M.Tech. (Chiropractic) / Mechanical neck pain is the general term that refers to any type of pain within the cervical spine caused by placing abnormal stress and strain on muscles of the vertebral column. This is a very common musculo-skeletal disorder within the population, with 45% to 54% reporting neck pain at any given time of their lives (Martinez-Segura, Fernandez-de-las-Penas, Ruiz-Saez, Lopez-Jimenez and Rodriguez-Blanco, 2006). A vast majority of individuals do not experience a complete resolution of symptoms and as such often becomes a chronic pain (Cote, Cassidy, Carol and Kristman, 2004). Chronic pain by definition is one which is present for a period longer than six weeks (Segen, 2002). Accompanying the neck pain is often a limited or reduced range of motion within the cervical spine. Some studies suggest that hyper-tonicity and strain of the supporting muscles within this region due to an altered biomechanics also contributes to the pain and dysfunction (Armstrong, McNair and Williams, 2005 and Dall’Alba et al. 2001). One of the major muscle groups involved in this is the posterior cervical musculature. This is a general term used to describe the muscles located on the posterior aspect of the neck and includes longissimus capitis, semispinalis capitis, semispinalis cervicis, rotatores and multifidus (Dalley and Moore, 2006). Chiropractic adjustment therapy has been shown to have many effects of the body and especially the cervical spine including a decrease in pain perception and muscle hypertonicity (Kirkaldy-Willis and Cassidy, 1985), an increase in cervical range of motion (Bergmann, Peterson and Lawrence, 1993) as well as an increased skin pain tolerance level (Terrett and Vernon, 1984). Dry needling therapy has also been proven to have similar effects, including, a reduction in pain perception, an increase in range in motion of the specific linked biomechanical section, and most importantly a reduction of muscle tension (Travell and Simons, 1993). The purpose of this study was to see if a synergistic effect of the two above mentioned treatments would occur when combined under one treatment protocol. The aim of this study was to determine how effectively cervical adjustment therapy, dry needling of the posterior cervical muscles and a combination of the two treatments was in treating chronic mechanical neck pain with regards to pain, disability and cervical spine range of motion over a three week period. Participants were recruited from the University of Johannesburg Chiropractic Day Clinic. They were eligible to participate in the study once they met the inclusion and exclusion criteria. Participants were recruited by means of word of mouth as well as with the use of advertisements that were placed around the respective campuses of the University of Johannesburg. Thirty participants who presented with chronic mechanical neck pain, volunteered for this comparative study. This trial is a randomised controlled clinical trial which used convenience sampling. Group A received a combination treatment of dry needling and cervical manipulation. Group B received cervical adjustment only while group C received dry needling of the posterior cervical musculature alone. participants were treated for a total of 6 visits. Subjective and objective measurements were done at visits 1, 4 and a final visit 7 during which only measurements were taken. These effects are based on Vernon-Mior Pain and Disability Index, Numerical Pain Scale Rating, Pressure Algometer as well as Cervical Spine Range of Motion measuring instrument (CROM). The results of this trial indicated that all three treatments were effective in treating chronic mechanic neck pain. While one treatment was not statistically more effective than the other the dry needling and cervical manipulation alone produced a superior result. While combining these treatments was effective the synergistic effect one would expect was not as evident.

M.Tech. (Chiropractic) / Purpose: This study was undertaken in order to demonstrate the effects of static magnetic field therapy on acupuncture points in the treatment of those suffering from mechanical neck pain. Isolated spinal manipulative therapy of the cervical spine was compared to spinal manipulative therapy of the cervical spine in conjunction with magnetic field therapy on acupuncture points using both objective and subjective measurements. Before the execution of this study, it was hypothesised that both treatment protocols would be effective in the treatment of mechanical neck pain, although the combined therapy would be more effective. Method: Patients were recruited by way of advertisements placed in and around the University of Johannesburg, Doornfontein campus and their health clinic. Thirty patients with mechanical neck pain were recruited and randomly divided into two groups. Group one received manipulation to the affected joints of the cervical spine and group two received manipulation to the cervical spine combined with magnetic field therapy on acupuncture points. Procedure: Each patient in each group attended six treatment sessions; three in the first week and three in the second week. The Vernon Mior Neck Pain and Disability Index and the Numerical Pain Rating Scale (subjective measurements) were completed by each patient and the Cervical Range of Motion instrument (objective measurements) was used to collect readings from each patient in both the control and experimental groups, subjective and objective measurements were taken before treatment one, three and six. Specific treatment protocols were then adhered to. Results: The results indicated that both treatment protocols were effective in reducing mechanical neck pain although not one group was more effective than the other. Both groups improved subjectively and objectively as they had cervical spinal manipulation directed at joint dysfunction. Conclusion: The experimental group who received spinal manipulative therapy to correct joint dysfunction in conjunction with magnetic field therapy on acupuncture points was not more effective than the control group who received spinal manipulation only, in the treatment of mechanical neck pain.

No description available.

No description available.

A dissertation submitted in partial compliance with the Master's Diploma in Technology: Chiropractic at Technikon Natal, 1995. / The aim of this study was to determine whether the use of Interferential Current provided a non-invasive alternative to Dry Needling Agitation in the treatment of Myofascial Pain and Dysfunction Syndrome. A randomised Experimental Method of Single- Variable design was undertaken using the before-and-after-withcontrol design. / M

The phenomenon of urban identity escapes narrow definition. Its relevance to the interior design context arises as a tool for regeneration where it can assist to capitalize on the potential of particular places and social relations that distinguish one location from another. The city is a constant interplay of human actions. Small moments and rituals that take place with human activity give rise to the everyday interaction between people with one other and with their environment. It is specifically on this human scale that interior design offers the possibility to explore the physical manipulation of space and form to influence interaction. Circulation and interior elements become a means to promote socialisation across different cultural groups and generations. Social friction represents the traditional societal aspect when considering interaction. Here its importance is not diminished but is put on par with the tactile dimensions of the physical as well as the visual. The interrelatedness of the social, physical and visual elements is set against the emerging topic of neighbourhood regeneration. Identity is here considered to be part of the core essence of a sense of place and belonging, which ensures that the regeneration is driven by the local residents, both as individuals and collectively as a community. In the specific context of Sunnyside and Trevenna, which is an area that has undergone many demographic and physical changes, the possibility of a built space as a platform for different people to engage with one another and their surroundings is investigated. Such as intervention aims to instil a sense of ownership, to define the desired atmosphere and to provide a space where collective values for the shifting neighbourhood can be navigated. The design explores this relation between formal design and informal activities through the proposal of a new morphology in form of a public space and café on the ground floor, and a youth aftercare centre on the upper two floors that incorporates desirable aspects of the original structure’s functions. / Dissertation MInt(Prof))--University of Pretoria, 2012. / Architecture / MInt(Prof) / Unrestricted

No description available.

研究背景：肩痛是临床的常见症状，常因不正确姿势、受凉、外伤、运动劳损等引发，多被诊断为局关节周围炎、属部的肌臆炎等’带来的疼痛和肢体活动障碍都严重影响正常生活。针灸治疗盾痛效果显著’传统中医在眉痛的诊疗中已有详尽论边，而近年西方医学提出的激痛点疗法，在治疗痛症上也有明确的疗效。总结局痛的激痛点针刺取穴方案，探讨其与传统针灸的失系’对发展当代针灸有十分重要的理论意义和临床价值。研究目的：初步总结盾痛的激痛点针刺取穴方案，探讨激痛点和传统针灸的相关性, 为临床提供新思路。研究方法：文献研究。结论：眉痛的激痛点针刺取穴方案为：盾前痛取胸大肌锁骨部、胸小肌、肱二头肌、喙肱肌、背阔肌、冈下肌、前三角肌、前斜角肌、中斜角肌激痛点；属后痛取大圆肌、小圆肌、肩胛下肌、肱三头肌长头第一、下斜方肌第三、后三角肌激痛点；肩外侧疼痛取中三角肌、冈上肌激痛点。此法优势在于理论系统与诊疗过程明确、操作规范、疗效显著，是属痛的治疗的新思路。对比发现，激痛点理论与经筋理论相似。激痛点针刺取穴与中医整体辨证论治的结合, 势必有助提高临床疗效，值得深入探索。關键字：肩痛激痛点针刺取穴文献研究

Charles University, Czech Republic, Faculty of Pharmacy in Hradec Králové Student: Lucie Kameníková Tutor: PharmDr. Jitka Pokladníková, Ph.D. Title of Diploma Thesis: Patients' experience with acupuncture treatment Background: Acupuncture, as well as other methods used in complementary and alternative medicine (CAM), are on the rise. So far, there has not been a study conducted in the Czech Republic which describes patients' awareness and experience with acupuncture and other CAM methods and their attitudes to future use of these methods after having been treated with them. Aim: The aim of the thesis was to evaluate the experience of patients suffering from migraines with acupuncture. The areas covered were the patients' awareness of acupuncture, their motivation to try acupuncture as an alternative treatment method, their experience with other CAM methods as well as the likelihood of them undergoing another acupuncture treatment in the future. Methods: Semi-structured interviews with selected patients were conducted between September 19th 2015 and May 18th 2016. The interviews were coded in MAXQDA 12 programme and then evaluated using the content analysis method. Results: The thesis identifies topics connected to patients' awareness of CAM including acupuncture. It also defines the reasons for...

京都大学 / 0048 / 新制・論文博士 / 博士(医学) / 乙第12956号 / 論医博第2098号 / 新制||医||1011(附属図書館) / 32355 / 明治鍼灸大学大学院鍼灸学研究科鍼灸学専攻 / (主査)教授 伊達 洋至, 教授 佐藤 俊哉, 教授 森田 智視 / 学位規則第4条第2項該当 / Doctor of Medical Science / Kyoto University / DFAM