Theses and dissertations (Health Sciences)
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Item The efficacy of adjusting the ankle in the treatment of subacute and chronic grade I and II ankle inversion sprains(1999) Pellow, Justin Edward; Brantingham, James W.To investigate the efficacy of adjusting the ankle in the treatment of subacute and chronic grade I and II ankle inversion sprains. The researcher hypothesised that adjusting a symptomatic ankle, in terms of the above, would result in a more significant improvement than that of a placebo treatmentItem A study to determine the usefulness of the Gonstead Listing System as an indicator of the direction of adjusting the sacroiliac joint in the treatment of sacroiliac syndrome(1997) Moorcroft, Rayne; Peers, Anthony V.The purpose of this study is to evaluate the usefulness of the Gonstead Listing System as a reliable indicator of the direction in which to adjust the sacroiliac joint in subjects with sacroiliac joint dysfunction, in terms of their subjective and objective clinical findings. The hypothesis is that the direction of manipulation is clinically insignificant in causing a decrease in the subject's clinical findings. This information is necessary in order for chiropractors to formulate a more cost-effective treatment protocol for their patients.Item A comparison of two manipulative techniques in the treatment of sacroiliac syndrome(1997) Reid, Alan Roger; Peers, Anthony V.Sacroiliac syndrome is a painful, debilitating condition that may cause considerable discomfort (Haldeman 1992), it is a common condition causing low back pain (Mierau, et al 1984, Guo and Zhao 1994), it is also believed by Bernard and Cassidy (1991) to be a frequently overlooked source of low back pain. Between 9 and 19.5 % of all sickness absence days are due to low back pain (Andersson 1981)Item The relative effectiveness of manipulation with and without the crac technique applied to the hamstring muscles in the treatment of sacroiliac syndrome(1999) Salter, Neil Matthew; Perkin, Jonathan CharlesSacroiliac syndrome is a common condition causing low back pain (Mierau et al. 1984, Guo and Zhao 1994). It is a painful, debilitating condition that may cause considerable discomfort (Haldeman 1992:220). According to Frymoyer et al. (1991:2114), sacroiliac syndrome is a frequently overlooked source of low back pain as it may mimic other well known causes of low back painItem A study of the effectiveness of chiropractic spinal manipulation on its own versus chiropractic spinal manipulation combined with other treatment modalities used in a chiropractic practice, in the management of mechanical low back pain in nurses(1995) Urli, Elda Kristina; Till, A. G.The efficacy of chiropractic spinal manipulation on its own versus chiropractic spinal manipulation combined with other treatment modalities used in a chiropractic practice was evaluated in a single blind, randomised, controlled trial using a patient population of thirty nurses who were experiencing mechanical low back painItem A comparative study of spinal manipulative therapy and spinal manipulative therapy combined with soft tissue therapy in the management of mechanical low back pain(1997) Gomes, Adrian Neil; Mathews, RobertThere have been few studies performed to determine the combined effects of spinal manipulative therapy with other modalities known to have beneficial physiological effects, especially in terms of mechanical low back pain (Ottenbacher and Difabio 1985).Item The comparison of McMannis traction and intermittent traction both in conjuction with chiropractic spinal manipulation in the management of chronic mechanical lower back pain(1996) Palmer, Melanie Jane; Kretzmann, HeidiThe purpose of this study was to compare the effects of McMannis traction and Intermittent traction, both m conjunction with chiropractic manipulation in the treatment of chronic i.e. longer than four weeks, mechanical lower back pain. It was hypothesised by the author that McMannis traction would be the traction treatment of choice, as it enables the joints of the lumbar vertebrae to be moved through their normal anatomical range of motion while being traeticned axially. In addition this type of traction is more specific and allows the therapist to determine the amount of traction that is being applied to the patient because it is being applied manually. Intermittent traction on the other hand is a motorised non-specific traction and affects several joints at one time (Saunders 1979).Item The effect of intermittent, mechanical cervical traction in the chiropractic management of mechanical neck pain(1998) Wood, Roger Simon; Brantingham, James W.Mechanical neck pain is an extremely common condition. At any specific time, as many as 12% of the adult female population and 9% of the adult male population experience pain in the neck, with or without associated arm pain, and 35% of people can recall an episode of previous neck pain (Bland 1994:3). However, to date little research has been conducted to investigate which treatment protocolIs may be the most effective in the management of mechanical neck pain syndromes. The aim of this study was to investigate whether the combination of chiropractic manipulative therapy and intermittent, mechanical cervical traction would be more effective in the treatment of mechanical neck pain than chiropractic manipulative therapy alone. It was hypothesized that chiropractic cervical manipulative therapy and the combination of chiropractic cervical manipulative therapy and intermittent, mechanical cervical traction would both be effective in the treatment of mechanical neck pain. Moreover, with reference to objective and subjective clinical findings, it was hypothesized that the combination of chiropractic cervical manipulative therapy and intermittent, mechanical cervical traction would be more effective in the treatment of mechanical neck pain than chiropracic manipulative therapy alone.Item The effect of intermittent, mechanical cervical traction in the chiropractic management of mechanical neck pain(1998) Wood, Timothy George; Mathews, RobertPurpose: The purpose of this study was to determine the relative effectiveness of two seemingly different approaches to manipulation of the cervical spine in the treatment of cervical spine dysfunction. The researcher postulated that a manual manipulation would have a greater effect in reducing pain and increasing range of motion that accompanies cervical dysfunction than an instrumental, low force, high velocity thrust delivered by means of an Activator Adjusting Instrument. The reason for this is that it provides greater joint movement. Methods This randomised controlled trial consisted of two treatment groups. Each group consisted of 15 subjects, between the ages of 16 and 65 years, selected from the general population and randomly allocated to treatment group A or B. Group A received instrumental thrusts delivered by an Activator Adjusting Instrument (AAI), while group B received standard diversified manual manipulations to the dysfunctional joints in the cervical spine. Each subject was assessed by using subjective measures of the CMCC Neck Disability Index, Numerical Pain Rating Scale and McGill Short- Form questionnaire; and the objective measure of degrees of cervical range of motion obtained using a cervical goniometer (CROM). Two tailed statistical analysis was conducted at a = 0.05, using the non-parametric Wilcoxin Signed Rank Test and the Mann-Whitney U Test comparing intra-group and inter-group data respectively. Further assessment of the data was conducted using power analysis. This data as well as the descriptive statistics were presented in tables and bar charts.Item The relative efficacy of two varied chiropractic manipulative techniques in the treatment of mechanical upper thoracic and neck pain(1997) Ritchie, Bruce Andrew; Mathews, RobertThe purpose of this study was to determine the effectiveness of the spinous push versus the transverse process contact rotary type adjustments in the treatment of sub-acute and chronic mechanical upper thoracic and neck pain. It was hypothesized that both adjustments, over a maximum of nine treatments with two treatments per week and a further four week follow-up period, would be effective in terms of improving the patients' cervical ranges of motion, vertebral pressure pain threshold levels and their perceptions of pain and disability. The study design was a randomized, un-blinded, un-controlled comparative group study with a sample population consisting of thirty consecutive patients (Ave. age 35.4 years; M:F 16: 14) suffering from joint dysfunction of the cervical or upper thoracic spine. Each group received one adjustment two times a week for a maximum of nine treatments. Soft tissue therapy was employed in each treatment as a pre-adjustment procedure. The objective data collected was goniometrically assessed cervical range of motion and algometrically assessed vertebral pressure pain thresholds. The subjective data was collected by means of the CMCC Neck Disability, the Short Form McGill Pain and the Numerical Pain Rating Scale-l0 1 Questionnaires.