Mulligan's Mobilization and Proprioceptive Neuromuscular Facilitation Technique in Sacroiliac Joint Dysfunction

NCT05356650 | Unknown DMC

• 1 other identifier: REC/Lhr/22/0109 Aisha
• Study Type: interventional
• Target: 38
• Locations: 1 country
• Sites: 1

Brief Summary

This study will aim to compare the effects of mulligan mobilization and PNF on pain and disability with patients of SIJ dysfunction and will be helpful for clinical physiotherapist to choose more effective treatment protocol for patients as there are fewer researches on comparison of these techniques.

Conditions

SACROILIAC JOINT DYSFUNCTION

Keywords

Mulligan Mobilization; Proprioceptive Neuromuscular Facilitation; Contract Relax; Sacroiliac joint Dysfunction

Outcome Measures

Primary Outcomes (2)

• Numeric Pain Rating scale

  The most common validated tool for assessment of pain in clinical tests is the numeric pain rating score (NPRS), a 10-point scale where 0 indicates no pain and 10 indicates severe pain

  3 months

• Modified Oswestry Disability Questionnaire

  The Oswestry Disability Index (also known as the Oswestry Low Back Pain Disability Questionnaire) is an extremely important tool that researchers and disability evaluators use to measure a patient's permanent functional disability. The questionnaire consists of 10 items addressing different aspects of function. Each item is scored from 0 to 5, with higher values representing greater disability. The total score is multiplied by 2 and expressed as a percentage

  3 months

Study Arms (2)

Mulligan Mobilization

EXPERIMENTAL

Treatment will be given with frequency of 3 sets with 10 repetitions on sacroiliac joint 3 times a week for 6 weeks

Other: Mulligan Mobilization

PNF Technique

EXPERIMENTAL

Three sets of stretching of each muscle will be performed for each position with the frequency of 3 times a week for 6 weeks.

Other: PNF

Interventions

Mulligan Mobilization OTHER

The patient will be in a prone position. With one hand, the physiotherapist will fix the sacrum and place the fingers of her other hand under the anterior superior iliac spine. The therapist then pull the ilium on the sacrum and will instruct the patient to do press-ups. Treatment will be given with frequency of 3 sets with 10 repetitions on sacroiliac joint 3 times a week for 6 weeks

Mulligan Mobilization

PNF OTHER

PNF stretching will be performed using contract-relax techniques of agonists in supine, prone and side-lying. Contract-relax will be applied with a 6-second contraction with 80% force of the maximal isometric contraction on the muscles (iliopsoas, hamstrings and gluteal muscles) and will be followed by a 15-second passive static stretching in the opposite direction of that muscles. Three sets of stretching of each muscle will be performed for each position with the frequency of 3 times a week for 6 weeks. Patient will be in supine, prone, side lying. Both groups will receive a baseline treatment (Moist Heat Pack for 10 minutes and 10 minutes of Ultrasound (0.75 MHz, continuous wave)

PNF Technique

Eligibility Criteria

• Age: 20 Years - 35 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Age 20 to 35 years
• Both genders
• Subjects with positive provocation test ( Faber's test\\Patricks test, Gaenslen test, distraction test, compression test, sacral thrust test)
• Subjects with positive innominate test ( Stork Test\\Gillet Test)
• Subjects who agree to fill the informed consent

You may not qualify if:

• Pregnant women
• Presence of neurological signs
• Patient with ankylosis spondylosis.
• Patient has been diagnosed by disease other than SIJ dysfunction
• Patients having any congenital posture problem or previous surgery
• SLR less than 45 degree
• Patient having any mental problem or reduced cognitive ability

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Govt. Hospital DHQ

Jhang, Punjab Province, 38000, Pakistan

RECRUITING

Study Officials

• Nosheen Manzoor

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Nosheen Manzoor

CONTACT

03236877879; nosheen.manzoor@riphahfsd.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 26, 2022
• First Posted: May 2, 2022
• Study Start: April 15, 2022
• Primary Completion: August 15, 2022
• Study Completion: September 15, 2022
• Last Updated: May 2, 2022

Record last verified: 2022-04

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)