Comparing the Effectiveness of the Muscle Energy Technique and Kinesiotaping in Mechanical Sacroiliac Joint Dysfunction: A Non-blinded, Two-Group, Pretest–Posttest Randomized Clinical Trial Protocol

Sarkar, Manisha; Goyal, Manu; Samuel, Asir John

doi:10.31616/asj.2019.0300

Cited by 7 publications

(7 citation statements)

References 18 publications

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“…Studies that focused on observing the distribution of plantar pressure and the positioning of the center of gravity after a single thrust manipulation in SIJ found significant changes in asymptomatic individuals [15,24,25] Joint manipulation has been investigated in the stimulation of sensory receptors and whether it can affect the central nervous system at the spinal segmental and cortical level. Neurophysiological effects and treatment outcomes in musculoskeletal disorders may depend on the magnitude of forces applied by manual intervention [11,12].…”

Section: Discussionmentioning

confidence: 99%

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Effectiveness of the Muscle Energy Technique versus Osteopathic Manipulation in the Treatment of Sacroiliac Joint Dysfunction in Athletes

García-Peñalver

Palop-Montoro

Manzano-Sánchez

2020

IJERPH

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Background: The study of injuries stemming from sacroiliac dysfunction in athletes has been discussed in many papers. However, the treatment of this issue through thrust and muscle-energy techniques has hardly been researched. The objective of our research is to compare the effectiveness of thrust technique to that of energy muscle techniques in the resolution of sacroiliac joint blockage or dysfunction in middle-distance running athletes. Methods: A quasi-experimental design with three measures in time (pre-intervention, intervention 1, final intervention after one month from the first intervention) was made. The sample consisted of 60 adult athletes from an Athletic club, who were dealing with sacroiliac joint dysfunction. The sample was randomly divided into three groups of 20 participants (43 men and 17 women). One intervention group was treated with the thrust technique, another intervention group was treated with the muscle–energy technique, and the control group received treatment by means of a simulated technique. A prior assessment of the range of motion was performed by means of a seated forward flexion test, a standing forward flexion test, and the Gillet test. After observing the dysfunction, the corresponding technique was performed on each intervention group. The control group underwent a simulated technique. A second intervention took place a month later, in order to ascertain possible increased effectiveness. Results: Statistically significant differences were found between the muscle energy technique (MET) and muscle energy groups compared with the placebo group in both interventions (p = 0.000), with a significant reduction in positive dysfunction (initially 20 in all groups, eight in MET group, and two in thrust group in the final intervention). Comparing the changes in time, only the thrust group obtained statistically significant differences (p = 0.000, with a reduction of positive dysfunction, starting at 20 positives, five positive in the initial intervention and two positive in the final intervention) and when comparing both techniques, it was observed that between the first intervention and the final intervention, the thrust technique was significantly higher than the MET technique (p = 0.032). Conclusions: The thrust manipulation technique is more effective in the treatment of sacroiliac dysfunction than the energy muscle technique, in both cases obtaining satisfactory results with far middle-distance running athletes. Finally, the thrust technique showed positive results in the first intervention and also in the long term, in contrast to the MET technique that only obtained changes after the first intervention.

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Section: Discussionmentioning

confidence: 99%

“…The muscle energy technique (MET) and the thrust manipulation technique are among the most commonly mentioned in several studies on the treatment of sacroiliac dysfunction. The MET technique helps correct the dysfunction by means of isometric and isotonic contractions resulting in an improved physiological function of the joint [1,11].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of the Muscle Energy Technique versus Osteopathic Manipulation in the Treatment of Sacroiliac Joint Dysfunction in Athletes

García-Peñalver

Palop-Montoro

Manzano-Sánchez

2020

IJERPH

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“…Complete treatment session was given to each patient with specific alloted technique and given three session per every week for about a month . Following one month of post treatment plan of care, the patients of anterior innominate dysfunction were assessed with NPRS scale and MODI scale surveyed at baseline, 2 nd week, and 4 th week post treatment results (23). After collection of data, analysis was done by SPSS version 21.…”

Section: Methodsmentioning

confidence: 99%

Comparison of Post Isometric Relaxation of Gluteus Maximus and Static Stretching of Hip Flexors on Pain and Functional Status in Patients with Anterior Innominate Dysfunction

Asad¹,

Hafeez²,

Saeed³

et al. 2021

PJMHS

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Objective: To compare the effects of Post Isometric Relaxation (PIR) of gluteus maximus and Static Stretching (SS) of hip flexors on pain and functional status in patients with Anterior Innominate Dysfunction. Methodology: A quasi experimental trial was conducted on thirty six patients of Anterior Innominate Dysfunction. All were randomly allocated to post isometric relaxation group and static stretching group. Both groups were treated with 12 treatment sessions in 4 weeks at frequency of 3 sessions per week. Numeric Pain Rating Scale (NPRS) and Modified Oswestry Disability Index (MODI) were used to measure the treatment effect at baseline, after 2 weeks and after 4 weeks. Data was analyzed by SPSS 21. Results: Mean Age of Group A (PIR) was 34.28±7.76 and Group B (SS) was 35.72±7.16. Mean BMI of participants was 23.84±3.29. Across group, both post isometric relaxation and static stretching had shown significant results with P value <0.05. But within group, post isometric relaxation had shown more significant results as compared to static stretching with P value <0.05. Conclusion: Both treatment techniques; Post isometric relaxation and Static stretching are effective and produced significant difference in NPRS and MODI score to improve pain and functional status but PIR had shown more promising results in patients with anterior innominate dysfunction. Key words: Sacroiliac Joint Dysfunction (SIJD), Muscle Energy Technique (MET), MODI (Modified Oswestry Disability Index).

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“…In manual medicine, pelvic function disorders are differentiated as either "hypermobility/hypomobility" of the joint with abnormal joint play or pelvic torsion. The two conditions can also occur concomitantly [42].…”

Section: Pelvic Dysfunctionsmentioning

confidence: 99%

“…Hypomobilität" des Gelenks mit einem gestörten Gelenkspiel und in die "Beckenverwringung" unterteilt. Beide Zustände können auch gemeinsam vorkommen [42].…”

Section: Funktionsstörungen Am Beckenunclassified

The Sacroiliac Joint as a Cause of Pain – Review of the Sacroiliac Joint Morphology and Models for Pain Genesis

2021

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Introduction In recent years, the sacroiliac joint has become increasingly important as a generator of low back pain with and without pseudo-radicular pain in the legs. Up to 27% of reported back pain is generated by disorders in the sacroiliac joint. Method This review is based on a selective literature search of the sacroiliac joint (SIJ) as a possible pain generator. It also considers the anatomical structures and innervation of the sacroiliac joint. Results The SIJ is a complex joint in the region of the posterior pelvis and is formed by the sacrum and the ilium bones. The SIJ is very limited in movement in all three planes. Joint stability is ensured by the shape and especially by strong interosseous and extraosseous ligaments. Different anatomical variants of the sacroiliac joint, such as additional extra-articular secondary joints or ossification centres, can be regularly observed in CT scans. There is still controversy in the literature regarding innervation. However, there is agreement on dorsal innervation of the sacroiliac joint from lateral branches of the dorsal rami of the spinal nerves S I–S III with proportions of L III and L IV as well S IV. Nerve fibres and mechanoreceptors can also be detected in the surrounding ligaments. Conclusion A closer look at the anatomy and innervation of the SIJ shows that the SIJ is more than a simple joint. The complex interaction of the SIJ with its surrounding structures opens the possibility that pain arises from this area. The SIJ and its surrounding structures should be included in the diagnosis and treatment of back and leg pain. Published literature include a number of plausible models for the sacroiliac joint as pain generator. The knowledge of the special anatomy, the complex innervation as well as the special and sometimes very individual functionality of this joint, enhance our understanding of associated pathologies and complaints.

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Comparing the Effectiveness of the Muscle Energy Technique and Kinesiotaping in Mechanical Sacroiliac Joint Dysfunction: A Non-blinded, Two-Group, Pretest–Posttest Randomized Clinical Trial Protocol

Cited by 7 publications

References 18 publications

Effectiveness of the Muscle Energy Technique versus Osteopathic Manipulation in the Treatment of Sacroiliac Joint Dysfunction in Athletes

Effectiveness of the Muscle Energy Technique versus Osteopathic Manipulation in the Treatment of Sacroiliac Joint Dysfunction in Athletes

Comparison of Post Isometric Relaxation of Gluteus Maximus and Static Stretching of Hip Flexors on Pain and Functional Status in Patients with Anterior Innominate Dysfunction

The Sacroiliac Joint as a Cause of Pain – Review of the Sacroiliac Joint Morphology and Models for Pain Genesis

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