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Muscle Energy Technique and Kinesiotaping in Mechanical Sacroiliac Joint Dysfunction

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT03940287
Recruitment Status : Terminated (Due to COVID-19 lockdown)
First Posted : May 7, 2019
Last Update Posted : June 18, 2020
Sponsor:
Information provided by (Responsible Party):
Asir John Samuel, Maharishi Markendeswar University (Deemed to be University)

Brief Summary:

Background:

Mechanical sacroiliac joint dysfunction is associated with pain and stiffness which can later on gives restriction of overall motion. Total 60% of the body weight is mainly received by the sacroiliac joint and it is related with pelvis and lower extremity. Due to Bio- mechanical alteration muscles around the joint area get weakened.Muscle energy technique helps to improve body's normal function by giving strength as well as decrease pain and stiffness and Kinesiotaping also helps to stabilize the joint structure by giving more functional benefit.

Aim:

The Aim of the study is to evaluate the efficacy of Muscle energy technique & Kinesiotaping in addition to other physio-therapeutic intervention in patients with Mechanical Sacroiliac joint Dysfunction.

Methods:

This study is a randomized clinical trial and subjects will recruit on the basis of inclusion criteria. Age group between 30 to 50 years of mechanical sacroiliac joint dysfunction patients will be taken. Any pathological condition like inflammation of sacroiliac joint and fracture of pelvic bone will be excluded. Patient will be randomized on the basis of SNOSE method. After randomization in two equal group treatment will be given and data will be analyzed separately. One Experimental group will receive Muscle energy technique and conventional physiotherapy and another experimental group will receive Kinesiotaping and conventional physiotherapy. Modified Oswestry Disability Index helps to evaluate functional limitation associated with Mechanical Sacroiliac joint Dysfunction.

Data Analysis:

Normality of the collected data will be established by Shapiro wilk test. Based on the normality, descriptive statistics data will be expressed as mean± standard deviation or median and intra-quartile range. Within group comparison will be calculated by paired-t test or Wilcoxon Signed Rank test and between group comparison will be done through Independent-t test or Mann-Why U test. P value will be set at significance level(0.05).


Condition or disease Intervention/treatment Phase
Sacroiliac Joint Dysfunction Other: Muscle Energy Technique Other: Kinesiotape application Other: Conventional physiotherapy Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 30 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description: Two group pre test post test Randomized Clinical Design
Masking: Single (Participant)
Masking Description: Participant blinded (Single blinded)
Primary Purpose: Treatment
Official Title: Efficacy of Muscle Energy Technique and Kinesiotape Application in Addition to Other Physiotherapeutic Intervention in Patients With Mechanical Sacroiliac Joint Dysfunction
Actual Study Start Date : September 1, 2019
Actual Primary Completion Date : March 18, 2020
Actual Study Completion Date : March 19, 2020

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Joint Disorders

Arm Intervention/treatment
Experimental: Muscle Energy Technique and Conventional Physiotherapy
Muscle Energy Technique will be given with conventional physiotherapy for 3 days per week and will be continue for 4 weeks, where each session of Muscle Energy Technique will be repeated for 3-5 repetitions.
Other: Muscle Energy Technique

Muscle energy technique will be given in two different position. For anterior in- nominate rotation and posterior in- nominate rotation patient position will be in supine lying position.

For weakened muscle,piriformis application the patient should be side-lying position, close to the edge of the table, affected side uppermost, both legs flexed at hip and knee.

The therapists stand facing the patient at hip level,then patient should be close enough to the edge of the table for the therapist to stabilize the pelvis against his trunk. The angle of hip flexion should not exceed 60°, and then places one hand on the contralateral ASIS to prevent pelvic motion, while the other hand is placed against the lateral flexed knee as this is pushed into resisted abduction to contract piriformis.

Isometric contraction should be hold for 3-5 second and that particular method will be repeated for 7-10 times.


Other: Conventional physiotherapy
Hydro-collator pack will be used superior to the affected area for at-least 15 minute to reduce the stiffness. Hydocollator pack will be wrap twice with a thick towel and then it will be placed to the affected part.

Experimental: Kinesiotaping and Conventional Physiotherapy
Kinesiotape application will be given with conventional physiotherapy for 3 days per week and will be continue for 4 weeks
Other: Kinesiotape application

Kinesiotaping will be applied to piriformis muscle and Sacroiliac joint (SIJ). This tape will be applied in I shape to both sides of the spine from sacrum to Anterior Superior Iliac Spine. For SIJ taping same 5 cm KT tape will be used, it will be applied from below posterior sacroiliac spine to opposite side. Here patient should be in standing position.

For Piriformis application patient will be in side lying position where the affected leg will be placed uppermost with hip in flexion, adduction, and internal rotation , then the application will be performed. The base of the tape will be placed over contralateral part of sacrum and then make a Y strip with no tension will be attached over the greater trochanter of femur.


Other: Conventional physiotherapy
Hydro-collator pack will be used superior to the affected area for at-least 15 minute to reduce the stiffness. Hydocollator pack will be wrap twice with a thick towel and then it will be placed to the affected part.




Primary Outcome Measures :
  1. Digitalized Pain Pressure Algometer [ Time Frame: 2 weeks ]
    It is an important tool for measuring pain pressure threshold level

  2. Hand Held Dynamometer [ Time Frame: 2 weeks ]
    It is useful tool for calculating muscle strength of lower extremity


Secondary Outcome Measures :
  1. Modified Oswestry Disability Index [ Time Frame: 2 weeks ]

    It is an extremely important tool used to measure a patients permanent functional disability. The total score ranges from 0-50. For each section total possible score is 5.

    0-20%- Minimal disability 20-41%-Moderate disability 41-60%-Severe disability 61-80%-Crippled 81-100%-Bed bound




Information from the National Library of Medicine

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Ages Eligible for Study:   30 Years to 50 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Pain in the low back, buttock and groin area
  • Restricted Sacroiliac joint motion as tested by clinical tests (Standing Flexion & Sitting Flexion test)
  • Leg pain more than 4 weeks but less than 1 year

Exclusion Criteria:

  • Inflammation in sacroiliac joint like sacroilitis
  • Pregnancy
  • Pelvic bone Fractures
  • Metallic implants (endoprostheses) in pelvis
  • Malignancy
  • Inflammatory bowel disease

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03940287


Locations
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India
Maharishi Markandeshwar Hospital, Mullana
Ambala, Haryana, India, 133207
Sponsors and Collaborators
Asir John Samuel
Investigators
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Principal Investigator: Manisha Sarkar, BPT, (MPT) Department of Musculoskeletal Physiotherapy, MMIPR
Publications of Results:
Shinde M, Jagtap V. Effect of Muscle Energy Technique and Mulligan Mobilization in Sacroiliac Joint Dysfunction. Glob J Res Anal. 2018;(3):79-81.
Society TK, Therapy P, Journal T, Therapy KP, Ther KP, Scholar G, et al. The effects of spinal decompression therapy on pain and disability in patients with chronic low back pain. J Korean Phys Ther. 2017;29(6).

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Responsible Party: Asir John Samuel, Supervisor and Associate Professor, Department of Pediatric and Neonatal Physiotherapy, Maharishi Markendeswar University (Deemed to be University)
ClinicalTrials.gov Identifier: NCT03940287    
Other Study ID Numbers: MMDU/IEC/1370
U1111-1232-1305 ( Other Identifier: UTN by WHO International Clinical Trial Registry Platform )
First Posted: May 7, 2019    Key Record Dates
Last Update Posted: June 18, 2020
Last Verified: June 2020
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No
Plan Description: It is not yet decided

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Asir John Samuel, Maharishi Markendeswar University (Deemed to be University):
Sacroiliac Joint pain
Low back pain
Pelvic girdle pain
Additional relevant MeSH terms:
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Joint Diseases
Musculoskeletal Diseases