Effects of Spinal Manipulation and Muscle Energy Technique on Sacroiliac Joint Dysfunction.

• Register: IRCT
• Last refreshed on: 26 March 2018
• Main ID: IRCT20090301001722N16
• Date of registration: 2018-02-08
• Prospective Registration: No
• Primary sponsor: Tehran University of Medical Sciences
• Public title: Effects of Spinal Manipulation and Muscle Energy Technique on Sacroiliac Joint Dysfunction.
• Scientific title: Effects of Spinal Manipulation and Muscle Energy Technique on Pain, Function, Thickness of muscles for Patients with Sacroiliac Joint Dysfunction
• Date of first enrolment: 2017-04-01
• Target sample size: 44
• Recruitment status: Complete
• URL: http://en.irct.ir/trial/1224
• Study type: interventional
• Study design: Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Four groups will be divided by simple random sampling by using Four alphabetic chance: A) First group, B) second group and C) third group. D) Fourth Group Patients will be assigned randomly in Four groups by Physical Therapist (Rabiya) by using concealed opaque envelope mentioning Specific Identity Numbers generated through Random Number Generator to avoid biasness, Blinding description: Double Blind: Assessor Blind: Data safety will be ensured by assigning Specific Identity numbers and all consent, readings forms will be placed in locker to bind Assessors (Arif, Amir). Patients Blind: Patients will be blinded from group treatments and Hypothesis by informing partial information regarding treatment.
• Phase: N/A

Countries of recruitment

Pakistan

Contacts

• Name: Dr.Mohammad-Reza Hadian Rasanani
• Affiliation: Rehabilitation Faculty,Department of Physiotherapy

• Name: Dr. Mohammad Reza Hadian
• Affiliation: Rehabilitation Faculty, Brain and Spinal Injury Research center (BASIR), Imam Khomeini Hospital

Key inclusion & exclusion criteria

Inclusion criteria: Age: 18-45years old with unilateral LBP upto knee
At least three out of six SIJ provocation tests must be positive.
Standing flexion test and seating flexion test must be positive.
Male
No strengthening exercise of muscles in last three months.
No surgical history
No disc pathology confirmed by MRI
No facet joint hypomobility
No ankylosing spondylitis
Exclusion criteria: Abnormal recording of thickness by ultrasound.
Over time and fatigability of subjects.
Unwillingness of subjects to continue testing

Age minimum: 18 years
Age maximum: 45 years
Gender: Male

Health Condition(s) or Problem(s) studied

M99.04

Sacroiliac Joint Dysfunction.
Diseases of the musculoskeletal system and connective tissue,Biomechanical lesions, not elsewhere classified,Segmental and somatic dysfunction,Sacral region

Intervention(s)

Intervention 1: Intervention group: Muscle Energy Technique. Treatment session will be twice a week for four weeks. Intervention 2: Intervention group: Spinal Manipulation Therapy. Treatment session will be twice a week for four weeks. Intervention 3: Intervention group: Muscle Energy with Spinal Manipulation Therapy. Treatment session will be twice a week for four weeks. Intervention 4: Control group: Conventional Therapy such as,Therapeutic Ultrasound. Treatment session will be twice a week for four weeks.

Primary Outcome(s)

Pain. Timepoint: Before Intervention,After One month,After three months follow up. Method of measurement: Numeric Pain Rating Scale.

Muscle Thickness (Rest,Contracted,Percent change). Timepoint: Muscle Thickness(at rest,contracted and Percent change) will be measured before treatment ,after treatment at one month and follow up three months. Method of measurement: Ultrasonography.

Secondary Outcome(s)

Function. Timepoint: Function will be measured before treatment , after treatment at one month and follow up three months. Method of measurement: Modified Oswestry Disability Index Score.

Source(s) of Monetary Support

Tehran University of Medical Sciences

Ethics review

Status: Approved
Approval date:
Contact:

Tehran University of Medical Sciences