Ignite Creation Date:
2024-10-25 @ 7:55 PM
Last Modification Date:
2024-10-26 @ 3:43 PM
Study NCT ID:
NCT06656208
Status:
RECRUITING
Last Update Posted:
None
First Post:
2024-10-23
Brief Title:
Effects of Pubic Symphysis Manipulation in Patients With Sacroiliac Joint Dysfunction
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Effects of Pubic Symphysis Manipulation in Patients With Sacroiliac Joint Dysfunction
Status:
RECRUITING
Status Verified Date:
2024-10
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The aim of this research is to determine the effect of Pubic Symphysis manipulation on pain disability and fear avoidance behavior in patients with sacroiliac joint dysfunction Randomized controlled trials was done at Pakistan Railway Hospital The sample size was 44 The subjects will be divided into Control group and Experimental group Each group will be having 22 participants Study duration was of 12 months Sampling technique applied was non probability connivance sampling technique Subject included in the study will be female with presence of back pain for 6 months Unilateral back pain Age 25-60 years Postpartum women Patient with pubic tenderness Tools used in the study are NPRS Oswestry Disability Index and FABQ Data will be analyzed using SPSS version 26
Detailed Description:
Sacroiliac joint SIJ dysfunction is a degenerative condition that is considered a major cause of low back pain It has been resulting from abnormal motion of the joint known as SIJ dysfunction SIJD During pregnancy heightened levels of estrogen and relaxin coupled with the pressure exerted by a growing fetus may induce excessive mobility in the SIJs Conversely pelvic fractures and a sedentary lifestyle can contribute to decreased mobility and fixation of the joints Life time prevalence of low back pain is 85 Among these patients 10 to 25 of sacroiliac joint is the cause of pain In Pakistan female undergraduate students have a higher prevalence of low back pain compared to males Individuals with SIJD often present with unilateral pain below L5 The pain is often localized distal and medial to the PSIS It is described as sharp dull or shooting and is often misdiagnosed as radicular pain as it can extend down the posterior thigh to the S1 dermatome Factors contributing to SIJD include high velocity trauma degenerative arthritis inflammatory arthropathy etc The ability to rise from a chair is a basic functional task that is frequently compromised in individuals diagnosed with SIJD This condition has been associated with up to 14-20 of patients affected by limiting the overall quality of life
The pubic symphysis plays a vital role in stabilizing the anterior pelvis while allowing for a limited range of movement Pubic symphysis dysfunction is characterized by discomfort in the pubic bone region that intensifies during activities such as walking lifting or stair climbing hip abduction rolling over in bed Patients often report tenderness over the pubic symphysis Symptoms include burning stabbing or shooting pain that radiates towards the abdomen back leg and perineum Symphysis pubis dysfunction SPD occurs where the joint becomes sufficiently relaxed to allow instability in the pelvic girdle In severe cases of SPD the symphysis pubis may partially or completely rupture
Literature review A study by Aghalar Javadov et al in 2021 aims to assess the effects of manual therapy for sacroiliac joints in comparison with lumbar exercises Result of this study shows long term effects of manual therapy in sacroiliac joint dysfunction
Another study conducted by Shokri E et al in which effectiveness of sacroiliac joint SIJ manipulation alone was compared with a combination of SIJ and lumbar manipulation for treating SIJ dysfunction The study results indicated that a single session of SIJ and lumbar manipulation is more effective in reducing functional disability compared to SIJ manipulation alone
A study conducted by S Becker et al investigates whether sacroiliac joint pain is linked to alterations in the pubic symphysis The findings of this study indicate that changes in the pubic symphysis along with low back pain and positive provocative tests could potentially indicate dysfunction in the sacroiliac joint
Purpose of the study was to investigate effects of pubic symphysis manipulation in patients with sacroiliac joint dysfunction
The pubic symphysis plays a vital role in stabilizing the anterior pelvis while allowing for a limited range of movement Pubic symphysis dysfunction is characterized by discomfort in the pubic bone region that intensifies during activities such as walking lifting or stair climbing hip abduction rolling over in bed Patients often report tenderness over the pubic symphysis Symptoms include burning stabbing or shooting pain that radiates towards the abdomen back leg and perineum Symphysis pubis dysfunction SPD occurs where the joint becomes sufficiently relaxed to allow instability in the pelvic girdle In severe cases of SPD the symphysis pubis may partially or completely rupture
Literature review A study by Aghalar Javadov et al in 2021 aims to assess the effects of manual therapy for sacroiliac joints in comparison with lumbar exercises Result of this study shows long term effects of manual therapy in sacroiliac joint dysfunction
Another study conducted by Shokri E et al in which effectiveness of sacroiliac joint SIJ manipulation alone was compared with a combination of SIJ and lumbar manipulation for treating SIJ dysfunction The study results indicated that a single session of SIJ and lumbar manipulation is more effective in reducing functional disability compared to SIJ manipulation alone
A study conducted by S Becker et al investigates whether sacroiliac joint pain is linked to alterations in the pubic symphysis The findings of this study indicate that changes in the pubic symphysis along with low back pain and positive provocative tests could potentially indicate dysfunction in the sacroiliac joint
Purpose of the study was to investigate effects of pubic symphysis manipulation in patients with sacroiliac joint dysfunction
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None