The therapeutic effects of manipulation technique on sacroiliac joint dysfunction in young women

Vaseghnia, Ashraf; Shadmehr, Azadeh; Moghadam, Behrooz Attarbashi; Olyaei, Gholamreza; Hadian, Mohammad-Reza; Khazaeipour, Zahra

doi:10.32098/mltj.04.2018.11

Cited by 7 publications

(10 citation statements)

References 13 publications

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“…The study reported that both HVTM and MET were effective and resulted in a significant improvement of disability and pain perception (p < 0.05). No statistically significant difference was observed in the readings of NPRS and Modi between group A and group B, The findings of this study are similar to those obtained by Vaseghnia et al [22], who concluded that manually assisted mechanical forces or HVTM of low amplitude and instrument delivered thrust in SiJd patients was associated with beneficial effects in reduction of pain perception and improvement of functional disability. The within-group analysis demonstrated a statistically significant improvement (p < 0.001) in mean NPRS and Modi in both treatment groups but no statistically significant difference was observed when comparing the manually assisted thrust manipulation.…”

Section: Discussionsupporting

confidence: 90%

“…The caudal hand of the therapist grasped the anterior thigh just proximal to the knee and the hypothenar eminence of the cranial hand was used to contact the posterior superior iliac spine with the fingers pointing towards the patient's thigh (to keep the hands off the lumbar spine). The pelvis was rotated to the front and, at the barrier, thrust was applied [22] (Figure 2B).…”

Section: Hvtm For Posterior Ilium Correctionmentioning

confidence: 99%

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Comparing the effect of thrust manipulation and muscle energy technique on pain and disability in patients with sacroiliac joint dysfunction

Fatima¹,

Goyal²,

Singh³

2021

Physiother Quart.

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Introduction. Sacroiliac joint pain is described as pain in and around the joint along with dull pain in lower back due to biomechanical dysfunction in the sacroiliac region. Manual therapy is a common treatment for patients with sacroiliac joint dysfunction. The purpose of this study was to examine the within-and between-group effects of high-velocity thrust manipulation and muscle energy technique in sacroiliac joint dysfunction. Methods. Thirty patients with low back pain were randomized to receive either high-velocity thrust manipulation (n = 15) or muscle energy technique (n = 15) for 6 sessions over 2 weeks. The outcomes included the Modified oswestry disability index (Modi) and Numeric Pain Rating Scale (NPRS). The paired t-test and two-way ANCoVA were used for within-and between-group analysis, respectively. Results. A statistically significant difference was observed in baseline and post-treatment Modi and NPRS scores within the groups (p < 0.001). in turn, no statistically significant difference was found in baseline or post-treatment Modi and NPRS scores between the groups (p < 0.001). Conclusions. The between-group effects were neither clinically nor statistically significant. The within-group effects were both significant and exceeded the reported minimal clinically important differences for the outcome tools of Modi and NPRS.

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Section: Discussionsupporting

confidence: 90%

Section: Hvtm For Posterior Ilium Correctionmentioning

confidence: 99%

Comparing the effect of thrust manipulation and muscle energy technique on pain and disability in patients with sacroiliac joint dysfunction

Fatima¹,

Goyal²,

Singh³

2021

Physiother Quart.

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“…Vaseghnia et al in 2019 claimed that Post isometric relaxation in short term significantly reduced the VAS and MODI in females with anterior innominate dysfunction also supported my study. On recommendation of this study, long term effects of Post isometric relaxation for treatment of anterior innominate dysfunction for better outcomes were checked in current study both in males and females gender (13) The current study contrasts together with a study conducted by Urko Jose et al (2019) on muscle energy technique contrasted with osteopathic manipulations in management of SIJD in players concluded that Thrust approach produced significantly improvement in pain and disability in long term and muscle energy technique was effective for short term (25). But current study claimed that post isometric relaxation was also effective for pain and disability in long term as compared to static stretching.…”

Section: Resultsmentioning

confidence: 99%

“…The occurrence of sacroiliac joint disorder is higher among female gender. Up to 30% of female with LBP is stricken by Sacroiliac joint dysfunction (13). The risk of SIJD in females is three to four times higher as compared to male gender.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Post Isometric Relaxation of Gluteus Maximus and Static Stretching of Hip Flexors on Pain and Functional Status in Patients with Anterior Innominate Dysfunction

Asad¹,

Hafeez²,

Saeed³

et al. 2021

PJMHS

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Objective: To compare the effects of Post Isometric Relaxation (PIR) of gluteus maximus and Static Stretching (SS) of hip flexors on pain and functional status in patients with Anterior Innominate Dysfunction. Methodology: A quasi experimental trial was conducted on thirty six patients of Anterior Innominate Dysfunction. All were randomly allocated to post isometric relaxation group and static stretching group. Both groups were treated with 12 treatment sessions in 4 weeks at frequency of 3 sessions per week. Numeric Pain Rating Scale (NPRS) and Modified Oswestry Disability Index (MODI) were used to measure the treatment effect at baseline, after 2 weeks and after 4 weeks. Data was analyzed by SPSS 21. Results: Mean Age of Group A (PIR) was 34.28±7.76 and Group B (SS) was 35.72±7.16. Mean BMI of participants was 23.84±3.29. Across group, both post isometric relaxation and static stretching had shown significant results with P value <0.05. But within group, post isometric relaxation had shown more significant results as compared to static stretching with P value <0.05. Conclusion: Both treatment techniques; Post isometric relaxation and Static stretching are effective and produced significant difference in NPRS and MODI score to improve pain and functional status but PIR had shown more promising results in patients with anterior innominate dysfunction. Key words: Sacroiliac Joint Dysfunction (SIJD), Muscle Energy Technique (MET), MODI (Modified Oswestry Disability Index).

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“…The experimental group registered statistically significant improvement in disability, but the improvement was modest and did not achieve the minimum clinically important difference compared to the control group [ 12 ]. Furthermore, other studies reported the benefits of manual therapy (spinal mobilization) vs. conventional physiotherapy or exercises in the management of LBP and associated disc degeneration [ 13 , 14 , 15 , 16 , 17 , 18 ]. Moreover, the superiority of spinal mobilizations over ET was reported [ 19 , 20 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of Complex Rehabilitation Program on Reducing Pain and Disability in Patients with Lumbar Disc Protrusion—Is Early Intervention the Best Recommendation?

Tarcău

Ianc

Sîrbu

et al. 2022

JPM

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(1) Background: Due to its frequency and possible complications, low back pain (LBP) has a high social impact, it is a common problem of the active population and the second reason for visiting a physician. In patients with lumbar disc protrusion (LDP), one of the most common causes of LBP, the nucleus pulposus bulges against the disc and then protrudes into the spinal cord, but the annulus fibrosus remains intact; (2) Objectives: The primary objective of this study was to determine the efficacy of a rehabilitation treatment (RT) comprising electrotherapy (ET), hydrotherapy (HT) and individualized physical therapy (PT) versus ET alone in patients with LDP. The second objective was to investigate whether there is a correlation between early RT and the symptomatology of patients with LDP; (3) Methods: The research was conducted between July 2021 and January 2022 at the Ceres Hotel Treatment Centre from Baile 1 Mai, Romania, and all the study subjects signed an informed consent form. For this study, the block randomization method was used to randomize subjects into groups that resulted in equal sample size, in order to maintain a reasonably good balance among groups. Therefore, the two groups had the same number of subjects (30 subjects) and the randomization was made taking into account the patient’s motivation or the subject’s willingness to receive not only electrotherapy treatment, but also the physical exercises and hydrotherapy. The eligibility criteria were: low back pain for more than three months, an MRI confirmed diagnosis of LDP (without dural compression), and ability to perform a PT program. The control group received only a classical ET program. In addition, the patients in the experimental group received a complex individualized PT program associated with HT and ET. To achieve these objectives, the study subjects were monitored for spinal mobility (lateral lumbar flexion—LLF, index fingers-ground—IFG, lumbar Schober tests for flexion—LS, Inverted Schober test for extension—ILS), trunk flexor and extensor muscle strength (LF strength, LE strength), level of pain (Short Form McGill Pain Questionnaire—SF-MPQ, Visual Analogue Scale—VAS), and the degree of limitation in activities of daily living (Oswestry Disability Index—ODI); (4) Results: Comparing the evolution of the subjects, using the One-Way ANOVA between groups, we observed a significant improvement in all variables [SF-MPQ (95% CI, 7.996/11.671), VAS (95% CI, 1.965/3.169), mobility FTF (95% CI, −7.687/−3.940), LS (95% CI, 2.272/2.963), LE strength (95% CI, −5.676/−3.324), LF strength (95% CI, −5.970/−3.630), disability (95% CI, 8.026/10.441) after six months of treatment for the experimental group subjects. A clear correlation was found, using the Bravis–Pearson test, between the earliest possible initiation of RT and improvement of patients’ symptoms; (5) Conclusion: The current study proves the importance of combining ET with HT and PT. The earlier the RT is implemented, the lower the pain perception and level of disability associated with the lumbar disease.

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The therapeutic effects of manipulation technique on sacroiliac joint dysfunction in young women

Cited by 7 publications

References 13 publications

Comparing the effect of thrust manipulation and muscle energy technique on pain and disability in patients with sacroiliac joint dysfunction

Comparing the effect of thrust manipulation and muscle energy technique on pain and disability in patients with sacroiliac joint dysfunction

Comparison of Post Isometric Relaxation of Gluteus Maximus and Static Stretching of Hip Flexors on Pain and Functional Status in Patients with Anterior Innominate Dysfunction

Effects of Complex Rehabilitation Program on Reducing Pain and Disability in Patients with Lumbar Disc Protrusion—Is Early Intervention the Best Recommendation?

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