Effect of Quadratus Lumborum Muscle Energy Technique in Sacroilliac Joint Dysfunction.

NCT04161443 | Completed

• 1 other identifier: 019
• Study Type: interventional
• Target: 70
• Locations: 1 country
• Sites: 1

Brief Summary

Sacroiliac joint as a potential source of low back pain is an overlooked problem. Yet, in the existing years there has been an increasing interest in sacroiliac joint as a pain originator and more attention is being paid into its assessment and treatment in the current literature. Muscle imbalance due to postural dysfunction involves mainly gluteus medius and hamstring; however the role of quadratus lumborum working on compensatory mechanism and its treatment effect in the management of sacroiliac joint dysfunction is yet not discovered.

Conditions

Sacroiliac Disorder

Keywords

MET, Quadratus lumborum, Sacroilliac joint

Outcome Measures

Primary Outcomes (3)

• visual analog scale to measure the change in level of Pain intensity

  A Visual Analogue ScalE is usually a horizontal line, 100 mm in length, anchored by word descriptors at each end ranging from no pain to severe pain.

  Total duration of treatment is 4 weeks and 12 sessions, 3 sessions per week on alternate days. Patients will be assessed at baseline, at 6th session at the end of 2nd week and 12th session at the end of 4th week.

• Oswestry Disability Index to measure change in level of disability

  Change in level of disability as evaluated by means of Oswestry Disability Index 2.0 (ODI)

  Total duration of treatment is 4 weeks and 12 sessions, 3 sessions per week on alternate days. Patients will be assessed at baseline, at 6th session at the end of 2nd week and 12th session at the end of 4th week.

• SF-36 QUALITY OF LIFE to measure change in general health

  SF-36 measure 8 different health concepts including general health, physical functioning, role functioning, bodily pain, mental health, emotional functioning, vitality, and social functioning.

  Total duration of treatment is 4 weeks and 12 sessions, 3 sessions per week on alternate days. Patients will be assessed at baseline and 12th session at the end of 4th week.

Secondary Outcomes (1)

• Hand Held Dynamometer to check gluteus medius muscle strength

  Total duration of treatment is 4 weeks and 12 sessions, 3 sessions per week on alternate days. Patients will be assessed at baseline, at 6th session at the end of 2nd week and 12th session at the end of 4th week.

Study Arms (2)

Experimental

EXPERIMENTAL

Following physiotherapy treatment will be given to the participants in this group for 4 weeks and each session last for 30 minutes. i. MET Quadratus lumborum ii. Ultrasound iii. Gluteus medius exercises iv. Hamstring stretch Posture advice and home exercise program

Other: physiotherapy

Comparator

ACTIVE COMPARATOR

Following physiotherapy treatment will be given to the participants in this group for 4 weeks and each session last for 30 minutes. i. Ultrasound ii.Gluteus medius exercises iii.Hamstring stretch

Other: physiotherapy

Interventions

physiotherapy OTHER

* Treatment will be performed three sessions per week for 4 weeks with postural advice and home exercise program with daily record of home diary. * The selected outcome measures will be taken on initial visit (pre intervention), session 6 and final session 12 (post intervention).

Comparator; Experimental

Eligibility Criteria

• Age: 30 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Subjects with unilateral non-specific LBP
• The Subjects having at least 3 pain provocative tests of SIJ positive out of 5.
• Age 30-50 years. Both male and female.
• Pain history greater than six weeks.
• SIJ diagnostic scoring cut off point 4.
• VAS cut off point mild to moderate.

You may not qualify if:

• Radiating pain with sensory or motor deficits.
• History of fracture or any spinal surgery
• Trauma
• Any dysfunction of hip or knee
• Any systemic disease.
• Pregnancy

Sponsors & Collaborators

• University of Lahore: lead

Study Sites (1)

Institute of physical medicine and rehabilitation, Dow University of health sciences

Karachi, Sindh, 74200, Pakistan

Location

MeSH Terms

Interventions

Physical Therapy Modalities

Intervention Hierarchy (Ancestors)

Therapeutics; Rehabilitation

Study Officials

• Rabail Soomro

  University of Lahore

  PRINCIPAL INVESTIGATOR

• Hussain Kari mi

  University of Lahore

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: Double blinding will be used as the subjects and the assessor both will be blinded for the treatment used.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Dr. Rabail Rani Soomro

Study Record Dates

• First Submitted: October 30, 2019
• First Posted: November 13, 2019
• Study Start: October 15, 2018
• Primary Completion: December 10, 2022
• Study Completion: December 10, 2022
• Last Updated: August 21, 2023

Record last verified: 2023-08

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)