Effects of Pelvic Tilt Exercises With and Without Facet Joint Manipulation in Patients With Maigne's Syndrome
Condition: Back Pain
MeSH terms: Syndrome; Back Pain
Study type: Interventional

Summary: 
      The aim of this study is to find the effectiveness of exercise therapy and manipulative
      therapy for patients with maigne's syndrome. It is a Randomized clinical trial and convenient
      random sampling is to be used with an inclusion criteria of patients having maignes syndrome
      without having neurological signs and specific spinal pathology like disc lesion ,malignancy
      or inflammatory disease and any other major medical conditions .
    

Detailed description: 
      Maigne's syndrome is a pain disorder of low back which mainly affects the thoracolumbar
      junction of spine ,normally called as thoracolumber junction syndrome.It eludes healthcare
      professinals because of its pain presentation ,which is far away from the problematic site
      .Dr.Maigne wo was the founder of this syndrome stated that ,the most important cause behind
      this syndrome is Intervertebral dysfynction.It causes irritation ,inflammation and mild
      degeneration of involved intervertebral structures .Referred pain is the most important
      chracteristic of this syndrome which mainly involves lower back region ,groin ,lumbosacral
      region ,lower abdominl region and SI joint .Diagnostic criteria is based on 4 principles
      which need keen observation because many professionals simply fail to recognize it .

      To treat the Maigne's syndrome manipulation and exercise therapy is directed. In exercise
      therapy pelvic tilt exercises which include simple pelvic tilt ,addition of pelvic muscles
      ,addition of back extension with pelvic tilt and positioning of hands on back while
      performing exercise .and on the other hand in manipulative therapy facet joint manipulation
      included to reduce the pain , to increase pain free movement and to decrease other associated
      sign and symptoms.

      The aim of this study is to find the effectiveness of exercise therapy and manipulative
      therapy for patients with maigne's syndrome. It is a Randomized clinical trial and convenient
      random sampling is to be used with an inclusion criteria of patients having maignes syndrome
      without having neurological signs and specific spinal pathology like disc lesion ,malignancy
      or inflammatory disease and any other major medical conditions .patients also having lumbar
      flattening in lumbar lordosis according to MRI will be excluded.The main purpose of this
      randomized clinical trial will be to find out the effects of pelvic tilt exercises with and
      without facet joint manipulation in reducing pain and improvement in pain free sitting in
      patients with maigne's syndrome. Patients will be randomly allocated into two groups, Group A
      will receive exercise therapy intervention and Group B will receive manipulative therapy.
      Total duration of study will be three months with assessment will be done before treatment
      and after every 4 weeks. Numeric pain rating scale and oswestry index will be used to measure
      the outcomes. After collecting data from defined study setting, data will be entered and
      analyzed by using Statistical Package for the Social Sciences (SPSS) for Windows software,
      version 25. After assessing normality of data by Shapiro-Wilk test, it will be decided either
      parametric or non-parametric test will be used.
    

Intervention name(s): Group A; Group B
Intervention type(s): Other; Other
Intervention description(s): 19 patients will be treated with pelvic tilt exercises; 19 patients will be treated with pelvic tilt exercises and facet joint manipulation.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Other
Keywords: Maigne's syndrome