Sacroiliac Joint Dysfunction Clinical Trial
Official title:
Efficacy of Muscle Energy Technique and Kinesiotape Application in Addition to Other Physiotherapeutic Intervention in Patients With Mechanical Sacroiliac Joint Dysfunction
Background:
Mechanical sacroiliac joint dysfunction is associated with pain and stiffness which can later
on gives restriction of overall motion. Total 60% of the body weight is mainly received by
the sacroiliac joint and it is related with pelvis and lower extremity. Due to Bio-
mechanical alteration muscles around the joint area get weakened.Muscle energy technique
helps to improve body's normal function by giving strength as well as decrease pain and
stiffness and Kinesiotaping also helps to stabilize the joint structure by giving more
functional benefit.
Aim:
The Aim of the study is to evaluate the efficacy of Muscle energy technique & Kinesiotaping
in addition to other physio-therapeutic intervention in patients with Mechanical Sacroiliac
joint Dysfunction.
Methods:
This study is a randomized clinical trial and subjects will recruit on the basis of inclusion
criteria. Age group between 30 to 50 years of mechanical sacroiliac joint dysfunction
patients will be taken. Any pathological condition like inflammation of sacroiliac joint and
fracture of pelvic bone will be excluded. Patient will be randomized on the basis of SNOSE
method. After randomization in two equal group treatment will be given and data will be
analyzed separately. One Experimental group will receive Muscle energy technique and
conventional physiotherapy and another experimental group will receive Kinesiotaping and
conventional physiotherapy. Modified Oswestry Disability Index helps to evaluate functional
limitation associated with Mechanical Sacroiliac joint Dysfunction.
Data Analysis:
Normality of the collected data will be established by Shapiro wilk test. Based on the
normality, descriptive statistics data will be expressed as mean± standard deviation or
median and intra-quartile range. Within group comparison will be calculated by paired-t test
or Wilcoxon Signed Rank test and between group comparison will be done through Independent-t
test or Mann-Why U test. P value will be set at significance level(0.05).
1. Introduction:
Mechanical Sacroiliac joint dysfunction (SIJD) is the most common source of low back
pain and affects 70-85% adults. It is also associated with groin & buttock pain and
sometime also leg pain. Non discogenic pain can also be occur due to dysfunction around
Sacroiliac Joint. Sacroiliac joint dysfunction also called as pelvic girdle pain (PGP),
which arises from several intra-articular structures, anterior sacroiliac ligament,
posterior sacroiliac ligament, articular cartilages. Sacroiliac joint pain is one of the
common sources of mechanical low back pain. This may lead to bio-mechanical alteration
in structure around pelvis.Where as Muscle Energy Technique(MET) involves physiological
response of the antagonists of a muscle which has been isometrically contracted. Mainly
MET is a soft tissue manipulation which include force generated by the patient may be
maximum muscle contraction are twitch of the muscle. Where as functional stability as
well as mobility can be achieved by Kinesiotape application.
1.1: Problem statement:
Mainly sacroiliac joint dysfunction associated with altered arthokinematics due to
muscle weakness. Kinesiotaping and MET will be helpful if they are used with
conventional physiotherapy. Thus there is need to find out the efficacy of MET and
Kinesiotaping in addition to conventional physiotherapy in patients with mechanical
SIJD.
1.2:Purpose of the study:
The purpose of the study is to find out the efficacy of MET and Kinesiotaping in
addition to conventional physiotherapy in patients with mechanical sacroiliac joint
dysfunction.
1.3: Objectives of the study:
1.3.1:To determine the effect of MET and Kinesiotaping in addition to conventional
physiotherapy in patients with Mechanical Sacroiliac joint Dysfunction. 1.3.2:To compare
the effect of MET &Kinesiotaping in patients with Mechanical Sacroiliac joint
dysfunction.
2. Procedure:
The study will be a Two group pre test post test Randomized clinical trial. The study
protocol has been approved from the Institutional Ethics Committee of Maharishi Markandeshwar
Deemed to be University.
MET Application: MET will be used with conventional treatment in Experimental Group 1. MET
will be applied for posterior and anterior in-nominate and for weakened muscles like
piriformis.
Here patient will be asked to apply 20% force against therapist force and hold that
contraction for 10 seconds with 3-5 repetitions.The treatment will be given for 3 times a
week and continued for 4 weeks.
Kinesiotaping will be given with conventional physiotherapy in Experimental Group 2. In this
group KT will be applied to piriformis muscle and Sacroiliac joint (SIJ).
For piriformis application patient will be in side lying position where the effected leg will
be placed uppermost with hip in flexion, adduction, and internal rotation and Y strips will
be used & treatment will be given for 4 weeks with 3 alternative days in a week.
Conventional Physiotherapy will be given in both the groups. Before going for intervention
Hydrocollator pack will be given in both the groups for at least 15 minutes.
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