Please use this identifier to cite or link to this item: https://hdl.handle.net/10321/1821
DC FieldValueLanguage
dc.contributor.advisorMathews, Robert-
dc.contributor.authorMacleod, Megan Roseen_US
dc.date.accessioned2017-01-31T06:45:36Z
dc.date.available2017-01-31T06:45:36Z
dc.date.issued2002-
dc.identifier.other914-
dc.identifier.otherDIT95229-
dc.identifier.urihttp://hdl.handle.net/10321/1821-
dc.descriptionDissertation presented in partial compliance with the requirements for the Master's Degree in Technology: Chiropractic, Technikon Natal, Durban, South Africa, 2002.en_US
dc.description.abstractThis comparative, randomized, controlled clinical trial consisted of sixty patients, suffering from low back pain (LBP) attributable to sacroiliac and/or lumbar facet syndrome. The aim of the study was to determine the relative effectiveness of frequent and infrequent chiropractic treatments in the management of mechanical low back pain. It was hypothesised that the Frequent Treatment Group would produce better results than the Infrequent Treatment Group. Treatments consisted of spinal manipulative therapy (SMT) using diversified techniques to dysfunctional sacroiliac (SI) and or lumbar facet joints. All treatments were preceded with 5 minutes soft tissue therapy to the lumbar region. The study population was randomly divided into two treatment groups. The Frequent -Treatment Group received 9 treatments over a three-week period and the Infrequent Treatment Group received 3 treatments over the same treatment period. Data was collected before the treatment commenced and again at the beginning of the second and third weeks of the trial and finally the week following the last treatment. Subjective data gathered included results from the Numerical Pain Rating Scale 101 and the Oswestry Low Back Pain Disability Questionnaires. Objective data included an orthopedic rating scale used to assess the sacroiliac and lumbar facet joints and lumbar spine range of motion (ROM) as measured with the BROM II goniometer. Data obtained during the trial period was statistically analysed. No significant difference between the two treatment groups was found at the 95% level of confidence. These findings imply that once weekly treatments are as effective as three treatments per week in terms of the clinical measure employed in this study. The results from this study suggest that patients who receive treatments more than once a week could be receiving excessive treatments, which would make the cost of chiropractic treatment unnecessarily expensive. Intra-group analysis of the results indicated that both treatment groups improved significantly (0 =0.05) between the first and final consultation, for all measures. These findings demonstrate that chiropractic treatment is beneficial to patients with mechanical LBP. The mean values obtained for each group for the levels of pain intensity, disability, ROM and joint dysfunction show the Frequent Treatment Group to have improved slightly more than the Infrequent Treatment Group, however not significant at the 95 % level of confidence. The cost of more frequent treatment needs to be justified with superior long-term effects. Research into factors such as whether or not more frequent treatments maintain productivity and avoid chronicity may provide support for more frequent treatments.en_US
dc.format.extent95 pen_US
dc.language.isoenen_US
dc.subject.lcshChiropracticen_US
dc.subject.lcshBackacheen_US
dc.subject.lcshSpinal adjustmenten_US
dc.titleThe effect of frequent and infrequent chiropractic treatments in the management of mechanical low back painen_US
dc.typeThesisen_US
dc.description.levelMen_US
dc.identifier.doihttps://doi.org/10.51415/10321/1821-
item.cerifentitytypePublications-
item.languageiso639-1en-
item.grantfulltextopen-
item.openairetypeThesis-
item.fulltextWith Fulltext-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
Appears in Collections:Theses and dissertations (Health Sciences)
Files in This Item:
File Description SizeFormat
Macleod_2002_.pdf5.23 MBAdobe PDFThumbnail
View/Open
Show simple item record

Page view(s)

303
checked on Dec 22, 2024

Download(s)

210
checked on Dec 22, 2024

Google ScholarTM

Check

Altmetric

Altmetric


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.