Gluteus Maximus Versus Gluteus Medius Strength On Back Muscles Performance In Patients With Sacroiliac Dysfunction

Not Applicable

Not yet recruiting

• Conditions: Sacroiliac Joint Dysfunction
• Interventions: Other: Glutes maximus strength protocol; Other: Gluteus medius strength program; Other: Corrective Exercises; Device: Ultrasound

• Registration Number: NCT05809206
• Lead Sponsor: Cairo University

Brief Summary

This study will be conducted to compare between the effect of glutes maximus and glutes medius muscles strength on back muscle performance in patients with Sacroiliac joint dysfunction.

Detailed Description

The purposes of this study are:

1. To investigate the effect of Gluteus maximus strengthening exercises and Gluteus medius strengthening exercises on back pain in patient with Sacroiliac joint dysfunction

2. To investigate the effect of Gluteus maximus strengthening exercises and Gluteus medius strengthening exercises on back muscle performance in patients with Sacroiliac joint dysfunction

3. To investigate the effects of Gluteus maximus strengthening exercises and Gluteus medius strengthening exercises on function in patient with Sacroiliac joint Dysfunction

Study Timeline

• Status Verified: 2023-03
• Study First Submitted: 2023-03-17
• Study First Submitted QC: 2023-03-30
• Last Update Submitted: 2023-03-30
• Study Start: 2023-04-10
• Study First Posted: 2023-04-12
• Last Update Posted: 2023-04-12
• Primary Completion: 2023-06-15
• Study Completion: 2023-08-15

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• Age from 25-40 years.
• Patients with chronic lumbopelvic pain (more than 12 weeks) and clinical test positive for SIJD.
• The pain distribution and tenderness on palpation under the posterior superior iliac spine (PSIS) are reliable signs that the SIJ is the source of pain.
• Complaint of unilateral pain rather than bilateral pain is also considered more likely to be coming from an SIJ.
• Patients willing and able to participate in an exercise program safely and without cognitive impairments that would limit their participation.

Exclusion Criteria

• Neurological disorder, psychosomatic disorder
• Tumor.
• Infection condition.
• Recent surgeries.
• Pregnancy.
• Back pain referred from organic cause.
• Osteoporosis and bone disease (induced or idiopathic).

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Glutes maximus Strengthening group	Corrective Exercises	Twenty patients received Strengthening exercises for Glutes maximus muscle and conventional physical therapy (corrective exercises and ultrasound).
Glutes Medius Strengthening group	Ultrasound	Twenty patients received Strengthening exercises for Glutes medius muscle and conventional physical therapy (corrective Exercises and therapeutic ultrasound (US).
Conventional treatment group	Ultrasound	Twenty Patients received conventional therapy (corrective exercises and ultrasound).
Glutes maximus Strengthening group	Ultrasound	Twenty patients received Strengthening exercises for Glutes maximus muscle and conventional physical therapy (corrective exercises and ultrasound).
Glutes Medius Strengthening group	Corrective Exercises	Twenty patients received Strengthening exercises for Glutes medius muscle and conventional physical therapy (corrective Exercises and therapeutic ultrasound (US).
Glutes maximus Strengthening group	Glutes maximus strength protocol	Twenty patients received Strengthening exercises for Glutes maximus muscle and conventional physical therapy (corrective exercises and ultrasound).
Glutes Medius Strengthening group	Gluteus medius strength program	Twenty patients received Strengthening exercises for Glutes medius muscle and conventional physical therapy (corrective Exercises and therapeutic ultrasound (US).
Conventional treatment group	Corrective Exercises	Twenty Patients received conventional therapy (corrective exercises and ultrasound).

Primary Outcome Measures

Name	Time	Method
Assessing the change in pain intensity	at baseline and after 5 weeks of intervention	By using visual analogue scale (VAS). This scale will be used to measure the intensity of pain. It has been graded as a 10-cm line, which was used for measuring the intensity of perceived pain. In this scale, zero represents the absence of pain, 1-3 shows mild pain, 4-6 denotes moderate pain, and 7-10 indicates severe pain
Assessing the change in the peak torque of back muscles	at baseline and after 5 weeks of intervention	By using isokinetic dynamometer, and the unit of of measurement will be (Kg).
Assessing the change in pain threshold	at baseline and after 5 weeks of intervention	by using Traditional pressure algometers are ideal for measuring pressure pain threshold (PPTs) of superficial muscles and bony landmarks. Pressure pain threshold has been defined as the lowest stimulus intensity at which a subject perceives mechanical pain
Assessing the change in Functional ability level	at baseline and after 5 weeks of intervention	By using Modified Oswestry Disability Questionnaire (MODQ). The Oswestry Low Back Pain Disability Questionnaire Arabic version will be used to measure disability caused by low back pain in the general population. It consists of 10 questions each consisting of six alternatives. Every question is scored from 0-5 and a percentage are formulated as a result of the sum of the scores.

Trial Locations

Locations (1)

Outpatient clinic faculty of physica therapy cairo university; 🇪🇬 Dokki, Egypt