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The relative effect of manipulation and core rehabilitation in the treatment of acute mechanical low back pain in sedentary patients

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dc.contributor.advisor Korporaal, Charmaine Maria
dc.contributor.advisor White, Rowan
dc.contributor.author Higgs, Renee Joy
dc.date.accessioned 2010-03-04T09:58:33Z
dc.date.available 2010-03-04T09:58:33Z
dc.date.issued 2007
dc.identifier.other 310108
dc.identifier.uri http://hdl.handle.net/10321/503
dc.description Dissertation submitted in partial compliance with the requirements for the Master’s Degree in Technology: Chiropractic, Durban University of Technology, 2007. en_US
dc.description.abstract The aim of this research was to investigate the relative effectiveness of manipulation versus core rehabilitation in the treatment of acute mechanical low back pain in sedentary patients. Recent research has found that dysfunction of the primary core stabiliser muscles is linked with an increasing number of the general population suffering from low back pain; this is thought to be due to the fact that people in general are living more sedentary lifestyles. The Aims and Objectives of this study were to determine the relative effect of manipulation and core rehabilitation in sedentary patients suffering from acute mechanical low back pain in terms of subjective findings, objective findings and to determine any correlations between these findings Thirty-two participants, with acute low back pain participated in the study. They received treatment over a period of three weeks, two treatments in the first week, two treatments in the second week and a follow up seven days later. Group A received a spinal manipulation while Group B received core rehabilitation exercises. Readings were taken at three time points, namely visit one, three and five before the treatment, they included the following readings: Numerical Pain Rating Scale, Algometer, Roland Morris Low Back Pain and Disability Questionnaire, Biofeedback Stabiliser and the Surface EMG. The results showed that there was no differential (p<0.05) treatment effect between the two Groups, and that both Groups showed a clinical improvement in their low back pain. In conclusion, it appears that even though both these treatment protocols have very different mechanisms of action, both can be effective treatment protocols and that core rehabilitation exercises when properly performed are as effective as manipulation in the treatment of acute low back pain. en_US
dc.format.extent 168 p en_US
dc.language.iso en en_US
dc.subject.lcsh Chiropractic en_US
dc.subject.lcsh Backache--Chiropractic treatment en_US
dc.subject.lcsh Manipulation (Therapeutics) en_US
dc.subject.lcsh Occupational diseases en_US
dc.subject.lcsh Sitting position en_US
dc.title The relative effect of manipulation and core rehabilitation in the treatment of acute mechanical low back pain in sedentary patients en_US
dc.type Thesis en_US
dc.dut-rims.pubnum DUT-000586


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