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Effects of KinesioTaping Versus Dry Needling in the Treatment of Sacroiliac Joint Pain Among Females.

Not Applicable
Completed
Conditions
Sacroiliac Joint Pain
Registration Number
NCT06755125
Lead Sponsor
Sehat Medical Complex
Brief Summary

The goal of this randomized controlled trial was to investigate the effects of kinesio taping and dry needling on sacroiliac joint (SIJ) pain due to piriformis muscle tightness among females aged 20 to 50 years.

The main research questions it aimed to answer were:

Null Hypothesis (H₀):

There was no significant difference in the effectiveness of kinesio taping and dry needling on SIJ pain caused by piriformis muscle tightness.

Alternate Hypothesis (H₁):

There was a significant difference in the effectiveness of kinesio taping and dry needling on SIJ pain caused by piriformis muscle tightness.

All study participants provided both written and verbal consent. The research was prospective and randomized. The investigation was conducted on individuals between the ages of 20 and 50 during follow-up visits. According to the inclusion and exclusion criteria, a total of 45 participants were selected. Subjects who agreed to participate were randomly assigned to two groups.

Group A received a hot pack, TENS, piriformis simple stretching and isometric exercises, along with kinesio taping.

Group B received a hot pack, TENS, simple stretching and isometric exercises, along with dry needling.

Piriformis tightness was diagnosed using the Piriformis test, and by assessing hip internal rotation and adduction. Sacroiliac joint pain was detected using the Posterior Pain Provocation Test, Gaenslen's Test, and Patrick's Test. At the beginning of the treatment, all participants underwent pretest measurements using the Numeric Pain Rating Scale, Goniometer, Functional Gait Assessment, and Oswestry Disability Index.

Detailed Description

All research participants were fully informed about the goals, duration, treatment protocols used within the boundaries of the study, any potential side effects, and concerns that could arise. All study participants provided both written and verbal consent. The research was prospective and randomized. The investigation was conducted on individuals between the ages of 20 and 50 during follow-up visits. According to the inclusion and exclusion criteria, a total of 45 participants were selected. Subjects who intended to participate were randomly assigned to two groups.

Group A received hot packs, TENS, piriformis simple stretching and isometrics, along with the use of kinesio taping.

Group B received hot packs, TENS, simple stretching and isometrics, along with the use of dry needling.

Piriformis tightness was diagnosed using the Piriformis test, and by assessing hip internal rotation and adduction, whereas sacroiliac joint pain was detected using the Posterior Pain Provocation Test, Gaenslen's Test, and Patrick's Test. At the beginning of the treatment, all participants underwent pretest measurements using the Numeric Pain Rating Scale, Goniometer, Functional Gait Assessment, and Oswestry Disability Index.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
88
Inclusion Criteria
  • Only females were selected for the study.
  • NPRS Score was between 5 to 10.
  • Patients who were not have undergone surgery for SIJD.
  • Patients with pain in the lower back, gluteal and groin area, and lower extremity lasting for more than 4 weeks but less than 1 year were selected.
  • Patients with pain in the lower back, gluteal and groin areas, and lower extremities lasting for more than 4 weeks but less than 1 year were selected.
Exclusion Criteria
  • Musculoskeletal and neurological conditions; lumbar canal stenosis,lumbar spine surgery,vertebral fracture,neurological conditions.
  • Inflammatory, autoimmune, and gynecological conditions, Active pelvic inflammatory disease,rheumatological diseases,endometriosis.
  • Systemic conditions; Cancer,diabetes mellitus,intermittent vascular claudication,skin allergies.
  • Phobia of needles.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Numeric Pain Rating Scale (NPRS):2 Weeks

The NPRS was used to quantify pain intensity through an 11-point numeric continuum. Individuals are prompted to assess their pain levels within a range from 0 (indicating an absence of pain) to 10 (representing the most extreme imaginable pain)

Oswestry Disability Index (ODI):2 weeks

The ODI is a questionnaire containing 10 items covering disability caused by low back pain. Each item was assessed on a six-level ordinal scale with '0' describing 'no limitation' and '5' describing 'extreme limitation or an inability to function'. The total score is a percentage calculated by the sum of all answers divided by 50 (the maximum possible number of points) and multiplied by 100 as follows: 'Total score = (∑item scores/50) x 100'.

Goniometer:2 weeks

The UG which has a transparent plastic 360° face, two movable arms, and a 1° gradation was used.

Functional Gait Assessment (FGA)2 weeks

The instrument consists of 10-items: gait level surface, changes in gait speed, gait with horizontal head turns, gait with vertical head turns, gait and pivot turn, step over obstacles, gait with narrow base of support, gait with eyes closed, ambulating backwards, and steps. Each item was demonstrated to the participants by one of the raters to facilitate understanding and will graded on a four-point ordinal scale ranging from 0 (severe impairment), 1 (moderate impairment), 2 (mild impairment), to 3 (normal), with a maximum score of 30 points. The higher the score, the better the participant's postural stability during gait.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Sehat Medical Complex

🇵🇰

Lahore, Punjab, Pakistan

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