The Relationship Between the Blockage of the Sacroiliac Joint (SI) and the Spasm of the Piriformis Muscle.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 40
- 试验地点
- 2
- 主要终点
- Changing of piriformis muscle irritability
研究概览
简要总结
An interventional study aimed at verifying the effect of sacroiliac joint blockage on changes in piriformis muscle tension. The study was conducted on 40 subjects, both male and female. Physical therapy methods were used to diagnose muscle tension as a diagnostic tool, along with a visual analogue scale. The intervention was performed using manual mobilisation techniques commonly used in clinical practice. The effectiveness was verified using the same physical therapy diagnostic tool as at the beginning. The entire research process is time-consuming, taking up to 1 hour per examinee.
详细描述
Objectives: The main aim of this study is to summarise current knowledge about the relationship between functional joint blockage and chained muscle spasm. To verify the relationship between sacroiliac joint blockage and piriformis muscle using combined therapy as a diagnostic tool, where the main parameter monitored will be the intensity of piriformis muscle irritability before and after sacroiliac joint mobilisation.
Methods: Measurements will be taken on a group of 40 subjects. The research sample consists of people aged 18-60, randomly divided into an experimental and a control group. All subjects underwent an initial palpation examination of the piriformis muscle, during which the level of pain was determined on a numerical pain scale. All subjects then underwent measurement of the piriformis muscle's irritability threshold using the "Beauty-line device 4000 Topline" device. The experimental group then underwent therapeutic intervention in the form of sacroiliac joint mobilisation using the "Cluster of Lasslet" technique. This was followed by 30 minutes of relaxation. The control group received no therapeutic intervention and only 30 minutes of relaxation between the initial and final examinations. Both groups then underwent the same final examination as at the beginning.
The investigators expect a change in piriformis muscle hypertonicity after sacroiliac joint mobilisation, including a reduction in pain in this muscle, at a statistical significance level of 5%.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •palpation sensitivity of the piriformis muscle in the piriformis line,
- •limited joint play of the sacroiliac joint,
- •pain in the lower back, groin, perineum, buttocks, or hips, tenderness in the sacrum,
- •pain or weakness during resisted abduction at 90° flexion in the hip joint,
- •positive piriformis sign, positive Freiberg's test, positive Trendelenburg's test, or positive Pace's abduction test.
- •At least 50% of the accompanying signs of sacroiliac joint blockage must be present in each subject.
排除标准
- •acute (primarily infectious) diseases,
- •persons in acute condition after an accident,
- •persons recovering from an accident/illness
结局指标
主要结局
Changing of piriformis muscle irritability
时间窗: one hour at all
After removing the sacroiliac joint blockage, the irritability threshold of the piriformis muscle increases and its painfulness decreases. The reduction in pain will be evident based on instrumental measurements using the Beauty-line device and palpation examination.
次要结局
未报告次要终点
研究者
Malá Jitka
PhDr. Jitka Malá, Ph.D.
Charles University, Czech Republic