Please use this identifier to cite or link to this item: https://hdl.handle.net/10321/970
DC FieldValueLanguage
dc.contributor.advisorKorporaal, Charmaine Maria-
dc.contributor.advisorBrantingham, James W.-
dc.contributor.authorDwyer, Laurenen_US
dc.date.accessioned2014-04-10T12:07:49Z
dc.date.available2014-04-10T12:07:49Z
dc.date.issued2014-04-10-
dc.identifier.other482674-
dc.identifier.urihttp://hdl.handle.net/10321/970-
dc.descriptionSubmitted in partial compliance with the requirements for the Master’s Degree in Technology: Chiropractic, Durban University of Technology, Durban, South Africa, 2013.en_US
dc.description.abstractBackground : Many treatment options provide symptomatic improvement of joint function for osteoarthritis (OA) of the knee. Research suggests full kinetic chain (FKC) manual and manipulative therapy (MMT) and rehabilitation yields greater benefits than home rehabilitation alone. However this treatment combination has never been compared against FKC MMT alone. Objectives : Objectives: To determine the effectiveness of three FKC treatment protocols in the management of knee OA. Method : A single-blinded, randomised comparative trial of sixty-six patients with knee OA, equally allocated to three treatment groups: manipulation only, rehabilitation only or manipulation plus rehabilitation (a.k.a. combination group). Manipulation groups received bi-weekly FKC treatment, while a daily at-home stretching and exercise programme was prescribed to the groups receiving rehabilitation. Treatment lasted three weeks, with outcomes measure taken at baseline, pre-visit 4 and 1-week follow up. Primary outcome measures included the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and McMaster Overall Therapeutic Effectiveness (OTE) Tool. Results : There was a drop-out rate of 7.6% (n=5), with intent to treat analysis providing the missing data. All three treatment groups showed clinically and statistically significant changes in overall WOMAC scores from baseline to 1-week follow up. The combination group showed the largest improvement (50.5%), followed by manipulation (44.4%) and rehabilitation (33.6%). However, this difference between group improvement was not statistically significant (p= 0.156). Conclusion : All three intervention protocols showed statistically significant improvement in most outcome measures at 1-week follow-up. However, there was no statistically significant difference between groups and therefore it is concluded that the interventions appear to be equally effective in the short-term management of knee OA.en_US
dc.format.extent171 pen_US
dc.language.isoenen_US
dc.subject.lcshChiropracticen_US
dc.subject.lcshOsteoarthritis--Chiropractic treatmenten_US
dc.subject.lcshKnee--Wounds and injuries--Chiropractic treatmenten_US
dc.subject.lcshManipulation (Therapeutics)en_US
dc.titleThe relative effectiveness of three full kinetic chain treatment protocols for osteoarthritis of the knee : manual therapy, rehabilitation and a combination thereofen_US
dc.typeThesisen_US
dc.dut-rims.pubnumDUT-003059en_US
dc.description.levelMen_US
dc.identifier.doihttps://doi.org/10.51415/10321/970-
item.fulltextWith Fulltext-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.languageiso639-1en-
item.openairetypeThesis-
item.grantfulltextopen-
item.cerifentitytypePublications-
Appears in Collections:Theses and dissertations (Health Sciences)
Files in This Item:
File Description SizeFormat
DWYER_2013.pdf4.52 MBAdobe PDFThumbnail
View/Open
Show simple item record

Page view(s) 50

1,257
checked on Dec 22, 2024

Download(s) 20

1,214
checked on Dec 22, 2024

Google ScholarTM

Check

Altmetric

Altmetric


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