The Effects of Sacroiliac Joint Dysfunction on Gait and Disability

Completed

• Conditions: Chronic Low-back Pain; Sacroiliac Joint Dysfunction; Gait, Unsteady; Disability Physical
• Interventions: Other: No intervention

• Registration Number: NCT05786118
• Lead Sponsor: Kutahya Health Sciences University

Brief Summary

It has been reported that gait coordination changes in patients with chronic low back pain, walking slower, taking shorter steps and having asymmetrical stride lengths compared to their healthy peers. In addition to many factor cause gait dysfunction, sacroiliac joint dysfunction might be one of reason of these problems. A study examining the effects of sacroiliac joint dysfunction on gait and disability in individuals with chronic low back pain has not been found in the literature. Therefore, the aim of this study is to evaluate the gait parameters and disability of individuals with chronic low back pain and to reveal their relationship with sacroiliac joint dysfunction.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2023-03-14
• Study First Submitted QC: 2023-03-14
• Study Start: 2023-03-21
• Study First Posted: 2023-03-27
• Primary Completion: 2023-05-30
• Study Completion: 2023-09-30
• Status Verified: 2023-11
• Last Update Submitted: 2023-11-28
• Last Update Posted: 2023-11-29

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 61

Inclusion Criteria

• Volunteered to participate in the study.
• Patients with 18-65 years
• Low back pain for at least 3 months,
• Reported pain severity of 2 or greater according to the numeric pain rating scale

Exclusion Criteria

• Previous spine or lower extremity surgery
• Pregnancy
• Severe hypermobility syndromes
• Severe osteoporosis
• Spondyloarthropathies
• Spondylolisthesis
• Systemic inflammatory diseases
• Any neurological disorder that affects balance and gait

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Control Group	No intervention	Individuals with no sacroiliac joint dysfunction: Individuals with sacroiliac joint dysfunction: Participants will be grouped as negative sacroiliac joint dysfunction according to Laslett's algorithm using provocation tests to detect sacroiliac joint dysfunction.
SIJ Group	No intervention	Individuals with sacroiliac joint dysfunction: Participants will be grouped as positive sacroiliac joint dysfunction according to Laslett's algorithm using provocation tests to detect sacroiliac joint dysfunction.

Primary Outcome Measures

Name	Time	Method
Cadance of time-distance gait parameters	1 minutes	Cadance time will be evaluated using with gait platform.The software gives the outcome as steps/min.
Center of Pressure path length of balance parameters	2 minutes	Center of Pressure path length will be evaluated using with gait platform. The software gives the outcome as mm.
Stride length of time-distance gait parameters	1 minutes	Stride length will be evaluated using with gait platform.The software gives the outcome as cm.
Step time of time-distance gait parameters	1 minutes	Step time will be evaluated using with gait platform.The software gives the outcome as sec and calcules for each lower extremity.
Ellipse area of balance parameters	1 minutes	Ellipse area will be evaluated using with gait platform. The software gives the outcome as mm2.
Gate speed of time-distance gait parameters	1 minutes	Gate speed will be evaluated using with gait platform. The software gives the outcome as km/h.
Stride time of time-distance gait parameters	1 minutes	Stride time will be evaluated using with gait platform.The software gives the outcome as sec and calcules for each lower extremity.
Step length of time-distance gait parameters	1 minutes	Step lengt will be evaluated using with gait platform. The software gives the outcome as cm and calcules for each lower extremity.

Secondary Outcome Measures

Name	Time	Method
Numeric Pain Rating Scale	1 minutes	The Numeric Pain Rating Scale (NPRS) that is a unidimensional measure of pain intensity in adults. The 11-point numeric scale ranges from '0' representing one pain extreme (e.g. "no pain") to '10' representing the other pain extreme (e.g. "pain as bad as you can imagine" or "worst pain imaginable".
Oswestry Disability Index	5 minutes	The Oswestry Disability Index (ODI) is an index derived from the Oswestry Low Back Pain Questionnaire used by clinicians and researchers to quantify disability for low back pain. The self-completed questionnaire contains ten questions. Each question is scored on a scale of 0-5. The scores for all questions answered are summed, then multiplied by two to obtain the index (range 0 to 100). Zero is equated with no disability and 100 is the maximum disability possible.

Trial Locations

Locations (1)

Kutahya Health Sciences University Evliya Celebi Hospital Physical Therapy and Rehabilitation Department; 🇹🇷 Kutahya, Turkey