Synergistic Benefits of MCE and BT in Sacroiliac Joint Dysfunction: A Randomized Controlled Trial

Study Overview
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Brief Summary
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This research aimed to ascertain the combined and individual efficacies of MCE and BT in alleviating SIJD symptoms.

Detailed Description
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The study will be based on a four-arm parallel group randomized control design. one hundred and twenty participants with SIJD will be recruited from the Physiotherapy department, at Integral University, India. Study objectives and procedure will be properly explained and written informed consent will be obtained at the beginning of the study. All the participants will be randomly divided into four groups A, B, C, and D. Experimental group A will be receiving the hot pack, Stretching exercise, and MCE intervention, group B will receive the hot pack, Stretching exercise, and BT exercise and Group C will be receiving the hot pack, Stretching exercise, and MCE & BT intervention, control group D will receive the hot pack, Stretching exercise intervention.

Official Title
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Synergistic Benefits of Motor Control Exercises and Balance Training in Sacroiliac Joint Dysfunction: A Randomized Controlled Trial

Conditions
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Sacroiliac Joint Dysfunction

Intervention / Treatment
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* Other: Motor Control Exercise
* Other: Balance Training
* Other: Control Group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age-30-60 Years sacroiliac joint pain (>3 months) Presence of pain exacerbated as a result of bending laterally or backward Positive results on at least 2 of the pain-provocation tests [FABER, Posterior shear and Gaenslen pain provocation tests) and one of the motion palpation tests (ie, Gillet and forward flexion tests) Exclusion Criteria: past or current history of surgery or major trauma to spine, pelvis, lower limb, chest or abdomen in the past 12 months lower extremity musculoskeletal disorders; known localized spinal pathology known congenital anomalies of hip, pelvis or spine that limits mobility known systematic arthropathy, neuropathy or metabolic disorder Presence of other causes of LBP such as lumbar discopathy and spinal stenosis discovered via clinical examination and MRI scanning pregnancy

Ages Eligible for Study
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Minimum Age: 30 Years
Maximum Age: 60 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: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Group A<br>MCE Group | Other: Motor Control Exercise<br>* Motor control exercises focusing on the activation and control of deep spinal muscles<br>Other: Control Group<br>* Participants received hot pack and stretching exercise<br>|
| Experimental: Group B<br>BT Group | Other: Balance Training<br>* Balance training exercises on to enhance proprioception and stability<br>Other: Control Group<br>* Participants received hot pack and stretching exercise<br>|
| Experimental: Group C<br>Combined MCE & BT Group | Other: Motor Control Exercise<br>* Motor control exercises focusing on the activation and control of deep spinal muscles<br>Other: Balance Training<br>* Balance training exercises on to enhance proprioception and stability<br>Other: Control Group<br>* Participants received hot pack and stretching exercise<br>|
| Other: Group D<br>Control Group | Other: Control Group<br>* Participants received hot pack and stretching exercise<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain Intensity | The pain intensity was assessed Using a numeric pain rating scale (NPRS), It's a 11 point scale, where zero indicates no pain and 10 indicates severe pain | 6 Weeks | 
| Functional disability | Functional limitation was assessed by using Oswestry disability Index questionnaire Each section is scored on a 0-5 scale, 5 representing the greatest disability. | 6 Weeks | 
| self-reported measure of health | It comprises 36 questions that cover eight domains of health | 6 Weeks |