Gluteus Maximus Versus Gluteus Medius Strength On Back Muscles Performance In Patients With Sacroiliac Dysfunction

NCT05809206 | Unknown DMC

• 1 other identifier: Reham_Gomma_PhD
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

This study will be conducted to compare between the effect of glutes maximus and glutes medius muscles strength on back muscle performance in patients with Sacroiliac joint dysfunction.

Conditions

Sacroiliac Joint Dysfunction

Outcome Measures

Primary Outcomes (4)

• Assessing the change in the peak torque of back muscles

  By using isokinetic dynamometer, and the unit of of measurement will be (Kg).

  at baseline and after 5 weeks of intervention

• Assessing the change in pain threshold

  by using Traditional pressure algometers are ideal for measuring pressure pain threshold (PPTs) of superficial muscles and bony landmarks. Pressure pain threshold has been defined as the lowest stimulus intensity at which a subject perceives mechanical pain

  at baseline and after 5 weeks of intervention

• Assessing the change in Functional ability level

  By using Modified Oswestry Disability Questionnaire (MODQ). The Oswestry Low Back Pain Disability Questionnaire Arabic version will be used to measure disability caused by low back pain in the general population. It consists of 10 questions each consisting of six alternatives. Every question is scored from 0-5 and a percentage are formulated as a result of the sum of the scores.

  at baseline and after 5 weeks of intervention

• Assessing the change in pain intensity

  By using visual analogue scale (VAS). This scale will be used to measure the intensity of pain. It has been graded as a 10-cm line, which was used for measuring the intensity of perceived pain. In this scale, zero represents the absence of pain, 1-3 shows mild pain, 4-6 denotes moderate pain, and 7-10 indicates severe pain

  at baseline and after 5 weeks of intervention

Study Arms (3)

Glutes maximus Strengthening group

EXPERIMENTAL

Twenty patients received Strengthening exercises for Glutes maximus muscle and conventional physical therapy (corrective exercises and ultrasound).

Other: Glutes maximus strength protocol; Other: Corrective Exercises; Device: Ultrasound

Glutes Medius Strengthening group

EXPERIMENTAL

Twenty patients received Strengthening exercises for Glutes medius muscle and conventional physical therapy (corrective Exercises and therapeutic ultrasound (US).

Other: Gluteus medius strength program; Other: Corrective Exercises; Device: Ultrasound

Conventional treatment group

ACTIVE COMPARATOR

Twenty Patients received conventional therapy (corrective exercises and ultrasound).

Other: Corrective Exercises; Device: Ultrasound

Interventions

Glutes maximus strength protocol OTHER

The subjects attended physical therapy two times. Per week for a total of 10 visits. Each session lasted approximately 30 minutes. In the first five sessions, subjects performed the following exercises to strengthen the gluteus maximus: bilateral bridge, unilateral bridge, and non-weight-bearing hip extension in prone with the knee flexed at 90 degrees. In the next five sessions, abduction and external rotation in a quadruped ("fire hydrant" exercise) and weight-bearing hip extension (known as "deadlift" exercise) were added. Each exercise was performed for 10 repetitions. Elastic resistance was added to the fire hydrant, hip extension in prone and dead lift exercises to allow each subject to perform at a 10-repetition maximum. The resistance for each subject was adjusted weekly as needed. The exercise program was performed under direct supervision only during the physical therapy sessions.

Glutes maximus Strengthening group

Gluteus medius strength program OTHER

Strengthening exercises for Gluteus Medius subdivisions: The anterior GMED exercise: side lying abduction exercise The middle GMED exercise: wall press Exercise The posterior GMED exercise: was the pelvic drop exercise

Glutes Medius Strengthening group

Corrective Exercises OTHER

The following low back corrective exercises were given: To stretch the tight lower back muscles: Seated Forward Bend and Full Squat held for 5 sec and Repeated for 3 times, once a day. To strengthen the weak lower abdomen: Draw in and Reverse Crunch 3 seconds, repeated 5 times, once a day. To stretch the tight hip flexors: held for 10-15 seconds repeated 5 times on both legs, once a day. To stretch the tight quadriceps: held for 3 seconds, repeated 5 times on each side, once a day. To strengthen weak hamstrings: Kick Butts 2 sec, repeated 8 times, once a day.

Conventional treatment group; Glutes Medius Strengthening group; Glutes maximus Strengthening group

Ultrasound DEVICE

US was administered in continuous mode at PSIS with patient in prone lying position, with a frequency of 1 MHz and intensity of 0.8 W/cm2 for 5 minutes every alternating day

Conventional treatment group; Glutes Medius Strengthening group; Glutes maximus Strengthening group

Eligibility Criteria

• Age: 25 Years - 40 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Age from 25-40 years.
• Patients with chronic lumbopelvic pain (more than 12 weeks) and clinical test positive for SIJD.
• The pain distribution and tenderness on palpation under the posterior superior iliac spine (PSIS) are reliable signs that the SIJ is the source of pain.
• Complaint of unilateral pain rather than bilateral pain is also considered more likely to be coming from an SIJ.
• Patients willing and able to participate in an exercise program safely and without cognitive impairments that would limit their participation.

You may not qualify if:

• Neurological disorder, psychosomatic disorder
• Tumor.
• Infection condition.
• Recent surgeries.
• Pregnancy.
• Back pain referred from organic cause.
• Osteoporosis and bone disease (induced or idiopathic).

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Outpatient clinic faculty of physica therapy cairo university

Dokki, Egypt

Location

MeSH Terms

Interventions

Ultrasonography

Intervention Hierarchy (Ancestors)

Diagnostic Imaging; Diagnostic Techniques and Procedures; Diagnosis

Study Officials

• Reham Abd El-Moneim

  Cairo University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Reham Abd El-Moneim

CONTACT

+201006722789; Rehamgomma.88@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: March 17, 2023
• First Posted: April 12, 2023
• Study Start: April 10, 2023
• Primary Completion: June 15, 2023
• Study Completion: August 15, 2023
• Last Updated: April 12, 2023

Record last verified: 2023-03

Locations

EG (1)