Faculty of Health Sciences
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Item The efficacy of chiropractic adjustment in the treatment of primary metatarsalgia(2000) Petersen, Shayan Lian; Kretzmann, HeidiThe purpose of this investigation was to investigate the relative efficacy of foot and ankle adjustments as opposed to placebo ultrasound, in terms of subjective and objective clinical findings, in the treatment of primary metatarsalgia. This was a randomised, controlled, clinical trial consisting of two groups. Group A received foot and ankle adjustments, while Group B received detuned ultrasound as the placebo treatment. Each group consisted of twenty subjects between the ages of 20 and 78 years, who were randomly assigned to their respective groups. It was hypothesised that foot and ankle adjustments would be effective in the treatment of primary metatarsalgia. Subjects diagnosed with primary metatarsalgia were included in the study. The treatment regime consisted of a course of eight treatments, with two treatments a week, spread over a four-week period. Subjective and objective measurements were taken at the initial, second, third and final consultations. Subjective data consisted of the short-form McGill Pain Questionnaire, the Numerical Pain Rating Scale -101 and the Foot Function Index. Objective data was collected by means of Algometer measurements. Inter-group comparisons were made using the non-parametric Mann-Whitney unpaired U-test for the categorical variables and the parametric two-sample unpaired t-test for the continuous variables. Inter-group comparisons of the subjective readings showed that the two groups were similar at the beginning of the study, except in termsItem The relative efficacy of chiropractic manipulative therapy compared to placebo in patients with plantar fasciitis(2000) Hammond, Sarah Louise; Kretzmann, HeidiThe purpose of this study is to investigate the relative efficacy of chiropractic manipulative therapy as opposed to placebo ultrasound, in terms of objective and subjective clinical findings, in the treatment of plantar fasciitis. This was a randomised, controlled, clinical trial consisting of two groups. Group A received chiropractic manipulative therapy as their treatment protocol and Group B received placebo treatment in the form of detuned ultrasound as their treatment protocol. Each group consisted of fifteen subjects between the ages of 21 and 68 years who were randomly assigned to their respective groups. It is hypothesised that chiropractic manipulative therapy will be effective in the treatment of plantar fasciitis. Subjects diagnosed with plantar fasciitis were included in the study. The treatment regime consisted of a course of nine treatments spread over a three week time period with a follow-up consultation one month after the final treatment consultation. Subjective and objective measurements were taken at the initial, final and one-month follow-up consultations. Subjective data consisted of the short-form McGill Pain Questionnaire, the Numerical pain Rating Scale - 101 and the Foot Function Index. The objective data was collected by means of Algometer measurements. The data was analysed statistically using the non-parametric Mann-Whitney unpaired U-test for the categorical variables and the parametric two-sample unpaired t-test for the continuous variables for the inter-group comparison. For the intra-group comparison the non-parametric Wilcoxon's signed rank test was used for the categorical variables and the parametric twosample paired t-test was used for the continuous variables.Item The relative effectiveness of pulsed ultrasound as an adjunct to foot manipulation in the treatment of plantar fasciitis(2002) Du Plessis, Juan; Shaik, JunaidPlantar fasciitis (PF) is a syndrome that causes pain at the insertion of the plantar fascia to the medial calcaneal tubercle of the calcaneaus. This syndrome has been described as an overuse injury with subsequent inflammation at the insertion of the plantar fascia to the bone. The literature describes inflammatory changes that occur within the body and attachment of the plantar fascia, together with biomechanical aberrances that may be the result of the PF. The purpose of this study was to determine the relative effectiveness of pulsed ultrasound as an adjunct to foot manipulation in the treatment of plantar fasciitis. The foot manipulations are used to correct the biomechanical abnormalities, while the pulsed ultrasound is used for its anti-inflammatory properties. The combination of pulsed ultrasound and foot manipulation was compared to foot manipulation alone to determine if this ultrasound manipulation combination had any beneficial effect over and above foot manipulation alone. Thus determining whether it is of importance to o approach and treat both aspects of the syndrome described. This was a prospective, randomised, comparative controlled trial. Forty subjects were diagnosed with plantar fasciitis and chosen to participate in the study. They were subsequently divided into two groups (Group A and Group B) of twenty. Group A was the experimental group receiving foot manipulation and ultrasound as treatment, and Group B, the control group received foot manipulation alone as treatment. Each subject received six treatments within a period of three weeks, with a seventh follow-up within one week of the sixth treatment. There was no treatment at the seventh consultation; this was used for obtaining subjective and objective readings. Subjective assessment was by means of the Foot Function Index, and objective was by means of the manual algometer. Both the subjective. and objective readings were taken prior to the first, sixth and at the seventh (final) consultations.