A Study to Compare the effectiveness of MET and Joint Mobilization along with Conventional Physiotherapy in the Management of SI Joint Dysfunction in Young Adults

Mathew, Rachel; Srivastava, Namrata; Joshi, Sneha

doi:10.5958/0973-5674.2015.00124.0

Cited by 5 publications

(12 citation statements)

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“…(21,23) Following four weeks of gluteus maximus activation, there was a reduction in VAS from 4.33 cm to 1.17 cm which is beyond clinically significant difference of 2 cm. It is similar to the previous study by Mathew et al (15) on sacroiliac joint dysfunction which showed improvement in VAS scores by 2.9 cm using corrective exercises which included activation of abdominals and gluteus maximus muscles for four weeks.…”

Section: Discussionsupporting

confidence: 90%

“…Studies have shown 2 cm as a minimal clinically significant change in the within-group analysis for VAS outcome measure. (15) The amount of improvement was seen following the previous study on sacroiliac joint dysfunction with a reduction in VAS scores by 2.20 cm using MET and joint mobilization. (23) Both the groups have improved from baseline to post-intervention and it is not statistically significant between groups.…”

Section: Discussionmentioning

confidence: 85%

“…The reason for higher improvement could be due to additive effect of joint mobilization, ultrasound, MET, and corrective exercises. (15) ODI scores showed clinically significant improvement from 37.7% to 14.5% at four weeks following flexion bias exercises in the control group. A literature stated that self-correction exercises, such as a knee to chest and sitting leaning forward, helps to prevent the recurrence of sacroiliac joint dysfunction, thus improving the functional status of the patient.…”

Section: Discussionmentioning

confidence: 87%

“…It moves the PSIS posteriorly, caudally, and medially on the sacrum where f ixation occurs. (15) The control group received standard rehabilitation protocol that focused on correction of anteriorly rotated sacroiliac joint dysfunction by MET. Immediately after the correction, PALM and VAS outcome measures were taken.…”

Section: Interventionmentioning

confidence: 99%

“…(13) To our knowledge, studies on effectiveness of gluteus maximus activation exercises, along with MET, are not found in the reviewed literature. (14,15) In addition, no studies have compared the effects of gluteus maximus activation exercises to flexion bias exercises on functional disability, pain intensity, and pelvic tilt angles on subjects with anteriorly rotated sacroiliac joint dysfunction.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of Glutues Maximus Activation to Flexion Bias Exercises Along with MET Technique in Subjects with Anterior Rotated Sacroiliac Joint Dysfunction—a Randomised Controlled Trial

Sanika

Venkatesan

Karvannan

2020

IJTMB

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Background: Sacroiliac joint dysfunction (SIJD) is the primary source of lowback pain. Main muscles forming the force closure of sacroiliac joint are the biceps femoris and gluteus maximus which increase the stability through massive attachments via sacrotuberous ligament. However, there is a dearth of literature of the importance of activation of gluteus maximus in SIJD. Purpose: To study the effect of gluteus maximus activation on Oswestry Disability Index (ODI), visual analog scale (VAS), and pelvic tilt angle in subjects with anterior rotated sacrolilac joint dysfunction. Settings: The study was conducted in outpatient Physiotherapy Department, Manipal Hospital, Bangalore, India. Participants: Anterior rotated SIJD subjects were recruited in the study. They were divided into two groups (experimental and control groups) by block randomisation. Research Design: This is a randomised control trial. Controlled Treatment: Treatment order was determined by block randomisation. The subjects of both experimental and control group received Muscle Energy Technique (MET) technique on 1st session to correct the anterior rotated SIJD. The experimental group received gluteus maximus activation protocol, whereas the control group received flexion bias exercises. The groups received the treatment of 20 mins per session. There were two supervised sessions per week for four weeks. Main Outcome Measures: The primary outcome measure in the study is Oswestry Disability Index (ODI). The secondary outcome measures included visual analog scale (VAS) and Palpation Meter (PALM). Results: 48 subjects (26 females, 22 males) were randomised into experimental and control groups having anterior rotation SIJD, and average age in groups was 38.83 ± 11.4 years and 34.96 ± 9.5 years, respectively. The within-group analysis showed significant improvements in only ODI outcome of both the groups (p = .001). The between-group analysis in both groups did not show any statistical significant difference in ODI, VAS, or PALM. Conclusion: The flexion bias exercise and the gluteus maximus activation exercises used in this study were equally effective in improving physical function and reduction in pain, and maintaining the normal pelvic angle in subjects with anterior rotated SIJD.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 87%

Section: Interventionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Comparison of Glutues Maximus Activation to Flexion Bias Exercises Along with MET Technique in Subjects with Anterior Rotated Sacroiliac Joint Dysfunction—a Randomised Controlled Trial

Sanika

Venkatesan

Karvannan

2020

IJTMB

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Efficacy of manual therapy for sacroiliac joint pain syndrome: a systematic review and meta-analysis of randomized controlled trials

Trager,

Baumann,

Rogers

et al. 2024

Journal of Manual & Manipulative Therapy

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Effectiveness of the Muscle Energy Technique versus Osteopathic Manipulation in the Treatment of Sacroiliac Joint Dysfunction in Athletes

García-Peñalver

Palop-Montoro

Manzano-Sánchez

2020

IJERPH

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Background: The study of injuries stemming from sacroiliac dysfunction in athletes has been discussed in many papers. However, the treatment of this issue through thrust and muscle-energy techniques has hardly been researched. The objective of our research is to compare the effectiveness of thrust technique to that of energy muscle techniques in the resolution of sacroiliac joint blockage or dysfunction in middle-distance running athletes. Methods: A quasi-experimental design with three measures in time (pre-intervention, intervention 1, final intervention after one month from the first intervention) was made. The sample consisted of 60 adult athletes from an Athletic club, who were dealing with sacroiliac joint dysfunction. The sample was randomly divided into three groups of 20 participants (43 men and 17 women). One intervention group was treated with the thrust technique, another intervention group was treated with the muscle–energy technique, and the control group received treatment by means of a simulated technique. A prior assessment of the range of motion was performed by means of a seated forward flexion test, a standing forward flexion test, and the Gillet test. After observing the dysfunction, the corresponding technique was performed on each intervention group. The control group underwent a simulated technique. A second intervention took place a month later, in order to ascertain possible increased effectiveness. Results: Statistically significant differences were found between the muscle energy technique (MET) and muscle energy groups compared with the placebo group in both interventions (p = 0.000), with a significant reduction in positive dysfunction (initially 20 in all groups, eight in MET group, and two in thrust group in the final intervention). Comparing the changes in time, only the thrust group obtained statistically significant differences (p = 0.000, with a reduction of positive dysfunction, starting at 20 positives, five positive in the initial intervention and two positive in the final intervention) and when comparing both techniques, it was observed that between the first intervention and the final intervention, the thrust technique was significantly higher than the MET technique (p = 0.032). Conclusions: The thrust manipulation technique is more effective in the treatment of sacroiliac dysfunction than the energy muscle technique, in both cases obtaining satisfactory results with far middle-distance running athletes. Finally, the thrust technique showed positive results in the first intervention and also in the long term, in contrast to the MET technique that only obtained changes after the first intervention.

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A Study to Compare the effectiveness of MET and Joint Mobilization along with Conventional Physiotherapy in the Management of SI Joint Dysfunction in Young Adults

Cited by 5 publications

References 0 publications

Comparison of Glutues Maximus Activation to Flexion Bias Exercises Along with MET Technique in Subjects with Anterior Rotated Sacroiliac Joint Dysfunction—a Randomised Controlled Trial

Comparison of Glutues Maximus Activation to Flexion Bias Exercises Along with MET Technique in Subjects with Anterior Rotated Sacroiliac Joint Dysfunction—a Randomised Controlled Trial

Efficacy of manual therapy for sacroiliac joint pain syndrome: a systematic review and meta-analysis of randomized controlled trials

Effectiveness of the Muscle Energy Technique versus Osteopathic Manipulation in the Treatment of Sacroiliac Joint Dysfunction in Athletes

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