Effect of Quadratus Lumborum Muscle Energy Technique in Sacroilliac Joint Dysfunction.

NCT ID: NCT04161443

Last Updated: 2023-08-21

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 70 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2018-10-15
• Study Completion Date: 2022-12-10

Brief Summary

Sacroiliac joint as a potential source of low back pain is an overlooked problem. Yet, in the existing years there has been an increasing interest in sacroiliac joint as a pain originator and more attention is being paid into its assessment and treatment in the current literature. Muscle imbalance due to postural dysfunction involves mainly gluteus medius and hamstring; however the role of quadratus lumborum working on compensatory mechanism and its treatment effect in the management of sacroiliac joint dysfunction is yet not discovered.

Detailed Description

Going through current literature, it is evident that sacroiliac joint dysfunction as a postural dysfunction is highly prevalent among adult population. This dysfunction due to major muscle imbalances if not treated timely can result in serious consequences later in life where it becomes the permanent dysfunction involving the major changes in the joint itself. Muscle imbalance due to postural dysfunction involves mainly gluteus medius and hamstring; however the role of quadratus lumborum working on compensatory mechanism and its treatment effect in the management of sacroiliac joint dysfunction is yet not discovered. All patients will be assessed and screened by consultants as indicated and will refer to physiotherapy with diagnosed non- specific chronic back pain.Patients will further be screened for SIJ dysfunction by physiotherapist.Only those patients who fulfill the criteria of Quadratus lumborum tightness & Gulteus medius weakness will randomly be selected and the sample of 70 will finally be selected for intervention.Written consent form will be taken from all study participants.Simple randomization technique will be used through "Randomization Main" software and randomization sheet will be generated. Patients will be further be assigned equally into two groups as per randomization sheet.Treatment will be performed three sessions per week for 4 weeks with postural advice and home exercise program with daily record of home diary. The selected outcome measures will be taken on initial visit (pre intervention), session 6 and final session 12 (post intervention).

Conditions

Sacroiliac Disorder

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

Experimental

Following physiotherapy treatment will be given to the participants in this group for 4 weeks and each session last for 30 minutes.

i. MET Quadratus lumborum ii. Ultrasound iii. Gluteus medius exercises iv. Hamstring stretch Posture advice and home exercise program

Group Type: EXPERIMENTAL

physiotherapy

Intervention Type: OTHER

• Treatment will be performed three sessions per week for 4 weeks with postural advice and home exercise program with daily record of home diary.
• The selected outcome measures will be taken on initial visit (pre intervention), session 6 and final session 12 (post intervention).

Comparator

Following physiotherapy treatment will be given to the participants in this group for 4 weeks and each session last for 30 minutes.

i. Ultrasound ii.Gluteus medius exercises iii.Hamstring stretch

Group Type: ACTIVE_COMPARATOR

physiotherapy

Intervention Type: OTHER

• Treatment will be performed three sessions per week for 4 weeks with postural advice and home exercise program with daily record of home diary.
• The selected outcome measures will be taken on initial visit (pre intervention), session 6 and final session 12 (post intervention).

Interventions

physiotherapy

• Treatment will be performed three sessions per week for 4 weeks with postural advice and home exercise program with daily record of home diary.
• The selected outcome measures will be taken on initial visit (pre intervention), session 6 and final session 12 (post intervention).

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• • Subjects with unilateral non-specific LBP

• The Subjects having at least 3 pain provocative tests of SIJ positive out of 5.
• Age 30-50 years. Both male and female.
• Pain history greater than six weeks.
• SIJ diagnostic scoring cut off point 4.
• VAS cut off point mild to moderate.

Exclusion Criteria

• Radiating pain with sensory or motor deficits.
• History of fracture or any spinal surgery
• Trauma
• Any dysfunction of hip or knee
• Any systemic disease.
• Pregnancy

• Minimum Eligible Age: 30 Years
• Maximum Eligible Age: 50 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University of Lahore

OTHER

Sponsor Role: lead

Responsible Party

Rabail Soomro

Dr. Rabail Rani Soomro

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Rabail Soomro

Role: PRINCIPAL_INVESTIGATOR

University of Lahore

Hussain Kari mi

Role: STUDY_CHAIR

University of Lahore

Locations

Institute of physical medicine and rehabilitation, Dow University of health sciences

Karachi, Sindh, Pakistan

Countries

Pakistan

Other Identifiers

019

Identifier Type: -

Identifier Source: org_study_id