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Theses and dissertations (Health Sciences)

Permanent URI for this collectionhttp://ir-dev.dut.ac.za/handle/10321/12

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Has files: YesSubject: search.filters.subject.Chiropractic treatment

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    Perceptions and experiences of indigenous black South Africans receiving chiropractic treatment at a teaching chiropractic clinic at a University of Technology in Durban
    (2024) Magwaza, Gugu; Orton, Penelope Margaret; Couchman, Ingrid
    The Chiropractic profession mainly focuses on the prevention, diagnosis and treatment of musculoskeletal disorders. The profession is a young profession mainly in South Africa as it was only recognized recently in 1971, therefore, perceptions about this profession are continually evolving as people continue to experience this profession. The study aimed to determine the different perceptions of Black indigenous South African people over the ages of eighteen, both males and females, and to further check if their perceptions are influenced by their first-time experience with the Chiropractic student intern at a University Chiropractic teaching clinic in Durban. The information obtained in the study may further assist in outlining the misconceptions the public may have about the profession and assist in the areas that need to be improved. The qualitative study approach utilized exploratory and descriptive approach to reveal a deeper understanding of the fundamentals of Chiropractic. Data collection was carried out using semi-structured interviews of fourteen participants, first time experience with the Chiropractor and indigenous Black South Africans. All interviews were voice recorded, transcribed and analyzed, which resulted to three domains with numerous themes and subthemes. All the above were explored to fulfil the main aim and objectives of the study. Majority of the research participants were females and middle aged and were referrals from individuals that had been to a Chiropractor before. The understanding of Chiropractic care theme revealed limited awareness and understanding of the profession, the perception theme revealed a confusion of the profession with other medical professions like conventional medicine and physiotherapy. The experience theme revealed meeting expectations and having gained more knowledge and clarity about the profession, a desire to return for a follow up treatment and recommending Chiropractic care to others.
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    The physical and psychosocial effects of migraines on female adults and their experience of chiropractic treatment in pain management
    (2022-09-29) Pirthiraj, Ashalya; Bhagwan, Raisuyah
    The purpose of this study was to explore the physical and psychosocial effects of migraines on female adults and their experience of chiropractic treatment in the management of pain. The objectives of this study were to explore the physical symptoms with which female patients with migraines presented, to understand how migraines affected female adults psychologically and socially, to understand how chiropractic treatment enabled their management of migraines, and to explore which other complementary and alternative treatments were used by patients for their migraines. This study used a qualitative descriptive design which explored the experiences of female chiropractic patients, between the ages of 18-65 who presented to chiropractic practices for migraine treatment in eThekwini, KwaZulu-Natal. Purposive, convenience and snowball sampling were used to recruit participants for this study. The data was collected through 12 semi-structured interviews and subsequently analysed using thematic analysis. From the study, six main themes emerged. Theme one focused on the physical effects of migraines. The sub-themes that emerged were the symptoms of migraines, and the impact on physical functioning and daily life. Theme two related to the psychological and cognitive effects experienced by the participants. The sub-themes that emerged were depression, anxiety, feelings of hopelessness and withdrawal, fear-avoidance behaviour and lifestyle changes, and acceptance of migraines. Theme three focused on the effects migraines had on relationships. The subthemes that emerged were the impact on family and social networks, which included both strained and supportive relationships, and the impact on work life. Theme four explored the factors that contributed to migraines. The sub-themes that emerged were hormonal factors, oral contraceptives, dietary factors, weatherrelated factors and lighting, musculoskeletal factors, and sleep deprivation. Theme five focused on chiropractic treatment for migraines. The sub-themes that emerged were the experiences of chiropractic treatment for migraine pain management, and perceptions of chiropractic treatment approaches to migraine management. Theme six discussed the self-management of migraines. The sub-themes that emerged were resistance to medication, factors that alleviated migraines and alternative therapies. This is one of the first qualitative studies in South Africa to highlight the severe burden of this disease and the psychosocial impact of migraines on female chiropractic patients. Chiropractic treatment improved the quality of life, and reduced the duration, severity and frequency of migraines, and the need for pharmacological therapy. All participants had favourable experiences with chiropractors for migraine management, with some patients expressing that chiropractic treatment was the only effective treatment for their migraines. This was despite their experience with different alternative therapies. Furthermore, alternative and holistic therapies were sought wherever possible as an alternative to pharmacological therapy. This study builds on the body of knowledge for migraine management and supports the use of chiropractic treatment for migraine management. Future studies should include more qualitative research studies on the psychosocial impact of migraines amongst the female population. The impact of menstruation, pregnancy and menopause on migraines should be further investigated in other qualitative studies. A more detailed study should be undertaken to ascertain the impact and efficacy of chiropractic treatment for migraines.
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    Knowledge, understanding and perception of parents towards the utilization of chiropractic treatment for paediatric patients in the Durban Metropolitan area
    (2016) Cawood, Hughnique; Basson, Petro Magdalena; Maharaj, Praveena
    INTRODUCTION: The utilization of complementary and alternative medicine (CAM) in the treatment of paediatric patients is increasing, especially the utilization of chiropractic treatment for children. However controversy exists regarding the reasons why parents may or may not choose to utilize chiropractic treatment for children. Parents are the gatekeepers to care as they consent to all treatment that is given to their children. Parents that have a lack of knowledge and understanding regarding chiropractic, as well as a negative perception regarding chiropractic treatment for children may be reluctant to choose chiropractic treatment as a treatment option. Both positive and negative opinions regarding chiropractic treatment have been identified in other populations in South Africa which emphasizes the need to explore the way parents feel about chiropractic treatment for children. A lack of knowledge and understanding of CAM has been identified as a reason for underutilization. Insight into the status of knowledge, understanding and perception of parents regarding chiropractic treatment for paediatric patients in the Durban Metropolitan Area equips the profession to better understand how parents view chiropractic treatment for children. AIMS AND OBJECTIVES: The main aim of this research was to explore and describe the knowledge, understanding and perception of parents regarding chiropractic treatment for paediatric patients. The outcomes of such a study can provide useful information which can serve as a baseline from which education and chiropractic treatment awareness can be built, as well as dispelling any misconceptions and myths regarding chiropractic treatment for children. RESEARCH DESIGN: An explorative, descriptive, qualitative research design was followed in this research. This research design was chosen in order to evaluate the knowledge, understanding and perception of parents regarding the utilization of chiropractic treatment for paediatric patients, within the Durban Metropolitan area. RESEARCH METHODOLOGY: Semi-structured interviews were conducted with participants of the Durban Metropolitan Area in order to determine the current knowledge, understanding and perception of parents regarding chiropractic treatment for paediatric patients within this area. Interviews were conducted with the participants until saturation was met, after which an additional five interviews were conducted. A total of 13 interviews were analyzed. The data was transcribed and coded by the researcher as well as a co-coder. NVivo software was utilized for the coding process. RESULTS: It was found that the participants had a lack of knowledge and understanding regarding chiropractic treatment for children. The participants felt that this lack of knowledge and understanding of chiropractic treatment for children left them unsure, resulting in the non-use of this form of treatment for their children. The participants were however not opposed to the utilization of chiropractic treatment for children; they felt fear and concern regarding chiropractic treatment as they felt they were uneducated regarding the outcome of the treatment, what the treatment would involve and the reasons why chiropractic treatment should be utilized for children. The participants mentioned that if they had increased knowledge and understanding they would feel more comfortable in utilizing chiropractic treatment for their children. The participants felt that they did not have the resources to learn more about chiropractic treatment and they showed interest in learning more about chiropractic treatment for children. Recommendations were made for further research and for the chiropractic profession regarding increasing the knowledge and understanding of parents regarding chiropractic treatment.
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    To determine the immediate effect of sacroiliac and lumbar manipulation on quadriceps femoris and hamstring torque ratios in the contralateral limb in patients suffering from mechanical low back pain
    (2005) Lewis, Barbara Jane; Korporaal, Charmaine Maria; Wright, Jimmy
    Low back pain has been shown to be associated with inhibition of the lower limb musculature. This inhibition is called arthrogenic muscle inhibition (AMI). Sacroiliac joint dysfunction has been linked with AMI of the ipsilateral and contralateral quadriceps and hamstring muscles. Sacroiliac manipulation has been shown to significantly reduce ipsilateral AMI, however no studies have been conducted to illustrate the effect of sacroiliac manipulation on contralateral AMI. Neither have their been studies to show the presence or extent of spinal dysfunction between the levels of L2-L5 and its significance on muscle inhibition in the quadriceps and hamstring muscles, nor the effect of manipulation of these levels on AMI of the quadriceps and hamstring muscles. The purpose of this study was therefore to determine whether spinal manipulation has an effect on AMI of the contralateral limb as well as that of the ipsilateral limb.