The Effects of Sacroiliac Joint Dysfunction on Gait and Disability

The Effects of Sacroiliac Joint Dysfunction on Gait and Disability in Patients With Chronic

It has been reported that gait coordination changes in patients with chronic low back pain, walking slower, taking shorter steps and having asymmetrical stride lengths compared to their healthy peers. In addition to many factor cause gait dysfunction, sacroiliac joint dysfunction might be one of reason of these problems. A study examining the effects of sacroiliac joint dysfunction on gait and disability in individuals with chronic low back pain has not been found in the literature. Therefore, the aim of this study is to evaluate the gait parameters and disability of individuals with chronic low back pain and to reveal their relationship with sacroiliac joint dysfunction.

Study Overview

• Status: Completed
• Conditions: Chronic Low-back Pain; Disability Physical; Gait, Unsteady; Sacroiliac Joint Dysfunction
• Intervention / Treatment: Other: No intervention

• Study Type: Observational
• Enrollment (Actual): 61

Contacts and Locations

Study Locations

• Turkey
  • Kutahya, Turkey, 43100
    • Kutahya Health Sciences University Evliya Celebi Hospital Physical Therapy and Rehabilitation Department

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 65 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No

• Sampling Method: Probability Sample

Study Population

Participants who directly presented to the Physical Therapy Department of Kutahya Health Sciences University Hospital during the study period with persistent low back pain, will be screened for eligibility by an independent physician (H.H.G.)

Description

Inclusion Criteria:

• Volunteered to participate in the study.
• Patients with 18-65 years
• Low back pain for at least 3 months,
• Reported pain severity of 2 or greater according to the numeric pain rating scale

Exclusion Criteria:

• Previous spine or lower extremity surgery
• Pregnancy
• Severe hypermobility syndromes
• Severe osteoporosis
• Spondyloarthropathies
• Spondylolisthesis
• Systemic inflammatory diseases
• Any neurological disorder that affects balance and gait

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
SIJ Group; Individuals with sacroiliac joint dysfunction: Participants will be grouped as positive sacroiliac joint dysfunction according to Laslett's algorithm using provocation tests to detect sacroiliac joint dysfunction.	Other: No intervention; There is no intervention in this study
Control Group; Individuals with no sacroiliac joint dysfunction: Individuals with sacroiliac joint dysfunction: Participants will be grouped as negative sacroiliac joint dysfunction according to Laslett's algorithm using provocation tests to detect sacroiliac joint dysfunction.	Other: No intervention; There is no intervention in this study

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Gate speed of time-distance gait parameters	Gate speed will be evaluated using with gait platform. The software gives the outcome as km/h.	1 minutes
Step length of time-distance gait parameters	Step lengt will be evaluated using with gait platform. The software gives the outcome as cm and calcules for each lower extremity.	1 minutes
Stride length of time-distance gait parameters	Stride length will be evaluated using with gait platform.The software gives the outcome as cm.	1 minutes
Step time of time-distance gait parameters	Step time will be evaluated using with gait platform.The software gives the outcome as sec and calcules for each lower extremity.	1 minutes
Stride time of time-distance gait parameters	Stride time will be evaluated using with gait platform.The software gives the outcome as sec and calcules for each lower extremity.	1 minutes
Cadance of time-distance gait parameters	Cadance time will be evaluated using with gait platform.The software gives the outcome as steps/min.	1 minutes
Center of Pressure path length of balance parameters	Center of Pressure path length will be evaluated using with gait platform. The software gives the outcome as mm.	2 minutes
Ellipse area of balance parameters	Ellipse area will be evaluated using with gait platform. The software gives the outcome as mm2.	1 minutes

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Oswestry Disability Index	The Oswestry Disability Index (ODI) is an index derived from the Oswestry Low Back Pain Questionnaire used by clinicians and researchers to quantify disability for low back pain. The self-completed questionnaire contains ten questions. Each question is scored on a scale of 0-5. The scores for all questions answered are summed, then multiplied by two to obtain the index (range 0 to 100). Zero is equated with no disability and 100 is the maximum disability possible.	5 minutes
Numeric Pain Rating Scale	The Numeric Pain Rating Scale (NPRS) that is a unidimensional measure of pain intensity in adults. The 11-point numeric scale ranges from '0' representing one pain extreme (e.g. "no pain") to '10' representing the other pain extreme (e.g. "pain as bad as you can imagine" or "worst pain imaginable".	1 minutes

Collaborators and Investigators

• Sponsor: Kutahya Health Sciences University
• Investigators: Principal Investigator: Ismail S [isaracoglu], P.hD., Kütahya Health Sciences University

Study record dates

Study Major Dates

• Study Start (Actual): March 21, 2023
• Primary Completion (Actual): May 30, 2023
• Study Completion (Actual): September 30, 2023

Study Registration Dates

• First Submitted: March 14, 2023
• First Submitted That Met QC Criteria: March 14, 2023
• First Posted (Actual): March 27, 2023

Study Record Updates

• Last Update Posted (Actual): November 29, 2023
• Last Update Submitted That Met QC Criteria: November 28, 2023
• Last Verified: November 1, 2023

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Nervous System Diseases; Pain; Neurologic Manifestations; Musculoskeletal Diseases; Back Pain; Low Back Pain; Joint Diseases; Gait Disorders, Neurologic
• Other Study ID Numbers: CLBP and SIJ

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