The Effect of Pelvic Proprioceptive Neuromuscular Facilitation Techniques in Patients With Sacroiliac Joint Dysfunction

Biruni University

Status: Completed

Conditions: Sacroiliac Joint Dysfunction

Treatments: Other: The Patient Education; Other: The Pelvic Proprioceptive Neuromuscular Facilitation Techniques Training

Study type: Interventional

Funder types: Other

Identifiers

NCT06366971

auhucgun01

Details and patient eligibility

About

The sacroiliac joint dysfunction (SIJD) which has a widely heterogeneous etiology, may cause impairment of stability, mobility, posture and flexibility as well as pain due to adaptive or pathological biomechanical changes. In 2020, the number of patients with low back pain (LBP) worldwide was more than half a billion and is expected to exceed 800 million by 2050. Although SIJD has been shown to be related with LBP in more than 30% of patients with LBP, SIJD is still often overlooked as a cause of LBP. Once the diagnosis of SIJD is confirmed by physical examination, the first treatment option consists of the use of a nonsteroidal anti-inflammatory drug or physiotherapy approaches. The proprioceptive neuromuscular facilitation (PNF) is a neurophysiological model-based multifaceted exercise method which is widely used in rehabilitation practice. However, despite the major role of SIJD among the causes of LBP, there are limited studies investigating the efficacy of PNF in SIJD and its effectiveness remains unclear. Thus, the aim of this study was to investigate the effect of pelvic PNF techniques on pain, mobility, flexibility, lumbar range of motion, posture, and trunk muscle endurance in patients with SIJD.

Enrollment: 34 patients

Sex: All

Ages: 18 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Having a diagnosis of SIJD
• Being between the ages of 18 and 40
• Volunteering to participate in the study

Exclusion criteria

• Having a history of any neurological, psychiatric and/or orthopedic disease
• Being pregnant or having a suspicion of pregnancy
• Having one or more of disc herniations, spondylosis, spondylolisthesis and/or similar lumbar pathologies that may cause low back pain
• Having a history of previous spine/hip/lower extremity surgery
• Having a history of active malignancy and/or infection
• Having a history of any injection and/or surgical procedure for the sacroiliac joint within the last 3 months

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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34 participants in 2 patient groups

Experimental Group

Experimental group

Description:

The experimental group will receive exercise training consisting of pelvic PNF techniques in addition to patient education which consisting of basic lumbar stabilization exercises 3 days a week for 6-weeks.

Treatment:

Other: The Pelvic Proprioceptive Neuromuscular Facilitation Techniques Training

Other: The Patient Education

Control Group

Active Comparator group

Description:

The control group will receive patient education consisting of basic lumbar stabilization exercises 3 days a week for 6-weeks.

Treatment:

Other: The Patient Education