The Effect of Pelvic Proprioceptive Neuromuscular Facilitation Techniques in Patients With Sacroiliac Joint Dysfunction
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Sacroiliac Joint Dysfunction
- Sponsor
- Biruni University
- Enrollment
- 34
- Locations
- 1
- Primary Endpoint
- Trunk Muscle Endurance
- Status
- Completed
- Last Updated
- 2 years ago
Overview
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.
Investigators
Hikmet Ucgun
Assistant Professor
Atlas University
Eligibility Criteria
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
Outcomes
Primary Outcomes
Trunk Muscle Endurance
Time Frame: 6 weeks
Trunk flexor and extensor muscle endurance will be assessed with the flexor endurance test and Biering-Sørensen test, respectively.
Mobility
Time Frame: 6 weeks
The Modified Schober's test will be used to assess mobility of lower back.
Posture
Time Frame: 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
Time Frame: 6 weeks
The sit-and-reach test will be used to assess flexibility of lower back.
Lumbar Range of Motion
Time Frame: 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
Time Frame: 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"