Anterior Pelvic Tilt
Conditions
Keywords
Manipulation, Disability, Girdle pain, Muscle Stretching
Brief summary
The study aims to determine whether lumbopelvic manipulation yields superior improvements in pain, pelvic alignment, and functional ability when combined with METs compared to the treatment provided through METs solely.
Detailed description
With anterior innominate dysfunction (AID), the innominate bone rotates anteriorly over the sacrum, which produces pelvic dysfunction affecting the biomechanics of the pelvis, usually causing pelvic asymmetry and problems in regional and musculoskeletal patterns of pain, with the most affected being in the hip and low back. AID can hinder posture, mobility, and activities in daily functional living. Physiotherapy always includes a conservative approach. This study will be a randomized controlled trial with 46 participants. The target sample size was adjusted to 52 participants to accommodate a 10% dropout rate.
Interventions
OTHERLumbopelvic manipulation and METs
Group A will undergo Lumbopelvic manipulation and METs
OTHERMETs
Group A will undergo METs
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
25 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* • Participants' age range 25\_40 years. * Females * Have subacute (4-12 weeks) pain close to PSIS * Have ≥3/4 positive test PSIS height, standing flexion, prone knee flexion, supine to long sitting * Two out of four positive tests of pain provocation Distraction, compression, thigh thrust, and sacral thrust test) * Patients have moderate pain on the NPRS
Exclusion criteria
* Participants with True leg length Differences * Systemic illnesses, such as ankylosing spondylitis or RA, or pregnancy * Individuals with anticoagulation or bleeding disorders, acute muscle trauma, infections, lumbar disc herniation, spinal deformities, or a history of spinal surgery or anticoagulation medication * No history of fracture
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Numeric Pain Rating Scale (NPRS) for pain | 4 weeks | This instrument is commonly used to rate the severity of pain. A scale of 0 to 10 is used by patients to rate their present level of pain, with 0 indicate "no pain" and 10 indicate the "worst possible pain. The patient verbally report number between 0 to 10. NPRS demonstrate strong measurement properties in patients with low back pain |
| Oswestry Disability Index (ODI) for functional disability | 4 weeks | ODI version 2 was used in this study assess functional disability associated with low back pain and sacroilliac joint dysfunction. ODI is standardized and widely used self-reported questionnaire evaluate impact of pain on activities of daily living and functional status. It consists of 10 sections including pain intensity, personal care, lifting, walking, sitting, standing, sleeping, sex life, social life, and traveling. Each domain consists of six items that are ranked from 0 to 5, with 0 being no disability and 5 being maximum disability. |
| Clinometer: | 4 weeks | Smart Phone based inclinometer is a digital tool to measure body segmental angel when placed on Anatomical landmark Such as ASIS and PSIS and estimate pelvic tilt angel in standing and sitting position and align them using tape. This smart phone-based measurement tool has Reliability intra-rater: ICC = 0.87 and inter-rater: ICC = 0.82 in standing and in sitting intra-rater: ICC = 0.91 and inter-rater: ICC = 0.88 show excellent reproducibility and consistency of measurement. |
Countries
Pakistan
Contacts
CONTACTImran Amjad, PhD
PRINCIPAL_INVESTIGATORHira Shaukat, Mphill
Riphah International University
Outcome results
None listed