Comparing the Effectiveness of the Muscle Energy Technique and Kinesiotaping in Mechanical Sacroiliac Joint Dysfunction: A Non-blinded, Two-Group, Pretest-Posttest Randomized Clinical Trial Protocol

Manisha Sarkar, Manu Goyal, Asir John Samuel, Manisha Sarkar, Manu Goyal, Asir John Samuel

Abstract

Study design: Two-group, pretest-posttest randomized clinical trial.

Purpose: To evaluate the efficacy of the muscle energy technique (MET) and Kinesiotaping (KT) in addition to conventional physiotherapy among patients with mechanical sacroiliac joint dysfunction (SIJD).

Overview of literature: Patients with SIJD suffer from lower back and gluteal pain, as well as stiffness, due to restricted pelvic joint movement. To restore function and reduce pain among individuals with mechanical SIJD, the MET and KT may be helpful. However, a limited number of studies have compared MET and KT in mechanical SIJD.

Methods: A total of 40 male and female participants aging between 30 and 50 years experiencing unilateral pain around the gluteal area, groin area, and lower limbs for more than 4 weeks but less than 1 year will be selected. Patients will then be randomized into two groups: METCp (n=20) and KTCp groups (n=20). The METCp group will receive MET along with conventional physiotherapy, while the KTCp group will receive conventional physiotherapy with KT. Both groups will receive three alternating days of treatment per week that will continue for 4 weeks. The modified Oswestry Disability Index, a digital pressure algometer, and sacroiliac joint motion testing will be used for evaluation. Between- and within-group pre- and post-intervention results for mechanical SIJD were compared using the Wilcoxon signed-rank test/paired t-test and Mann-Whitney U -test/independent t -test.

Results: Modified Oswestry Disability Index, digital pressure algometer, and sacroiliac joint motion will be measured at baseline, 2nd week during intervention, and 4th week at the end of intervention.

Conclusions: The present study will provide data regarding the effects of MET and KT among patients with mechanical SIJD.

Keywords: Athletic tape; Low back pain; Manipulation; Muscle energy technique Copyright; Orthotic tape; Pelvic girdle pain.

Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1.
Fig. 1.
Schematic Consolidated Standards of Reporting Trials flow chart for the study protocol (MET-KET). MET, muscle energy technique; KT, Kinesiotaping; METCp group, MET and conventional physiotherapy group; KTCp group, KT and conventional physiotherapy group.
Fig. 2.
Fig. 2.
Standard Protocol Items: Recommendations for Interventional Trials schedule for patient participation.
Fig. 3.
Fig. 3.
Muscle energy technique for anterior innominate rotation (arrow).
Fig. 4.
Fig. 4.
Muscle energy technique for posterior innominate rotation (arrow).
Fig. 5.
Fig. 5.
Muscle energy technique for the piriformis muscle (arrow).
Fig. 6.
Fig. 6.
(A, B) Kinesiotaping for the sacroiliac joint. ASIS, anterior superior iliac spine.
Fig. 7.
Fig. 7.
(A, B) Kinesiotaping for the piriformis muscle. PSIS, posterior superior iliac spine.

References

    1. Cusi MF. Paradigm for assessment and treatment of SIJ mechanical dysfunction. J Bodyw Mov Ther. 2010;14:152–61.
    1. Shinde M, Jagtap V. Effect of muscle energy technique and mulligan mobilization in sacroiliac joint dysfunction. Glob J Res Anal. 2018;7:79–81.
    1. Kunene SH, Luthuli H, Nkosi M, Haffejee M, Jooma I, Munro S. Mechanical lower back pain and sacroiliac joint dysfunction in golfers at two golf clubs in Durban, South Africa. S Afr J Physiother. 2018;74:402.
    1. Laslett M. Evidence-based diagnosis and treatment of the painful sacroiliac joint. J Man Manip Ther. 2008;16:142–52.
    1. Al-Subahi M, Alayat M, Alshehri MA, et al. The effectiveness of physiotherapy interventions for sacroiliac joint dysfunction: a systematic review. J Phys Ther Sci. 2017;29:1689–94.
    1. Yoo WG. Effects of individual strengthening exercises on subdivisions of the gluteus medius in a patient with sacroiliac joint pain. J Phys Ther Sci. 2014;26:1501–2.
    1. Oh HJ, Jeon CB, Jeong MG, Choi SJ. The effects of spinal decompression therapy on pain and disability in patients with chronic low back pain. J Korean Phys Ther. 2017;29:299–302.
    1. Kenkampha K, Boonprakob DY, Arayawichanon P. Sacroiliac joint mobilization immediate improved clinical features of non-specific low back pain with sacroiliac joint dysfunction. Khon Kaen Univ Res J (Grad Stud) 2013;13:71–84.
    1. Bindra S. A study on the efficacy of muscle energy technique as compared to conventional therapy on lumbar spine range of motion in chronic low back pain of sacroiliac origin. Hum Biol Rev. 2013;2:336–48.
    1. SPIRIT (Standard Protocol Items: Recommendations for Interventional Trials) [Internet] [place unknown]: The SPIRIT Group [cited 2019 Oct 2]. Available from:
    1. Peacock J, Kerry S. Writing a research protocol. In: Peacock J, Kerry S, editors. Presenting medical statistics from proposal to publication. 2nd ed. Oxford: Oxford University Press; 2007. pp. 16–7.
    1. Portney LG, Watkins MP. Statistical measures of validity. In: Portney LG, Watkins MP, editors. Foundations of clinical research: applications to practice. 3rd ed. Philadelphia (PA): F. A. Davis Company; 2015. pp. 645–6.
    1. Sabour AA, Awad MA, Mansy AA, Tolba M. Effect of mulligan technique on sacroiliac dysfunction during pregnancy. Med J Cairo Univ. 2016;84:35–41.
    1. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39:175–91.
    1. Verma CV, Renuka D, Vijaya K, Amol B. Lumbar range of motion: reliability between Schober’s test & modified Schober’s test. Rom J Phys Ther. 2015;21:40–7.
    1. Chaitow L, Franke H, Fryer G, et al. Muscle energy techniques. 4th ed. Edinburgh: Churchill Livingstone/Elsevier; 2013.
    1. Sharma D, Sen S. Effects of muscle energy technique on pain and disability in subjects with SI joint dysfunction. Int J Physiother Res. 2014;2:305–11.
    1. Hashemirad F, Karimi N, Keshavarz R. The effect of Kinesio taping technique on trigger points of the piriformis muscle. J Bodyw Mov Ther. 2016;20:807–14.
    1. Alkady SM, Kamel RM, AbuTaleb E, Lasheen Y, Alshaarawy FA. Efficacy of mulligan mobilization versus muscle energy technique in chronic sacroiliac joint dysfunction. Int J Physiother. 2017;4:311–8.
    1. Van Leeuwen RJ, Szadek K, de Vet H, Zuurmond W, Perez R. Pain pressure threshold in the region of the sacroiliac joint in patients diagnosed with sacroiliac joint pain. Pain Physician. 2016;19:147–54.
    1. Added MA, de Freitas DG, Kasawara KT, Martin RL, Fukuda TY. Strengthening the gluteus maximus in subjects with sacroiliac dysfunction. Int J Sports Phys Ther. 2018;13:114–20.
    1. Copay AG, Cher DJ. Is the Oswestry Disability Index a valid measure of response to sacroiliac joint treatment? Qual Life Res. 2016;25:283–92.
    1. Wilson V, Douris P, Fukuroku T, Kuzniewski M, Dias J, Figueiredo P. The immediate and long-term effects of kinesiotape(R) on balance and functional performance. Int J Sports Phys Ther. 2016;11:247–53.
    1. Lee JH, Yoo WG, Kim MH, Oh JS, Lee KS, Han JT. Effect of posterior pelvic tilt taping in women with sacroiliac joint pain during active straight leg raising who habitually wore high-heeled shoes: a preliminary study. J Manipulative Physiol Ther. 2014;37:260–8.
    1. Jonely H, Brismee JM, Desai MJ, Reoli R. Chronic sacroiliac joint and pelvic girdle dysfunction in a 35-year-old nulliparous woman successfully managed with multimodal and multidisciplinary approach. J Man Manip Ther. 2015;23:20–6.
    1. visser LH, woudenberg NP, de bont J, et al. treatment of the sacroiliac joint in patients with leg pain: a randomized-controlled trial. Eur Spine J. 2013;22:2310–7.
    1. Orakifar N, Kamali F, Pirouzi S, Jamshidi F. Sacroiliac joint manipulation attenuates alpha-motoneuron activity in healthy women: a quasi-experimental study. Arch Phys Med Rehabil. 2012;93:56–61.
    1. Levangie PK. Four clinical tests of sacroiliac joint dysfunction: the association of test results with innominate torsion among patients with and without low back pain. Phys Ther. 1999;79:1043–57.

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