Comparative Effects of Autogenic Inhibition and Reciprocal Inhibition Technique on Pain, Functional Disability and Gait in Sacroiliac Joint Dysfuction.
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An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Autogenic Inhibition, Reciprocal Inhibition.
- Who it may be relevant to
- Registry conditions: Sacroiliac Joint Dysfunction, Muscle Energy Techniques. Basic parameters: 25 years — 45 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Pakistan
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
Sacro-iliac joint act as the shock absorber of the body. It is responsible for transferring vertical load of the whole body to lower limb hence contributing to stability of pelvic girdle. However, SI joint dysfunction is one of the most common causes of low back pain among the patients suffering from non-radicular low back pain. There can be a mechanical source which is due to muscle insufficiency or instability or a non-mechanical source which is osteoarthritis, infection or any trauma. It is thought to affect females more commonly with prevalence of about 46.71% in females and with the prevalence of about 15 to 30% in general. This poses great threat to bio mechanics of the body which can significantly lead to disability that can affect mobility, daily activities and quality of life of the individual. According to a study the pain caused by SIJD caused activity limitation and participation restriction of about 25% of the individuals. Hence making it difficult for them to continue their jobs. increased pain leads to worsening of the ability to perform ADLs which ultimately effects the quality of life. Altered biomechanics also leads to alteration in spatio temporal gait parameters.This study aims to compare the effects of autogenic inhibition technique and reciprocal inhibition technique in addition with conventional therapy in reliving low back pain, improving functional disability and alteration in spatio-temporal gait parameters in patients with sacroiliac joint dysfunction. Patients with SIJD will be recruited and will be randomly divided into two groups 20 in each group. Group 1 will receive autogenic inhibition technique of iliopsas, hamstrings, erector spinae and piriformis muscles along with standard core stabilization exercises and group 2 will receive reciprocal inhibition technique on iliopsas, hamstrings, erector spinae and piriformis muscles along with standard core stabilization exercises. The treatment will be continued for 3 weeks with 4 sessions of 25 minutes per week.
Detailed description
Participants will be divided into two groups and a total of 12 sessions will be given for 3 weeks with a frequency of 4 sessions per week and a duration of 25 minutes. Group 1 will be given autogenic inhibition technique of iliopsoas, Piriformis, hamstrings and erector spinae along with core stability exercises and conentional therapy. Group 2 will be given reciprocal inhibition techniques of iliopsoas, Piriformis, hamstrings and erector spinae along with conventional treatment and core stability exercises.
Group 1 Group 2 WEEK 1 4 SESSEIONS/ WEEK
* TENS + hot pack ⇢10 mins * drawing in maneuver in quadruped position ⇢7 reps ⇢3 sec hold * Bridiging ⇢5 reps ⇢no hold * PIR of illiopsoas ⇢5 reps ⇢10 sec hold * PIR of PIRiformis ⇢5 reps ⇢10 sec hold * PIR of hamstrings ⇢5 reps ⇢10 sec hold * PIR of erector spinae ⇢5 reps ⇢10 sec hold • TENS + hot pack ⇢10 mins * drawing in maneuver in quadruped position ⇢7 reps ⇢3 sec hold * Bridiging ⇢5 reps ⇢no hold * RI-MET of illiopsoas ⇢5 reps ⇢10 sec hold * RI-MET of PIRiformis ⇢5 reps ⇢10 sec hold * RI-MET of hamstrings ⇢5 reps ⇢10 sec hold * RI-MET of erector spinae ⇢5 reps ⇢10 sec hold Group 1 Group 2 WEEK 2 4 SESSEIONS/ WEEK * TENS + hot pack ⇢10 mins * drawing in manuver in quadruped position ⇢7 reps ⇢6 sec hold * Bridiging ⇢5reps ⇢3 sec hold * Clam shell exercises ⇢6 reps * PIR of illiopsoas ⇢7 reps ⇢10 sec hold * PIR of PIRiformis ⇢7 reps ⇢10 sec hold * PIR of hamstrings ⇢ 7 reps ⇢10 sec hold * PIR of erector spinae ⇢7 reps ⇢10 sec hold • TENS + hot pack ⇢10 mins * drawing in manuver in quadruped position ⇢7 reps ⇢6 sec hold * Bridiging ⇢5reps ⇢3 sec hold * Clam shell exercises ⇢6 reps * RI-MET of illiopsoas ⇢7 reps ⇢10 sec hold * RI-MET of PIRiformis ⇢7 reps ⇢10 sec hold * RI-MET of hamstrings ⇢ 7 reps ⇢10 sec hold * RI-MET of erector spinae ⇢7 reps ⇢10 sec hold
Group 1 Group 2 WEEK 3 4 SESSEIONS/ WEEK
* TENS + hot pack ⇢10 mins * drawing in manuver in quadruped position ⇢8 reps ⇢8 sec hold * Supine Bridiging ⇢10 reps ⇢ 6 sec hold * Clam shell exercises ⇢10 reps ⇢6 sec hold * PIR of illiopsoas ⇢10 reps ⇢10 sec hold * PIR of PIRiformis ⇢10 reps ⇢10 sec hold * PIR of hamstrings ⇢10 reps ⇢ 10 sec hold * PIR of erector spinae ⇢ 10 reps ⇢10 sec hold * TENS + hot pack ⇢10 mins * drawing in manuver in quadruped position ⇢8 reps ⇢8 sec hold * Supine Bridiging ⇢10 reps ⇢ 6 sec hold * Clam shell exercises ⇢10 reps ⇢6 sec hold * RI-MET of illiopsoas ⇢10 reps ⇢10 sec hold * RI-MET of PIRiformis ⇢10 reps ⇢10 sec hold * RI-MET of hamstrings ⇢10 reps ⇢ 10 sec hold * RI-MET of erector spinae ⇢ 10 reps ⇢10 sec hold
Interventions
- Procedure Autogenic Inhibition
During week 1, group 1 will receive TENS + hot pack ⇢10 mins Drawing in maneuver in quadruped position Bridiging PIR of illiopsoas,Piriformis, hamstrings,erector spinae During week 2, group 1 will receive TENS + hot pack ⇢10 mins Drawing in manuver in quadruped position Bridiging Clam shell exercises PIR of illiopsoas, PIRiformis, hamstrings, erector spinae During week 3, group 1 will receive TENS + hot pack ⇢10 mins Drawing in manuver in quadruped position Supine Bridiging, Clam shell exercises - Procedure Reciprocal Inhibition
During week 1, group 2 will receive TENS + hot pack ⇢10 mins Drawing in maneuver in quadruped position ⇢7 reps ⇢3 sec hold Bridiging ⇢5 reps ⇢no hold RI-MET of illiopsoas, PIRiformis, hamstrings, erector spinae ⇢5 reps ⇢10 sec hold During week 2, group 2 will receive TENS + hot pack ⇢10 mins Drawing in manuver in quadruped position ⇢7 reps ⇢6 sec hold Bridiging ⇢5reps ⇢3 sec hold Clam shell exercises ⇢6 reps RI-MET of illiopsoas, PIRiformis, hamstrings, erector spinae ⇢7 reps ⇢10 sec hold During
Primary outcome measures
- Functional disability [Time frame: before treatment after after 3 weeks]
- Pain intensity [Time frame: before treatment and after 3 weeks]
- Gait Speed [Time frame: Assessed at baseline (before intervention) and after 3 weeks of intervention.]
- Cadance [Time frame: Assessed at baseline (before intervention) and after 3 weeks of intervention.]
- Cycle time [Time frame: Assessed at baseline (before intervention) and after 3 weeks of intervention.]
- Stride Length [Time frame: Assessed at baseline (before intervention) and after 3 weeks of intervention.]
- Step Length [Time frame: Assessed at baseline (before intervention) and after 3 weeks of intervention.]
Eligibility criteria
Inclusion criteria
- Patients having low back pain greater than 4 weeks
- Patients with positive gaenslen's test, thigh thurst test, standing flexion test, sacral compression and distraction test.
- Patients not having any other condition that can affect gait
- 25-45 years
- Both males and females
Exclusion criteria
- Patients having nonspecific low back
- Patients with lumbosacral fusion
- Patients with any neurological condition
- Patients with history of trauma of spine
- Patients with any other lumbar spine condition (lumbar radiculopathy, spinal stenosis, spondylolisthesis, inflammatory arthritis)
- Patients with any hip joint pathology
- Patients using any assistive device
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
Pakistan · 1 center
- Foundation University College of Physical Therapy — Islamabad
Identifiers
NCT: NCT07600359 · FUI/FUCP/CTR/10.26/FajarSajad