Postpartum Sacroiliac Joint Pain
Conditions
Brief summary
Despite the high popularity and novelty of shock wave therapy (SWT), it is surprising that just one study has examined the effect of SWT on patients with SIJD and their functional ability following treatment by using subjective assessment tools like numeric rating scale (NRS) and limited by its small sample size and lack of long-term follow-up. Therefore, the present study is expected to contribute to the body of knowledge by exploring the effect of adding SWT to core stability exercises in the management of postpartum sacroiliac joint pain.
Interventions
OTHERShock wave therapy and core stability exercises
20 post-partum women with SIJP will be treated by ESWT once weekly combined with core stability exercises 3 times per week for 6 weeks.
OTHERcore stability exercises only
20 post-partum women with SIJP will be treated by core stability exercises 3 times per week for 6 weeks.
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
25 Years to 35 Years
Healthy volunteers
No
Inclusion criteria
* post-partum women diagnosed with SIJP with limitation of its movement referred from the orthopedist. * Age is between 25-35 years old. * Their body mass index will be ranged from 25-35 kg/m2.
Exclusion criteria
Patients who have one of the following criteria will be excluded from the study: * Previous spinal surgery. * Medical diagnosis other than SIJ dysfunction. * Patients who had any other spine disorders. * Patients who had leg length discrepancies. * Patients with congenital postural deformities. * Patients with spinal cord injury or acute or unstable neurological signs. * Patients with cauda equina symptoms related to the spine including changes in bowel or bladder control and perineal sensation. * Patients with lumber intervertebral disc, spondylosis, lumbar canal stenosis and spondylolysthesis.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Sacroiliac joint pain intensity | change from base line at 6 weeks. | Sacroiliac joint pain intensity will be measured by visual analogue scale |
| pain pressure threshold | change from base line at 6 weeks. | pain pressure threshold will be measured by pressure algometer |
| functional disability | change from base line at 6 weeks | functional disability will be measured by Oswestry disability index |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| quality of life | change from base line at 6 weeks. | quality of life will be measured by the standard quality of life assessment tool which is known as the short-form SF 36 tool |
Outcome results
None listed