Low Back Pain, Sacroiliac Disorder
Conditions
Keywords
sacroiliac joint, low back pain, Osteopathic manipulation
Brief summary
The primary focus of this study is to know the influence of sacroiliac joint manipulation on low back pain with or without radiation to lower limbs, in the lumbopelvic-hip joint
Detailed description
One of the main problems faced by physiotherapists in primary care is low back pain with or without radiation to lower limbs. Nowadays, there are a lot of types of low back pain interventions, yet despite the vast amount of research findings, the evidence remains contradictory and inconclusive: Pharmacological treatments like NSAIDs have shown result in acute low back pain but not in chronic pain; conservative interventions (ultrasound, interferential currents, mechanical traction and massage) have been studied and found ineffective. A total of 151 low back pain patients with or without radiation to lower limbs between 18-70 years old derived from the Physiotherapy Unit of Gévora Health Center (Badajoz, Spain) voluntarily entered the study
Interventions
OTHERmanipulation group (MG)
Patients were treated with sacroiliac joint osteopathic semidirect manipulation twice a week every 3 to 4 days over a period of time of 3 weeks
OTHERelectrotheraphy group (EG)
Patients were treated with micro-waves (circular antenna in lumbar area, pulsating-mode 120W for 12 minutes) and later conventional analgesic TENS (80Hz frequency, 30 minutes) 5 days per week over a period of time of 3 weeks (15 sessions)
Sponsors
University of Extremadura
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
Yes
Inclusion criteria
* dysfunction or sacroiliac joint hypomobility (SI) * having stopped taking anti-inflammatory medicines or analgesics three days before the study began
Exclusion criteria
* destructive injuries of the spine and pelvis * fractures * lumbar surgery * sacroiliac instability * spondylolisthesis * pregnancy in progress * cauda equina syndrome * abdominal aneurysm * infection * inflammatory arthritis * tumors * osteoporosis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| visual analogue scale (VAS) | 1 week | Pain assessment from 0 to 10. 0: no pain 10: maximum pain |
| Oswestry disability index (ODI) | 1 week | disability assessment 0% -20% (Minimum Disability) 21% -40% (Moderate disability) 41% -60% (Severe disability) 61% -100% (Disabled): |
| Roland Morris questionnaire | 1 week | disability assessment The extreme values oscillate between 0 (absence of disability due to low back pain) and 24 (maximum possible disability) |
| digital algometer (Wagner, FPIX model) | 1 week | Pain threshold assessment by pressing the sensitive points of the muscle |
Countries
Spain
Outcome results
None listed