Gluteal Activation With or Without Traction Straight Leg Raise Technique

NCT ID: NCT04757415

Last Updated: 2022-12-08

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 38 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-10-15
• Study Completion Date: 2022-07-31

Brief Summary

This study was a Randomized clinical trial conducted to determine the Effects of gluteal activation with or without traction straight leg raise technique among patients of sacroiliac joint syndrome so that in future this study will be helpful for other clinician to determine that how much gluteal activation is important in low back pain or sacroiliac joint syndrome, and how it affects our sling system.

Detailed Description

Non Probability Convenient sampling was done . Patients following eligibility criteria from Sports and Spine Professionals ,Lahore were considered. Sample size was calculated with Epi tool calculator. 38 Participants were randomly allocated in two groups equally via convenient sampling method. Baseline assessment was done initially. Group A was given gluteal activation exercises with traction straight leg raise technique for hamstring and Group B was gluteal activation exercises without traction straight leg raise technique for hamstring. Duration of research was almost 6 months. Patient will undergo 10 treatments in five weeks. Each session will take 30 minutes. Pre and Post treatment readings were taken in 1st and 10th session over a 5 week period respectively. Assessment was done via sphygmomanometer and numeric pain rating scale for assessing muscle strength of gluteus maximum and pain levels respectively. All participants were provided written informed consent prior to commencement of the procedures. They were free to quit the treatment at any stage of research. Data was analyzed by using SPSS version 23.

Conditions

SIJ - Sprain of Sacroiliac Joint; Weakness, Muscle; Tightness of Back Muscles

Study Design

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

Study Groups

Traction straight leg raise technique for hamstring.

Experimental group underwent conventional physiotherapy treatment (hot pack) followed by five main gluteal activation exercises three in first five sessions and rest two in remaining five sessions along with traction straight leg raise technique. Each session took 30 minutes . Participants were treated 10 times over a 5 week period with 2 treatment sessions per week. Pre and Post treatment readings were taken in 1st and 10th session over a 5 week period respectively. Assessment was done via Numeric pain rating scale and sphygmomanometer for assessing pain intensity and muscle strength of gluteus maximus.

Group Type: EXPERIMENTAL

Traction straight leg raise technique for hamstring

Intervention Type: OTHER

traction straight leg raise technique is used along with gluteal exercises

Gluteal activation exercises

Experimental group underwent conventional physiotherapy treatment (hot pack) followed by five main gluteal activation exercises three in first five sessions and rest two in remaining five sessions. Each session took 30 minutes . Participants were treated 10 times over a 5 week period with 2 treatment sessions per week. Pre and Post treatment readings were taken in 1st and 10th session over a 5 week period respectively. Assessment was done via Numeric pain rating scale and sphygmomanometer for assessing pain intensity and muscle strength of gluteus maximus.

Group Type: EXPERIMENTAL

Gluteal activation exercises,Hotpack

Intervention Type: OTHER

only gluteal activation exercises were performed without traction straight leg raise technique

Interventions

Traction straight leg raise technique for hamstring

traction straight leg raise technique is used along with gluteal exercises

Intervention Type: OTHER

Gluteal activation exercises,Hotpack

only gluteal activation exercises were performed without traction straight leg raise technique

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

1. Subjects with LBP below the level of L5,

2. With pain over the posterior aspect of SI joint around posterior superior iliac spine and buttock with or without above knee leg pain.

3. Females only

Exclusion Criteria

1. Had radicular pain with neurological (sensory or motor) deficits,

2. Had a history of spinal surgery, spinal, pelvic, or lower extremity fracture; hospitalization for trauma or motor vehicle accident;

3. Hip or knee dysfunctions;

4. Pregnancy;

5. Any systemic disease such as arthritis, tuberculosis, liver, or kidney failure

6. Subjects with leg length discrepancies, because of its potential effect on hamstring muscle length were also excluded. -

• Minimum Eligible Age: 40 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Rabiya Noor, PhD

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Riphah IU

Lahore, , Pakistan

Countries

Pakistan

References

Massoud Arab A, Reza Nourbakhsh M, Mohammadifar A. The relationship between hamstring length and gluteal muscle strength in individuals with sacroiliac joint dysfunction. J Man Manip Ther. 2011 Feb;19(1):5-10. doi: 10.1179/106698110X12804993426848.

Reference Type: BACKGROUND

PMID: 22294848 (View on PubMed)

Added MAN, de Freitas DG, Kasawara KT, Martin RL, Fukuda TY. STRENGTHENING THE GLUTEUS MAXIMUS IN SUBJECTS WITH SACROILIAC DYSFUNCTION. Int J Sports Phys Ther. 2018 Feb;13(1):114-120.

Reference Type: BACKGROUND

PMID: 29484248 (View on PubMed)

Feeney DF, Capobianco RA, Montgomery JR, Morreale J, Grabowski AM, Enoka RM. Individuals with sacroiliac joint dysfunction display asymmetrical gait and a depressed synergy between muscles providing sacroiliac joint force closure when walking. J Electromyogr Kinesiol. 2018 Dec;43:95-103. doi: 10.1016/j.jelekin.2018.09.009. Epub 2018 Sep 22.

Reference Type: BACKGROUND

PMID: 30267967 (View on PubMed)

Chance-Larsen K, Littlewood C, Garth A. Prone hip extension with lower abdominal hollowing improves the relative timing of gluteus maximus activation in relation to biceps femoris. Man Ther. 2010 Feb;15(1):61-5. doi: 10.1016/j.math.2009.07.001. Epub 2009 Aug 12.

Reference Type: BACKGROUND

PMID: 19679506 (View on PubMed)

Other Identifiers

REC/LHR/20/0103 Farzana Saqib

Identifier Type: -

Identifier Source: org_study_id