Local Muscle Vibration Versus Muscle Energy Technique In Sacroiliac Joint Dysfunction
NCT ID: NCT06227637
Last Updated: 2024-01-29
Study Results
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Basic Information
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RECRUITING
NA
50 participants
INTERVENTIONAL
2023-10-15
2024-06-15
Brief Summary
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This study will try to answer the following question:
What is the effect of Local Muscle Vibration compared to Muscle energy technique on pain intensity, pain pressure threshold, functional disability, and innominate angle tilt in SIJD?
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Detailed Description
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Muscle energy technique is based on the concepts of Autogenic Inhibition and Reciprocal Inhibition, to lengthen a shortened muscle, mobilize a stiff joint, strengthen a weak muscle, and reduce localized edema and passive congestion. Several studies approved that (MET) affects positively on SIJD cases.
Local Muscle Vibration is used to pain relief, stimulate edema absorption, improve blood flow, alleviate wound healing, and for its anti-inflammatory and ant-adhesion effects. In addition, pain relief effect have also been widely demonstrated. Vibration comprised of low-magnitude high-intensity stimuli which represents a suitable technique to securely transmit appropriate mechanical signals to patients who are unable to exercise to increase musculoskeletal strength. According to a narrative literature review contain about 35 study descuss effects of local vibration therapy on various performance parameters, LMV have apositive effect on muscle activation, strengh, power and joint range of motion.
According to Iodice et al (2011), local administration of high-frequency VT resulted in significant increase in muscle function after several weeks however, some hormonal alterations and moderate performance gains were observed after a single session. This study will try to investigate the effect of Local Muscle Vibration versus Muscle energy technique, which is more effective in reducing low back pain and disability in cases of SIJD. Up to the authors knowledge no previous study discussed the difference between (LMV) and (MET) on SIJD.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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Group (A) (Muscle Energy Techniques )
Muscle Energy Techniques
Local Muscle Vibration compared to Muscle energy technique in SIJD
Apply Local Muscle Vibration compared to Muscle energy technique on patients with sacroiliac joint dysfunction and note the effect on pain intensity, pain pressure threshold, functional disability, and innominate angle tilt in SIJD.
Group( B) (Local Muscle Vibration)
Local Muscle Vibration
Local Muscle Vibration compared to Muscle energy technique in SIJD
Apply Local Muscle Vibration compared to Muscle energy technique on patients with sacroiliac joint dysfunction and note the effect on pain intensity, pain pressure threshold, functional disability, and innominate angle tilt in SIJD.
Interventions
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Local Muscle Vibration compared to Muscle energy technique in SIJD
Apply Local Muscle Vibration compared to Muscle energy technique on patients with sacroiliac joint dysfunction and note the effect on pain intensity, pain pressure threshold, functional disability, and innominate angle tilt in SIJD.
Eligibility Criteria
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Inclusion Criteria
* Pain intensity is greater than 3 over the scale of VAS.
* Pain around SIJ (around PSIS and sacral sulcus).
* Participants with at least three positives out of six provocation and motion palpation tests that have been validated (distraction, compression, Gaenslen, posterior friction test, sacral thrust, and FABER tests).
Exclusion Criteria
* Sacroiliitis
* Spondylolisthesis
* pre-diagnosed central or peripheral nervous system disease
* The current pregnancy
* rheumatoid arthritis
* Major surgery of lower limbs and spine
20 Years
40 Years
ALL
No
Sponsors
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Cairo University
OTHER
Responsible Party
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Asmaa Abou Almakarem Ali Radwan
Principal investigator
Principal Investigators
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Mona M ibrahim, Doctorate
Role: STUDY_CHAIR
Cairo University
Enas F youssef, Doctorate
Role: STUDY_CHAIR
Cairo University
Locations
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The faculty of physical therapy, Cairo university, and Gezira Youth Center
Cairo, , Egypt
Countries
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Central Contacts
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Facility Contacts
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References
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Germann D, El Bouse A, Shnier J, Abdelkader N, Kazemi M. Effects of local vibration therapy on various performance parameters: a narrative literature review. J Can Chiropr Assoc. 2018 Dec;62(3):170-181.
Konrad A, Glashuttner C, Reiner MM, Bernsteiner D, Tilp M. The Acute Effects of a Percussive Massage Treatment with a Hypervolt Device on Plantar Flexor Muscles' Range of Motion and Performance. J Sports Sci Med. 2020 Nov 19;19(4):690-694. eCollection 2020 Dec.
Related Links
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Alkady, S. M. E., Kamel, R. M., AbuTaleb, E., Lasheen, Y., \& Alshaarawy, F. A. (2019). Effect of Muscle Energy Technique in Chronic Sacroiliac Joint Dysfunction. South Valley University International Journal of Physical Therapy and Sciences, 1(1), 8-19.
Salvador Coloma, P., \& Sánchez-Zuriaga, D. (2019). Effects of myofascial release in erector spinae myoelectric activity and lumbar spine kinematics in non-specific chronic low back pain: Randomized controlled trial. Clinical Biomechanics, 63(1), 27-33.
Azevedo, D. C., Santos, H., Carneiro, R. L., \& Andrade, G. T. (2014). Reliability of sagittal pelvic position assessments in standing, sitting and during hip flexion using palpation meter. Journal of Bodywork and Movement Therapies, 18(2), 210-214.
Posterior , Lateral , and Anterior Hip Pain Due to Musculoskeletal Origin : A Narrative Literature Review of History , Physical Examination , and Diagnostic Imaging. Journal of Chiropractic Medicine, 15(4), 281-293.
Changes in Pain and Disability Secondary to Shoe Lift Intervention in Subjects With Limb Length Inequality and Chronic Low Back Pain: A Preliminary Report. Journal of Orthopaedic and Sports Physical Therapy, 37(7), 380-388
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De Gail, P., Lance, J. W., \& Neilson, P. D. (1966). Differential effects on tonic and phasic reflex mechanisms produced by vibration of muscles in man. Journal of Neurology, Neurosurgery, and Psychiatry, 29(1), 1-11.
Dueñas, L., Zamora, T., Lluch, E., Artacho-Ramírez, M. A., Mayoral, O., Balasch, S., \& Balasch-Bernat, M. (2020). The effect of vibration therapy on neck myofascial trigger points: A randomized controlled pilot study. Clinical Biomechanics, 78(May 2019),
Increase in paravertebral muscle activity in lumbar kyphosis patients by surface electromyography compared with lumbar spinal canal stenosis patients and healthy volunteers. The Spine Journal, 13(11), 1711.
Feeney, D. F., Capobianco, R. A., Montgomery, J. R., Morreale, J., Grabowski, A. M., \& Enoka, R. M. (2018). Individuals with sacroiliac joint dysfunction display asymmetrical gait and a depressed synergy between muscles providing sacroiliac joint force
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Hussein, Y. I., Hassan, K. A., \& EL-Nahass, B. G. E. (2022). Strain-counterstrain versus muscle energy technique in sacroiliac joint dysfunction. International Journal of Health Sciences, 6(July), 8738-8754.
Iodice, P., Bellomo, R. G., Gialluca, G., Fanò, G., \& Saggini, R. (2011). Acute and cumulative effects of focused high-frequency vibrations on the endocrine system and muscle strength. European Journal of Applied Physiology, 111(6), 897-904.
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Other Identifiers
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local vibration vs MET in SIJD
Identifier Type: -
Identifier Source: org_study_id
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