Comparison of Thrust Manipulation of Sacroiliac Joint and Pelvic Stabilization Exercises on Pain and Disability Among Patients With Post-Partum Low Back Pain.
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Enrollment
- 44
- Locations
- 2
- Primary Endpoint
- Modified Oswestry Disability Index (ODI)
Study Overview
Brief Summary
compare the effectiveness of SI joint thrust manipulation and pelvic stabilization exercises on Modified OSWESTRY Low Back pain Index (ODI) and Numeric Pain Rating Scale (NPRS) in patients with post-partum lower back pain.
Detailed Description
Patients fulfilling the inclusion criteria will be divided into 2 groups i.e. Group A and Group B. Patients in Group A will receive thrust manipulation technique and Group B will receive pelvic stabilization exercises, heating pad will be given to both groups. Patients will be treated 3 times per week for 4 consecutive weeks. Patient will be evaluated at baseline, midline and at end of 4th week. Pain, functional status and disability will be evaluated after every 3 sessions.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Investigator)
Eligibility Criteria
- Ages
- 20 Years to 40 Years (Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •age 20-40 years
- •Postpartum women (after 6 weeks)(3, 12)
- •Postpartum LBP patient
- •Patient pain increased by provocation test i.e. Faber test, High thrust test and Gaenslen test
Exclusion Criteria
- •C-section
- •inflammatory or malignant type of pain
- •Neurological deficit
- •Severe trauma
- •Pelvic fracture
- •Osteoporosis, spinal stenosis, spondylolysis, spondoloesthesisi
Arms & Interventions
SI joint thrust Manipulation
The patient was supine and the therapist stood contralateral to the side which was to be manipulated. The patient was passively moved into side bending toward the side to be manipulated. The therapist passively rotated the patient, and then delivered a quick thrust to the Anterior Superior Iliac Spine (ASIS) in a posterior and inferior direction
Intervention: SI joint thrust manipulation (Other)
Pelvic Stabilization Exercises
Heating pad for 10- 15 mints Pelvic stabilization exercises. Bridging (3 sets x 10 reps with 10 secs hold), Pelvic Tilt exercise (3 sets x 10 reps with 10 secs hold), Bird-Dog Exercise (3 sets x 10 reps with 10 secs hold), clamshell Exercise (3 sets x 10 reps with 10 secs hold).
Intervention: pelvic stabilization exercises (Other)
Outcomes
Primary Outcomes
Modified Oswestry Disability Index (ODI)
Time Frame: 4th week
The ODI is a disease specific disability measure is used to establish a level of disability stage on a patient activity status and monitor change over the time. The ODI is made up of 10 questions. Each question is scored from (o-5) minimum to maximum.
Numeric pain rating scale (NPRS)
Time Frame: 4th week
The Numeric Pain Rating Scale (NPRS) measures the subjective intensity of pain. The NPRS is an eleven-point scale: the patient rates pain from 0 (no pain) to 10 (worst imaginable pain).
Secondary Outcomes
No secondary outcomes reported