Efficacy of Muscle Energy Technique and Kinesiotape Application in Addition to Other Physiotherapeutic Intervention in Patients With Mechanical Sacroiliac Joint Dysfunction
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 发起方
- 入组人数
- 30
- 试验地点
- 2
- 主要终点
- Digitalized Pain Pressure Algometer
研究概览
简要总结
Background:
Mechanical sacroiliac joint dysfunction is associated with pain and stiffness which can later on gives restriction of overall motion. Total 60% of the body weight is mainly received by the sacroiliac joint and it is related with pelvis and lower extremity. Due to Bio- mechanical alteration muscles around the joint area get weakened.Muscle energy technique helps to improve body's normal function by giving strength as well as decrease pain and stiffness and Kinesiotaping also helps to stabilize the joint structure by giving more functional benefit.
Aim:
The Aim of the study is to evaluate the efficacy of Muscle energy technique & Kinesiotaping in addition to other physio-therapeutic intervention in patients with Mechanical Sacroiliac joint Dysfunction.
Methods:
This study is a randomized clinical trial and subjects will recruit on the basis of inclusion criteria. Age group between 30 to 50 years of mechanical sacroiliac joint dysfunction patients will be taken. Any pathological condition like inflammation of sacroiliac joint and fracture of pelvic bone will be excluded. Patient will be randomized on the basis of SNOSE method. After randomization in two equal group treatment will be given and data will be analyzed separately. One Experimental group will receive Muscle energy technique and conventional physiotherapy and another experimental group will receive Kinesiotaping and conventional physiotherapy. Modified Oswestry Disability Index helps to evaluate functional limitation associated with Mechanical Sacroiliac joint Dysfunction.
Data Analysis:
Normality of the collected data will be established by Shapiro wilk test. Based on the normality, descriptive statistics data will be expressed as mean± standard deviation or median and intra-quartile range. Within group comparison will be calculated by paired-t test or Wilcoxon Signed Rank test and between group comparison will be done through Independent-t test or Mann-Why U test. P value will be set at significance level(0.05).
详细描述
- Introduction:
Mechanical Sacroiliac joint dysfunction (SIJD) is the most common source of low back pain and affects 70-85% adults. It is also associated with groin & buttock pain and sometime also leg pain. Non discogenic pain can also be occur due to dysfunction around Sacroiliac Joint. Sacroiliac joint dysfunction also called as pelvic girdle pain (PGP), which arises from several intra-articular structures, anterior sacroiliac ligament, posterior sacroiliac ligament, articular cartilages. Sacroiliac joint pain is one of the common sources of mechanical low back pain. This may lead to bio-mechanical alteration in structure around pelvis.Where as Muscle Energy Technique(MET) involves physiological response of the antagonists of a muscle which has been isometrically contracted. Mainly MET is a soft tissue manipulation which include force generated by the patient may be maximum muscle contraction are twitch of the muscle. Where as functional stability as well as mobility can be achieved by Kinesiotape application.
1.1: Problem statement:
Mainly sacroiliac joint dysfunction associated with altered arthokinematics due to muscle weakness. Kinesiotaping and MET will be helpful if they are used with conventional physiotherapy. Thus there is need to find out the efficacy of MET and Kinesiotaping in addition to conventional physiotherapy in patients with mechanical SIJD.
1.2:Purpose of the study:
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 (Participant)
盲法说明
Participant blinded (Single blinded)
入排标准
- 年龄范围
- 30 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Pain in the low back, buttock and groin area
- •Restricted Sacroiliac joint motion as tested by clinical tests (Standing Flexion & Sitting Flexion test)
- •Leg pain more than 4 weeks but less than 1 year
排除标准
- •Inflammation in sacroiliac joint like sacroilitis
- •Pregnancy
- •Pelvic bone Fractures
- •Metallic implants (endoprostheses) in pelvis
- •Malignancy
- •Inflammatory bowel disease
结局指标
主要结局
Digitalized Pain Pressure Algometer
时间窗: 2 weeks
It is an important tool for measuring pain pressure threshold level
Hand Held Dynamometer
时间窗: 2 weeks
It is useful tool for calculating muscle strength of lower extremity
次要结局
- Modified Oswestry Disability Index(2 weeks)
研究者
Asir John Samuel
Supervisor and Associate Professor, Department of Pediatric and Neonatal Physiotherapy
Maharishi Markendeswar University (Deemed to be University)