The Relationship of the Joint Blockage and Muscle Spasm

Charles University, Czech Republic

Status

Completed

Conditions

Muscle Cramps

NO DECOMPENSATED ILLNESS

Joint Dysfunction

Treatments

Procedure: Mobilization technique for sacroiliac joint

Study type

Interventional

Funder types

Other

Identifiers

NCT07264530

Svobodova, Piriformis

Details and patient eligibility

About

An interventional study aimed at verifying the effect of sacroiliac joint blockage on changes in piriformis muscle tension. The study was conducted on 40 subjects, both male and female. Physical therapy methods were used to diagnose muscle tension as a diagnostic tool, along with a visual analogue scale. The intervention was performed using manual mobilisation techniques commonly used in clinical practice. The effectiveness was verified using the same physical therapy diagnostic tool as at the beginning. The entire research process is time-consuming, taking up to 1 hour per examinee.

Full description

Objectives: The main aim of this study is to summarise current knowledge about the relationship between functional joint blockage and chained muscle spasm. To verify the relationship between sacroiliac joint blockage and piriformis muscle using combined therapy as a diagnostic tool, where the main parameter monitored will be the intensity of piriformis muscle irritability before and after sacroiliac joint mobilisation.

Methods: Measurements will be taken on a group of 40 subjects. The research sample consists of people aged 18-60, randomly divided into an experimental and a control group. All subjects underwent an initial palpation examination of the piriformis muscle, during which the level of pain was determined on a numerical pain scale. All subjects then underwent measurement of the piriformis muscle's irritability threshold using the "Beauty-line device 4000 Topline" device. The experimental group then underwent therapeutic intervention in the form of sacroiliac joint mobilisation using the "Cluster of Lasslet" technique. This was followed by 30 minutes of relaxation. The control group received no therapeutic intervention and only 30 minutes of relaxation between the initial and final examinations. Both groups then underwent the same final examination as at the beginning.

The investigators expect a change in piriformis muscle hypertonicity after sacroiliac joint mobilisation, including a reduction in pain in this muscle, at a statistical significance level of 5%.

Enrollment

40 patients

Sex

All

Ages

18 to 60 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

palpation sensitivity of the piriformis muscle in the piriformis line,
limited joint play of the sacroiliac joint,
pain in the lower back, groin, perineum, buttocks, or hips, tenderness in the sacrum,
pain or weakness during resisted abduction at 90° flexion in the hip joint,
positive piriformis sign, positive Freiberg's test, positive Trendelenburg's test, or positive Pace's abduction test.
At least 50% of the accompanying signs of sacroiliac joint blockage must be present in each subject.

Exclusion criteria