Mulligan's Mobilization and Proprioceptive Neuromuscular Facilitation Technique in Sacroiliac Joint Dysfunction

NCT ID: NCT05356650

Last Updated: 2022-05-02

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 38 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-04-15
• Study Completion Date: 2022-09-15

Brief Summary

This study will aim to compare the effects of mulligan mobilization and PNF on pain and disability with patients of SIJ dysfunction and will be helpful for clinical physiotherapist to choose more effective treatment protocol for patients as there are fewer researches on comparison of these techniques.

Detailed Description

The sacroiliac joint dysfunction syndrome (SIJDS) is an ongoing controversial issue and an important source of low back pain (LBP). It has been emphasized in many studies that the pathologies of sacroiliac joint (SIJ) are a source of pain in the lumbar spine and hip region. The prevalence of SIJDS in patients with chronic mechanical LBP is between 15 and 30% SIJD is a condition in which pain arises from the sacroiliac joint and is caused by the abnormal movement of ilium around the sacrum and abnormal function of the SIJ structures, like ligaments, muscles, capsules. The prevalence of SIJP has been stated to be up to 75% in LBP patients.

Physiotherapy techniques are used to correct SIJ mal-alignment manually by restoring the normal function and balance of lumbar and pelvic muscles and ligaments. Mulligan described the positional fault theory in which articular mal-alignment leads to altered kinematics and eventual dysfunction(2). Proprioceptive neuromuscular facilitation (PNF) is a form of flexibility exercises used to resolve muscle shortening and strain.

Conditions

SACROILIAC JOINT DYSFUNCTION

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Mulligan Mobilization

Treatment will be given with frequency of 3 sets with 10 repetitions on sacroiliac joint 3 times a week for 6 weeks

Group Type: EXPERIMENTAL

Mulligan Mobilization

Intervention Type: OTHER

The patient will be in a prone position. With one hand, the physiotherapist will fix the sacrum and place the fingers of her other hand under the anterior superior iliac spine. The therapist then pull the ilium on the sacrum and will instruct the patient to do press-ups. Treatment will be given with frequency of 3 sets with 10 repetitions on sacroiliac joint 3 times a week for 6 weeks

PNF Technique

Three sets of stretching of each muscle will be performed for each position with the frequency of 3 times a week for 6 weeks.

Group Type: EXPERIMENTAL

PNF

Intervention Type: OTHER

PNF stretching will be performed using contract-relax techniques of agonists in supine, prone and side-lying. Contract-relax will be applied with a 6-second contraction with 80% force of the maximal isometric contraction on the muscles (iliopsoas, hamstrings and gluteal muscles) and will be followed by a 15-second passive static stretching in the opposite direction of that muscles. Three sets of stretching of each muscle will be performed for each position with the frequency of 3 times a week for 6 weeks.

Patient will be in supine, prone, side lying. Both groups will receive a baseline treatment (Moist Heat Pack for 10 minutes and 10 minutes of Ultrasound (0.75 MHz, continuous wave)

Interventions

Mulligan Mobilization

The patient will be in a prone position. With one hand, the physiotherapist will fix the sacrum and place the fingers of her other hand under the anterior superior iliac spine. The therapist then pull the ilium on the sacrum and will instruct the patient to do press-ups. Treatment will be given with frequency of 3 sets with 10 repetitions on sacroiliac joint 3 times a week for 6 weeks

Intervention Type: OTHER

PNF

PNF stretching will be performed using contract-relax techniques of agonists in supine, prone and side-lying. Contract-relax will be applied with a 6-second contraction with 80% force of the maximal isometric contraction on the muscles (iliopsoas, hamstrings and gluteal muscles) and will be followed by a 15-second passive static stretching in the opposite direction of that muscles. Three sets of stretching of each muscle will be performed for each position with the frequency of 3 times a week for 6 weeks.

Patient will be in supine, prone, side lying. Both groups will receive a baseline treatment (Moist Heat Pack for 10 minutes and 10 minutes of Ultrasound (0.75 MHz, continuous wave)

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Age 20 to 35 years

• Both genders
• Subjects with positive provocation test ( Faber's test\Patricks test, Gaenslen test, distraction test, compression test, sacral thrust test)
• Subjects with positive innominate test ( Stork Test\Gillet Test)
• Subjects who agree to fill the informed consent

Exclusion Criteria

• Pregnant women

• Presence of neurological signs
• Patient with ankylosis spondylosis.
• Patient has been diagnosed by disease other than SIJ dysfunction
• Patients having any congenital posture problem or previous surgery
• SLR less than 45 degree
• Patient having any mental problem or reduced cognitive ability

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 35 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Nosheen Manzoor

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Govt. Hospital DHQ

Jhang, Punjab Province, Pakistan

Site Status: RECRUITING

Countries

Pakistan

Central Contacts

Nosheen Manzoor

Role: CONTACT

nosheen.manzoor@riphahfsd.edu.pk

03236877879

Facility Contacts

Nosheen Manzoor

Role: primary

Nosheenmanzoor_444@yahoo.com

03236877879

Other Identifiers

REC/Lhr/22/0109 Aisha

Identifier Type: -

Identifier Source: org_study_id