Dissertation submitted in partial compliance with the requirements for the Master’s
Degree in Technology: Chiropractic, Durban University of Technology, 2013. / The lifetime incidence of low back pain is between 48% to 79% in South Africa.
Globally, chronic Sacroiliac Joint Syndrome occurs in 13% to 63% of the world’s
population. Therefore, chronic Sacroiliac Joint Syndrome is a significant health
problem that has the potential to have a major impact on quality of life.
Chronic Sacroiliac Joint Syndrome is described as an alteration in normal motion or
mechanics. The Sacroiliac Joint fibrous capsule contributes to proprioceptive and
nociceptive output, which may be exacerbated when the joint is in a dysfunctional
state.
Chronic Sacroiliac Joint Syndrome may be effectively treated by spinal manipulative
therapy. Spinal manipulative therapy is professed to have four therapeutic effects –
mechanical correction, pain reducing effects, circulatory increase and neurobiologic
effects. Similarly, Kinesio Tex® Tape therapy is professed to have comparable
therapeutic effects – circulatory increase, pain reduction and stimulation of
proprioceptive systems.
Spinal manipulative therapy and Kinesio Tex® Tape therapy may, therefore, have
similar therapeutic effects which, if used in adjunction, may produce enhanced
therapeutic effects and accelerated results regarding reduction of symptoms in
patients with chronic Sacroiliac Joint Syndrome.
This investigation aimed to determine whether Kinesio ® Taping methods would have
any relative effect on the Sacroiliac Joint, and whether it would be appropriate to use
as an adjunct to spinal manipulative therapy in the treatment of chronic Sacroiliac
Joint Syndrome.
The study was a prospective stratified clinical trial with three intervention groups,
twenty participants in each (n = 60). All participants were 18-50 years of age and
suffering from chronic Sacroiliac Joint Syndrome. Subjective measurements included
the Numerical Rating Scale and Oswestry Low Back Pain Disability Index. Objective
measurements included the Algometer Scores. Numerical Rating Scale and
Algometer measurements were taken before and immediately after treatment at the
first consultation and at the second consultation. Oswestry Low Back Pain Disability
Index measurements were taken at the first and second consultation. Group One
underwent spinal manipulative therapy alone, Group Two underwent Kinesio Tex®
Tape therapy alone and Group Three underwent both spinal manipulative therapy
and Kinesio Tex® Tape therapy in combination.
Comparisons were made using the Unpaired and Paired t-tests. The results for the
Inter-group analyses suggested that most comparisons were statistically insignificant
(p ≥ 0.05) which indicated that all treatment groups appeared to improve to a similar
degree. The results for the Intra-group analyses suggested that most comparisons
were statistically significant (p < 0.05) which indicated that Kinesio Tex® Tape
therapy was effective as an adjunct to spinal manipulative therapy, however not
statistically more or less effective that spinal manipulative therapy or Kinesio Tex®
Tape therapy alone.
In conclusion, it was found that some differences did occur, however these
differences were not sufficient enough to conclude that one treatment was more
effective than the other.
Further research with a larger sample size, more frequent treatments and follow-ups,
a more homogenous stratification of age, ethnic group, gender, side of diagnosis and
categorizing participant occupation is needed in order for the power of the study to
be amplified and, therefore, any results would carry more weight.
| Identifer | oai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:dut/oai:localhost:10321/939 |
| Date | 13 November 2013 |
| Creators | De Beer, Quintin Hardus |
| Contributors | Jones, Andrew D. |
| Source Sets | South African National ETD Portal |
| Language | English |
| Detected Language | English |
| Type | Thesis |
| Format | 177 p |
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