SUMMARY
Background. Sacroiliac joint pain is a common source of lower back pain, affecting a large number of the global population. However, Muscle Energy Techniques (METs) have been shown to be effective in managing this condition but there has been limited exploration of the potential additional benefits of combining METs as conventional treatment with other manual therapy techniques (suboccipital muscle Inhibition technique).
Methods. This randomized controlled trial was conducted on thirty-eight patients with sacroiliac joint pain. Non-probability convenient sampling technique was used. The data was collected from patients of Sacro-iliac joint pain by using Numerical pain rating scale for pain, Urdu version of Oswestry Disability Index (ODI) for functional disability and Health Questionnaire EQ-5D 5L for quality of life. Patient were equally divided in to two groups by computer generated random number table. Control Group received conventional therapy including Hot pack, transcutaneous electrical nerve stimulator (TENS), therapeutic ultrasound and general METs autogenic inhibition technique for SIJ while Experimental Group received conventional therapy and Suboccipital muscle inhibition technique. Outcomes were measured at base line and then after 2 weeks of treatment (at the last treatment session no treatment was given after it) and to check long term treatment follow up was taken after 6 weeks of the last treatment session.
Results. Both groups reported significant improvement in all outcome measures from baseline to follow-up. However, the combination of Sub-occipital Inhibition Technique with conventional treatment as experimental group demonstrated superior benefits, with a decrease of 17.58 points in ODI, 6.74 points in Numeric Pain Rating Scale (NPRS), and an increase of 38.00 in EQ5L scores (all p < 0.001). The control group showed a reduction of 11.26 points in ODI, a decrease of 5.53 points in NPRS, and an increase of 36.42 in EQ5L scores (all p < 0.001). A medium to large effect size was observed for all outcomes. SPSS version 27 was used to analyze the data.
Conclusions. Combination of Sub-occipital Inhibition Technique with conventional treatment produced better clinical and statistical improvement in terms of all parameters, indicating that inclusion of Sub-occipital Inhibition Technique in conventional treatment may provide enhanced therapeutic benefits.
Study registration. The trial was prospectively registered in the WHO‑Iranian registry of clinical trials (IRCT20190717044238N8, dated: April 03, 2023) (https://www.irct. ir/).
Effects of the Suboccipital Muscle Inhibition Technique on Pain, Functional Disability and Quality of Life in Patients with Sacroiliac Joint Pain: a Randomized Controlled Trial
Fareeha Amjad, Ahmed Jamal
Original Article, 470-477
Keywords: EuroQol-5D, muscle energy techniques, Numeric Pain Rating Scale, Oswestry Disability Index, Sacroiliac joint disease, suboccipital muscle inhibition technique,
Table of Content: Vol. 14 (No.3) 2024 July/September
-
Intraoperative Pulsed Irrigation with Povidone- Iodine and Hydrogen Peroxide in Spine Surgery: A Systematic Review on its Efficacy and Low Toxicity Advantages in Preventing Surgical Site Infections
Vincenzo De Luna, Matteo Catananti, Giacomo Maria Minnetti, Claudia Luciano, Giulio Gorgolini, Francesco Oliva, Pasquale FarsettiReview, 387-395 -
The Impact of Vertical Jump Exercise in the Postsynaptic Cleft in Wistar Rats
Lara Caetano Rocha-Braga, Isabella Gomes, Jurandyr Pimentel Neto, André Neri Tomiate, Paula Oliveira Camargo, José Roberto Rodrigues da Silva, Adriano Polican CienaOriginal Article, 396-401 -
More Training, Less Trainability: True? A muscle Swelling Analysis
Gustavo Ferreira Pedrosa, Lorenzo Laporta, Maria E. C. Rigo, Lair A. C. de Souza, Tiago D. L. Nunes, Michele Forgiarini Saccol, Henrique de Oliveira Castro, Gustavo De Conti Teixeira Costa, Arthur B. G. BischoffOriginal Article, 402-409 -
Ultrasound-Guided Percutaneous Long Head of Biceps Tenotomy: A Safe and Effective Treatment in Elderly
Stefano Carli, Michele Novi, Raffaele Scialla, Mario Guerrisi, Matteo Paci, Stefano Gumina, Simone NicolettiOriginal Article, 410-416 -
Reference Values of Specific Physical Performances of Elite Youth Male Soccer Players: Taking into Consideration the Maturity Status
Mohamed Tounsi, Thimo Wiewlhove, Ghazi Racil, Marco Gervasi, Antonio Frizziero, Gian Mario Migliaccio, Johnny Padulo, Yassine TrabelsiOriginal Article, 417-429 -
Self-Reported Foot and Ankle Score: Italian Translation, Validation and Cross-Cultural Adaptation
Luca Passafiume, Francesca Curti, Antonio Marsocci1, Alessio Cairoli, Danilo Lombardo, Andrea Lo Stocco, Pierpaolo Pogelli, Fabrizio MagnificaOriginal Article, 430-437 -
Development of Predictive Equations to Estimate Regional Muscle Cross Sectional Area Based on Anthropometry
Marina O. C. Figueiredo, Bárbara T. R. de Souza, Marcelo D. M. dos Santos, Fernanda S. Lessa, Bruno F. Rodrigues, Maria C. N. Ferreira, Lucas T. de Lacerda, Fernando V. Lima, Mauro H. Chagas, Rodrigo C.R. DinizOriginal Article, 438-449 -
Associated ACL Reconstruction and Meniscal Repair do not Affect the Evolution of Isokinetic Parameters in Professional Athletes: A Prospective Study with a One-Year Follow-Up
José Carlos dos Santos Albarello, Conrado Torres Laett, Alanna Martins Soares de Palma, Marcelo Mandarino, Sidnei Cavalcante da Silva, Rodrigo A. Goes, Victor R. A. Cossich, Thiago LemosOriginal Article, 450-457 -
Reference Values of Physical Performances in Young Female Basketball Players in Palestine: Effect of Maturity Status
Layla Jawabreh, Mohamed Tounsi, Ghazi Racil, Antonio Frizziero, Luca Russo, Gian Mario Migliaccio, Johnny Padulo, Yassine TrabelsiOriginal Article, 458-469 -
Effects of the Suboccipital Muscle Inhibition Technique on Pain, Functional Disability and Quality of Life in Patients with Sacroiliac Joint Pain: a Randomized Controlled Trial
Fareeha Amjad, Ahmed JamalOriginal Article, 470-477 -
Strength Training with Same Ranges of Motion at Different Muscle Lengths does not Change Muscle Activation among Synergist Muscles
Fernando Vitor Lima, Mariano Rezende Pereira, Gustavo Ferreira Pedrosa, Rodrigo César Ribeiro Diniz, Maura Regina Vilela, Mauro Heleno Chagas, André Gustavo Pereira de AndradeOriginal Article, 478-485 -
Effect of Gluteus Medius Strengthening on Pain, Function, and Muscle Macromorphology in Nonspecific Chronic Low Back Pain: Randomized Controlled Trial
Hadil Mohamed Onsy, Salwa Fadl AbdElmaged, Hatem Mohamed El-Azizi, Mona Mohamed IbrahimOriginal Article, 486-498 -
Quadriceps Force Fluctuation During Maximal Isometric Contraction is Altered in ACL Injury and is Associated with Lower Limb Functional Performance: A Cross-Sectional Study with Athletes
Thiago Lemos, José C. S. Albarello, Sidney C. Silva, Alan P. MozellaOriginal Article, 499-506