COMBINATION OF LATISSIMUS DORSI AND GLUTEAL STRENGTHENING IN SACROILIAC DYSFUNCTION

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age35-55
SponsorCairo University

About this trial

The current study will try to answer the following research question:

In adults with sacroiliac joint dysfunction, what is the effect of combination LD strengthening exercises with gluteal strengthening exercises compared with gluteal strengthening exercises alone on the primary outcomes of this study (pain intensity during pressure on posterior superior iliac spine \[PSIS\] and neuropathic pain severity) and the secondary outcomes (disability, pelvic inclination, pelvic torsion, sacral inclination, GMax and LD strength)?

Participants will be devided equally into two groups:

1. Group A (Control group): will receive a gluteal strengthening exercise program. 2. Group B (Intervention group): will receive the same gluteal strengthening exercise program as group A, in addition to the LD strengthening exercise program.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patient with clinical diagnosis of low back pain because of SIJD.

Age between 35-55 years old.

Numeric pain rating scale (NPRS) score of less than 8

moderate disability score ranging from 5-14 on the Arabic version of Roland-Arabic Disability Questionnaire (ArRMDQ).

Disqualifiers

Patients with any previous fractures or surgery in the lumbosacral or pelvic region before the study.

Pregnancy and lactation during study.

Radicular pain or radiculopathy.

Spinal pathology.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Gluteal strengthening exercise program

    Other intervention

    Retro Step-Up Unilateral Wall Squat Wall Press Exercise Prone Hip Extension The treatment duration will be 6 weeks at a frequency of 3 supervised sessions/week (18 sessions total).

  • Gluteal strengthening combined with LD strengthening exercise program

    Other intervention

    Retro Step-Up Unilateral Wall Squat Wall Press Exercise Prone Hip Extension Conventional shoulder extension in the prone position Downward bar pulling in the seated position (LPD) following expert instruction Pull-down exercises from standing position Inverted row body weight exercises with a supinated grip and double-leg WB Modified curl-up Ipsilateral upper trunk bending The treatment duration will be 6 weeks at a frequency of 3 supervised sessions/week (18 sessions total).

Treatment groups

40 Participants
are divided into 2 treatment groups
Group A: Gluteal strengthening exercise programActive comparator 1 intervention
Group B: Gluteal strengthening combined with LD strengthening exercise programExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Pain intensity using the Arabic version of the numeric pain rating scale (Ar-NPRS) during PSIS pressure

Ar- NPRS comprises an 11-point -horizontal scale‖ of 0-10 in Arabic numerals anchored by the two ends, the left (0 indicating no pain at all) and right (10) indicating the worst pain ever. Mild pain ranges from 1-3, moderate pain 4-6 and severe pain 7-10. The patients can indicate the number that describes their pain level closely.

Time frame
week 7

Secondary outcomes

1

Disability using the Arabic Roland-Morris disability questionnaire (ArRMDQ)

The Arabic version of Roland-Morris Disability Questionnaire (ArRMDQ) consists of 24 items ranging from 0 to 24. Statements were chosen to cover multiple aspects of daily living, and the phrase -because of my back‖ was added to each statement to specify that the limitation described was due to back problems

Time frame
week 7

Other outcomes

Sponsors and contacts

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This trial is not recruiting at the moment. You can still explore other options: