Theses and dissertations (Health Sciences)
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Item A comparison study between core stability and trunk extensor endurance training in the management of acute low back pain in field hockey players(2009) Clarke, Lloyed; Haswell, GarrickObjectives: When we consider the body position of a field hockey player, the lumbar spine is always in a flexed position, which combined with rotational movements during various hitting and pushing techniques, increases the strain upon the spine and surrounding muscles, thus leading to low back pain. To determine the relationship between core strength and trunk extensor endurance relating to the incidence of acute low back pain in field hockey players. Project Design: The research project was in the form of a quantitative cross-sectional study, using human subjects. Setting: The research project occurred during the field hockey season (2008) with players who had acute low back pain. The players were clinically assessed and subdivided into necessary groups at the Chiropractic Day Clinic at the Durban Institute of Technology. Subjects: Adult, male patients, aged between 18 and 30 years of age, playing premier field hockey. Out of the thirty players, 12 players have played in the National u/21 squad, 7 players have played in a Junior National team and 11 players have played senior provincial field hockey. Outcome measure: This included three tests. Firstly, the absolute difference of pressure from the reference value of 70mmHg (prone) and 40mmHg (supine) was used as the outcome measure on a Pressure Biofeedback Unit and length of time (in seconds), a correct contraction of the core stability muscles was maintained. Secondly, the length of time (in seconds) for Trunk Extensor Endurance. Thirdly, repeated measures for NRS-101 and Quebec Back Pain Disability Scale for the duration of the research period. v Results: It was found that there was no statistical evidence or convincing trend to show that the training programmes (core stability and trunk extensor endurance) increased the subjects’ core strength or trunk extensor endurance in the time allocated, although there seemed to be a placebo effect in the Trunk Extensor Group, which showed improvement in some of the core stability outcomes. There was statistical evidence that the intervention (training programmes) reduced pain, according to the Quebec Back Pain Disability Scale (Quebec) score over time, and a non-significant trend suggested this according to the Numerical Rating Scale-101 (NRS). Since both groups’ NRS and Quebec scores were not significantly different at baseline, the difference can be attributed to the effect of the intervention. Conclusions: The results of this study found that the Trunk Extensor Endurance Group, that performed the trunk extensor endurance training programme, yielded better results in core stability and trunk extensor endurance. However, the Core Stability Group, that performed the core stability training programme, showed a quicker reduction in pain levels during the three week intervention period. Therefore, by combining both training programmes, future rehabilitation of athletes suffering from acute low back pain will be more successful. Sport performance of the athletes (field hockey players), through the proponents of swiss ball training, will also improve.Item The core stability, club head velocity and ball carry in golfers with and without low back pain : a comparative study(2008) Bower, Guy; White, RowanThe core stability, club head velocity and ball carry in golfers with and without low back pain – a comparative study. Objective: The aims of this study was to establish whether an observable difference exists in the abdominal core stability of two comparable groups of golfers: one asymptomatic and the other suffering from low back pain, and whether an observable reduction of performance, expressed as club head velocity and ball carry can be observed in those with low back pain. First Objective was to differentiate the groups at baseline with respect to core stability strength between asymptomatic golfers and golfers suffering from low back pain. Whereas the Second Objective was to establish whether a relationship exists between abdominal core stability, CHV and ball carry in the two population groups under study. Following the above the Third Objective was to establish which other factors besides core stability strength have an effect on CHV and ball carry. And lastly the Fourth Objective was to establish the correlation between CHV and ball carry. Design: A comparative study was carried out between the two sample groups. A sample of forty patients were selected for this study, where twenty patients were asymptomatic and had no current episode of low back pain and were able to maintain a core contraction; and the other twenty patients low back pain and could not maintain a core contraction. Because the patients presented in a random manner, the patients were matched as close as possible according to age, so as to have better comparative value between the groups (the maximum age difference of a year was instituted). This allowed for comparisons among similar ages, with the difference being their low back pain and core contraction status. Outcome Measure: Each golfer was required to hit 5 balls using a standard club (in this study, a standard driver was used), after which an average value v was calculated for CHV and ball carry. All measurements were carried out using the Flightscope Pro machine at the Durban Pro Shop. Results: Core stability and low back pain did not influence CHV. However there was a non significant trend which indicated higher ball carry in the group with better core stability and no low back pain than in the group with low back pain and poor core stability. Increasing age and handicap reduced the CHV and ball carry values significantly. Ball carry and CHV were positively correlated together in both groups.Item The relationship between core stability and bowling speed in asymptomatic male indoor action cricket bowlers(2008) Hilligan, Bruce KevinTo determine whether a relationship exists between core stability and bowling speed in Action Cricket bowlers. Methods: Thirty asymptomatic indoor Action Cricket fast and fast-medium bowlers were divided into two groups of 15 each, with Group A having well-developed core stability and group B having poorly-developed core stability. The concept of matched pairs was used for age and cricket experience in order to maintain homogeneity between the groups. The core stability and bowling speed of each participant was measured using a pressure biofeedback unit (PBU) and speed sports radar respectively. SPSS version 15.0 was used to analyse the data.