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 volunteersQualifiers
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
Parallel
Treatments tested in this trial
Gluteal strengthening exercise program
Other interventionRetro 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 interventionRetro 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
Trial outcomes
Primary outcomes
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.
Secondary outcomes
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
Sponsors and contacts
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