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Title: A pragmatic clinical investigation of the comparative effectiveness of ischaemic compression and cryo-ischaemic compression in the treatment of rhomboid myofascial pain syndrome
Authors: Sookraj, Sholini 
Issue Date: 2005
The purpose of this study was to determine the comparative effectiveness of cryo-ischaemic compression, using the Cold Tennis-ball Technique, and ischaemic compression, using normal tennis balls, in the treatment of Myofascial Pain Syndrome The study was a randomised, controlled, comparative clinical trial. The samlpe
population comprised of sixty patients between the ages of 18-35 years. Patients
were screened according to the inclusion and exclusion criteria, were selected
and randomly divided into two groups. One group, of thirty patients, received
ischaemic compression using normal tennis balls, whilst the second group, of
thirty patients, received ischaemic compression using the Cold Tennis-ball
Technique. Patients received four treatments over a period of two weeks.
Data was obtained from each patient prior to and immediately after each
treatment. Objective data was obtained from pressure threshold algometry and
the Myofascial Diagnostic Scale. Subjective data was obtained from the
Numerical Pain Rating Scale (NRS) and patients were required to give a sensory
description of their pain at two-minute intervals during the course of the
Statistical analysis of the data was performed using the SPSS version 11.5 and
Stata version 9.0 software. Treatment effects for quantitative outcomes were
analysed using repeated measures ANOVA. Profile plots were examined in
order to assess in which direction the significance lay. Ordinal outcomes were
examined for a treatment effect using ordinal logistic regression modelling.
These models also examined a time by group interaction. Nonparametric
Spearman’s correlation coefficients were used to examine intra-group
A dissertation submitted in partial compliance with the requirements for a Masters's Degree in Technology: Chiropractic, Durban Institute of Technology, Durban, South Africa, 2005.
Appears in Collections:Theses and dissertations (Health Sciences)

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