The Influence of the Manipulation of the Sacroiliac Joint on Low Back Pain

Not Applicable

Completed

• Conditions: Low Back Pain; Sacroiliac Disorder
• Interventions: Other: electrotheraphy group (EG); Other: manipulation group (MG)

• Registration Number: NCT03794830
• Lead Sponsor: University of Extremadura

Brief Summary

The primary focus of this study is to know the influence of sacroiliac joint manipulation on low back pain with or without radiation to lower limbs, in the lumbopelvic-hip joint

Detailed Description

One of the main problems faced by physiotherapists in primary care is low back pain with or without radiation to lower limbs. Nowadays, there are a lot of types of low back pain interventions, yet despite the vast amount of research findings, the evidence remains contradictory and inconclusive: Pharmacological treatments like NSAIDs have shown result in acute low back pain but not in chronic pain; conservative interventions (ultrasound, interferential currents, mechanical traction and massage) have been studied and found ineffective.

A total of 151 low back pain patients with or without radiation to lower limbs between 18-70 years old derived from the Physiotherapy Unit of Gévora Health Center (Badajoz, Spain) voluntarily entered the study

Study Timeline

• Study Start: 2018-12-04
• Study First Submitted: 2019-01-03
• Study First Submitted QC: 2019-01-03
• Primary Completion: 2019-01-04
• Study Completion: 2019-01-04
• Study First Posted: 2019-01-07
• Status Verified: 2019-02
• Last Update Submitted: 2019-02-07
• Last Update Posted: 2019-02-08

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 151

Inclusion Criteria

• dysfunction or sacroiliac joint hypomobility (SI)
• having stopped taking anti-inflammatory medicines or analgesics three days before the study began

Exclusion Criteria

• destructive injuries of the spine and pelvis
• fractures
• lumbar surgery
• sacroiliac instability
• spondylolisthesis
• pregnancy in progress
• cauda equina syndrome
• abdominal aneurysm
• infection
• inflammatory arthritis
• tumors
• osteoporosis

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
electrotherapy group (EG)	electrotheraphy group (EG)	Patients were treated with micro-waves (circular antenna in lumbar area, pulsating-mode 120W for 12 minutes) and later conventional analgesic TENS (80Hz frequency, 30 minutes) 5 days per week over a period of time of 3 weeks (15 sessions of electrotherapy).
manipulation group (MG)	manipulation group (MG)	Patients were treated with sacroiliac joint osteopathic semidirect manipulation twice a week every 3 to 4 days over a period of time of 3 weeks

Primary Outcome Measures

Name	Time	Method
Roland Morris questionnaire	1 week	disability assessment The extreme values oscillate between 0 (absence of disability due to low back pain) and 24 (maximum possible disability)
digital algometer (Wagner, FPIX model)	1 week	Pain threshold assessment by pressing the sensitive points of the muscle
visual analogue scale (VAS)	1 week	Pain assessment from 0 to 10. 0: no pain 10: maximum pain
Oswestry disability index (ODI)	1 week	disability assessment 0% -20% (Minimum Disability) 21% -40% (Moderate disability) 41% -60% (Severe disability) 61% -100% (Disabled):

Trial Locations

Locations (1)

Universidad de Extremadura; 🇪🇸 Badajoz, Spain