NCT04757415

Brief Summary

This study was a Randomized clinical trial conducted to determine the Effects of gluteal activation with or without traction straight leg raise technique among patients of sacroiliac joint syndrome so that in future this study will be helpful for other clinician to determine that how much gluteal activation is important in low back pain or sacroiliac joint syndrome, and how it affects our sling system.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
38

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Oct 2021

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

February 5, 2021

Completed
12 days until next milestone

First Posted

Study publicly available on registry

February 17, 2021

Completed
8 months until next milestone

Study Start

First participant enrolled

October 15, 2021

Completed
10 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 31, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 31, 2022

Completed
Last Updated

December 8, 2022

Status Verified

December 1, 2022

Enrollment Period

10 months

First QC Date

February 5, 2021

Last Update Submit

December 7, 2022

Conditions

Keywords

Gluteal activationStraight leg raise hamstring techniqueSacroiliac joint pain

Outcome Measures

Primary Outcomes (1)

  • Change of muscle strength of gluteus maximum by "Sphygmomanometer"

    change in strength of gluteal muscle was checked at 1st session and then follow up at end of 10th session

    Baseline at 1st session on 1st week,at 10th sessions on 5th week

Secondary Outcomes (1)

  • change in pain by "Numeric Pain rating Scale"

    Baseline at 1st session on 1st week , at 10th session on 5th week

Study Arms (2)

Traction straight leg raise technique for hamstring.

EXPERIMENTAL

Experimental group underwent conventional physiotherapy treatment (hot pack) followed by five main gluteal activation exercises three in first five sessions and rest two in remaining five sessions along with traction straight leg raise technique. Each session took 30 minutes . Participants were treated 10 times over a 5 week period with 2 treatment sessions per week. Pre and Post treatment readings were taken in 1st and 10th session over a 5 week period respectively. Assessment was done via Numeric pain rating scale and sphygmomanometer for assessing pain intensity and muscle strength of gluteus maximus.

Other: Traction straight leg raise technique for hamstring

Gluteal activation exercises

EXPERIMENTAL

Experimental group underwent conventional physiotherapy treatment (hot pack) followed by five main gluteal activation exercises three in first five sessions and rest two in remaining five sessions. Each session took 30 minutes . Participants were treated 10 times over a 5 week period with 2 treatment sessions per week. Pre and Post treatment readings were taken in 1st and 10th session over a 5 week period respectively. Assessment was done via Numeric pain rating scale and sphygmomanometer for assessing pain intensity and muscle strength of gluteus maximus.

Other: Gluteal activation exercises,Hotpack

Interventions

traction straight leg raise technique is used along with gluteal exercises

Traction straight leg raise technique for hamstring.

only gluteal activation exercises were performed without traction straight leg raise technique

Gluteal activation exercises

Eligibility Criteria

Age40 Years - 60 Years
Sexfemale(Gender-based eligibility)
Gender Eligibility Detailsfemales above 40years having sacroiliac joint syndrome
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Subjects with LBP below the level of L5,
  • With pain over the posterior aspect of SI joint around posterior superior iliac spine and buttock with or without above knee leg pain.
  • Females only

You may not qualify if:

  • Had radicular pain with neurological (sensory or motor) deficits,
  • Had a history of spinal surgery, spinal, pelvic, or lower extremity fracture; hospitalization for trauma or motor vehicle accident;
  • Hip or knee dysfunctions;
  • Pregnancy;
  • Any systemic disease such as arthritis, tuberculosis, liver, or kidney failure
  • Subjects with leg length discrepancies, because of its potential effect on hamstring muscle length were also excluded. -

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Riphah IU

Lahore, 54000, Pakistan

Location

Related Publications (4)

  • Massoud Arab A, Reza Nourbakhsh M, Mohammadifar A. The relationship between hamstring length and gluteal muscle strength in individuals with sacroiliac joint dysfunction. J Man Manip Ther. 2011 Feb;19(1):5-10. doi: 10.1179/106698110X12804993426848.

    PMID: 22294848BACKGROUND
  • Added MAN, de Freitas DG, Kasawara KT, Martin RL, Fukuda TY. STRENGTHENING THE GLUTEUS MAXIMUS IN SUBJECTS WITH SACROILIAC DYSFUNCTION. Int J Sports Phys Ther. 2018 Feb;13(1):114-120.

    PMID: 29484248BACKGROUND
  • Feeney DF, Capobianco RA, Montgomery JR, Morreale J, Grabowski AM, Enoka RM. Individuals with sacroiliac joint dysfunction display asymmetrical gait and a depressed synergy between muscles providing sacroiliac joint force closure when walking. J Electromyogr Kinesiol. 2018 Dec;43:95-103. doi: 10.1016/j.jelekin.2018.09.009. Epub 2018 Sep 22.

    PMID: 30267967BACKGROUND
  • Chance-Larsen K, Littlewood C, Garth A. Prone hip extension with lower abdominal hollowing improves the relative timing of gluteus maximus activation in relation to biceps femoris. Man Ther. 2010 Feb;15(1):61-5. doi: 10.1016/j.math.2009.07.001. Epub 2009 Aug 12.

    PMID: 19679506BACKGROUND

MeSH Terms

Conditions

Muscle Weakness

Condition Hierarchy (Ancestors)

Muscular DiseasesMusculoskeletal DiseasesNeuromuscular ManifestationsNeurologic ManifestationsNervous System DiseasesPathologic ProcessesPathological Conditions, Signs and SymptomsSigns and Symptoms

Study Officials

  • Rabiya Noor, PhD

    Riphah International University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Masking Details
single
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 5, 2021

First Posted

February 17, 2021

Study Start

October 15, 2021

Primary Completion

July 31, 2022

Study Completion

July 31, 2022

Last Updated

December 8, 2022

Record last verified: 2022-12

Data Sharing

IPD Sharing
Will not share

Locations