Theses and dissertations (Health Sciences)
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Item The relative effectiveness of spinal manipulation as opposed to exercise therapy on mechanical low back pain in postnatal patients(1998) Bailes, Brendon John; Mathews, RobertThe cause of postnatal low back pain is not clearly understood. There have been few studies performed to determine the cause, and several theories have attempted to explain the occurrence of postnatal low back pain. It is suggested that an exaggerated lumbar lordosis, laxity of the ligaments due to relaxin, biomechanical strain on the muscles and ligaments of the lumbar spine and pelvis and temporary compensatory posture are possible aetiologies of postnatal low back pain. (Calguneri et al. 1982; Bullock et al. 1987 ; Berg et al. 1988; Wisneski et al.1992: 711 ; Mantle 1994:799.)Item A study of the relative effectiveness of the lumbar roll and the spinous push technique in the treatment of facet syndrome in the lumbar spine(1996) Jansen, Petrus C.; Till, A. G.Lower back pain due to mechanical dysfunction is a common cause of pain and disability in mankind. Lumbar spine facet syndrome is a major aetiology in mechanical lower back painItem The relative effectiveness of specific passive mobilization versus spinal manipulation in the treatment of mechanical low back pain(1998) Myburgh, Cornelius; Mathews, RobertThe absence oftested theory has resulted in the continued variation of treatment protocols in the treatment of mechanical low back pain. This study was designed to determine the relative effectiveness of specific passive mobilization versus spinal manipulation in the treatment of uncomplicated mechanical low back pain. It was hypothesized that both spinal manipulative therapy and specific passive mobilization would be effective, but that manipulation would be significantly more effective in terms of objective and subjective findings, over the same two week treatment periodItem Lumbar spine adjustments alone, versus combined lumbar thoracic and cervical spine adjustments for the treatment of mechanical low back pain(1997) Russell, David Burns; Penter, C. S.Mechanical low back pain is one of the most common and costly conditions confronting health care providers and medical insurers today. Despite' the magnitude of the problem no general consensus exists concerning an appropriate treatment for this condition.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 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 A comparative study of the relative effect of spinal manipulation as opposed to acupuncture treatment in the management of chronic sinusitus(1999) Descoins, Nicole; Jones, Andrew D.The purpose of this investigation was to compare the relative effect of spinal manipulation as opposed to acupuncture treatment in order to determine a more effective approach in the treatment of chronic sinusitis. It was hypothesized that chiropractic treatment and acupuncture treatment would both be effective in the treatment of chronic sinusitis. However, it was proposed that the chiropractic treatment would be more effective than acupuncture treatmentItem A study of the relative effectiveness of McManis traction used as an adjunct to spinal manipulative therapy(1995) Kretzmann, Heidi M; Till, A. G.Mechanical lower back pain is a common clinical entity which encompasses a spectrum of disorders. studies show that spinal manipulative therapy is of value in the treatment of mechanical lower back pain, while some chiropractors are of the opinion that McManis traction offers an effective adjunct to spinal manipulative therapy in the treatment of such conditionsItem The relative effectiveness of adjusting the ipsilateral side of a fixation versus adjusting the contralateral side of a fixation in the management of facet syndrome of the cervical spine(1999) Kavonic, Brett Gidon; Cilliers, K. I.The purpose of this study was to determine the relative effectiveness of adjusting the ipsilateral side of the fixated segment versus adjusting the side contralateral to that of the fixated segment, in patients with facet syndrome of the cervical spine, in terms of subjective and objective clinical fmdings, as well as patient comfort. The rationale for adjusting the cervical spine on the side contralateral to fixation is that the spinal dysfunction is of a soft tissue nature, as opposed to joint or bone. Thus the effectiveness of the spinal adjustment may be due to a reprogramming of the central nervous system, whereby the principal effect seems to be to stretch muscles to their normal resting length before spinal mobility can be restored. Adjusting the side opposite to the fixation may cause a sudden stretch of the muscle spindle resulting in a barrage of afferent impulses to the central nervous system, which reflexly turns down the gamma motor neuron tone. The resetting of the gamma motor neuron tone and resultant restoration of the muscle spindle's normal resting length, thereby helps to relieve the associated muscle spasm and possibly removes the fixation. This study was comprised of 30 subjects, all of whom were diagnosed with cervical facet syndrome. The subjects were randomly divided into two groups of 15 each with ap average age of24 years per group. The average male:female ratio was 1,1:1.