Sacroiliac Joint Dysfunction
Conditions
Keywords
flexibility, mobility, pain, proprioceptive neuromuscular facilitation, sacroiliac joint dysfunction
Brief summary
The sacroiliac joint dysfunction (SIJD) which has a widely heterogeneous etiology, may cause impairment of stability, mobility, posture and flexibility as well as pain due to adaptive or pathological biomechanical changes. In 2020, the number of patients with low back pain (LBP) worldwide was more than half a billion and is expected to exceed 800 million by 2050. Although SIJD has been shown to be related with LBP in more than 30% of patients with LBP, SIJD is still often overlooked as a cause of LBP. Once the diagnosis of SIJD is confirmed by physical examination, the first treatment option consists of the use of a nonsteroidal anti-inflammatory drug or physiotherapy approaches. The proprioceptive neuromuscular facilitation (PNF) is a neurophysiological model-based multifaceted exercise method which is widely used in rehabilitation practice. However, despite the major role of SIJD among the causes of LBP, there are limited studies investigating the efficacy of PNF in SIJD and its effectiveness remains unclear. Thus, the aim of this study was to investigate the effect of pelvic PNF techniques on pain, mobility, flexibility, lumbar range of motion, posture, and trunk muscle endurance in patients with SIJD.
Interventions
OTHERThe Patient Education
The patient education will be given through a brochure and the content of the education included an exercise training consisting of simple exercises for lumbar stabilization (supine bridge, cat-camel, and lumbar stretching) and the participants will be asked to perform these exercises in 3 sets of 10 repetitions 3 days a week for 6-weeks.
OTHERThe Pelvic Proprioceptive Neuromuscular Facilitation Techniques Training
The content of the pelvic proprioceptive neuromuscular facilitation techniques training will include the application of the anterior depression pattern with the rhythmic initiation technique and the application of the posterior elevation pattern with the contract-relax stretch technique. All PNF techniques will be performed in 3 sets of 10 to 12 repetitions. The pelvic proprioceptive neuromuscular facilitation techniques training will be delivered face to face 3 days a week for 6 weeks by an experienced and trained physiotherapist.
Sponsors
Biruni University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* Having a diagnosis of SIJD * Being between the ages of 18 and 40 * Volunteering to participate in the study
Exclusion criteria
* Having a history of any neurological, psychiatric and/or orthopedic disease * Being pregnant or having a suspicion of pregnancy * Having one or more of disc herniations, spondylosis, spondylolisthesis and/or similar lumbar pathologies that may cause low back pain * Having a history of previous spine/hip/lower extremity surgery * Having a history of active malignancy and/or infection * Having a history of any injection and/or surgical procedure for the sacroiliac joint within the last 3 months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The Level of Low Back Pain | 6 weeks | The intensity of low back pain will be rated subjectively on a 100-mm visual analog scale (VAS), where 0-mm indicated no pain and 100-mm indicated worst possible pain |
| Mobility | 6 weeks | The Modified Schober's test will be used to assess mobility of lower back. |
| Flexibility | 6 weeks | The sit-and-reach test will be used to assess flexibility of lower back. |
| Lumbar Range of Motion | 6 weeks | A long-arm universal goniometer will be used to measure the lumbar range of motion. Flexion, extension, right and left lateral flexion, and right and left rotation will be assess. |
| Posture | 6 weeks | The postural alignment will be assessed by using the New York Posture Rating Chart. Total score ranges between 13 and 65 points which higher scores indicate correct/normal postural alignment. |
| Trunk Muscle Endurance | 6 weeks | Trunk flexor and extensor muscle endurance will be assessed with the flexor endurance test and Biering-Sørensen test, respectively. |
Countries
Turkey (Türkiye)
Outcome results
None listed