The Influence of the Manipulation of the Sacroiliac Joint on Low Back Pain With or Without Radiation to Lower Limbs
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Low Back Pain
- Sponsor
- University of Extremadura
- Enrollment
- 151
- Locations
- 1
- Primary Endpoint
- Roland Morris questionnaire
- Status
- Completed
- Last Updated
- 7 years ago
Overview
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
Investigators
Alejandro Caña Pino
Principal Investigator. Medical Surgical-Therapy Department, Universidad de Extremadura Facultad de Medicina, Badajoz, Spain
University of Extremadura
Eligibility Criteria
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
Outcomes
Primary Outcomes
Roland Morris questionnaire
Time Frame: 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)
Time Frame: 1 week
Pain threshold assessment by pressing the sensitive points of the muscle
visual analogue scale (VAS)
Time Frame: 1 week
Pain assessment from 0 to 10. 0: no pain 10: maximum pain
Oswestry disability index (ODI)
Time Frame: 1 week
disability assessment 0% -20% (Minimum Disability) 21% -40% (Moderate disability) 41% -60% (Severe disability) 61% -100% (Disabled):