Comparison of Mulligan Mobilization Technique Versus Mckenzie Exercises Among Patient With Sacroilliac Joint Dysfunction: a Randomized Clinical Trial

Abstract

Background: Sacroiliac joint dysfunction frequently causes pain in low back. Localized tenderness and pain around the sacroiliac joint are signs of sacroiliac joint dysfunction, which is made worse by strenuous activities. Objective: This study aimed to compare the effectiveness of mulligan mobilization Technique Versus McKenzie exercises among patients with sacroiliac joint Dysfunction. Methodology: Total 58 patients, with sacroiliac joint dysfunction were included who were fulfilled the eligibility criteria.This trial was registered with Registration number: NCT05404451 Dated 01-08-2022. This study is assessor blind. We have used the convenient sampling technique and the Lottery Method was used to randomly select a participant who met the criteria for participation, and participants were then divided into the two groups at random. The researcher and participants were not informed of the allocation process. A research assistant who was unrelated to the next stage of the study covered up the allocation method. In envelopes, the allocation was concealed. The study subjects were categorized into two groups. Group A received treatment with mulligan mobilization technique while group B received treatment with McKenzie exercises. Both groups received treatment for four weeks. Using the VAS and the MODI scale, pain and disability were evaluated before and after treatment. Results: Results indicated that individuals of both therapy group mulligan and McKenzie showed improvement in VAS and MODI ratings P value was (>0.005). Additionally, it was observed that McKenzie exercises were more effective than Mulligan mobilization techniques at reducing pain, disability, and enhancing sitting, standing, and walking in patients P value was (>0.005). While there was no significant difference has been observed in personal care lifting, sleeping, when comparing both groups P value was (>0.005). Conclusion: This study concluded that Mulligan's Mobilization and McKenzie exercises are both beneficial in reducing pain and improving disability. The McKenzie exercises, however, are more efficient than Mulligan's Mobilization technique when the two groups are compared (at reducing pain, disability, and enhancing sitting, standing, and walking in patients). Trial Registration number: NCT05404451 Dated 03-06-2022