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The relative effectiveness of periosteal pecking combined with therapeutic ultrasound compared to therapeutic ultrasound in the treatment of medial tibial stress syndrome type II

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dc.contributor.author Robertson, Moira Eleanora
dc.date.accessioned 2008-01-29T13:50:49Z
dc.date.available 2008-01-29T13:50:49Z
dc.date.issued 2003
dc.identifier.other DIT102842
dc.identifier.uri http://hdl.handle.net/10321/166
dc.description Thesis (M.Tech.: Chiropractic)-Dept.of Chiropractic, Durban Institute of Technology, 2003 en
dc.description.abstract Medial Tibial Stress Syndrome Type II (MTSS), otherwise known as shin splints, accounts for approximately 13% of injuries in American runners. Van Mechelen (1992) reported that 37-57% of recreational runners experience an injury over the course of a year, from which 54-75% of all injuries are caused by overuse. The American Medical Association defines shin splints as “pain and discomfort in the leg from repetitive activity on hard surfaces, or due to forceful, excessive use of foot flexors. The diagnosis should be limited to musculoskeletal inflammations excluding stress fractures and ischemic disorders.” (Thacker et al., 2002) Treatment protocols vary from biomechanical interventions (orthotics), to non-steroidal anti-inflammatory drugs and modalities such as ultrasound all with varying degrees of success (Noakes, 2001). Apart from therapeutic interventions it is the overriding symptom of pain, which patients are left with (Noakes, 2001). A therapeutic intervention called periosteal pecking has received increased interest with regards to symptomatic treatment of shin splints. Periosteal pecking is a form of *dry needling in which the tip of the needle contacts the periosteum (Raso,1997). The aim of this study is to establish the effect of periosteal pecking in the clinical setting with and against that of an established intervention, namely therapeutic ultrasound. en
dc.language.iso en en
dc.subject Chiropractic--Dissertations, Academic en
dc.subject Chiropractic en
dc.subject Tibia--Wounds and injuries en
dc.subject Ultrasonic waves--Therapeutic use en
dc.title The relative effectiveness of periosteal pecking combined with therapeutic ultrasound compared to therapeutic ultrasound in the treatment of medial tibial stress syndrome type II en
dc.type Thesis en


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