Efficacy of Dry Needling for Releasing the Sacrotuberous Ligament on Pain Intensity, Functional Disability, and Biomechanical Changes in Patients With Sacroiliac Joint Dysfunctions
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Numeric Pain Rating Scale
研究概览
简要总结
Sacroiliac joint dysfunction is a common source of low back and pelvic pain, often caused by improper load transfer through the pelvis. The sacrotuberous ligament stabilises the sacroiliac joint by limiting sacral nutation and supporting posterior pelvic structures. The sacroiliac joint connects the sacrum to the ischial tuberosity and integrates with muscles like the gluteus maximus and biceps femoris. Tightness, dysfunction, or pain in the sacrotuberous ligament can exacerbate sacroiliac joint dysfunction by altering mechanics. Dry needling is increasingly used for myofascial pain and muscle dysfunction. Applying dry needling to release ligamentous structures is novel and may improve the biomechanics of the sacroiliac joint by alleviating tension in the sacrotuberous ligament. The aim of the study is to investigate the efficacy of dry needling for releasing the sacrotuberous ligament in patients with sacroiliac joint dysfunctions on pain intensity, functional disability, and biomechanical changes, along with routine physical therapy compared to sham dry needling and routine physical therapy.
详细描述
Specific Objectives:
- To assess the effects of STL dry needling on pain intensity in patients with sacroiliac joint dysfunction, as measured by the Numeric Pain Rating Scale.
- To assess the impact of STL dry needling on functional disability in patients with sacroiliac joint dysfunction, as measured by the Oswestry Disability Index.
- To examine biomechanical changes in sacroiliac joint mobility and sacrotuberous ligament elasticity using inclinometry and ultrasound elastography.
- To compare the short-term (2-week) and longer-term (4-week) outcomes between the dry needling and sham dry needling groups.
Methodology:
Study Intervention/Experimental Manipulation:
Group A: Intervention Group: Patients will receive dry needling targeting the sacrotuberous ligament plus routine physical therapy.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 40 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosed patients having symptoms of sacroiliac joint dysfunction
- •Both genders
- •Age 40-65 years
- •Standard clinical tests positive (Fortin finger test, Patrick's test)
- •Imaging (MRI/X-ray)
排除标准
- •Patients with a previous history of fracture
- •Prior SIJ surgery
- •Osteoporosis
- •Pregnancy or post-partum
- •Lumbar disc herniation
- •Carcinoma
- •Dislocation in the lower back and lower extremity
- •Spinal stenosis that may cause pain in the lower back and hips
- •Piriformis syndrome
- •Lumbar radiculopathy
- •Existence of known osteoporosis
- •Metabolic diseases
- •Severe cardiovascular disease
- •Uncontrolled hypertension
- •Severe renal diseases
- •Bilateral cases
研究组 & 干预措施
1. Group B: Sham Dry Needling
Patients will receive sham dry needling plus routine physical therapy.
干预措施: Group B: Sham Dry Needling (Other)
2. Group A: Dry Needling
Group A: Intervention Group: Patients will receive dry needling targeting the STL plus routine physical therapy.
干预措施: Group A: Dry Needling (Other)
结局指标
主要结局
Numeric Pain Rating Scale
时间窗: Six months
The numeric pain rating scale (NPRS) is a validated subjective measure for acute or chronic pain assessment. Scores are based on self-reported measures of symptoms that are recorded by making a mark on a 10-cm line that represents a continuum between "no pain" and "worst pain."
Body Mass Index
时间窗: six months
Height in cm, weight in kg
Age
时间窗: six months
Age in years
次要结局
- Biomechanical Changes(Six months)
- Oswestry Disability Index(Six months)
研究者
Syeda Arooj Fatima
Dr., Professor, Post-Doc Fellow
University of Social Welfare and Rehabilitation Science