Comparative Effects of Stabilization Exercises and Muscle Energy Techniques in Sacroiliac Joint Pain
Condition: Sacroiliac Joint Somatic Dysfunction
Study type: Interventional

Summary: 
      Sacroiliac joint is in pelvis. It links the iliac bone (pelvic) bone to the sacrum. This
      joint pain is due to hyper mobility or instability of the joint, it may also cause by damage
      to joint between the spine and hip. This pain is typically felt in the lower back, or hip and
      may radiate to groin area. The aim of this study will be to compare the effects of
      stabilization exercises and muscle energy techniques on pain and disability in patients with
      sacroiliac joint pain.
    

Detailed description: 
      A randomized clinical trial will be conducted at Ibn- e- Siena hospital and research
      institute Multan and in Bakhtawar Amin hospital Multan through convenience sampling technique
      on 30 patients which will be allocated through simple random sampling through sealed opaque
      enveloped into group A and group B. After giving common treatment of hot pack and
      transcutaneous electrical stimulation and assessing pre-treatment patient's condition Group A
      will be treated with stabilization exercises in which iliopsoas, gluteal and hamstring
      muscles will be stabilized. Total twelve sessions will be given as three sets three times per
      week for four weeks. Group B will be treated with muscle energy technique, this is active
      form of manual therapy in which patient will exert force against physiotherapist force
      through autogenic inhibition and reciprocal inhibition. (20% patient force against that
      applied by the physiotherapist and hold contractions for 10 seconds over 5 to 12 repetitions,
      3 times per week for 4 weeks). Post-treatment assessment will be done after one month.
      Outcome measure will be conducted through pain and disability questionnaire after 6 weeks.
      Data will be analyzed using SPSS software version 21. After assessing normality of data by
      Shapiro -Wilk test, it will be decided either parametric or non-parametric test will be used
      within a group or between two groups. Stabilization exercises and muscle energy techniques
      will be applied for comparing their effectiveness in patients with sacroiliac joint pain.
    

Intervention name(s): Stabilization exercises; Muscle energy techniques
Intervention type(s): Other; Other
Intervention description(s): Stabilization training is an active form of physical therapy designed to strengthen muscles to support the spine and help prevent lower back pain.
Group A performed stabilization exercises for 4 weeks. In stabilization exercises, floor bridging, heel prop and alternate arm and leg exercises were administered in iliopsoas, gluteal and hamstring groups.
On eligible participants baseline assessment was done,3 sessions were given 3days per week, post intervention assessment was taken at 4th week.; Muscle Energy Technique (MET) is a is a form of manual therapy, widely used in Osteopathy, that uses a muscle's own energy in the form of gentle isometric contractions to relax the muscles via autogenic or reciprocal inhibition and lengthen the muscle.
Muscle energy techniques were given to group B. These techniques are active form of manual therapy in which patient uses its own energy on request to aid in treatment.
On eligible participants baseline assessment was done,3 sessions were given 3days per week, post intervention assessment was taken at 4th week.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: pain; disability physical; muscle strength