Diss. (sammanfattning) Linköping : Univ., 2001. / Härtill 4 uppsatser.

A dissertation presented in partial fulfilment of the requirements for the Masters Degree in Technology: Chiropractic, Technikon Natal, 1997. / The purpose of this investigation was to compare the effectiveness of chiropractic manipulation alone to the use of chiropractic manipulation together with therapeutic exercise in the management of chronic mechanical cervical spine conditions. Measurements in terms of objective and subjective clinical findings, were to be used to substantiate or refute the use of auxiliary therapeutic exercise in these conditions. It was hypothesised that therapeutic exercise would be a valuable adjunct to the chiropractic management of chronic mechanical cervical spine conditions in terms of objective (flexibility) and subjective (pain and disability) clinical findings. Thirty consecutive subjects suffering from chronic neck pain were obtained from local advertising (radio and newspapers) and randomly placed into two groups for comparison. The 0. age group of subjects accepted ranged from 16 to 60 and included both sexes from any race, who had suffered from neck pain for six weeks or longer. Subjects were assessed to determine whether there were any contra-indications to manipulation or exercise. Treatment commenced for a month with both groups receiving spinal manipulative therapy and one group doing daily therapeutic exercises. The eROM goniometer, McGill Pain Questionnaire, Numerical Pain Rating Scale - 101 Questionnaire and the CMee Neck Disability Index were / M

Dissertation submitted in the partial compliance with the requirements for the Master's Degree in Technology: Chiropractic, Technikon Natal, 1996. / There have been few substantiated studies done to investigate the efficacy of spinal manipulative therapy for cervical syndromes [Vernon et.al. (1990: 13), Sloop et.al. (1982: 532) and Cassidy 1\ et. al. (1992: 495)]. Therefore, more conclusive evidence is needed to verify the success of manipulation, especially in terms of chiropractic treatment methods. The purpose of this investigation was to evaluate cervical spine manipulation and combined cervical and thoracic spine manipulation, according to subjective and objective clinical findings, in order to determine the efficacy of each approach in the management of mechanical neck pain. It was hypothesized that cervical spine manipulation, and combined cervical and thoracic spine manipulation would both be effective in the treatment of mechanical neck pain. However, it was proposed that combined cervical and thoracic spine manipulation would be more effective than just cervical spine manipulation, in terms of subjective and objective clinical findings. This study consisted of a controlled trial of a sample population diagnosed with joint dysfunction (cervical and thoracic facet syndrome) . Thirty subjects were randomly divided into two groups: the control group and the experimental group. The control group was treated with cervical adjustments only and the experimental group received combined cervical and thoracic adjusfments. / M

Dissertation submitted in partial compliance with the requirements for the Master's Degree in Technology: Chiropractic, Technikon Natal, 2002. / The purpose of this study was to determine the efficacy of muscle energy technique in the treatment of chronic mechanical neck pain. This was a randomized placebo controlled study. Two groups of thirty subjects from Durban and the surrounding areas were selected to participate in the study, which was carried out at the Technikon Natal Chiropractic Day Clinic. Subjects were diagnosed with the condition by the researcher. Each subject received six treatments within a period of three weeks. Group A received muscle energy technique and de-tuned laser therapy applied to joint fixations. Group B received de-tuned laser therapy applied to the fixated areas. Subjective assessment was by means of the Short-Form McGill Pain Questionnaire and the Numerical Pain Rating Scale-101. Objective assessment was by means of the digital algometer (The Commander\x99 Algometer by Jtech Medical Industries) and the Cervical Range of Motion Device. Both the subjective and objective readings were taken prior to the first treatment and a day following the final (sixth) treatment. / M

M.Tech.

A Research Report submitted to the Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, in partial fulfilment of the requirement for the degree of Master of Science in Physiotherapy Johannesburg, 2017 / Background: The cognitive elements of fear avoidance and pain catastrophising in individuals suffering from chronic pain, including chronic low back pain and chronic musculoskeletal conditions, have been found to be significant impediments to recovery. However, little is known about the influence of fear avoidance and pain catastrophising on chronic non-specific neck pain, especially in the context of a South African population. The purpose of this study was to determine the prevalence of fear avoidance and pain catastrophising in patients suffering from chronic neck pain of three or more months’ duration who were attending physiotherapy in private clinics in Johannesburg, South Africa. The objectives of this study were to establish the prevalence of fear avoidance, the prevalence of pain catastrophising, and to establish the association between demographic variables and fear avoidance and pain catastrophising respectively. Methods: In order to fulfil the objectives, a cross-sectional design was used on the basis of the validated Tampa Scale for Kinesiophobia-11 (TSK-11) and the Pain Catastrophising Scale (PCS) questionnaires to determine the prevalence of fear avoidance and pain catastrophising respectively in patients suffering with chronic neck pain. The patients were sampled sequentially from randomly selected private practices in Johannesburg, South Africa, with the particular focus being on musculoskeletal conditions. The demographic data included gender, age, pain intensity, marital status, highest level of education attained, employment status, duration of neck pain, and whether or not the participant had had to reduce his/her work load as a result of the pain experienced. These factors were tested in terms of their association between fear avoidance and pain catastrophising respectively, and of the association between fear avoidance and pain catastrophising itself. A total of 106 participants were interviewed. The data from the questionnaires and the demographic questionnaires were analysed using Statistica, version 12. The results were considered significant when p-values of 0.05 were attained. Results: A total of 106 participants with a mean age of 48.7 years (SD=14.8; range 20-80 years) were drawn sequentially from a randomly selected total of 25 private practices. Female participants constituted 81.1% (n=86) of the total participants and 76.4% had some form of tertiary education. The majority (76.4%) were working and most (79.2%) had not reduced their work load as a result of their pain. Many participants were in a relationship (67.9%) and the pain intensity showed a mean of 4.4 on the VAS (SD=2.2; range 0.3-8.7), with the median pain duration being 96 months (8 years) (IQR=30-180 months) (2.5-15 years); range 3-756 months (0.25-63 years)). The TSK-11–Total showed a mean score of 22.9 and 25.5% of the participants (n=106) presented with significant fear avoidance measured on theTSK-11-Total scale. The prevalence was based on a cut-off equivalent to the midpoint scale. The median score for the PCS-Total was 12. The prevalence of clinically relevant scores for the PCS-Total was 15.1% (n=106) of the population studied, based on a cut-off score of =30. There was a significant, positive correlation between the TSK-Total and the PCS-Total and its subscales; and between the TSK-SF and the PCS-Total and its subscales. Significant association was found between the highest level of education and the TSK-11-Total score. The mean TSK-11 score for those with secondary education (26.0 ± 3.4) was higher than that for patients with a tertiary education (21.9 ± 1.5), indicating that those with a secondary education were more likely to be fear avoidant than those with a tertiary education. There was a significant, positive correlation between pain intensity and the TSK-Total score, and a significant positive correlation between pain intensity and the PCS-Total score. No significant association was found for fear avoidance and pain catastrophising in respect of any of the other demographic variables. Conclusion: This prevalence study established that of the sample of adults attending physiotherapy for chronic non-specific neck pain, 25.5% suffer from fear avoidance and 15.1% suffer from pain catastrophising. An association was found between the total scores for fear avoidance and pain catastrophising. Furthermore, an association was also found between fear avoidance and its subscale, somatic focus, and between pain catastrophising and all its subscales, namely rumination, magnification and helplessness. Yet another positive association was found between secondary education and fear avoidance, and a positive correlation between pain intensity and both fear avoidance and pain catastrophising respectively. / MT2018

Thesis (Ph. D.)--University of Hong Kong, 2002. / Includes bibliographical references (leaves 182-211).

Diss. (sammanfattning) Stockholm : Karol. inst., 2000. / Härtill 5 uppsatser.

Thesis (Ph. D.)--Oregon State University, 1998. / Typescript (photocopy). Includes bibliographical references. Also available via the World Wide Web.

A dissertation submitted in partial compliance with the requirements for the Master's in Technology: Chiropractic, Durban Institute of Technology, 2004. / Mechanical neck pain is defined as a restriction of movement of the neck, which frequently refers pain to the occiput, shoulders, nuchal muscles, interscapular region and anterior chest wall, and is usually due to a history of trauma or awkward posture of the cervical spine / M