have its benefits in the early stages of the treatment in order to relieve the acute pain and increase the Quadriceps muscle strength rapidly.
- Full Text:
The effect of chiropractic manipulation on the sacroiliac joints compared to mobilisation, on the weight distribution through the lower limbs
- Authors: Scheepers, J. H. L.
- Date: 2008-09-01T10:23:13Z
- Subjects: Manipulation (Therapeutics) , Chiropractic
- Type: Thesis
- Identifier: uj:4381 , http://hdl.handle.net/10210/972
- Description: Sacro-iliac joint (S.I joint) dysfunction can result in leg length discrepancies (LLD). LLD has been associated with many musculoskeletal problems such as osteoarthritis of the hips, knee pain and lower back pain. It has been theorised that LLD alters a persons body posture, which in turn changes the forces acting on the joints in the lower extremity and spine. These unnatural forces then create the excessive forces seen as the causative factors in the previously mentioned musculoskeletal conditions. (Murrel, Cornwall, Doucet 1991) The purpose of this pilot study was to was to compare the effect of chiropractic manipulative therapy on the S.I joints with chiropractic mobilisations of the S.I joints on the weight transfer from the spine into the lower limbs. This randomised study consisted of two groups of fifteen patients between the ages of eighteen and fifty years. All potential candidates were examined and admitted once all the inclusion and exclusion criteria had been met. Once S.I joint restrictions were detected the patient received either chiropractic manipulation or mobilisation to the restricted joint. Group A received chiropractic manipulation while group B were treated with mobilisations of the S.I joints. Patients were treated over a two week treatment period. Objective measurements were taken before the 1st treatment and after the 1st ,3rd ,5th and final consultations one month later. The measurements were taken with the Spinal Analyses Machine (S.A.M). This instrument has got two scales on a platform that determines the patients weight distribution from the spine through the left and right lower limbs. The data collected was then statistically analysed using the One Way ANOVA Test (analyses of variance) as well as the Student-Newman-Keuls Method to compare the inter-group and intra-group data. Statistically significant changes in the weight distribution between the lower limbs were seen in group A. Based on the results from the study chiropractic manipulation to the S.I joint proved to be more effective than mobilisation in the treatment of S.I joint dysfunction. This does however require further research, and a larger sample size. , Dr. M. Moodley Dr. J. Kotze
- Full Text:
- Authors: Scheepers, J. H. L.
- Date: 2008-09-01T10:23:13Z
- Subjects: Manipulation (Therapeutics) , Chiropractic
- Type: Thesis
- Identifier: uj:4381 , http://hdl.handle.net/10210/972
- Description: Sacro-iliac joint (S.I joint) dysfunction can result in leg length discrepancies (LLD). LLD has been associated with many musculoskeletal problems such as osteoarthritis of the hips, knee pain and lower back pain. It has been theorised that LLD alters a persons body posture, which in turn changes the forces acting on the joints in the lower extremity and spine. These unnatural forces then create the excessive forces seen as the causative factors in the previously mentioned musculoskeletal conditions. (Murrel, Cornwall, Doucet 1991) The purpose of this pilot study was to was to compare the effect of chiropractic manipulative therapy on the S.I joints with chiropractic mobilisations of the S.I joints on the weight transfer from the spine into the lower limbs. This randomised study consisted of two groups of fifteen patients between the ages of eighteen and fifty years. All potential candidates were examined and admitted once all the inclusion and exclusion criteria had been met. Once S.I joint restrictions were detected the patient received either chiropractic manipulation or mobilisation to the restricted joint. Group A received chiropractic manipulation while group B were treated with mobilisations of the S.I joints. Patients were treated over a two week treatment period. Objective measurements were taken before the 1st treatment and after the 1st ,3rd ,5th and final consultations one month later. The measurements were taken with the Spinal Analyses Machine (S.A.M). This instrument has got two scales on a platform that determines the patients weight distribution from the spine through the left and right lower limbs. The data collected was then statistically analysed using the One Way ANOVA Test (analyses of variance) as well as the Student-Newman-Keuls Method to compare the inter-group and intra-group data. Statistically significant changes in the weight distribution between the lower limbs were seen in group A. Based on the results from the study chiropractic manipulation to the S.I joint proved to be more effective than mobilisation in the treatment of S.I joint dysfunction. This does however require further research, and a larger sample size. , Dr. M. Moodley Dr. J. Kotze
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The comparative effectiveness of chiropractic manipulation versus tens in the treatment of temporomandibular disorders
- Authors: Schoeman, Berlé
- Date: 2020
- Subjects: Temporomandibular joint - Wounds and injuries - Treatment , Chiropractic , Transcutaneous electrical nerve stimulation
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/476262 , uj:42993
- Description: Abstract: PURPOSE: The purpose of this study was to explore the comparative effect of chiropractic manipulation of the TMJ versus TENS, and the combination thereof in the treatment of TMD. The aim was to compare these findings in terms of the presence and severity of symptoms associated with TMD. The study would then determine which was the most effective treatment protocol in treating TMD... , M.Tech. (Chiropractic)
- Full Text:
- Authors: Schoeman, Berlé
- Date: 2020
- Subjects: Temporomandibular joint - Wounds and injuries - Treatment , Chiropractic , Transcutaneous electrical nerve stimulation
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/476262 , uj:42993
- Description: Abstract: PURPOSE: The purpose of this study was to explore the comparative effect of chiropractic manipulation of the TMJ versus TENS, and the combination thereof in the treatment of TMD. The aim was to compare these findings in terms of the presence and severity of symptoms associated with TMD. The study would then determine which was the most effective treatment protocol in treating TMD... , M.Tech. (Chiropractic)
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The benefit of electro-acupuncture in conjuction with chiropractic manipulative therapy for the management of chronic mechanical lower back pain
- Authors: Schoeman, Sinead Marian
- Date: 2009-06-22T07:03:02Z
- Subjects: Chiropractic
- Type: Thesis
- Identifier: uj:8531 , http://hdl.handle.net/10210/2686
- Description: M.Tech.
- Full Text: false
- Authors: Schoeman, Sinead Marian
- Date: 2009-06-22T07:03:02Z
- Subjects: Chiropractic
- Type: Thesis
- Identifier: uj:8531 , http://hdl.handle.net/10210/2686
- Description: M.Tech.
- Full Text: false
Describing the trends of qEEG change caused by cervical manipulation
- Authors: Scott, Michelle
- Date: 2018
- Subjects: Chiropractic , Cervical vertebrae , Spinal adjustment , Electroencephalography
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/268532 , uj:28506
- Description: M.Tech. (Chiropractic) , Abstract: Background: Quantitative electroencephalogram (qEEG) is used to measure brain wave activity. qEEG is commonly used to determine and asses neural function, neurophysiology and neurological deficits. It is an inexpensive tool used for both diagnostic and prognostic information. It is alleged that chiropractic manipulation affects the central nervous system beyond the dorsal root ganglia; as well as the brain itself. Although controversial studies are demonstrating there is an effect on brain qEEG, limited research has looked at the detailed trends of qEEG changes caused by cervical manipulation. Aim: The aim of the study was to determine the trends of qEEG changes caused by cervical manipulation for the duration of 60 minutes. This could theoretically stimulate further related research and thus redefine the existing limits of chiropractic treatment of the central nervous system by influencing brain wave activity. Method: A descriptive design was used to attempt to track trends on qEEG readings before and after a chiropractic manipulation for the duration of 60 minutes. The EEG equipment that was used for the trials was a MP 150 Biopac system. On arrival at the Chiropractic clinic all participants were assessed as new patients and then randomly divided into two groups of 5. Once this was completed the EEG cap was placed on the participants head and the first of six recordings was started. Subsequent to the completion of the first recording, the participants’ cervical spine was manipulated/ sham manipulated (control group). The remainder of the recordings then took place at 15 minute intervals. Results: There was a definitive difference in the readings pre- and post-manipulation for both groups, across all three brain lobes. Group A appeared to have more consistent predictable changes. Group B appeared to have haphazard changes. Some participants showed more pronounced changes in brain wave activity than others. Conclusion: The definitive changes pre- and post- manipulation readings demonstrate that there are apparent variations in the qEEG readings post cervical manipulation...
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- Authors: Scott, Michelle
- Date: 2018
- Subjects: Chiropractic , Cervical vertebrae , Spinal adjustment , Electroencephalography
- Language: English
- Type: Masters (Thesis)
- Identifier: http://hdl.handle.net/10210/268532 , uj:28506
- Description: M.Tech. (Chiropractic) , Abstract: Background: Quantitative electroencephalogram (qEEG) is used to measure brain wave activity. qEEG is commonly used to determine and asses neural function, neurophysiology and neurological deficits. It is an inexpensive tool used for both diagnostic and prognostic information. It is alleged that chiropractic manipulation affects the central nervous system beyond the dorsal root ganglia; as well as the brain itself. Although controversial studies are demonstrating there is an effect on brain qEEG, limited research has looked at the detailed trends of qEEG changes caused by cervical manipulation. Aim: The aim of the study was to determine the trends of qEEG changes caused by cervical manipulation for the duration of 60 minutes. This could theoretically stimulate further related research and thus redefine the existing limits of chiropractic treatment of the central nervous system by influencing brain wave activity. Method: A descriptive design was used to attempt to track trends on qEEG readings before and after a chiropractic manipulation for the duration of 60 minutes. The EEG equipment that was used for the trials was a MP 150 Biopac system. On arrival at the Chiropractic clinic all participants were assessed as new patients and then randomly divided into two groups of 5. Once this was completed the EEG cap was placed on the participants head and the first of six recordings was started. Subsequent to the completion of the first recording, the participants’ cervical spine was manipulated/ sham manipulated (control group). The remainder of the recordings then took place at 15 minute intervals. Results: There was a definitive difference in the readings pre- and post-manipulation for both groups, across all three brain lobes. Group A appeared to have more consistent predictable changes. Group B appeared to have haphazard changes. Some participants showed more pronounced changes in brain wave activity than others. Conclusion: The definitive changes pre- and post- manipulation readings demonstrate that there are apparent variations in the qEEG readings post cervical manipulation...
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The effect of chiropractic adjustive therapy and dry needle therapy in the treatment of inter-scapular pain due to active rhomboid minor and major trigger points
- Authors: Segeel, Moira
- Date: 2010-03-31T07:03:28Z
- Subjects: Manipulation (Therapeutics) , Chiropractic
- Type: Thesis
- Identifier: uj:6720 , http://hdl.handle.net/10210/3123
- Description: M. Tech. , The Rhomboideus muscle is made up of the Rhomboid minor and Rhomboid major muscles. The collective term for theses two separate muscles is commonly referred to as the Rhomboid muscle (Moore, 1999). For the purpose of this study the term Rhomboid muscle will also be referring to the two separate muscles as one, namely the Rhomboid muscle or the Rhomboids. Rhomboid trigger points are one of the main causes of inter-scapular pain because the referral pattern of this muscle is on the medial border of the scapula (Smith, Padgett and Kaufmann, Harrington, An and Irby, 2004). Articular dysfunction associated with Rhomboid trigger points can involve any of the spinal segments from C7 to T5 usually two or three segments are involved. It is therefore, evident that Rhomboid trigger points in conjunction with articular dysfunction can thus be the primary cause of inter-scapular pain (Travell and Simons, 1999).
- Full Text:
- Authors: Segeel, Moira
- Date: 2010-03-31T07:03:28Z
- Subjects: Manipulation (Therapeutics) , Chiropractic
- Type: Thesis
- Identifier: uj:6720 , http://hdl.handle.net/10210/3123
- Description: M. Tech. , The Rhomboideus muscle is made up of the Rhomboid minor and Rhomboid major muscles. The collective term for theses two separate muscles is commonly referred to as the Rhomboid muscle (Moore, 1999). For the purpose of this study the term Rhomboid muscle will also be referring to the two separate muscles as one, namely the Rhomboid muscle or the Rhomboids. Rhomboid trigger points are one of the main causes of inter-scapular pain because the referral pattern of this muscle is on the medial border of the scapula (Smith, Padgett and Kaufmann, Harrington, An and Irby, 2004). Articular dysfunction associated with Rhomboid trigger points can involve any of the spinal segments from C7 to T5 usually two or three segments are involved. It is therefore, evident that Rhomboid trigger points in conjunction with articular dysfunction can thus be the primary cause of inter-scapular pain (Travell and Simons, 1999).
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