Thesis (M.Tech-: Chiropractic)-Dept. of Chiropractic, Durban Institute of Technology, 2005 x, 57 leaves, Annexures 1-10 / To determine if serum cortisol levels are increased following Spinal Manipulation Therapy (SMT) to the low back region and to determine the effect of a short rest interval on the cortisol levels

Thesis (M.Tech.: Chiropractic)-Dept. of Chiropractic, Durban Institute of Technology, 2004 1 v. (various pagings) / Classical ballet is generally defined as a form of art although it has been found to be more physically demanding than most sports, perhaps due to its very precise technique that differs considerably from normal movement. Epidemiological studies investigating ballet injuries in other countries suggest that the incidence and prevalence of injuries among ballet dancers is high. However, no such studies had been conducted in South Africa. Consequently the purpose of this study was to determine the lifetime incidence and prevalence of ballet injuries in the greater Durban area, and to examine the association between certain individual factors and ballet injuries, in order to identify potential risk factors.

Thesis (M.Tech.: Chiropractic)- Dept. of Chiropractic, Durban Institute of Technology, 2004 74 leaves ; 30 cm / The purpose of this study was to determine concurrent validity of the Zulu translations of the English Numerical Pain Rating Scale-101 and the Patient Specific Functional Scale. The Numerical Pain Rating Scale-101 and the Patient Specific Functional Scale (ENRS-101 and the EPSFS) were translated into Zulu (ZNRS-101 1.0 and ZPSFS1.0) and were tested for face validity by means of a focus group session.

Thesis (M.Tech.: Chiropractic) -Dept. of Chiropractic, Durban Institute of Technology, 2004. 1 v. (various pagings) / Background: Back pain among the golfing population is considered endemic as it has been recommended to golfers that they should attempt to use a state of maximal spinal rotation in their golf swing in order to achieve maximum ball distance. Evidence suggests that maximum spinal rotation range of motion will be more restricted in the golfers with low back pain, even though this maximum rotated position has been considered ideal for developing optimal Club Head Velocity (CHV). Research has demonstrated an approximate 1:3 relation between CHV and air travel (i.e. distance) of the golf ball. An increase in 1mph in CHV would increase air travel of the golf ball by approximately 3 yards. If one considers that CHV is primarily influenced by the strength and power of the torso (low back and abdominal muscles), muscle balance and flexibility, which are responsible for the static and dynamic postural stability of the golf swing, it stands to reason that low back pain, which has been identified as the most common problem affecting amateur golfers, will affect CHV. Objective: The purpose of this investigation was to evaluate the immediate effect of spinal manipulative therapy on club head velocity in amateur golfers suffering from mechanical low back pain in terms of subjective and objective measures.

Thesis (M.Tech.: Chiropractic)-Dept. of Chiropractic, Durban Institute of Technology, 2005 / Myofascial pain syndrome is defined as the sensory, motor and autonomic symptoms caused by myofascial trigger points (MFTPs), or hyperirritable spots within skeletal muscles that are associated with palpable nodules in a taut band (Travell, Simons and Simons, 1999 1:5). Treatments for this syndrome include, but are not limited to is haemic compression, heat pack therapy, active range of motion, spray and stretch, tens therapy, interferential current therapy and myofascial release technique (Hou et al. 2002). Despite this array of treatments available to a clinician, authors agree that more studies are required to determine the efficacy of these treatments (Han and Harrison, 1997:98). Thus an effective treatment is needed for myofascial pain syndrome as according to Schneider (1995); myofascial pain syndrome has become one of the most predominant soft tissue syndromes seen in the clinical practice today. The purpose of this study is to determine the relative effectiveness of myofascial manipulation versus the ischaemic compression in the treatment of myofascial trigger points of the upper trapezius muscle in terms of objective and subjective clinical findings.

Thesis (M.Tech.: Chiropractic)-Dept. of Chiropractic, Durban Institute of Technology, 2003 / The purpose of this study was to determine the effectiveness of a home programme of ischaemic compression in the treatment of Myofascial Pain Syndrome.

Thesis (M.Tech.:Chiropractic)-Dept. of Chiropractic, Durban Institute of Technology, 2005 xi, 123 leaves ; 30 cm / The differential diagnosis of back and leg pain should include sacroiliac joint disease as the prevalence of sacroiliac joint pain appears to range from 13%-30%, thus making the sacroiliac joint a significant source of pain in patients with chronic low back pain. Sacroiliac syndrome is well-defined and usually presents with pain over the sacroiliac joint in the region of the posterior superior iliac spine, with possible referral to the buttock, groin, and leg. Most patients with sacroiliac syndrome seem to present with spastic or hyperactive muscles which leads to increased pain and decreased range of motion. Because of the close proximity of the Piriformis muscle to the sacroiliac joint, it is likely to be one of these hyperactive muscles. Various studies on low back pain, including a study on sacroiliac syndrome, have shown a correlation between low back pain, hip rotation range of motion asymmetry, and decreased hip mobility. In addition, the muscles responsible for movements of the hip have an overlapping innervation with the hip joint (L2 to S1) and sacroiliac joint (L2 to S3). It is assumed that the hypertonic muscles associated with sacroiliac syndrome decrease hip joint proprioception as the proprioceptors are facilitated erratically in a highly facilitated neuronal pool common to the innervation levels of the sacroiliac joint and the hip and associated with the level of the involved hypertonic muscle. This is thought to result in aberrant proprioceptive function at the identified levels, affecting the hip. Thus the aim of this study was to investigate the effect which sacroiliac joint manipulation had on hip functional ability in patients suffering from sacroiliac syndrome by means of various measurement tools: . Active hip joint ranges of motion were assessed using an Inclinometer, . Pressure threshold of the Piriformis muscle was measured by using an Algometer, and . Hip joint proprioception was assessed by measuring joint position sense of the hip joint using an Inclinometer.

Thesis (M.Tech.: Chiropractic)-Dept. of Chiropractic, Durban Institute of Technology, 2005 ix, 62, 7 leaves : ill. ; 30 cm / Several studies in Europe, Canada and the USA indicate that communication between GP’s and chiropractors is not ideal. Langworthy and Birkelid’s (2001) study concluded that with increasing emphasis on multidisciplinary health care, greater understanding and better communication is needed in order for the patient to obtain optimum benefits. The medical profession in the past has generally been opposed to the theories and practice of chiropractic, for a variety of reasons, including lack of scientific validity as well as unsubstantiated management utility (Silver, 1980). However, a Canadian study indicates that much progress has been made in diminishing the gap between GP’s and chiropractors (Verhoef and Page, 1996). Few studies have investigated GPs’ knowledge, awareness and attitudes toward complementary and alternative health care providers, especially in relation to the balance between market rivalry and interprofessional care (Langworthy and Smink, 2000). One such study performed in the Netherlands by Brussee et al. (2001) found that a statistically significant relationship existed between the level of knowledge of chiropractic and the frequency of referral of patients by GP’s. In the UK, it was found that many GP’s were more comfortable in referring to physiotherapists because they felt they had a better understanding of the treatment involved (Breen, et al., 2000). The chiropractic profession is attempting to improve co-operation with the medical profession via the scientific validation of its theories and practice through research (Rubens, 1996). The current perception in South Africa is that GP’s do not tend to refer patients to chiropractors. This has implications for chiropractic in the South African context in terms of integration. Therefore, as the current “gatekeepers” of primary healthcare, it is important to ascertain the perception and knowledge that this group has of the chiropractic profession in South Africa. The purpose of this investigation was therefore to determine the current knowledge and perception of GP’s in South Africa of chiropractors and chiropractic treatment in general. This should establish a knowledge base to facilitate greater understanding and co-operation between GP’s and chiropractors.

Thesis (M.Tech.:Chiropractic) - Dept. of Chiropractic, Durban Institute of Technology, 2005 xvii, 58 leaves, Annexures A-J / It has generally been accepted that 60 to 80% of the general population will suffer from low back pain at some point in their life. (Kirkaldy - Willis, 1992). The use of manipulation for the treatment of low back pain is well documented but lumbar mobilization has undergone comparatively little investigation (Goodsell et al., 2000). Furthermore, there remains little evidence to advocate the use of Muscle Energy Technique (MET) in the form of a randomized clinical trial (Wilson, 2003). The purpose of this study was to determine whether patients with acute and sub-acute low back pain would demonstrate a reduction in disability after being treated with MET or specific passive mobilization. Both interventions are joint mobilization techniques the only difference being that one is passive and the other (MET), is an active technique

Thesis(M.Tech.: Chiropractic)- Dept. of Chiropractic, Durban Institute of Technology, 2005 xi, 62 leaves / To compare the relative activation and endurance of core stability muscles in 2 different populations i.e. elite athletes and non-athletes, and establish whether these findings correspond to episodes of mechanical lower back pain.