The Effect of Pelvic Proprioceptive Neuromuscular Facilitation Techniques in Patients With Sacroiliac Joint Dysfunction

NCT06366971 | Completed

• 1 other identifier: auhucgun01
• Study Type: interventional
• Target: 34
• Locations: 1 country
• Sites: 1

Brief Summary

The sacroiliac joint dysfunction (SIJD) which has a widely heterogeneous etiology, may cause impairment of stability, mobility, posture and flexibility as well as pain due to adaptive or pathological biomechanical changes. In 2020, the number of patients with low back pain (LBP) worldwide was more than half a billion and is expected to exceed 800 million by 2050. Although SIJD has been shown to be related with LBP in more than 30% of patients with LBP, SIJD is still often overlooked as a cause of LBP. Once the diagnosis of SIJD is confirmed by physical examination, the first treatment option consists of the use of a nonsteroidal anti-inflammatory drug or physiotherapy approaches. The proprioceptive neuromuscular facilitation (PNF) is a neurophysiological model-based multifaceted exercise method which is widely used in rehabilitation practice. However, despite the major role of SIJD among the causes of LBP, there are limited studies investigating the efficacy of PNF in SIJD and its effectiveness remains unclear. Thus, the aim of this study was to investigate the effect of pelvic PNF techniques on pain, mobility, flexibility, lumbar range of motion, posture, and trunk muscle endurance in patients with SIJD.

Conditions

Sacroiliac Joint Dysfunction

Keywords

flexibility; mobility; pain; proprioceptive neuromuscular facilitation; sacroiliac joint dysfunction

Outcome Measures

Primary Outcomes (6)

• The Level of Low Back Pain

  The intensity of low back pain will be rated subjectively on a 100-mm visual analog scale (VAS), where 0-mm indicated "no pain" and 100-mm indicated "worst possible pain"

  6 weeks

• Mobility

  The Modified Schober's test will be used to assess mobility of lower back.

  6 weeks

• Flexibility

  The sit-and-reach test will be used to assess flexibility of lower back.

  6 weeks

• Lumbar Range of Motion

  A long-arm universal goniometer will be used to measure the lumbar range of motion. Flexion, extension, right and left lateral flexion, and right and left rotation will be assess.

  6 weeks

• Posture

  The postural alignment will be assessed by using the New York Posture Rating Chart. Total score ranges between 13 and 65 points which higher scores indicate correct/normal postural alignment.

  6 weeks

• Trunk Muscle Endurance

  Trunk flexor and extensor muscle endurance will be assessed with the flexor endurance test and Biering-Sørensen test, respectively.

  6 weeks

Study Arms (2)

Experimental Group

EXPERIMENTAL

The experimental group will receive exercise training consisting of pelvic PNF techniques in addition to patient education which consisting of basic lumbar stabilization exercises 3 days a week for 6-weeks.

Other: The Patient Education; Other: The Pelvic Proprioceptive Neuromuscular Facilitation Techniques Training

Control Group

ACTIVE COMPARATOR

The control group will receive patient education consisting of basic lumbar stabilization exercises 3 days a week for 6-weeks.

Other: The Patient Education

Interventions

The Patient Education OTHER

The patient education will be given through a brochure and the content of the education included an exercise training consisting of simple exercises for lumbar stabilization (supine bridge, cat-camel, and lumbar stretching) and the participants will be asked to perform these exercises in 3 sets of 10 repetitions 3 days a week for 6-weeks.

Control Group; Experimental Group

The Pelvic Proprioceptive Neuromuscular Facilitation Techniques Training OTHER

The content of the pelvic proprioceptive neuromuscular facilitation techniques training will include the application of the anterior depression pattern with the rhythmic initiation technique and the application of the posterior elevation pattern with the contract-relax stretch technique. All PNF techniques will be performed in 3 sets of 10 to 12 repetitions. The pelvic proprioceptive neuromuscular facilitation techniques training will be delivered face to face 3 days a week for 6 weeks by an experienced and trained physiotherapist.

Experimental Group

Eligibility Criteria

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

You may qualify if:

• Having a diagnosis of SIJD
• Being between the ages of 18 and 40
• Volunteering to participate in the study

You may not qualify if:

• Having a history of any neurological, psychiatric and/or orthopedic disease
• Being pregnant or having a suspicion of pregnancy
• Having one or more of disc herniations, spondylosis, spondylolisthesis and/or similar lumbar pathologies that may cause low back pain
• Having a history of previous spine/hip/lower extremity surgery
• Having a history of active malignancy and/or infection
• Having a history of any injection and/or surgical procedure for the sacroiliac joint within the last 3 months

Sponsors & Collaborators

• Biruni University: lead

Study Sites (1)

Istanbul Atlas University

Istanbul, Kagıthane, 34408, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Pain

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: April 5, 2024
• First Posted: April 16, 2024
• Study Start: December 1, 2023
• Primary Completion: March 31, 2024
• Study Completion: March 31, 2024
• Last Updated: April 16, 2024

Record last verified: 2024-04

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)