The Effect of Pelvic Proprioceptive Neuromuscular Facilitation Techniques in Patients With Sacroiliac Joint Dysfunction

Not Applicable

Completed

• Conditions: Sacroiliac Joint Dysfunction
• Interventions: Other: The Patient Education; Other: The Pelvic Proprioceptive Neuromuscular Facilitation Techniques Training

• Registration Number: NCT06366971
• Lead Sponsor: Biruni University

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.

Detailed Description

Not available

Study Timeline

• Study Start: 2023-12-01
• Primary Completion: 2024-03-31
• Study Completion: 2024-03-31
• Status Verified: 2024-04
• Study First Submitted: 2024-04-05
• Study First Submitted QC: 2024-04-14
• Last Update Submitted: 2024-04-14
• Study First Posted: 2024-04-16
• Last Update Posted: 2024-04-16

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 34

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Experimental Group	The Patient Education	The experimental group will receive exercise training consisting of pelvic PNF techniques in addition to patient education which consisting of basic lumbar stabilization exercises 3 days a week for 6-weeks.
Experimental Group	The Pelvic Proprioceptive Neuromuscular Facilitation Techniques Training	The experimental group will receive exercise training consisting of pelvic PNF techniques in addition to patient education which consisting of basic lumbar stabilization exercises 3 days a week for 6-weeks.
Control Group	The Patient Education	The control group will receive patient education consisting of basic lumbar stabilization exercises 3 days a week for 6-weeks.

Primary Outcome Measures

Name	Time	Method
Trunk Muscle Endurance	6 weeks	Trunk flexor and extensor muscle endurance will be assessed with the flexor endurance test and Biering-Sørensen test, respectively.
Mobility	6 weeks	The Modified Schober's test will be used to assess mobility of lower back.
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.
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.
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"

Trial Locations

Locations (1)

Istanbul Atlas University; 🇹🇷 Istanbul, Kagıthane, Turkey