Dissertation submitted in partial compliance with the requirements for the Master's Degree in Technology: Chiropractic, Durban Institute of Technology, 2008. / lntroduction: Swimming is one of the most popular participation sports 1 as people are drawn to swimming for leisure, cardiovascular workouts, or competition 2 . As a result, the sport of swirnrninq has improved 9reatly over the past 20 years 3 . Olbjectoves: The aim of this study was to determine a profile of musculoskeletal injuries in competitive swimmers in the greater Durban area of KwaZulu-Natal, South Africa; as well as to determine whether any relationships exist between swimming injuries sustained in this study and the risk factors identified in other studies, and to compare the results with international data. Therefore; for the purpose of this study, the following information was gathered in order to build up an injury profile: o Demographics of competitive swimmers in South Africa, o The participants swimming history, o The presence of any past or current injuries and o Factors associated with current and previous injuries were also investigated. This study was a prospective, cross-sectional, questionnaire based study, investigating the profile of musculoskeletal injuries in 101 competitive swimmers in the greater Durban area. The data was collected by means of a self-administrated questionnaire, which was completed by the participants, under the supervision of the researcher, parents or coach. / M

Dissertation submitted in partial compliance with the requirements for the Master’s Degree in Technology: Chiropractic Durban University of Technology, 2013. / Objectives: Myofascial pain dysfunction is a common musculoskeletal disorder, known to affect athletes. This research aimed to create a map of myofascial trigger points (MFTPs), to ascertain sport specific combinations. Design and Setting: This IRB approved study was a cross-sectional, observational study. Participants: Forty swimmers and forty non-swimmers (soccer players). Measurements : All participants underwent one assessment, non-intervention session where primary measures included: shoulder disability index (SDI), myofascial diagnostic scale (MDS), algometer and numerical pain rating scale (NRS). Manual palpation, the MDS and an algometer assessed MFTPs and the SDI overall function. SPSS version 20 (IBM) using Pearson’s chi square tests / Fisher’s exact tests compared MFTP locations between the groups, and non-parametric Mann-Whitney tests compared continuous measures (due to significant non-normal distribution), with a p-value <0.05 level of significance. Results: MFTP presence is very uncommon in swimmers, with associated pain and loss of function being very low on average. No evidence was found that swimmers were affected more than non swimmers by MFTPs related pain or loss of function, but has indicated that algometer measurements for infraspinatus MFTP 1, were significantly higher (p<0.027) (showing decreased tenderness) than the values in non swimmers. Conclusions: These results contradict the literature which suggests that unique activity specific patterns of MFTPs exist. This may be as a result of underlying systemic causes of MFTPs that obscured the pattern in this study. It is therefore suggested that larger trials with more participants per group be done in order to verify the results of this study.