Effects of Mulligan's Mobilization With and Without Clamshell Exercises in Sacroiliac Joint Dysfunction

Study Overview
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Brief Summary
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Sacroiliac joint dysfunction is the changing of joint structure (ligaments, muscles and cartilage) that cause impairments and movement restrictions. It is one of the primary sources of low back pain among female population and often misdiagnosed. Almost 15-30% patients are suffering from sacroiliac joint dysfunction who presented with the complaint of low back pain. The aim of the study is to determine the effect of mulligan's mobilization with and without clamshell exercise on pain, disability and quality of life in patients with sacroiliac joint dysfunction.

Detailed Description
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A Randomized controlled trial will be conducted at Fatima Memorial Hospital Physiotherapy Clinic & Boston Physiotherapy and wellness Clinic through consecutive sampling technique on 32 patients which will be allocated through simple random sampling through sealed opaque enveloped into group A & group B. Group A will be treated with only mulligan's mobilization with movement at the frequency of 3 sets with 10 repetitions 3 times/ week without the clamshell exercise. Group B will be treated with mulligan's mobilization with movement and clamshell exercises. Outcome measures will be conducted through pain, disability and quality of life questionnaire after 6 weeks. Data will be analyzed during 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.

Official Title
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Effects of Mulligan's Mobilization With and Without Clamshell Exercise on Pain, Disability and Quality of Life in Patients With Sacroiliac Joint Dysfunction

Conditions
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Sacroiliac Joint Somatic Dysfunction, Pain, Disability Physical, Treatment

Intervention / Treatment
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* Other: Mulligan mobilization
* Other: clamshell exercise


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Male and female between the ages of 20 to 50 years with positive Leslett's criteria. Sacroiliac pain of sub-acute level with the duration of 4 weeks Exclusion Criteria: Spondylosis Lumbar canal stenosis Spondylolisthesis Pervious spinal surgery Congenital postural deformities and Lumbar disc herniation Pelvic bone fractures

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

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: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Mulligan mobilization<br>Group A will be treated with only mulligan's mobilization with movement at the frequency of 3 sets with 10 repetitions 3 times/ week without the clamshell exercise. | Other: Mulligan mobilization<br>* Mulligan Mobilization designed to reduce pain and improve the patient's range of motion. Mulligan's mobilization with movement at the frequency of 3 sets with 10 repetitions 3 times/ week without the clamshell exercise.<br>|
| Active Comparator: Mulligan mobilization with clamshell exercise<br>Group B will be treated with mulligan's mobilization with movement and clamshell exercises. | Other: clamshell exercise<br>* As a general exercise, the clamshell can help strengthen your medial glutes, bringing more power and stability to your hips. This group treated with mulligan's mobilization with movement and clamshell exercises.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 1. NPRS | Patient level of pain was assessed using this scale. This scale ranges from 0 to 10. 0 indicates no pain and 10 indicates worst pain | follow up at 6th week | 
| 2. Oswestry Disability index (NDI) | It comprises 10 items, 7 related with daily activities, 2 related to pain , 1 related to concentration. Each item scores from 0 to 5. Total score is expressed as percentage with higher scores related to greater disability. | follow up at 6th week | 
| Euro Quality of life (EQ-5D) | Quality of life will be checked by Euro Quality of life (EQ-5D) Health Related Quality of Life Question. | follow up at 6th week |