Local Muscle Vibration Versus Muscle Energy Technique In Sacroiliac Joint Dysfunction

NCT06227637 | Unknown

• 1 other identifier: local vibration vs MET in SIJD
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to compare the effect of Local Muscle Vibration versus Muscle energy technique on pain intensity, pain pressure threshold, functional disability, and innominate angle tilt in SIJD. This study will try to answer the following question: What is the effect of Local Muscle Vibration compared to Muscle energy technique on pain intensity, pain pressure threshold, functional disability, and innominate angle tilt in SIJD?

Conditions

Sacroiliac Joint Dysfunction

Outcome Measures

Primary Outcomes (4)

• Pain intensity

  VAS in the simple model, which will be used as a self-reported method of pain intensity measurement, the patient will be asked to put a mark point at the scale range (from 0 to 10 cm). This assessment procedure will be applied before and after treatment procedure.

  Assessment before treatment, then immediately after the intervention, then finally follow up after 2 weeks

• Pain pressure threshold

  PPT should be measured on both sides at the level of right and left posterior inferior iliac spines (PIIS). With the patient is a prone position, two algometer measurements will be taken before and after treatment at the level of (PIIS). All measurements will be recorded at intervals of 30 second. The patient will be instructed to report when the sensation beginning of pain.

  Assessment before treatment, then immediately after the intervention, then finally follow up after 2 weeks

• Back functional disability

  This questionnaire is Self-reported pain and disability method (Arabic model). The therapist will ask the patient ten questions covering pain severity, personal care, lifting, walking, sitting, standing, sleeping, social life, travelling, and changing degrees of pain. Each part has six statements, each with a score ranging from 0 (showing no disability) to 5 (representing maximum disability). The final score was calculated as a percentage out of 50, representing perceived disability at the time. The validated Arabic version of ODI will be used in this study.

  Assessment before treatment, then immediately after the intervention, then finally follow up after 2 weeks

• The innominate angle tilt

  The patient will be instructed to march 10 steps in place before standing in a fully erect posture without bending ankles, knees, or hips, feet in front 30.5 cm apart, and arms across the chest. The therapist will stand beside the patient and mark the anterior and posterior superior iliac spines (ASIS and PSIS).

  Assessment before treatment, then immediately after the intervention, then finally follow up after 2 weeks

Study Arms (2)

Group (A) (Muscle Energy Techniques )

ACTIVE COMPARATOR

Muscle Energy Techniques

Other: Local Muscle Vibration compared to Muscle energy technique in SIJD

Group( B) (Local Muscle Vibration)

ACTIVE COMPARATOR

Local Muscle Vibration

Other: Local Muscle Vibration compared to Muscle energy technique in SIJD

Interventions

Local Muscle Vibration compared to Muscle energy technique in SIJD OTHER

Apply Local Muscle Vibration compared to Muscle energy technique on patients with sacroiliac joint dysfunction and note the effect on pain intensity, pain pressure threshold, functional disability, and innominate angle tilt in SIJD.

Group (A) (Muscle Energy Techniques ); Group( B) (Local Muscle Vibration)

Eligibility Criteria

• Age: 20 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• both male and female participants with ages between 20-40.
• Pain intensity is greater than 3 over the scale of VAS.
• Pain around SIJ (around PSIS and sacral sulcus).
• Participants with at least three positives out of six provocation and motion palpation tests that have been validated (distraction, compression, Gaenslen, posterior friction test, sacral thrust, and FABER tests).

You may not qualify if:

• Neurological impairments in the leg
• Sacroiliitis
• Spondylolisthesis
• pre-diagnosed central or peripheral nervous system disease
• The current pregnancy
• rheumatoid arthritis
• Major surgery of lower limbs and spine

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

The faculty of physical therapy, Cairo university, and Gezira Youth Center

Cairo, Egypt

RECRUITING

Related Publications (2)

• Germann D, El Bouse A, Shnier J, Abdelkader N, Kazemi M. Effects of local vibration therapy on various performance parameters: a narrative literature review. J Can Chiropr Assoc. 2018 Dec;62(3):170-181.

  PMID: 30662072 BACKGROUND

• Konrad A, Glashuttner C, Reiner MM, Bernsteiner D, Tilp M. The Acute Effects of a Percussive Massage Treatment with a Hypervolt Device on Plantar Flexor Muscles' Range of Motion and Performance. J Sports Sci Med. 2020 Nov 19;19(4):690-694. eCollection 2020 Dec.

  PMID: 33239942 BACKGROUND

Related Links

• Alkady, S. M. E., Kamel, R. M., AbuTaleb, E., Lasheen, Y., \& Alshaarawy, F. A. (2019). Effect of Muscle Energy Technique in Chronic Sacroiliac Joint Dysfunction. South Valley University International Journal of Physical Therapy and Sciences, 1(1), 8-19.
• Salvador Coloma, P., \& Sánchez-Zuriaga, D. (2019). Effects of myofascial release in erector spinae myoelectric activity and lumbar spine kinematics in non-specific chronic low back pain: Randomized controlled trial. Clinical Biomechanics, 63(1), 27-33.
• Azevedo, D. C., Santos, H., Carneiro, R. L., \& Andrade, G. T. (2014). Reliability of sagittal pelvic position assessments in standing, sitting and during hip flexion using palpation meter. Journal of Bodywork and Movement Therapies, 18(2), 210-214.
• Posterior , Lateral , and Anterior Hip Pain Due to Musculoskeletal Origin : A Narrative Literature Review of History , Physical Examination , and Diagnostic Imaging. Journal of Chiropractic Medicine, 15(4), 281-293.
• Changes in Pain and Disability Secondary to Shoe Lift Intervention in Subjects With Limb Length Inequality and Chronic Low Back Pain: A Preliminary Report. Journal of Orthopaedic and Sports Physical Therapy, 37(7), 380-388
• Chan, M. E., Uzer, G., \& Rubin, C. T. (2013). The potential benefits and inherent risks of vibration as a non-drug therapy for the prevention and treatment of osteoporosis. Current Osteoporosis Reports, 11(1), 36-44.
• Cohen, S. P. (2005). Sacroiliac Joint Pain : A Comprehensive Review of Anatomy , Diagnosis , and Treatment. Anesthesia \& Analgesia, 101(5), 1440-1453.
• De Gail, P., Lance, J. W., \& Neilson, P. D. (1966). Differential effects on tonic and phasic reflex mechanisms produced by vibration of muscles in man. Journal of Neurology, Neurosurgery, and Psychiatry, 29(1), 1-11.
• Dueñas, L., Zamora, T., Lluch, E., Artacho-Ramírez, M. A., Mayoral, O., Balasch, S., \& Balasch-Bernat, M. (2020). The effect of vibration therapy on neck myofascial trigger points: A randomized controlled pilot study. Clinical Biomechanics, 78(May 2019),
• Increase in paravertebral muscle activity in lumbar kyphosis patients by surface electromyography compared with lumbar spinal canal stenosis patients and healthy volunteers. The Spine Journal, 13(11), 1711.
• Feeney, D. F., Capobianco, R. A., Montgomery, J. R., Morreale, J., Grabowski, A. M., \& Enoka, R. M. (2018). Individuals with sacroiliac joint dysfunction display asymmetrical gait and a depressed synergy between muscles providing sacroiliac joint force
• Fritton, S. P., J. McLeod, K., \& Rubin, C. T. (2000). Quantifying the strain history of bone: Spatial uniformity and self-similarity of low-magnitude strains. Journal of Biomechanics, 33(3), 317-325.
• Fryer, G., \& Pearce, A. J. (2013). The effect of muscle energy technique on corticospinal and spinal reflex excitability in asymptomatic participants. Journal of Bodywork and Movement Therapies, 17(4), 440-447.
• Gartenberg, A., Nessim, A., \& Cho, W. (2021). Sacroiliac joint dysfunction : pathophysiology , diagnosis , and treatment. European Spine Journal, 30(10), 2936-2943.
• Goebel, R. T., Kleinöder, H., Yue, Z., Gosh, R., \& Mester, J. (2015). Effect of Segment-Body Vibration on Strength Parameters. Sports medicine - open, 1(1), 14.
• Harkins\&, I, D. D. P., Bush, F. M., Long, S., S. W. (1993). A comparison of pain measurement characteristics of mechanical visual analogue and simple numerical rating scales. Pain, 56(2), 21-226.
• Henricson, A., Larsson, A., Olsson, E., \& Westlin, N. (1983). The effect of stretching on the range of motion of the ankle joint in badminton players. Journal of Orthopaedic and Sports Physical Therapy, 5(2), 74-77.
• Holey, L. (1996). Muscle Energy Techniques. Physiotherapy, 82(8), 493.
• Hussein, Y. I., Hassan, K. A., \& EL-Nahass, B. G. E. (2022). Strain-counterstrain versus muscle energy technique in sacroiliac joint dysfunction. International Journal of Health Sciences, 6(July), 8738-8754.
• Iodice, P., Bellomo, R. G., Gialluca, G., Fanò, G., \& Saggini, R. (2011). Acute and cumulative effects of focused high-frequency vibrations on the endocrine system and muscle strength. European Journal of Applied Physiology, 111(6), 897-904.
• Ivanov, A. A., Kiapour, A., Ebraheim, N. A., \& Goel, V. (2009). Lumbar Fusion Leads to Increases in Angular Motion and Stress Across Sacroiliac Joint A Finite Element Study. Spine, 34(5), 162-169.
• Kiapour, A. L. I., Joukar, A., Elgafy, H., \& Erbulut, D. U. (2020). Biomechanics of the Sacroiliac Joint : Anatomy , Function , Biomechanics , Sexual Dimorphism , and Causes of Pain. Journal of Pain Research, 14(1), 3135-3143.
• Diagnosing painful sacroiliac joints : A validity study of a McKenzie evaluation and sacroiliac provocation tests. Australian Journal of Physiotherapy, 49(2), 89-97.
• The acute effects of local muscle vibration frequency on peak torque, rate of torque development, and EMG activity. Official Journal of the International Society of Electrophysiological Kinesiology. 24(6), 888-894.
• "Effectiveness of Manipulation and Muscle Energy Techniques in Subjects with SI Joint Dysfunction." nternational Journal of Pharmaceutical Science and Health Care 4(5): 16-29.
• Effects of local vibrations on skeletal muscle trophism in elderly people: mechanical, cellular, and molecular events. International journal of molecular medicine, 24(4), 503-512.
• Deformation of the innominate bone and mobility of the pubic symphysis during asymmetric moment application to the pelvis. Manual Therapy, 17(1), 66-70.
• Prather, H., Bonnette, M., \& Hunt, D. (2020). Nonoperative Treatment Options for Patients With Sacroiliac Joint Pain. International Journal of Spine Surgery, 14, 35-40.
• Prather, H., \& Hunt, D. (2004). Sacroiliac Joint Pain. Disease-a-Month, 50(12), 670-683.
• Ramzy, R. (2008). Validation of the Arabic Version of the Oswestry Disability Index Developed in Tunisia for low back pain patients in the UAE.
• Effects of Muscle Energy Technique versus Mobilization on Pain and Disability in Post-Partum Females with Sacroiliac Joint Dysfunction. In Indian Journal of Health Sciences and Care, 5(1), 11.
• A randomized clinical trial of manual versus mechanical force manipulation in the treatment of sacroiliac joint syndrome. Journal of Manipulative and Physiological Therapeutics, 28(7), 493-501.
• Effect of Sacroiliac Joint Mobilization on the Level of Soft Tissue Pain Threshold in Asymptomatic Women. Journal of Manipulative and Physiological Therapeutics, 41(3), 258-264.
• New concepts and hypotheses Transfer of lumbosacral load to iliac bones and legs Part 1 : Biomechanics of self-bracing of the sacroiliac joints and its significance for treatment and exercise. Clinical Biomechanics, 8(6), 285-294.
• Szadek, K. M., Wurff, P. Van Der, Tulder, M. W. Van, Zuurmond, W. W., \& Perez, R. S. G. M. (2009). Diagnostic Validity of Criteria for Sacroiliac Joint Pain : The Journal of Pain, 10(4), 354-368.
• Effect of the single-leg, lateral oblique, decline squat exercise on sacroiliac joint pain with knee pain. Journal of Physical Therapy Science, 28(9), 2688-2689.
• Zunzunwala, S., Phansopkar, P., \& Lakhwani, M. (2022). Effect of theragun on calf muscle tightness in asymptomatic individuals. Journal of Medical Pharmaceutical and Allied Sciences, 11(3), 4863-4866.

Study Officials

• Mona M ibrahim, Doctorate

  Cairo University

  STUDY CHAIR

• Enas F youssef, Doctorate

  Cairo University

  STUDY CHAIR

Central Study Contacts

Asmaa A ali radwan, Bachelors

CONTACT

01020779243; asmaa.aboalmakarem2022@gmail.com

Ahmed O Abdelnaeem, Doctorate

CONTACT

01140736820; ahmed.omar@pt.cu.edu.eg

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: Participants will be blinded to the treatment they will receive, and the statistics doctor will be blinded.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Model Details: The sample will be randomly subdivided into 2 Groups: Group (A)- Muscle Energy Techniques and Group (B)- Local Muscle Vibration.

Study Record Dates

• First Submitted: January 11, 2024
• First Posted: January 29, 2024
• Study Start: October 15, 2023
• Primary Completion: April 15, 2024
• Study Completion: June 15, 2024
• Last Updated: January 29, 2024

Record last verified: 2024-01

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)