Sacroiliac Joint Somatic Dysfunction
Conditions
Keywords
Sacroiliac joint dysfunction, Manuel therapy, Sacroiliac joint injection
Brief summary
The purpose of this study is to compare the efficacy of manual therapy and sacroiliac joint injections in patients with sacroiliac joint dysfunction
Interventions
OTHERManuel therapy
Some sacroiliac manipulation and mobilization techniques will be applied to patients by an experienced physiatrist. Patients in the manual therapy group will receive 5 sessions of sacroiliac joint manipulation once a week.
Corticosteroid (1 ml 40 mg methylprednisolone) and local anesthetic (1 ml 1% lidocaine) will be injected into the sacroiliac joint using a 22 G spinal needle, guided by fluoroscopy (C-arm fluoroscopy) by an experienced physiatrist. It will be applied just one time.
Sponsors
Gaziler Physical Medicine and Rehabilitation Education and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Low back and/or gluteal pain and/or groin pain without radicular extension below the L4 level for more than 3 months * Pain score greater than 3 according to NRS * Unresponsiveness to conservative treatment (such as exercise, NSAID) * At least 3 of the five sacroiliac provocation tests (FABER (Patrick), thigh thrust, Gaenslen, sacroiliac compression, and sacroiliac distraction tests) are positive
Exclusion criteria
* Refusing to participate in the study * Pregnancy * History of inflammatory disease (ankylosing spondylitis, psoriatic arthritis, rheumatoid arthritis, etc.) * Infective sacroiliitis * Malignancy * Osteoporosis * Mechanical lumbosacral pathologies (spondylolisthesis, scoliosis, stenosis, etc.) * Neurological finding in the lower extremity * Pain spreading below the knee * History of spinal surgery * History of allergy to drugs to be injected (local anesthetic, contrast material, steroid allergy)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Numeric Rating Scale, NRS | Change from baseline NRS at 3 months | NRS is an 11-grade scale that evaluates the severity of pain in adults .NRS is one of the most commonly used scales in the assessment of pain severity. Possible scores ranges from 0( no pain) to 10 ( worst pain) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Oswestry Disability index | Baseline, Month 1, Month 3, Month 6 | The Oswestry disability index will be used to evaluate how much the patients' low back pain limits their activities in daily life. This index was first created in 1980 . The questionnaire consists of 10 sections, each assessing limitations in different daily activities and functions. Each section is scored from 0 to 5. A score of 0 indicates that there is no restriction while doing that activity, while a score of 5 represents the highest level of restriction in that activity. The maximum score is 50. As the total score increases, the disability level of the individual increases. In 2004, Turkish validity study was carried out by Yakut et al. |
Countries
Turkey (Türkiye)
Outcome results
None listed