Anterior innominate iliosacral dysfunction (AIISD). Pain in joint
Conditions
Interventions
Intervention 1: Control group: The group A (control group A) was given muscle energy technique with sham dry needling (MET + SDN).
Sponsors
Tehran University of Medical Sciences
Tehran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 50 Years
Inclusion criteria
Inclusion criteria: Age: 18–50 years BMI of 18.5–30 kg/m² Chronic low back pain (LBP) duration: Minimum of 6 weeks to over 3 months. mechanical and uncomplicated in nature. Pain intensity: VAS score between 3 and 8, indicating moderate to severe pain. Diagnosed chronic SIJ syndrome with at least 3 out of 5 positive SIJ provocation tests Stable physical activity level: Sedentary to moderately active based on IPAQ guidelines. Written informed consent provided, understanding procedures objectives. No dry needling or electro-acupuncture in the last 6 months to avoid treatment bias. Washout period of 3 days for analgesic medication prior to participation.
Exclusion criteria
Exclusion criteria: Absolute contraindications to SMT. Significant musculoskeletal conditions Neurological disorders affecting lower extremities .Severe comorbidities . Pregnancy or plans for pregnancy during the study period. History of pelvic surgery in the past year. Use of medications altering pain. muscle function unless stabilized for 3 months. Allergies or adverse reactions to needles or electrical stimulation Psychiatric disorders impairing protocol adherence, substance Recent trauma. Participants actively treated at DUT Chiropractic Day Clinic without a 2-week washout period. Participants engaging in major physical activities or taking NSAIDs during the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain threshold pressure. Timepoint: first session and after two weeks. Method of measurement: Pressure algometry is a method used to assess pain threshold by applying controlled pressure to a specific body part using an algometer. The threshold is defined as the minimum pressure at which the subject reports the sensation of pain. This technique quantifies pain sensitivity and can be used to evaluate conditions such as fibromyalgia or chronic pain syndromes. | — |
Secondary
| Measure | Time frame |
|---|---|
| Muscle stiffness. Timepoint: first session and after two weeks. Method of measurement: Measurement of gluteus maximus and Medius stiffness is performed using imaging techniques such as ultrasonography These assessments provide quantitative data regarding the structural integrity and functional characteristics of the gluteal muscles. Stiffness measurements can indicate muscular tension and potential dysfunction. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactAzadeh Shadmehr
Tehran University of Medical Sciences
Outcome results
None listed