Synergistic Benefits of MCE and BT in Sacroiliac Joint Dysfunction: A Randomized Controlled Trial

Synergistic Benefits of Motor Control Exercises and Balance Training in Sacroiliac Joint Dysfunction: A Randomized Controlled Trial

This research aimed to ascertain the combined and individual efficacies of MCE and BT in alleviating SIJD symptoms.

Study Overview

• Status: Completed
• Conditions: Sacroiliac Joint Dysfunction
• Intervention / Treatment: Other: Motor Control Exercise; Other: Control Group; Other: Balance Training

Detailed Description

The study will be based on a four-arm parallel group randomized control design. one hundred and twenty participants with SIJD will be recruited from the Physiotherapy department, at Integral University, India. Study objectives and procedure will be properly explained and written informed consent will be obtained at the beginning of the study. All the participants will be randomly divided into four groups A, B, C, and D. Experimental group A will be receiving the hot pack, Stretching exercise, and MCE intervention, group B will receive the hot pack, Stretching exercise, and BT exercise and Group C will be receiving the hot pack, Stretching exercise, and MCE & BT intervention, control group D will receive the hot pack, Stretching exercise intervention.

• Study Type: Interventional
• Enrollment (Actual): 120
• Phase: Not Applicable

Contacts and Locations

Study Locations

• India
  • Uttar Pardesh
    • Lucknow, Uttar Pardesh, India
      • Integral University Hospital
• Saudi Arabia
  • Najran
    • Najrān, Najran, Saudi Arabia, 1988
      • Hashim Ahmed

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Age-30-60 Years
• sacroiliac joint pain (>3 months)
• Presence of pain exacerbated as a result of bending laterally or backward
• Positive results on at least 2 of the pain-provocation tests [FABER, Posterior shear and Gaenslen pain provocation tests) and one of the motion palpation tests (ie, Gillet and forward flexion tests)

Exclusion Criteria:

• past or current history of surgery or major trauma to spine, pelvis, lower limb, chest or abdomen in the past 12 months
• lower extremity musculoskeletal disorders; known localized spinal pathology
• known congenital anomalies of hip, pelvis or spine that limits mobility
• known systematic arthropathy, neuropathy or metabolic disorder
• Presence of other causes of LBP such as lumbar discopathy and spinal stenosis discovered via clinical examination and MRI scanning
• pregnancy

Study Plan

How is the study designed?

Design Details

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

Number of Arms

4

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Group A; MCE Group	Other: Motor Control Exercise; Motor control exercises focusing on the activation and control of deep spinal muscles; Other: Control Group; Participants received hot pack and stretching exercise
Experimental: Group B; BT Group	Other: Control Group; Participants received hot pack and stretching exercise; Other: Balance Training; Balance training exercises on to enhance proprioception and stability
Experimental: Group C; Combined MCE & BT Group	Other: Motor Control Exercise; Motor control exercises focusing on the activation and control of deep spinal muscles; Other: Control Group; Participants received hot pack and stretching exercise; Other: Balance Training; Balance training exercises on to enhance proprioception and stability
Other: Group D; Control Group	Other: Control Group; Participants received hot pack and stretching exercise

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pain Intensity	The pain intensity was assessed Using a numeric pain rating scale (NPRS), It's a 11 point scale, where zero indicates no pain and 10 indicates severe pain	6 Weeks
Functional disability	Functional limitation was assessed by using Oswestry disability Index questionnaire Each section is scored on a 0-5 scale, 5 representing the greatest disability.	6 Weeks
self-reported measure of health	It comprises 36 questions that cover eight domains of health	6 Weeks

Collaborators and Investigators

• Sponsor: Najran University
• Investigators: Principal Investigator: Hashim Ahmed, PhD, Najran University

Study record dates

Study Major Dates

• Study Start (Actual): November 1, 2022
• Primary Completion (Actual): August 31, 2023
• Study Completion (Actual): September 20, 2023

Study Registration Dates

• First Submitted: September 25, 2023
• First Submitted That Met QC Criteria: September 25, 2023
• First Posted (Actual): October 2, 2023

Study Record Updates

• Last Update Posted (Actual): October 2, 2023
• Last Update Submitted That Met QC Criteria: September 25, 2023
• Last Verified: September 1, 2023

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Musculoskeletal Diseases; Joint Diseases
• Other Study ID Numbers: IE/IIMS&R/2022/87

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