Mulligan's Mobilization and Proprioceptive Neuromuscular Facilitation Technique in Sacroiliac Joint Dysfunction

Not Applicable

• Conditions: SACROILIAC JOINT DYSFUNCTION
• Interventions: Other: PNF; Other: Mulligan Mobilization

• Registration Number: NCT05356650
• Lead Sponsor: Riphah International University

Brief Summary

This study will aim to compare the effects of mulligan mobilization and PNF on pain and disability with patients of SIJ dysfunction and will be helpful for clinical physiotherapist to choose more effective treatment protocol for patients as there are fewer researches on comparison of these techniques.

Detailed Description

The sacroiliac joint dysfunction syndrome (SIJDS) is an ongoing controversial issue and an important source of low back pain (LBP). It has been emphasized in many studies that the pathologies of sacroiliac joint (SIJ) are a source of pain in the lumbar spine and hip region. The prevalence of SIJDS in patients with chronic mechanical LBP is between 15 and 30% SIJD is a condition in which pain arises from the sacroiliac joint and is caused by the abnormal movement of ilium around the sacrum and abnormal function of the SIJ structures, like ligaments, muscles, capsules. The prevalence of SIJP has been stated to be up to 75% in LBP patients.

Physiotherapy techniques are used to correct SIJ mal-alignment manually by restoring the normal function and balance of lumbar and pelvic muscles and ligaments. Mulligan described the positional fault theory in which articular mal-alignment leads to altered kinematics and eventual dysfunction(2). Proprioceptive neuromuscular facilitation (PNF) is a form of flexibility exercises used to resolve muscle shortening and strain.

Study Timeline

• Status Verified: 2022-04
• Study Start: 2022-04-15
• Study First Submitted: 2022-04-26
• Study First Submitted QC: 2022-04-26
• Last Update Submitted: 2022-04-26
• Study First Posted: 2022-05-02
• Last Update Posted: 2022-05-02
• Primary Completion: 2022-08-15
• Study Completion: 2022-09-15

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 38

Inclusion Criteria

• Age 20 to 35 years

  • Both genders
  • Subjects with positive provocation test ( Faber's test\Patricks test, Gaenslen test, distraction test, compression test, sacral thrust test)
  • Subjects with positive innominate test ( Stork Test\Gillet Test)
  • Subjects who agree to fill the informed consent

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Exclusion Criteria

• Pregnant women

  • Presence of neurological signs
  • Patient with ankylosis spondylosis.
  • Patient has been diagnosed by disease other than SIJ dysfunction
  • Patients having any congenital posture problem or previous surgery
  • SLR less than 45 degree
  • Patient having any mental problem or reduced cognitive ability

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
PNF Technique	PNF	Three sets of stretching of each muscle will be performed for each position with the frequency of 3 times a week for 6 weeks.
Mulligan Mobilization	Mulligan Mobilization	Treatment will be given with frequency of 3 sets with 10 repetitions on sacroiliac joint 3 times a week for 6 weeks

Primary Outcome Measures

Name	Time	Method
Numeric Pain Rating scale	3 months	The most common validated tool for assessment of pain in clinical tests is the numeric pain rating score (NPRS), a 10-point scale where 0 indicates no pain and 10 indicates severe pain
Modified Oswestry Disability Questionnaire	3 months	The Oswestry Disability Index (also known as the Oswestry Low Back Pain Disability Questionnaire) is an extremely important tool that researchers and disability evaluators use to measure a patient's permanent functional disability. The questionnaire consists of 10 items addressing different aspects of function. Each item is scored from 0 to 5, with higher values representing greater disability. The total score is multiplied by 2 and expressed as a percentage

Trial Locations

Locations (1)

Govt. Hospital DHQ; 🇵🇰 Jhang, Punjab, Pakistan