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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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    The effectiveness of combined spinal manipulation and patella mobilization compared to patella mobilization alone in the conservative management of patellofemoral pain syndrome
    (2000) Stakes, Neil Osmond; Myburgh, Cornelius
    Purpose. Patellofemoral pain syndrome (PFPS) refers to a syndrome associated with the following signs and symptoms: anterior knee pain, inflammation, imbalance, instability, or any combination thereof (Wood 1998). The purpose of this investigation was to evaluate whether spinal manipulation, as an adjunct to patella mobilization, contributed significantly to the improvement of patients diagnosed with PFPS. A prospective trial using convenient sampling was implemented using the first 60 volunteers that met the requirements. These were randomly divided into two groups. Participants in group 2 received combined patella mobilization and spinal manipulative therapy, while those in group 1 received patella mobilization only. Each patient selected for the study was required to complete an informed consent form. The selected patients underwent a general medical case history, lower back and knee orthopaedic regional examinations. 8 clinical experiments were done: pain threshold (ALGI), pain tolerance (ALG2), the mean least pain experienced (NRS 1), the mean worst pain experienced (NRS2), the mean pain experienced (NRS3), pain quality (McGill), patellofemoral joint evaluation scale (PFJE) and a patient specific functional scale (PSFS). All were continuous variables except McGill, which was a categorical variable. For each clinical experiment, readings were taken 3 times, i.e. at the first, third and sixth consultations
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    The relative effectiveness of combined "action potential therapy" and patella mobilization versus combined placebo "action potential therapy" and patella mobilization in the treatment of patellofemoral pain syndrome
    (2000) Goldberg, Jenifer; Myburgh, Cornelius
    The purpose of this study was to determine the relative effectiveness of combined Action Potential Therapy (APT) and patella mobilization versus combined patella mobilization and placebo Action Potential Therapy in the treatment of Patellofemoral Pain Syndrome. The study was a prospective, randomized, placebo controlled study. The study involved 60 subjects, 30 in each group which were selected from the general population. Group one received patella mobilization and APT while group two received patella mobilization and placebo APT. Patients received four treatments over a period of two weeks. The first treatment consisted of patella mobilization and APT (group one) or patella mobilization and placebo APT (group two), treatment 2,3 and 4 consisted of APT (group one) or placebo A,PT (group two). Subjective assessment was by means of the short form Me Gill pain Questionnaire, Numerical Pain Rating Scale - 101 Questionnaire and the Patient Specific Functional Scale. Objective assessment of tenderness was by means of an algometer. Assessments were taken on the first, second and fifth consultations for all subjective and objective measures. Statistical analysis was completed under the supervision of Dr Myburgh at Technikon Natal, at a 95% confidence interval. The parametric two-sample paired t-test and the non-parametric Wilcoxon signed rank tests were used to analyze data within each group, while the parametric