The Effect of Pelvic Proprioceptive Neuromuscular Facilitation Techniques in Patients With Sacroiliac Joint Dysfunction
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 34
- 试验地点
- 2
- 主要终点
- Trunk Muscle Endurance
研究概览
简要总结
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.
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
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 40 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Having a diagnosis of SIJD
- •Being between the ages of 18 and 40
- •Volunteering to participate in the study
排除标准
- •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
结局指标
主要结局
Trunk Muscle Endurance
时间窗: 6 weeks
Trunk flexor and extensor muscle endurance will be assessed with the flexor endurance test and Biering-Sørensen test, respectively.
Mobility
时间窗: 6 weeks
The Modified Schober's test will be used to assess mobility of lower back.
Posture
时间窗: 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
时间窗: 6 weeks
The sit-and-reach test will be used to assess flexibility of lower back.
Lumbar Range of Motion
时间窗: 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
时间窗: 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"
次要结局
未报告次要终点
研究者
Hikmet Ucgun
Assistant Professor
Atlas University