Clinical trial NCT06089772: Manipulation and Myofascial Techniques On Sacroiliac Joint Dysfunction
Official title: A Comparison Of The Effects Of High-Velocity Low-Amplitude (Hvla) Manipulation And Myofascial Release Technique On Performance In Healthy Individuals With Sacroiliac Joint Dysfunction
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Manipulation, Psychologic
Pain
Performance Anxiety
Participation, Patient
Physiotherapists
Lead sponsor: Alanya Alaaddin Keykubat University
Sponsor class: OTHER
First posted: 2023-10-18
Enrollment: 56
Sex: ALL
Minimum age (years): 18
Maximum age (years): 45
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: The groups determined as randomly into the four groups. Group I (n=14) received HVLA spinal manipulation, Group II (n=14) underwent foam roller stretching, Group III (n=14) received a combination of HVLA spinal manipulation and foam roller stretching, and Group IV (n=14) underwent sham manipulation as the control group. Measures were measured before the acute intervention and right after the intervention.
Primary purpose: TREATMENT

Brief summary: Aimed to compare the effects of High-Velocity Low-Amplitude (HVLA) manipulation and myofascial release techniques on performance in healthy individuals with sacroiliac joint dysfunction.

Detailed description: Aim: aimed to compare the effects of High-Velocity Low-Amplitude (HVLA) manipulation and myofascial release techniques on performance in healthy individuals with sacroiliac joint dysfunction. Design: Randomized control trial. Setting: University physiotherapy clinic. Participiants: Participants aged 18-45 years with confirmed Dysfunction by six clinical Sacroiliac Joint diagnostic tests. Intervention: The groups determined as randomly into the four groups. Group I (n=14) received HVLA spinal manipulation, Group II (n=14) underwent foam roller stretching, Group III (n=14) received a combination of HVLA spinal manipulation and foam roller stretching, and Group IV (n=14) underwent sham manipulation as the control group. Measures were measured before the acute intervention and right after the intervention. Outcomes: Prior to the interventions, participants were evaluated using the Visual Analog Scale (VAS) for pain assessment, the Baseline Sit and Reach test for flexibility assessment, the Optojump Next system (Via Stradivari, Bolzano) for vertical jump performance and multiple jump tests, and the MicroFet2 digital hand dynamometer (United States, Utah) for muscle strength measurement. Results: The study groups showed statistically significant improvements in performance parameters compared to the control group (p\<0.05). Pre-treatment and post-treatment performance parameters and pain values were statistically significant in both groups (p\<0.05). While performance improvements were observed in all four groups, the highest changes were generally observed in the HVLA + Myofascial release group. Conclusion: Considering the overall results, the combined use of HVLA and Myofascial release in the treatment protocol is recommended.

Eligibility criteria: Inclusion Criteria:

1. Volunteer
2. Being between the ages of 18-45,
3. Not to have any psychological, neurological, orthopedic and rheumatic disorders,
4. Not having any other musculoskeletal pathology affecting the lower extremities,
5. Not having undergone spine and/or lower extremity surgery,
6. Those with mechanical sacroiliac joint pain,
7. Patients in whom at least 3 out of 6 provocation tests showing sacroiliac joint dysfunction and validity-reliability studies were positive: 1. Distraction, 2. Compression, 3. Gaenslen, 4. Posterior friction test, 5. Sacral thrust, 6. Faber (8) Individuals with sacroiliac pain at least 3 points on the VAS in the last 1 month 11

Exclusion Criteria:

1. Being under the age of 18 and over the age of 45,
2. Having any psychological, neurological, orthopedic and rheumatic disorders,
3. Pregnancy and suspicion of pregnancy,
4. Having active malignancies,
5. Having an active infection,
6. Injection and operation of the sacroiliac joint in the last 3 months,
7. Having drug or substance addiction,
8. Central vascular/neurological conditions

Primary outcomes:
measure: Visual Analog Scale
timeFrame: Baseline - right after the intervention
measure: Baseline Sit and Reach Test
timeFrame: Baseline - right after the intervention
measure: The Optojump Next system (Via Stradivari, Bolzano) for vertical jump performance
timeFrame: Baseline - right after the intervention
measure: The Optojump Next system (Via Stradivari, Bolzano) for multiple jump tests,
timeFrame: Baseline - right after the intervention
measure: MicroFet2 digital hand dynamometer
timeFrame: Baseline - right after the intervention
Secondary outcomes:
Other outcomes:
Locations:
city: Alanya
country: Turkey
facility: Ayça ARACI
state: Antalya
Study officials:
References: