Gluteal Activation With or Without Traction Straight Leg Raise Technique

Study Overview
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Brief Summary
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This study was a Randomized clinical trial conducted to determine the Effects of gluteal activation with or without traction straight leg raise technique among patients of sacroiliac joint syndrome so that in future this study will be helpful for other clinician to determine that how much gluteal activation is important in low back pain or sacroiliac joint syndrome, and how it affects our sling system.

Detailed Description
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Non Probability Convenient sampling was done . Patients following eligibility criteria from Sports and Spine Professionals ,Lahore were considered. Sample size was calculated with Epi tool calculator. 38 Participants were randomly allocated in two groups equally via convenient sampling method. Baseline assessment was done initially. Group A was given gluteal activation exercises with traction straight leg raise technique for hamstring and Group B was gluteal activation exercises without traction straight leg raise technique for hamstring. Duration of research was almost 6 months. Patient will undergo 10 treatments in five weeks. Each session will take 30 minutes. Pre and Post treatment readings were taken in 1st and 10th session over a 5 week period respectively. Assessment was done via sphygmomanometer and numeric pain rating scale for assessing muscle strength of gluteus maximum and pain levels respectively. All participants were provided written informed consent prior to commencement of the procedures. They were free to quit the treatment at any stage of research. Data was analyzed by using SPSS version 23.

Official Title
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Effects of Gluteal Activation With or Without Traction Straight Leg Raise Technique Among Patients of Sacroiliac Joint Syndrome

Conditions
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SIJ - Sprain of Sacroiliac Joint, Weakness, Muscle, Tightness of Back Muscles

Intervention / Treatment
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* Other: Traction straight leg raise technique for hamstring
* Other: Gluteal activation exercises,Hotpack


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Subjects with LBP below the level of L5, With pain over the posterior aspect of SI joint around posterior superior iliac spine and buttock with or without above knee leg pain. Females only Exclusion Criteria: Had radicular pain with neurological (sensory or motor) deficits, Had a history of spinal surgery, spinal, pelvic, or lower extremity fracture; hospitalization for trauma or motor vehicle accident; Hip or knee dysfunctions; Pregnancy; Any systemic disease such as arthritis, tuberculosis, liver, or kidney failure Subjects with leg length discrepancies, because of its potential effect on hamstring muscle length were also excluded. -

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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Female

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: Traction straight leg raise technique for hamstring.<br>Experimental group underwent conventional physiotherapy treatment (hot pack) followed by five main gluteal activation exercises three in first five sessions and rest two in remaining five sessions along with traction straight leg raise technique. Each session took 30 minutes . Participants were treated 10 times over a 5 week period with 2 treatment sessions per week. Pre and Post treatment readings were taken in 1st and 10th session over a 5 week period respectively. Assessment was done via Numeric pain rating scale and sphygmomanometer for assessing pain intensity and muscle strength of gluteus maximus. | Other: Traction straight leg raise technique for hamstring<br>* traction straight leg raise technique is used along with gluteal exercises<br>|
| Experimental: Gluteal activation exercises<br>Experimental group underwent conventional physiotherapy treatment (hot pack) followed by five main gluteal activation exercises three in first five sessions and rest two in remaining five sessions. Each session took 30 minutes . Participants were treated 10 times over a 5 week period with 2 treatment sessions per week. Pre and Post treatment readings were taken in 1st and 10th session over a 5 week period respectively. Assessment was done via Numeric pain rating scale and sphygmomanometer for assessing pain intensity and muscle strength of gluteus maximus. | Other: Gluteal activation exercises,Hotpack<br>* only gluteal activation exercises were performed without traction straight leg raise technique<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change of muscle strength of gluteus maximum by Sphygmomanometer | change in strength of gluteal muscle was checked at 1st session and then follow up at end of 10th session | Baseline at 1st session on 1st week,at 10th sessions on 5th week | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| change in pain by Numeric Pain rating Scale | change in pain intensity was checked at 1st session and then follow up at end of 10th session | Baseline at 1st session on 1st week , at 10th session on 5th week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Gluteal activation, Straight leg raise hamstring technique, Sacroiliac joint pain