Clinical trial NCT04757415: Gluteal Activation With or Without Traction Straight Leg Raise Technique
Official title: Effects of Gluteal Activation With or Without Traction Straight Leg Raise Technique Among Patients of Sacroiliac Joint Syndrome
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: SIJ - Sprain of Sacroiliac Joint
Weakness, Muscle
Tightness of Back Muscles
Keywords: Gluteal activation
Straight leg raise hamstring technique
Sacroiliac joint pain
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2021-02-17
Enrollment: 38
Sex: FEMALE
Minimum age (years): 40
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: 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: 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.

Eligibility criteria: Inclusion Criteria:

1. Subjects with LBP below the level of L5,
2. With pain over the posterior aspect of SI joint around posterior superior iliac spine and buttock with or without above knee leg pain.
3. Females only

Exclusion Criteria:

1. Had radicular pain with neurological (sensory or motor) deficits,
2. Had a history of spinal surgery, spinal, pelvic, or lower extremity fracture; hospitalization for trauma or motor vehicle accident;
3. Hip or knee dysfunctions;
4. Pregnancy;
5. Any systemic disease such as arthritis, tuberculosis, liver, or kidney failure
6. Subjects with leg length discrepancies, because of its potential effect on hamstring muscle length were also excluded. -

Primary outcomes:
measure: Change of muscle strength of gluteus maximum by "Sphygmomanometer"
timeFrame: Baseline at 1st session on 1st week,at 10th sessions on 5th week
Secondary outcomes:
measure: change in pain by "Numeric Pain rating Scale"
timeFrame: Baseline at 1st session on 1st week , at 10th session on 5th week
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Riphah IU
Study officials:
affiliation: Riphah International University
name: Rabiya Noor, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Massoud Arab A, Reza Nourbakhsh M, Mohammadifar A. The relationship between hamstring length and gluteal muscle strength in individuals with sacroiliac joint dysfunction. J Man Manip Ther. 2011 Feb;19(1):5-10. doi: 10.1179/106698110X12804993426848.
citation: Added MAN, de Freitas DG, Kasawara KT, Martin RL, Fukuda TY. STRENGTHENING THE GLUTEUS MAXIMUS IN SUBJECTS WITH SACROILIAC DYSFUNCTION. Int J Sports Phys Ther. 2018 Feb;13(1):114-120.
citation: Feeney DF, Capobianco RA, Montgomery JR, Morreale J, Grabowski AM, Enoka RM. Individuals with sacroiliac joint dysfunction display asymmetrical gait and a depressed synergy between muscles providing sacroiliac joint force closure when walking. J Electromyogr Kinesiol. 2018 Dec;43:95-103. doi: 10.1016/j.jelekin.2018.09.009. Epub 2018 Sep 22.
citation: Chance-Larsen K, Littlewood C, Garth A. Prone hip extension with lower abdominal hollowing improves the relative timing of gluteus maximus activation in relation to biceps femoris. Man Ther. 2010 Feb;15(1):61-5. doi: 10.1016/j.math.2009.07.001. Epub 2009 Aug 12.