The Influence of the Manipulation of the Sacroiliac Joint on Low Back Pain

Study Overview
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Brief Summary
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The primary focus of this study is to know the influence of sacroiliac joint manipulation on low back pain with or without radiation to lower limbs, in the lumbopelvic-hip joint

Detailed Description
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One of the main problems faced by physiotherapists in primary care is low back pain with or without radiation to lower limbs. Nowadays, there are a lot of types of low back pain interventions, yet despite the vast amount of research findings, the evidence remains contradictory and inconclusive: Pharmacological treatments like NSAIDs have shown result in acute low back pain but not in chronic pain; conservative interventions (ultrasound, interferential currents, mechanical traction and massage) have been studied and found ineffective. A total of 151 low back pain patients with or without radiation to lower limbs between 18-70 years old derived from the Physiotherapy Unit of Gévora Health Center (Badajoz, Spain) voluntarily entered the study

Official Title
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The Influence of the Manipulation of the Sacroiliac Joint on Low Back Pain With or Without Radiation to Lower Limbs

Conditions
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Low Back Pain, Sacroiliac Disorder

Intervention / Treatment
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* Other: manipulation group (MG)
* Other: electrotheraphy group (EG)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: dysfunction or sacroiliac joint hypomobility (SI) having stopped taking anti-inflammatory medicines or analgesics three days before the study began Exclusion Criteria: destructive injuries of the spine and pelvis fractures lumbar surgery sacroiliac instability spondylolisthesis pregnancy in progress cauda equina syndrome abdominal aneurysm infection inflammatory arthritis tumors osteoporosis

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: manipulation group (MG)<br>Patients were treated with sacroiliac joint osteopathic semidirect manipulation twice a week every 3 to 4 days over a period of time of 3 weeks | Other: manipulation group (MG)<br>* Patients were treated with sacroiliac joint osteopathic semidirect manipulation twice a week every 3 to 4 days over a period of time of 3 weeks<br>|
| Active Comparator: electrotherapy group (EG)<br>Patients were treated with micro-waves (circular antenna in lumbar area, pulsating-mode 120W for 12 minutes) and later conventional analgesic TENS (80Hz frequency, 30 minutes) 5 days per week over a period of time of 3 weeks (15 sessions of electrotherapy). | Other: electrotheraphy group (EG)<br>* Patients were treated with micro-waves (circular antenna in lumbar area, pulsating-mode 120W for 12 minutes) and later conventional analgesic TENS (80Hz frequency, 30 minutes) 5 days per week over a period of time of 3 weeks (15 sessions)<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| visual analogue scale (VAS) | Pain assessment from 0 to 10. 0: no pain 10: maximum pain | 1 week | 
| Oswestry disability index (ODI) | disability assessment 0% -20% (Minimum Disability) 21% -40% (Moderate disability) 41% -60% (Severe disability) 61% -100% (Disabled): | 1 week | 
| Roland Morris questionnaire | disability assessment The extreme values oscillate between 0 (absence of disability due to low back pain) and 24 (maximum possible disability) | 1 week | 
| digital algometer (Wagner, FPIX model) | Pain threshold assessment by pressing the sensitive points of the muscle | 1 week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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sacroiliac joint, low back pain, Osteopathic manipulation