EFFECT OF MUSCLE ENERGY TECHNIQUE AND MULLIGAN MOBILIZATION IN SACROILIAC JOINT DYSFUNCTION

Mahesh Shinde, Vaishali Jagtap

Abstract


Background: The purpose of this study was to assess the effectiveness of muscle energy technique and mulligan mobilization in sacroiliac joint dysfunction

Method: 30 subjects with sacroiliac joint dysfunction were included in this study. The age between 20-45  years.  Subjects were selected by simple random samplig method and allocated into 2 groups, for group A muscle energy technique ,hot moist pack and mulligan taping and for group B muscle energy technique, hot moist pack ,mulligan mobilization and mulligan taping for sacroiliac joint. Before and after the treatment subjects were assessed and analysed with visual analogue scale for pain , Range of motion with inch tape for lumbar spine  and modified oswestry  low back pain questionnaire for disability .

Mulligan taping and Hot moist pack were used as baseline treatment.

 

Result:Statistical analysis was performed using paired t-test and unpaired t-test.  Intra group comparison (within group) was analysed statistically using paired t-test for VAS, MODI and ROM using inch tape . This shows there is significant effect in Group A similarly there is extremely significant difference in Group B. But in intergroup comparison (between groups) was analysed statistically using unpaired t-test. This shows that pre intervention there was no significant difference in VAS, MODI and ROM. While on comparing post interventional values, the results between two groups using unpaired t-test revealed that there was statistically extremely significant difference seen in VAS, MODI and ROM.

Conclusion:From this study, it can be concluded that there was extremely significant improvement in subjects who underwent muscle energy technique, hot moist pack ,mulligan mobilization and mulligan taping(Group B)  statistically and clinically. Overall there was extremely significant difference found between the groups. Hence this study accepts the alternate hypothesis (H1)


Keywords


Sacroiliac joint dysfunction, Muscle energy technique, Mulligan mobilization and Mulligan Taping.

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References


Harrison DE, Harrison DD, Troyanovich SJ. The SIJ: a review of anatomy and biomechanics with clinical implications. J Manipulative PhysiolTher. 1997;20(9):607–617.

Drake RL, Vogl W, Mitchell AWM. Gray’s Anatomy for Students. Philadelphia, PA: Churchill Livingstone; 1st ed. 2005.

Foley B, Buschbacher R. SIJ pain: anatomy, biomechanics, diagnosis, and treatment. Am J Phys Med Rehabil. 2006;85(12):997-1006.

Greenman P. Principles of Manual Medicine. Philadelphia, PA: Lippincott, Williams, and Wilkins; 3rd ed. 2003.

Andersson GB. Epidemiological features of chronic low-back pain, Lancet. 1999;354(9178):581-585.

Bernard TN Jr, WI-1.Recognizing specific characteristics of nonspecific low back pain. Chin OrthopRelat Res.1987;217:266-220.

Woerman AL. Evaluation and treatment of dysfunction inthe lumbar, pelvic-hip complex. In: Orthopaedic PhysicalTherapy. Donatelli and ‘Wooten, eds. Newyork: Churchill Livingstone; 1989;403-484.

Schwarzer AC CNA, N Bogduk.The Sacroiliac Joint in Chronic Low Back Pain. Spine 1995;20(1):31-7.

Maignes JY, Aivaliklis A, Pfefer F. Results of Sacroiliac Joint Double Block and Value of Sacroiliac Pain Provocation Tests in 54 Patients With Low Back Pain. Spine 1996;21:1889-92.

van der Wurff P, Buijs EJ, Groen GJ. A multitest regimen of pain provocation tests as an aid to reduce unnecessary minimally invasive SIJ procedures. Arch Phys MedRehabil. 2006;87(6):874-874.

Hungerford B, Gilleard W, Hodges P. Evidence of altered lumbopelvic muscle recruitment in the presence of SIJ pain. Spine. 2003;28(14):1593-1600.

DonTigney Rh:Anterior dysfunction of the Sacroiliac joint as major factor in etiology of idiopathic low back pain syndrome.phy ther 70.250-265;1990.

van der Wurff P, Buijs EJ, Groen GJ. A multitest regimen of pain provocation tests as an aid to reduce unnecessary minimally invasive SIJ procedures. Arch Phys Med Rehabil. 2006;87(6):874-874.

Chaitow L. Muscle Energy Techniques. Philadelphia, PA: Churchill Livingstone; 3rd ed. 2006

Sashim D. A critical analysis of the anatomy and the pathologic changes of the sacro-iliac joints. J Bone Joint Surg 1930;12A: 891-910.

Leon Chaitow,Sandy Fritz, Gary Fryer “ advanced soft tissue techniques on muscle energy techniques”,3 edition

Leon Chaitow,Sandy Fritz, Gary Fryer “ advanced soft tissue techniques on muscle energy techniques”,3 edition.

Wilson E, Payton O, Donegan-Shoaf L, Dec K. Muscle energy technique in patients with acute low back pain: a pilot clinical trial. Journal of Orthopedic & Sports Physical Therapy. 2003;33(9):502-512

Folk,B,Crowell , R.mulligan B.Introduction to mulligan concept. Workbook .east Hampstead NH. Northeast seminars;2012.


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