Osteopathic Thrust and Muscle-energy Manipulations on Sacroiliac Joint Dysfunction

Biomechanical Effects of Osteopathic Thrust and Muscle-energy Manipulations in Sacroiliac Joint Dysfunction of Athletes or Runners

This study assesses the effect of manipulative techniques of thrust and muscle-energy over the sacroiliac joint on plantar foot support, weight distribution in the lower limbs and balance in amateur runners with sacroiliac dysfunction. participants will be randomly assigned to one of 3 manipulations (i.e., intervention): thrust, muscle-energy or placebo.

Study Overview

• Status: Unknown
• Conditions: Sacroiliac Disorder
• Intervention / Treatment: Other: Osteopathic manipulation type muscle-energy; Other: Placebo technique; Other: Osteopathic manipulation type thrust

Detailed Description

The thrust manipulation applies a high velocity and intensity push in a specified direction to correct the position or movement of the sacroiliac joint.

The muscle-energy technique consists of the therapist correcting the sacroiliac joint while the participant is applying active resistance.

For the placebo manipulation, participants will receive a false manipulation over the affected joint, without producing movement at the sacroiliac joint.

• Study Type: Interventional
• Enrollment (Anticipated): 80
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Linda H Chung, PhD; Phone Number: +34 968 278 611; Email: lhchung@ucam.edu

Study Locations

• Spain
  • Murcia
    • Guadalupe, Murcia, Spain, 30107
      • Recruiting
      • UCAM Research Center for High Performance Sport
      • Contact: Linda H Chung, PhD; Phone Number: 968 278 611; Email: lhchung@ucam.edu

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 45 years (Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Amateur runners who perform between 10-30 km per week) and present a sacroiliac joint dysfunction.

Exclusion Criteria:

• Low back pain
• Vertebral bone pathology
• Radicular neurological condition
• Fracture or recent surgical intervention in the lumbosacral or pelvic region
• Anatomical short leg with a difference greater than 0.5 cm
• Pregnant
• Fear of manipulation technique

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Thrust Group; Participant will receive the thrust technique manipulation of the affected sacroiliac joint.	Other: Osteopathic manipulation type muscle-energy; The muscle-energy manipulation is applied to solve the sacroiliac joint dysfunction. This technique applies a movement with an intermittent resistance in a specified direction to correct the position or movement of one joint. The therapist applies the movement in the correct direction since he feels a limitation of movement. When he feels the limitation he requests to the participant pushing in the contrary direction without movement. After five or seven seconds the participant finishes the contraction and the therapist continues the correct movement since he feels once again the limitation, and he request to the participant contraction another five or seven seconds. The therapist request to the participant only three times, when he finish the three contraction and the therapy applies the last movement to correct direction the intervention finishes.; Other: Placebo technique; The therapist simulates a false technique. The therapist applies movement in the sacroiliac joint without dysfunction, he applies movement since ninety degrees of pelvic flexion, and he wait sixty seconds. Whit this placebo technique the sacroiliac joint with the dysfunction is not altered.
Active Comparator: Muscle-energy group; Participant will receive the muscle-energy technique manipulation of the affected sacroiliac joint.	Other: Placebo technique; The therapist simulates a false technique. The therapist applies movement in the sacroiliac joint without dysfunction, he applies movement since ninety degrees of pelvic flexion, and he wait sixty seconds. Whit this placebo technique the sacroiliac joint with the dysfunction is not altered.; Other: Osteopathic manipulation type thrust; The osteopathic manipulation type thrust is applied to solve the sacroiliac joint dysfunction. This technique applies a high velocity and intensity push in a specified direction to correct the dysfunction produced by a not correct position or movement of one joint.
Placebo Comparator: Placebo Group; Participant will receive a placebo manipulation of the affected sacroiliac joint.	Other: Osteopathic manipulation type muscle-energy; The muscle-energy manipulation is applied to solve the sacroiliac joint dysfunction. This technique applies a movement with an intermittent resistance in a specified direction to correct the position or movement of one joint. The therapist applies the movement in the correct direction since he feels a limitation of movement. When he feels the limitation he requests to the participant pushing in the contrary direction without movement. After five or seven seconds the participant finishes the contraction and the therapist continues the correct movement since he feels once again the limitation, and he request to the participant contraction another five or seven seconds. The therapist request to the participant only three times, when he finish the three contraction and the therapy applies the last movement to correct direction the intervention finishes.; Other: Osteopathic manipulation type thrust; The osteopathic manipulation type thrust is applied to solve the sacroiliac joint dysfunction. This technique applies a high velocity and intensity push in a specified direction to correct the dysfunction produced by a not correct position or movement of one joint.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in Weight Distribution	The baropodometry platform will be used to measure the distribution of weight (%) between legs.	throughout study completion, an average of 1 month
Center of Gravity Displacement	The baropodometry platform will measure the distance traveled (mm in x- and y-axis)	throughout study completion, an average of 1 month
Center of Pressure Displacement	The baropodometry platform will measure the distance traveled (mm in x- and y-axis)	throughout study completion, an average of 1 month
Change in Plantar support	The baropodometry platform will measure the distribution of weight (%) across the foot (i.e., forefoot and rearfoot)	throughout study completion, an average of 1 month
Foot Plantar Pressure	The baropodometry platform will measure the points of pressure across the foot with the aid of colorimetry (N/cm2)	throughout study completion, an average of 1 month

Collaborators and Investigators

• Sponsor: Universidad Católica San Antonio de Murcia
• Investigators: Principal Investigator: Linda H Chung, PhD, UCAM Research Center for High Performance Sport

Study record dates

Study Major Dates

• Study Start (Actual): January 7, 2020
• Primary Completion (Anticipated): March 30, 2021
• Study Completion (Anticipated): June 30, 2021

Study Registration Dates

• First Submitted: February 18, 2020
• First Submitted That Met QC Criteria: April 3, 2020
• First Posted (Actual): April 7, 2020

Study Record Updates

• Last Update Posted (Actual): November 13, 2020
• Last Update Submitted That Met QC Criteria: November 11, 2020
• Last Verified: November 1, 2020

More Information

Terms related to this study

• Keywords: osteopathy; baropodometry
• Additional Relevant MeSH Terms: Musculoskeletal Diseases; Joint Diseases
• Other Study ID Numbers: CE031911

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No