Mulligan's Mobilization and Proprioceptive Neuromuscular Facilitation Technique in Sacroiliac Joint Dysfunction

Riphah International University

Status: Unknown

Conditions: SACROILIAC JOINT DYSFUNCTION

Treatments: Other: PNF; Other: Mulligan Mobilization

Study type: Interventional

Funder types: Other

Identifiers

NCT05356650

REC/Lhr/22/0109 Aisha

Details and patient eligibility

About

This study will aim to compare the effects of mulligan mobilization and PNF on pain and disability with patients of SIJ dysfunction and will be helpful for clinical physiotherapist to choose more effective treatment protocol for patients as there are fewer researches on comparison of these techniques.

Full description

The sacroiliac joint dysfunction syndrome (SIJDS) is an ongoing controversial issue and an important source of low back pain (LBP). It has been emphasized in many studies that the pathologies of sacroiliac joint (SIJ) are a source of pain in the lumbar spine and hip region. The prevalence of SIJDS in patients with chronic mechanical LBP is between 15 and 30% SIJD is a condition in which pain arises from the sacroiliac joint and is caused by the abnormal movement of ilium around the sacrum and abnormal function of the SIJ structures, like ligaments, muscles, capsules. The prevalence of SIJP has been stated to be up to 75% in LBP patients.

Physiotherapy techniques are used to correct SIJ mal-alignment manually by restoring the normal function and balance of lumbar and pelvic muscles and ligaments. Mulligan described the positional fault theory in which articular mal-alignment leads to altered kinematics and eventual dysfunction(2). Proprioceptive neuromuscular facilitation (PNF) is a form of flexibility exercises used to resolve muscle shortening and strain.

Enrollment: 38 estimated patients

Sex: All

Ages: 20 to 35 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Age 20 to 35 years

  • Both genders
  • Subjects with positive provocation test ( Faber's test\Patricks test, Gaenslen test, distraction test, compression test, sacral thrust test)
  • Subjects with positive innominate test ( Stork Test\Gillet Test)
  • Subjects who agree to fill the informed consent

Exclusion criteria

• Pregnant women

  • Presence of neurological signs
  • Patient with ankylosis spondylosis.
  • Patient has been diagnosed by disease other than SIJ dysfunction
  • Patients having any congenital posture problem or previous surgery
  • SLR less than 45 degree
  • Patient having any mental problem or reduced cognitive ability

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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38 participants in 2 patient groups

Mulligan Mobilization

Experimental group

Description:

Treatment will be given with frequency of 3 sets with 10 repetitions on sacroiliac joint 3 times a week for 6 weeks

Treatment:

Other: Mulligan Mobilization

PNF Technique

Experimental group

Description:

Three sets of stretching of each muscle will be performed for each position with the frequency of 3 times a week for 6 weeks.

Treatment:

Other: PNF