Effects of Muscle Energy Technique With and Without Lumbopelvic Manipulation on Pain, Pelvic Alignment, and Functional Disability in Patients With Anterior Innominate Dysfunction
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 52
- 试验地点
- 2
- 主要终点
- Numeric Pain Rating Scale (NPRS) for pain
研究概览
简要总结
The study aims to determine whether lumbopelvic manipulation yields superior improvements in pain, pelvic alignment, and functional ability when combined with METs compared to the treatment provided through METs solely.
详细描述
With anterior innominate dysfunction (AID), the innominate bone rotates anteriorly over the sacrum, which produces pelvic dysfunction affecting the biomechanics of the pelvis, usually causing pelvic asymmetry and problems in regional and musculoskeletal patterns of pain, with the most affected being in the hip and low back. AID can hinder posture, mobility, and activities in daily functional living. Physiotherapy always includes a conservative approach. This study will be a randomized controlled trial with 46 participants. The target sample size was adjusted to 52 participants to accommodate a 10% dropout rate.
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
- 25 Years 至 40 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •• Participants' age range 25_40 years.
- •Have subacute (4-12 weeks) pain close to PSIS
- •Have ≥3/4 positive test PSIS height, standing flexion, prone knee flexion, supine to long sitting
- •Two out of four positive tests of pain provocation Distraction, compression, thigh thrust, and sacral thrust test)
- •Patients have moderate pain on the NPRS
排除标准
- •Participants with True leg length Differences
- •Systemic illnesses, such as ankylosing spondylitis or RA, or pregnancy
- •Individuals with anticoagulation or bleeding disorders, acute muscle trauma, infections, lumbar disc herniation, spinal deformities, or a history of spinal surgery or anticoagulation medication
- •No history of fracture
研究组 & 干预措施
lumbopelvic manipulation and METs
Group A will receive baseline treatment with lumbopelvic manipulation and METs
干预措施: Lumbopelvic manipulation and METs (Other)
METs
Group B will receive baseline treatment with METs
干预措施: METs (Other)
结局指标
主要结局
Numeric Pain Rating Scale (NPRS) for pain
时间窗: 4 weeks
This instrument is commonly used to rate the severity of pain. A scale of 0 to 10 is used by patients to rate their present level of pain, with 0 indicate "no pain" and 10 indicate the "worst possible pain. The patient verbally report number between 0 to 10. NPRS demonstrate strong measurement properties in patients with low back pain
Oswestry Disability Index (ODI) for functional disability
时间窗: 4 weeks
ODI version 2 was used in this study assess functional disability associated with low back pain and sacroilliac joint dysfunction. ODI is standardized and widely used self-reported questionnaire evaluate impact of pain on activities of daily living and functional status. It consists of 10 sections including pain intensity, personal care, lifting, walking, sitting, standing, sleeping, sex life, social life, and traveling. Each domain consists of six items that are ranked from 0 to 5, with 0 being no disability and 5 being maximum disability.
Clinometer:
时间窗: 4 weeks
Smart Phone based inclinometer is a digital tool to measure body segmental angel when placed on Anatomical landmark Such as ASIS and PSIS and estimate pelvic tilt angel in standing and sitting position and align them using tape. This smart phone-based measurement tool has Reliability intra-rater: ICC = 0.87 and inter-rater: ICC = 0.82 in standing and in sitting intra-rater: ICC = 0.91 and inter-rater: ICC = 0.88 show excellent reproducibility and consistency of measurement.
次要结局
未报告次要终点