Local Muscle Vibration Versus Muscle Energy Technique In Sacroiliac Joint Dysfunction

NCT ID: NCT06227637

Last Updated: 2024-01-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-10-15

Study Completion Date

2024-06-15

Brief Summary

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The purpose of this study is to compare the effect of Local Muscle Vibration versus Muscle energy technique on pain intensity, pain pressure threshold, functional disability, and innominate angle tilt in SIJD.

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?

Detailed Description

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Clinicians will attempt to identify the primary factors that contribute to the development of low back pain. These factors are related to specific areas of malfunction that may irritate the tissues and create pain, or cause pain through hypersensitivity of nociceptive pathways in the CNS. Joint dysfunction is one risk factor, which is defined as "loss of joint play movement that cannot be produced by voluntary muscles". Pain in the joint can result from joint dysfunction, in addition to joint dysfunction, muscle dysfunction is evaluated. History, inspection, palpation, and flexibility tests can all be used to determine this.

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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Sacroiliac Joint Dysfunction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The sample will be randomly subdivided into 2 Groups: Group (A)- Muscle Energy Techniques and Group (B)- Local Muscle Vibration.
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors
Participants will be blinded to the treatment they will receive, and the statistics doctor will be blinded.

Study Groups

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Group (A) (Muscle Energy Techniques )

Muscle Energy Techniques

Group Type ACTIVE_COMPARATOR

Local Muscle Vibration compared to Muscle energy technique in SIJD

Intervention Type OTHER

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

Group Type ACTIVE_COMPARATOR

Local Muscle Vibration compared to Muscle energy technique in SIJD

Intervention Type OTHER

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.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

both male and female participants with ages between 20-40.

* 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

* Neurological impairments in the leg
* Sacroiliitis
* Spondylolisthesis
* pre-diagnosed central or peripheral nervous system disease
* The current pregnancy
* rheumatoid arthritis
* Major surgery of lower limbs and spine
Minimum Eligible Age

20 Years

Maximum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cairo University

OTHER

Sponsor Role lead

Responsible Party

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Asmaa Abou Almakarem Ali Radwan

Principal investigator

Responsibility Role 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

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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Asmaa A ali radwan, Bachelors

Role: CONTACT

01020779243

Ahmed O Abdelnaeem, Doctorate

Role: CONTACT

01140736820

Facility Contacts

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asmaa a ali radwan, Bachelors

Role: primary

01020779243

ahmed o abdelnaeem, Doctorate

Role: backup

011407436820

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.

Reference Type BACKGROUND
PMID: 30662072 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 33239942 (View on PubMed)

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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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