EFFECT OF FOAM ROLLING VERSUS MUSCLE ENERGY TECHNIQUE IN ILIOSACRAL DYSFUNCTION AMONG CHRONIC LOW BACK PAIN PATIENTS
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 38
- 试验地点
- 1
- 主要终点
- 1. Pain: Visual Analogue Scale (VAS)
研究概览
简要总结
Background: Between 15% and 30% of people with mechanical low back pain are found to have Sacroiliac (SI) joint pain. The sacroiliac joint is unable to function in isolation; anatomically and biomechanically, it shares its muscles with the hip joint. In general SI joint itself is unaffected, but the musculature surrounding the joint is dysfunctional.
Purpose: There are many studies that look at the treatment approaches separately, none have specifically focused on the ilio-sacral muscle level approach and compared the effects of Foam Roller and MET when used as an adjuvant therapy to improve pain and function in Chronic low back pain. Hence, the purpose of this study is to find the effect of Foam Roller versus Muscle energy technique on iliosacral dysfunction among chronic low back patients.
Study design: Two-group Pre - Post Experimental design
Methods: Patients with chronic low back pain due to ilio-sacral dysfunction will be recruited. Demographic details will be noted, and testing procedure will be explained. Random distribution of subjects to Group A and Group B will be done using chit method. Group A will receive Foam Roller along with corrective exercise whereas Group B will receive Muscle Energy Technique (MET) along with corrective exercise. Both interventions will be given for 2 weeks, 3 days per week (total 6 sessions). Primary Outcome measures will include pain (Visual Analog scale), Trigger point (Pressure- Pain threshold), Function (Modified Oswestry Disability Index) whereas Secondary Outcome will include Functional Leg Length Discrepancy (LLD), Quality of life (EuroQol-5 Dimension).
研究设计
- 研究类型
- Interventional
- 分配方式
- Coin toss, Lottery, toss of dice, shuffling cards etc
- 盲法
- Participant Blinded
入排标准
- 年龄范围
- 20.00 Year(s) 至 40.00 Year(s)（—）
- 性别
- All
入选标准
- •Age: 20 – 40 yrs
- •Willingness to participate and sign informed consent form
- •Both male and female
- •Individuals suffering from unilateral SI Joint dysfunction
- •Individuals suffering from Chronic low back pain (more than 3 months)
- •Include only anterior, posterior and upslip ilio-sacral dysfunction
- •Three out of five positive pain provocation tests (i.e; FABER, High Thrust, Distraction, Compression, and Gaenslen’s test)
- •Three tests out of five tests of iliac crest height, levelness of the PSISs, levelness of the ASISs, standing flex test, and Gillet test should be positive, for Anterior and posterior innominate whereas for upslip dysfunction using standing flexion test
- •VAS cut-off points of mild to moderate.
排除标准
- •Skin Allergy in the thigh, lumbosacral or pelvic area
- •Recent fracture or surgery in the thigh, lumbosacral or pelvic area
- •Radiating pain with motor or sensory deficits
- •Non-cooperative patients
- •In-flare and out-flare dysfunction
- •Pregnancy
- •Other pathologies like SIJ infection, superior cluneal nerve (iliac crest) syndrome, trochanteric bursitis, and scoliosis.
结局指标
主要结局
1. Pain: Visual Analogue Scale (VAS)
时间窗: Day -1 (baseline), at the end 2 weeks and after 4 weeks (follow-up to check the carry over effect).
2. Pain Pressure threshold (PPT): Pressure Algometer
时间窗: Day -1 (baseline), at the end 2 weeks and after 4 weeks (follow-up to check the carry over effect).
3. Function: Modified Oswestry Disability Index (MODI)
时间窗: Day -1 (baseline), at the end 2 weeks and after 4 weeks (follow-up to check the carry over effect).
次要结局
- 1. Leg Length: Functional Leg Length Discrepancy (LLD)(2. Quality of Life : EuroQol-5 Dimension)
研究者
Rama
Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation