Gluteus Maximus Versus Gluteus Medius Strength On Back Muscles Performance In Patients With Sacroiliac Dysfunction
NCT ID: NCT05809206
Last Updated: 2023-04-12
Study Results
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Basic Information
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UNKNOWN
NA
60 participants
INTERVENTIONAL
2023-04-10
2023-08-15
Brief Summary
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Detailed Description
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1. To investigate the effect of Gluteus maximus strengthening exercises and Gluteus medius strengthening exercises on back pain in patient with Sacroiliac joint dysfunction
2. To investigate the effect of Gluteus maximus strengthening exercises and Gluteus medius strengthening exercises on back muscle performance in patients with Sacroiliac joint dysfunction
3. To investigate the effects of Gluteus maximus strengthening exercises and Gluteus medius strengthening exercises on function in patient with Sacroiliac joint Dysfunction
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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Glutes maximus Strengthening group
Twenty patients received Strengthening exercises for Glutes maximus muscle and conventional physical therapy (corrective exercises and ultrasound).
Glutes maximus strength protocol
The subjects attended physical therapy two times. Per week for a total of 10 visits. Each session lasted approximately 30 minutes. In the first five sessions, subjects performed the following exercises to strengthen the gluteus maximus: bilateral bridge, unilateral bridge, and non-weight-bearing hip extension in prone with the knee flexed at 90 degrees. In the next five sessions, abduction and external rotation in a quadruped ("fire hydrant" exercise) and weight-bearing hip extension (known as "deadlift" exercise) were added. Each exercise was performed for 10 repetitions. Elastic resistance was added to the fire hydrant, hip extension in prone and dead lift exercises to allow each subject to perform at a 10-repetition maximum. The resistance for each subject was adjusted weekly as needed. The exercise program was performed under direct supervision only during the physical therapy sessions.
Corrective Exercises
The following low back corrective exercises were given:
To stretch the tight lower back muscles: Seated Forward Bend and Full Squat held for 5 sec and Repeated for 3 times, once a day.
To strengthen the weak lower abdomen: Draw in and Reverse Crunch 3 seconds, repeated 5 times, once a day.
To stretch the tight hip flexors: held for 10-15 seconds repeated 5 times on both legs, once a day.
To stretch the tight quadriceps: held for 3 seconds, repeated 5 times on each side, once a day.
To strengthen weak hamstrings: Kick Butts 2 sec, repeated 8 times, once a day.
Ultrasound
US was administered in continuous mode at PSIS with patient in prone lying position, with a frequency of 1 MHz and intensity of 0.8 W/cm2 for 5 minutes every alternating day
Glutes Medius Strengthening group
Twenty patients received Strengthening exercises for Glutes medius muscle and conventional physical therapy (corrective Exercises and therapeutic ultrasound (US).
Gluteus medius strength program
Strengthening exercises for Gluteus Medius subdivisions:
The anterior GMED exercise: side lying abduction exercise The middle GMED exercise: wall press Exercise The posterior GMED exercise: was the pelvic drop exercise
Corrective Exercises
The following low back corrective exercises were given:
To stretch the tight lower back muscles: Seated Forward Bend and Full Squat held for 5 sec and Repeated for 3 times, once a day.
To strengthen the weak lower abdomen: Draw in and Reverse Crunch 3 seconds, repeated 5 times, once a day.
To stretch the tight hip flexors: held for 10-15 seconds repeated 5 times on both legs, once a day.
To stretch the tight quadriceps: held for 3 seconds, repeated 5 times on each side, once a day.
To strengthen weak hamstrings: Kick Butts 2 sec, repeated 8 times, once a day.
Ultrasound
US was administered in continuous mode at PSIS with patient in prone lying position, with a frequency of 1 MHz and intensity of 0.8 W/cm2 for 5 minutes every alternating day
Conventional treatment group
Twenty Patients received conventional therapy (corrective exercises and ultrasound).
Corrective Exercises
The following low back corrective exercises were given:
To stretch the tight lower back muscles: Seated Forward Bend and Full Squat held for 5 sec and Repeated for 3 times, once a day.
To strengthen the weak lower abdomen: Draw in and Reverse Crunch 3 seconds, repeated 5 times, once a day.
To stretch the tight hip flexors: held for 10-15 seconds repeated 5 times on both legs, once a day.
To stretch the tight quadriceps: held for 3 seconds, repeated 5 times on each side, once a day.
To strengthen weak hamstrings: Kick Butts 2 sec, repeated 8 times, once a day.
Ultrasound
US was administered in continuous mode at PSIS with patient in prone lying position, with a frequency of 1 MHz and intensity of 0.8 W/cm2 for 5 minutes every alternating day
Interventions
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Glutes maximus strength protocol
The subjects attended physical therapy two times. Per week for a total of 10 visits. Each session lasted approximately 30 minutes. In the first five sessions, subjects performed the following exercises to strengthen the gluteus maximus: bilateral bridge, unilateral bridge, and non-weight-bearing hip extension in prone with the knee flexed at 90 degrees. In the next five sessions, abduction and external rotation in a quadruped ("fire hydrant" exercise) and weight-bearing hip extension (known as "deadlift" exercise) were added. Each exercise was performed for 10 repetitions. Elastic resistance was added to the fire hydrant, hip extension in prone and dead lift exercises to allow each subject to perform at a 10-repetition maximum. The resistance for each subject was adjusted weekly as needed. The exercise program was performed under direct supervision only during the physical therapy sessions.
Gluteus medius strength program
Strengthening exercises for Gluteus Medius subdivisions:
The anterior GMED exercise: side lying abduction exercise The middle GMED exercise: wall press Exercise The posterior GMED exercise: was the pelvic drop exercise
Corrective Exercises
The following low back corrective exercises were given:
To stretch the tight lower back muscles: Seated Forward Bend and Full Squat held for 5 sec and Repeated for 3 times, once a day.
To strengthen the weak lower abdomen: Draw in and Reverse Crunch 3 seconds, repeated 5 times, once a day.
To stretch the tight hip flexors: held for 10-15 seconds repeated 5 times on both legs, once a day.
To stretch the tight quadriceps: held for 3 seconds, repeated 5 times on each side, once a day.
To strengthen weak hamstrings: Kick Butts 2 sec, repeated 8 times, once a day.
Ultrasound
US was administered in continuous mode at PSIS with patient in prone lying position, with a frequency of 1 MHz and intensity of 0.8 W/cm2 for 5 minutes every alternating day
Eligibility Criteria
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Inclusion Criteria
* Patients with chronic lumbopelvic pain (more than 12 weeks) and clinical test positive for SIJD.
* The pain distribution and tenderness on palpation under the posterior superior iliac spine (PSIS) are reliable signs that the SIJ is the source of pain.
* Complaint of unilateral pain rather than bilateral pain is also considered more likely to be coming from an SIJ.
* Patients willing and able to participate in an exercise program safely and without cognitive impairments that would limit their participation.
Exclusion Criteria
* Tumor.
* Infection condition.
* Recent surgeries.
* Pregnancy.
* Back pain referred from organic cause.
* Osteoporosis and bone disease (induced or idiopathic).
25 Years
40 Years
ALL
Yes
Sponsors
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Cairo University
OTHER
Responsible Party
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Reham Abd El moneim Mahmoud Gomma
Principal Investigator
Principal Investigators
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Reham Abd El-Moneim
Role: PRINCIPAL_INVESTIGATOR
Cairo University
Locations
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Outpatient clinic faculty of physica therapy cairo university
Dokki, , Egypt
Countries
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Central Contacts
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Other Identifiers
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Reham_Gomma_PhD
Identifier Type: -
Identifier Source: org_study_id
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