The Influence of the Manipulation of the Sacroiliac Joint on Low Back Pain

University of Extremadura

Status: Completed

Conditions: Sacroiliac Disorder; Low Back Pain

Treatments: Other: electrotheraphy group (EG); Other: manipulation group (MG)

Study type: Interventional

Funder types: Other

Identifiers

NCT03794830

041218

Details and patient eligibility

About

The primary focus of this study is to know the influence of sacroiliac joint manipulation on low back pain with or without radiation to lower limbs, in the lumbopelvic-hip joint

Full description

One of the main problems faced by physiotherapists in primary care is low back pain with or without radiation to lower limbs. Nowadays, there are a lot of types of low back pain interventions, yet despite the vast amount of research findings, the evidence remains contradictory and inconclusive: Pharmacological treatments like NSAIDs have shown result in acute low back pain but not in chronic pain; conservative interventions (ultrasound, interferential currents, mechanical traction and massage) have been studied and found ineffective.

A total of 151 low back pain patients with or without radiation to lower limbs between 18-70 years old derived from the Physiotherapy Unit of Gévora Health Center (Badajoz, Spain) voluntarily entered the study

Enrollment: 151 patients

Sex: All

Ages: 18 to 70 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• dysfunction or sacroiliac joint hypomobility (SI)
• having stopped taking anti-inflammatory medicines or analgesics three days before the study began

Exclusion criteria

• destructive injuries of the spine and pelvis
• fractures
• lumbar surgery
• sacroiliac instability
• spondylolisthesis
• pregnancy in progress
• cauda equina syndrome
• abdominal aneurysm
• infection
• inflammatory arthritis
• tumors
• osteoporosis

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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151 participants in 2 patient groups

manipulation group (MG)

Experimental group

Description:

Patients were treated with sacroiliac joint osteopathic semidirect manipulation twice a week every 3 to 4 days over a period of time of 3 weeks

Treatment:

Other: manipulation group (MG)

electrotherapy group (EG)

Active Comparator group

Description:

Patients were treated with micro-waves (circular antenna in lumbar area, pulsating-mode 120W for 12 minutes) and later conventional analgesic TENS (80Hz frequency, 30 minutes) 5 days per week over a period of time of 3 weeks (15 sessions of electrotherapy).

Treatment:

Other: electrotheraphy group (EG)