Posterior Innominate Mobilization Versus Muscle Energy Technique on Lumbopelvic Angles in Sacroiliac Joint Dysfunction

NCT06280963 | Recruiting DMC

• 1 other identifier: 012/005532
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

the goal of this clinical trial study is to compare between posterior innominate mobilization and muscle energy techniqueon lumbopelvic angles in sacroiliac joint dysfunction patients. the main questions they aim to answer are

1. 1.are there statistical significant effects of posterior innominate mobilization versus muscle energy technique on lumbopelvic angles in sacroiliac joint dysfunction patients ?
2. 2.are there statistical significant effects of posterior innominate mobilization versus muscle energy technique on pain intensity level in sacroiliac joint dysfunction patients ?
3. 3.purpose of the study is to measure the effect of muscle energy technique versus posterior innominate mobilization on lumbopelvic angles in sacroiliac joint dysfunction

Conditions

Sacroiliac Joint Dysfunction

Keywords

lumbopelvic angles; muscle energy technique; sacroiliac joint dysfunction; posterior innominate mobilization

Outcome Measures

Primary Outcomes (1)

• lumbopelvic angles

  measurement of lumbopelvic angle ( pelvic incidence , sacral slope , lumbar lordosis and pelvic tilt

  2 days

Secondary Outcomes (1)

• pain intensity

  about 2 days

Study Arms (3)

muscle energy technique arm

EXPERIMENTAL

this arm will receive muscle energy technique

Behavioral: muscle energy technique

posterior innominate mobilization arm

EXPERIMENTAL

this arm will receive posterior innominate mobilization

Behavioral: posterior innominate mobilization

control arm

PLACEBO COMPARATOR

this arm will receive conventional treatment

Behavioral: conventional treatment

Interventions

muscle energy technique BEHAVIORAL

in muscle energy technique, the target is gluteus maximus muscle ( hip extension ) and repeat the method from three to five times .

muscle energy technique arm

posterior innominate mobilization BEHAVIORAL

in posterior innominate mobilization ( grade 3 mobilization ) , frequency of mobilizations is 30 oscillations , 3 sets per session ( every set has 30 oscillations )

posterior innominate mobilization arm

conventional treatment BEHAVIORAL

conventional treatment include * TENS ( 45 minutes of conventional TENS ) * Ultrasound (pulsed mode 1:1 ,5 min .1.5W/cm2 ) * Stretching exercises ( hamstrings ,hip flexors and hip adductors) * Strengthening exercises (lower abdomen and glutes muscles ) * Lumpopelvic stabilization exercise

Also known as: placebo treatment

control arm

Eligibility Criteria

• Age: 25 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Internal torsion of ilium on sacrum in sacroiliac joint dysfunction patients
• Normal weight - BMI greater than or equal to 18.5 to 24.9 kg/m\^2
• Patients with age from 25 to 45
• Patients with VAS more than 3
• Pain around SIJ and groin area
• Patients testing positive at least 3 of six SIJ pain provocation tests (Ganesen's test, Distraction test, Compression test, Thigh thrust test, Sacral thrust test, Patrick and fabric test)

You may not qualify if:

• Underlying neuro defects in leg
• Sacroiliitis
• Spondylolisthesis
• Pre diagnosed disease of central or peripheral nervous system
• Current pregnancy
• Rheumatological disease
• History of major surgery of lower extremity or spine
• Osteoporosis
• Recent injection of corticosteroids in SIJ

Sponsors & Collaborators

• Mahmoud Yousry Rashwan Hefny: lead

Study Sites (1)

Faculty of Physical Therapy

Dokki, Giza Governorate, 12612, Egypt

RECRUITING

Related Publications (3)

• Kiapour A, Joukar A, Elgafy H, Erbulut DU, Agarwal AK, Goel VK. Biomechanics of the Sacroiliac Joint: Anatomy, Function, Biomechanics, Sexual Dimorphism, and Causes of Pain. Int J Spine Surg. 2020 Feb 10;14(Suppl 1):3-13. doi: 10.14444/6077. eCollection 2020 Feb.

  PMID: 32123652 BACKGROUND

• Nejati P, Safarcherati A, Karimi F. Effectiveness of Exercise Therapy and Manipulation on Sacroiliac Joint Dysfunction: A Randomized Controlled Trial. Pain Physician. 2019 Jan;22(1):53-61.

  PMID: 30700068 BACKGROUND

• Dydyk, A. M., Forro, S. D., & Hanna, A. (2020). Sacroiliac joint injury. StatPearls Publishing, Treasure Island (FL), 04 Jun 2020 PMID: 32491804

  RESULT

Related Links

• Effects of mobilization treatment on sacroiliac joint dysfunction syndrome

Study Officials

• Haytham M Elhafez

  faculty of physical therapy

  STUDY DIRECTOR

Central Study Contacts

Haytham M Elhafez, PhD

CONTACT

+201001909630; elhafez@yahoo.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Senior Physical Therapist

Model Details: group one will receive muscle energy technique group two will receive posterior innominate mobilization group three will receive conventional treatment ( TENS , US , stertching exercises and strenghening exercises )

Study Record Dates

• First Submitted: February 20, 2024
• First Posted: February 28, 2024
• Study Start: February 1, 2024
• Primary Completion: June 1, 2024
• Study Completion: August 3, 2024
• Last Updated: February 28, 2024

Record last verified: 2024-02

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)