Effects of Muscle Energy Technique Combined With Mobilization in Patients With Sacral Torsion
Foundation University Islamabad
46 participants
Jan 15, 2025
INTERVENTIONAL
Conditions
Summary
Project Summary Low Back Pain is one of the most prevalent musculoskeletal conditions worldwide. More than 70% of the people experience low back pain at some time in their life. The sacroiliac joint has been found to be the source of pain in 30% of mechanical low back pain sufferers. Sacral torsion is one of the types of SIJ dysfunction. This randomized controlled trial, conducted at Fauji Foundation Hospital and Foundation University College of Physical Therapy will assess the effects of combining muscle energy technique with mobilization on pain, lumbar range of motion, disability and active straight leg raise. Participants will be randomly assigned to either mobilization alone or mobilization with muscle energy technique, performed three times per week for two weeks. Data will be collected at baseline and at end of study (week 2) using the Numeric pain rating scale, goniometer, inclinometer and oswestry disability index. This study addresses a research gap by exploring combined effects of muscle energy technique (PFS) and Maitland mobilization for sacral torsion in improving pain, lumbar mobility, disability and active straight leg raise.
Eligibility
Inclusion Criteria8
- Age between 22- 44 years (18)
- Both males and females
- Clinically diagnosed sacral torsion. (Annexure E)
- Patients with pain intensity of at least 5 on NPRS
- Positive standing flexion test
- Positive seated flexion test
- Positive Gillet test
- Uneven anatomical landmarks (Sacral Sulcus, Inferior Lateral Angle, Lumbar Lordosis, Lumbar scoliosis, L5 position)
Exclusion Criteria1
- \. Neurological deficits (hemiparesis, paralysis) 2. Pregnancy 3. Spinal surgery of any kind 4. Antero-Retro Spondylolisthesis diagnosed through radiological findings 5. Degenerative disc disease diagnosed through radiological findings 6. Spinal stenosis 7. Infection, tumors, osteoporosis, spinal fracture
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Interventions
Group A will receive Muscle energy technique with Maitland mobilization. Treatment protocol given to both groups will be carried out for 3 sessions per week for 2 weeks. Post Facilitation Muscle Energy Technique. WEEK 1: * Hot pack (10 minutes) * Post-Facilitation MET for piriformis, Quadratus Lumborum and Hamstrings. WEEK 2: * Hot pack (10 minutes) * Post-Facilitation MET for piriformis, Quadratus Lumborum and Hamstrings.
Group B will not receive any form of Muscle Energy Technique (MET). Instead, the intervention will consist exclusively of a joint mobilization technique directed at Sacrum.
Locations(1)
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NCT07329426