The Influence of the Manipulation of the Sacroiliac Joint on Low Back Pain

University of Extremadura151 enrolled

Overview

The primary focus of this study is to know the influence of sacroiliac joint manipulation on low back pain with or without radiation to lower limbs, in the lumbopelvic-hip joint

One of the main problems faced by physiotherapists in primary care is low back pain with or without radiation to lower limbs. Nowadays, there are a lot of types of low back pain interventions, yet despite the vast amount of research findings, the evidence remains contradictory and inconclusive: Pharmacological treatments like NSAIDs have shown result in acute low back pain but not in chronic pain; conservative interventions (ultrasound, interferential currents, mechanical traction and massage) have been studied and found ineffective. A total of 151 low back pain patients with or without radiation to lower limbs between 18-70 years old derived from the Physiotherapy Unit of Gévora Health Center (Badajoz, Spain) voluntarily entered the study

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

151

Conditions

Low Back Pain Sacroiliac Disorder

Interventions

manipulation group (MG)OTHER

Patients were treated with sacroiliac joint osteopathic semidirect manipulation twice a week every 3 to 4 days over a period of time of 3 weeks

electrotheraphy group (EG)OTHER

Patients were treated with micro-waves (circular antenna in lumbar area, pulsating-mode 120W for 12 minutes) and later conventional analgesic TENS (80Hz frequency, 30 minutes) 5 days per week over a period of time of 3 weeks (15 sessions)

Eligibility

Sex: ALLMin age: 18 YearsMax age: 70 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * dysfunction or sacroiliac joint hypomobility (SI) * having stopped taking anti-inflammatory medicines or analgesics three days before the study began Exclusion Criteria: * destructive injuries of the spine and pelvis * fractures * lumbar surgery * sacroiliac instability * spondylolisthesis * pregnancy in progress * cauda equina syndrome * abdominal aneurysm * infection * inflammatory arthritis * tumors * osteoporosis

Locations (1)

Universidad de Extremadura

Badajoz, Spain

Outcomes

Primary Outcomes

visual analogue scale (VAS)

Pain assessment from 0 to 10. 0: no pain 10: maximum pain

Time frame: 1 week

Oswestry disability index (ODI)

disability assessment 0% -20% (Minimum Disability) 21% -40% (Moderate disability) 41% -60% (Severe disability) 61% -100% (Disabled):

Time frame: 1 week

Roland Morris questionnaire

disability assessment The extreme values oscillate between 0 (absence of disability due to low back pain) and 24 (maximum possible disability)

Time frame: 1 week

digital algometer (Wagner, FPIX model)

Pain threshold assessment by pressing the sensitive points of the muscle

Time frame: 1 week

Data from ClinicalTrials.gov

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