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IRCT20201216049730N1 IRCT 2021-02-19 Shahid Beheshti University of Medical Sciences The impacts of releasing the stiffness of hip adductor muscles on sacroiliac joint pain Evaluating the impacts of releasing the stiffness of hip adductor muscles on sacroiliac joint pain: a randomized clinical trial. 2021-01-20 anticipated 40 Complete https://irct.ir/trial/53557 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Study subjects are divided into two groups in a simple randomization with a ratio of one to one. In group A the stiffness of hip adductor muscles will be released in addition to the standard treatment of sacroiliac joint pain but group B will only receive the standard treatment of sacroiliac joint pain. The grouping will be written on pieces of paper, sealed in envelopes, and then given to the secretary. The secretary will randomly give one of the envelopes to the patient. The therapist will assign each patient to group A or B depending on the group written in the patient's envelope. N/A Condition 1: Sacroiliac joint pain and dysfunction: Painful touching of the sacroiliac joint and the positive test of 3 or more of the 6 tests diagnoses sacroiliac joint pain and dysfunction. Condition 2: Hip adductor muscles: include Adductor Longus, Adductor Brevis, and Adductor Magnus. In this study, Adductor longus muscle is examined. Diagnosis of hip adductor disorder can be made by two imaging techniques, including ultrasound or MRI or clinical examination. Intervention 1: Intervention group: Group A, in addition to the standard treatment of sacroiliac joint pain, hip adductor muscles will be released. Duration of treatment: 4 sessions by the therapist (2 sessions per week) with daily exercises at home. Treatment of sacroiliac joint pain includes heat therapy for 5 minutes (daily), needling painful areas (2 sessions per week), sacroiliac joint mobilization exercises, each exercise 3 sets of 10 repetition, daily. Release of hip adductors including heat therapy for 5 minutes (daily), manual therapy (using friction massage and ischemic pressure) for 5 minutes (2 sessions per week), use of vibrator for 5 minutes (2 sessions per week), adductor stretching 30 seconds to the maximum range of motion whit out Pain, 3 repetitions, daily. Intervention 2: Control group: Intervention group: Group B who will receive standard treatment for sacroiliac joint pain. Duration of treatment: 4 sessions by the therapist (2 sessions per week) with daily exercises at home. Treatment of sacroiliac joint pain includes heat therapy for 5 minutes (daily), needling painful areas (2 sessions per week), sacroiliac joint mobilization exercises, each exercise 3 sets of 10 repetition, daily. Yes - There is a plan to make this available What will be shared: All potential data is shared in the form of an article after unidentifiable individuals When: Accessed since 2022 To whom: Researchers working in academic and scientific institutions Conditions: No analysis is allowed on the data Where to obtain: sarashams@gmail.com How to obtain: To access the data, individuals must send a request to the inserted email and after receiving the necessary checks and if they are eligible, they will receive the requested data within a month. Comments:
public Seyedeh Sara Shams
Ayatollah Taleghani Hospital, Arabi Ave., Yemen Blvd., Tehran
Tehran Iran (Islamic Republic of) 1985711151 +98 21 2243 2560 sarashams6990@gmail.com Shahid Beheshti University of Medical Sciences scientific Mohammad Hassabi
Ayatollah Taleghani Hospital, Arabi Ave., Yemen Blvd., Tehran
Tehran Iran (Islamic Republic of) 1985711151 +98 21 2243 2560 hassabi@sbmu.ac.ir Shahid Beheshti University of Medical Sciences Iran (Islamic Republic of) People with low back pain less than 3 months Diagnosis of sacroiliac joint disorder (3 or more positive test) Equal true and functional length of lower limb (functional length: distance between umbilicus to distal of medial ankle, true length: distance between anterior superior iliac spine to distal of medial ankle) No history of severe trauma to the spine, pelvis, lower limbs, abdomen and chest during the last 12 months No history of spine, pelvic, lower limb, abdomen and chest surgery during the last 12 months Absence of localized lesion of the spine including tumor, infection and fracture Absence of known congenital pelvic and spinal disorders that restrict movement or impair examination Absence of known systemic arthropathy Absence of neuropathy Absence of metabolic disorders Absence of symptoms or evidence of radiculopathy Absence of pregnancy No history of receiving any treatment for sacroiliac joint pain in the last 3 months Women should not be in the first six months after delivery Women should not be post menopausal 18 years 60 years Both Any musculoskeletal disorder of the lower extremities that interferes with movement or examination Treatment - Devices Treatment - Devices Intervention group: Group A, in addition to the standard treatment of sacroiliac joint pain, hip adductor muscles will be released. Duration of treatment: 4 sessions by the therapist (2 sessions per week) with daily exercises at home. Treatment of sacroiliac joint pain includes heat therapy for 5 minutes (daily), needling painful areas (2 sessions per week), sacroiliac joint mobilization exercises, each exercise 3 sets of 10 repetition, daily. Release of hip adductors including heat therapy for 5 minutes (daily), manual therapy (using friction massage and ischemic pressure) for 5 minutes (2 sessions per week), use of vibrator for 5 minutes (2 sessions per week), adductor stretching 30 seconds to the maximum range of motion whit out Pain, 3 repetitions, daily Control group: Intervention group: Group B who will receive standard treatment for sacroiliac joint pain. Duration of treatment: 4 sessions by the therapist (2 sessions per week) with daily exercises at home. Treatment of sacroiliac joint pain includes heat therapy for 5 minutes (daily), needling painful areas (2 sessions per week), sacroiliac joint mobilization exercises, each exercise 3 sets of 10 repetition, daily. Sacroiliac joint pain. Timepoint: Before starting treatment, at the beginning of each treatment session, at the end of 4 treatment sessions. Method of measurement: The patient is asked and recorded as 0 (painless) to 10 (worst possible pain) by the visual analog scale (VAS). Sacroiliac joint tenderness. Timepoint: Before starting treatment, at the beginning of each treatment session, at the end of 4 treatment sessions. Method of measurement: Touch the sacroiliac joint to check for tenderness. Recording of tenderness information by a specialist doctor is done as follows: 1- No pain 2- Mild tenderness (causing pain with deep touch) 3- Moderate tenderness (causing pain with superficial touch) 4- Severe tenderness (severe reaction of the patient with superficial touch). Quality of Life. Timepoint: Before starting treatment, at the end of 4 sessions of treatment. Method of measurement: Oswestry questionnaire. Adductor muscle tenderness. Timepoint: Before starting treatment, at the beginning of each treatment session, at the end of 4 treatment sessions. Method of measurement: Touch the junction of the adductor longus muscle to check for tenderness. Tenderness is recorded by a sports medicine specialist as 1- painless 2- mild tenderness (causing pain with deep touch) 3- moderate tenderness (causing pain with superficial touch) 4- severe tenderness (severe reaction of the patient with superficial touch). Stiffness of adductor muscles. Timepoint: Before starting treatment, at the beginning of each treatment session, at the end of 4 treatment sessions. Method of measurement: Touch the length of the adductor longus muscle to check muscle stiffness. Stiffness is recorded by a sports medicine specialist in the form of 1- usual consistency 2- touch of stiffness 3- clear protrusion. Shahid Beheshti University of Medical Sciences Approved 2020-12-12 Ethics Committee of Shahid Beheshti University of Medical Sciences Shahid Beheshti University of Medical Sciences, Arabi Ave., Yemen St., Tehran, Tehran Province Tehran Tehran Iran (Islamic Republic of)