The Effects of Sacroiliac Joint Dysfunction on Gait and Disability

Study Overview
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Brief Summary
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It has been reported that gait coordination changes in patients with chronic low back pain, walking slower, taking shorter steps and having asymmetrical stride lengths compared to their healthy peers. In addition to many factor cause gait dysfunction, sacroiliac joint dysfunction might be one of reason of these problems. A study examining the effects of sacroiliac joint dysfunction on gait and disability in individuals with chronic low back pain has not been found in the literature. Therefore, the aim of this study is to evaluate the gait parameters and disability of individuals with chronic low back pain and to reveal their relationship with sacroiliac joint dysfunction.

Official Title
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The Effects of Sacroiliac Joint Dysfunction on Gait and Disability in Patients With Chronic

Conditions
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Chronic Low-back Pain, Sacroiliac Joint Dysfunction, Gait, Unsteady, Disability Physical

Intervention / Treatment
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* Other: No intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Volunteered to participate in the study. Patients with 18-65 years Low back pain for at least 3 months, Reported pain severity of 2 or greater according to the numeric pain rating scale Exclusion Criteria: Previous spine or lower extremity surgery Pregnancy Severe hypermobility syndromes Severe osteoporosis Spondyloarthropathies Spondylolisthesis Systemic inflammatory diseases Any neurological disorder that affects balance and gait

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 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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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| SIJ Group<br>Individuals with sacroiliac joint dysfunction: Participants will be grouped as positive sacroiliac joint dysfunction according to Laslett's algorithm using provocation tests to detect sacroiliac joint dysfunction. | Other: No intervention<br>* There is no intervention in this study<br>|
| Control Group<br>Individuals with no sacroiliac joint dysfunction: Individuals with sacroiliac joint dysfunction: Participants will be grouped as negative sacroiliac joint dysfunction according to Laslett's algorithm using provocation tests to detect sacroiliac joint dysfunction. | Other: No intervention<br>* There is no intervention in this study<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Gate speed of time-distance gait parameters | Gate speed will be evaluated using with gait platform. The software gives the outcome as km/h. | 1 minutes | 
| Step length of time-distance gait parameters | Step lengt will be evaluated using with gait platform. The software gives the outcome as cm and calcules for each lower extremity. | 1 minutes | 
| Stride length of time-distance gait parameters | Stride length will be evaluated using with gait platform.The software gives the outcome as cm. | 1 minutes | 
| Step time of time-distance gait parameters | Step time will be evaluated using with gait platform.The software gives the outcome as sec and calcules for each lower extremity. | 1 minutes | 
| Stride time of time-distance gait parameters | Stride time will be evaluated using with gait platform.The software gives the outcome as sec and calcules for each lower extremity. | 1 minutes | 
| Cadance of time-distance gait parameters | Cadance time will be evaluated using with gait platform.The software gives the outcome as steps/min. | 1 minutes | 
| Center of Pressure path length of balance parameters | Center of Pressure path length will be evaluated using with gait platform. The software gives the outcome as mm. | 2 minutes | 
| Ellipse area of balance parameters | Ellipse area will be evaluated using with gait platform. The software gives the outcome as mm2. | 1 minutes | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Oswestry Disability Index | The Oswestry Disability Index (ODI) is an index derived from the Oswestry Low Back Pain Questionnaire used by clinicians and researchers to quantify disability for low back pain. The self-completed questionnaire contains ten questions. Each question is scored on a scale of 0-5. The scores for all questions answered are summed, then multiplied by two to obtain the index (range 0 to 100). Zero is equated with no disability and 100 is the maximum disability possible. | 5 minutes | 
| Numeric Pain Rating Scale | The Numeric Pain Rating Scale (NPRS) that is a unidimensional measure of pain intensity in adults. The 11-point numeric scale ranges from '0' representing one pain extreme (e.g. no pain) to '10' representing the other pain extreme (e.g. pain as bad as you can imagine or worst pain imaginable. | 1 minutes |