Effects of Muscle Energy Technique on Daily Activities and Lumbar Stiffness in Women With Sacroiliac Joint Dysfunction: A Randomized Controlled Clinical Trial Study

Abstract

Introduction: Lumbar stiffness is a common complaint of patients with low back pain. The Muscle Energy Technique (MET) is a common intervention to treat the spine and sacroiliac joint dysfunctions and their resulting disability in daily activities. This research aimed to evaluate the effects of MET on pain, functional disability, and lumbar stiffness of patients with sacroiliac joint dysfunctions by considering the type of dysfunction and the orientation of the correcting maneuver.
 Materials and Methods: Fifty women with ant innominate or post innominate dysfunctions were recruited for the research and randomly divided into two groups (n=25). One group received one session of MET, and the other group received the sham position. Visual Analogue Scale (VAS), lumbar Stiffness Disability Index (SDI) and Oswestry Disability Index (ODI) were used for the evaluation of the participants before, 24 hours after and one week after the intervention.
 Results: According to the results, MET significantly decreased the mean range of VAS and ODI, 24 hours, and a week after the intervention (P<0.01). We did not see any significant difference in SDI values before, 24 hours, and one week after MET in the patients (P>0.01).
 Conclusion: Applying MET regarding the kind of dysfunction may reduce the patient’s pain and disability.

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“…The third explanation involves the neurophysiological painrelieving mechanisms such as gate control theory and supra-spinal mechanisms. Finally, the muscle energy technique produces muscular blood increase, lymphatic fluid improvement, as well as inflammatory cytokines reduction, and peripheral nociceptors desensitization [8,21,22] .…”

Prevalence of Lower Back Pain in Undergraduate Physiotherapy Students in Lahore

“…The total score is then expressed as a percentage, with higher scores indicating greater disability. Disability levels were categorized as minor (5)(6)(7)(8)(9)(10)(11)(12)(13)(14), modest (15)(16)(17)(18)(19)(20)(21)(22)(23)(24), severe (25-34), and complete (35-50). The Oswestry Disability Index (ODI) has demonstrated good test-retest reliability, with an Intraclass Correlation Coefficient (ICC) ranging from 0.72 to 0.98, and a Cronbach's alpha value of 0.89, reflecting excellent internal consistency (10,11).…”