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Comparing the effect of thrust manipulation and muscle energy technique on pain and disability in patients with sacroiliac joint dysfunction

Journal: Physiotherapy Quarterly Date: 2021/08, 29(3):Pages: 49-55. doi: Subito , type of study: randomized controlled trial

Free full text   (https://www.termedia.pl/Comparing-the-effect-of-thrust-manipulation-and-muscle-energy-technique-r-non-pain-and-disability-in-patients-with-sacroiliac-joint-dysfunction,128,42208,0,1.html)

Keywords:

low back pain [413]
muscle energy technique [157]
high velocity low amplitude [39]
manipulation [249]
randomized controlled trial [710]
sacroiliac joint [59]

Abstract:

Introduction. Sacroiliac joint pain is described as pain in and around the joint along with dull pain in lower back due to biomechanical dysfunction in the sacroiliac region. Manual therapy is a common treatment for patients with sacroiliac joint dysfunction. The purpose of this study was to examine the within- and between-group effects of high-velocity thrust manipulation and muscle energy technique in sacroiliac joint dysfunction. Methods. Thirty patients with low back pain were randomized to receive either high-velocity thrust manipulation (n = 15) or muscle energy technique (n = 15) for 6 sessions over 2 weeks. The outcomes included the Modified oswestry disability index (Modi) and Numeric Pain Rating Scale (NPRS). The paired t-test and two-way ANCoVA were used for within- and between-group analysis, respectively. Results. A statistically significant difference was observed in baseline and post-treatment Modi and NPRS scores within the groups (p < 0.001). in turn, no statistically significant difference was found in baseline or post-treatment Modi and NPRS scores between the groups (p < 0.001). Conclusions. The between-group effects were neither clinically nor statistically significant. The within-group effects were both significant and exceeded the reported minimal clinically important differences for the outcome tools of Modi and NPRS.


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