Effects of MET With and Without Lumbopelvic Manipulation

N/ANot Yet RecruitingNCT07642713

Riphah International University52 enrolled

Overview

The study aims to determine whether lumbopelvic manipulation yields superior improvements in pain, pelvic alignment, and functional ability when combined with METs compared to the treatment provided through METs solely.

With anterior innominate dysfunction (AID), the innominate bone rotates anteriorly over the sacrum, which produces pelvic dysfunction affecting the biomechanics of the pelvis, usually causing pelvic asymmetry and problems in regional and musculoskeletal patterns of pain, with the most affected being in the hip and low back. AID can hinder posture, mobility, and activities in daily functional living. Physiotherapy always includes a conservative approach. This study will be a randomized controlled trial with 46 participants. The target sample size was adjusted to 52 participants to accommodate a 10% dropout rate.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Anterior Pelvic Tilt

Interventions

Lumbopelvic manipulation and METsOTHER

Group A will undergo Lumbopelvic manipulation and METs

METsOTHER

Group A will undergo METs

Eligibility

Sex: FEMALEMin age: 25 YearsMax age: 40 Years

Medical Language ↔ Plain English

Inclusion Criteria: * • Participants' age range 25\_40 years. * Females * Have subacute (4-12 weeks) pain close to PSIS * Have ≥3/4 positive test PSIS height, standing flexion, prone knee flexion, supine to long sitting * Two out of four positive tests of pain provocation Distraction, compression, thigh thrust, and sacral thrust test) * Patients have moderate pain on the NPRS Exclusion Criteria: * Participants with True leg length Differences * Systemic illnesses, such as ankylosing spondylitis or RA, or pregnancy * Individuals with anticoagulation or bleeding disorders, acute muscle trauma, infections, lumbar disc herniation, spinal deformities, or a history of spinal surgery or anticoagulation medication * No history of fracture

Locations (1)

Rehab Cure

Lahore, Punjab Province, Pakistan

Outcomes

Primary Outcomes

Numeric Pain Rating Scale (NPRS) for pain

This instrument is commonly used to rate the severity of pain. A scale of 0 to 10 is used by patients to rate their present level of pain, with 0 indicate "no pain" and 10 indicate the "worst possible pain. The patient verbally report number between 0 to 10. NPRS demonstrate strong measurement properties in patients with low back pain

Time frame: 4 weeks

Oswestry Disability Index (ODI) for functional disability

ODI version 2 was used in this study assess functional disability associated with low back pain and sacroilliac joint dysfunction. ODI is standardized and widely used self-reported questionnaire evaluate impact of pain on activities of daily living and functional status. It consists of 10 sections including pain intensity, personal care, lifting, walking, sitting, standing, sleeping, sex life, social life, and traveling. Each domain consists of six items that are ranked from 0 to 5, with 0 being no disability and 5 being maximum disability.

Time frame: 4 weeks

Clinometer:

Smart Phone based inclinometer is a digital tool to measure body segmental angel when placed on Anatomical landmark Such as ASIS and PSIS and estimate pelvic tilt angel in standing and sitting position and align them using tape. This smart phone-based measurement tool has Reliability intra-rater: ICC = 0.87 and inter-rater: ICC = 0.82 in standing and in sitting intra-rater: ICC = 0.91 and inter-rater: ICC = 0.88 show excellent reproducibility and consistency of measurement.

Time frame: 4 weeks

Central Contacts

Imran Amjad, PhD

CONTACT

03324390125 Imran.amjad@riphah.edu.pk

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.