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Effects of Core Stabilization Exercises With and Without Dry Cupping in Patients With Sacroiliac Joint Dysfunction

Primary Purpose

Sacroiliac Joint Dysfunction

Status
Not yet recruiting
Phase
Not Applicable
Locations
Pakistan
Study Type
Interventional
Intervention
Dry cupping with core stabilization exercises
Core stabilization exercises
Sponsored by
Riphah International University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Sacroiliac Joint Dysfunction focused on measuring dry cupping, core stabilization exercise, sacroiliac joint dysfunction

Eligibility Criteria

20 Years - 35 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Chronic low back pain for more than 3 months
  • Pain on performing pain provocative tests for sacroiliac dysfunction
  • Oswestry disability index above 20% but below 80%

Exclusion Criteria:

  • Participants suffering from specific low back pain like PIVD with instability or any radicular symptoms, lumbar spondylosis, lumbarcanal stenosis, spondylolisthesis, sensory deficits, malignancies and tuberculosis.
  • Any traumatic conditions around the pelvis and lower limbs, any infectious, tumors conditions around the pelvis.
  • Pregnancy, any lower limb abnormalities, any recently underwent abdominal and low back surgery.

Sites / Locations

  • Riphah Rehabilitation Clinic

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Dry cupping with core stabilization exercises

Core stabilization exercises

Arm Description

On 12 patients, dry cupping will be performed by using a disposable manual cupping set including a hand suction pump and plastic cups of different sizes. These cups will be placed over the points GB 30, Huantiao, BL-28 Pangguangshu, BL-54 ZHIBIAN and EM-Yaoyan. After dry cupping session core stabilization exercises will be added.

12 patients will be asked to perform core stabilization exercises where the local stabilizers of the lumbopelvic region will be targeted to ensure segmental control in different positions such as supine, crook-lying, side-lying, prone, four-point kneeling, sitting, and standing.

Outcomes

Primary Outcome Measures

NPRS for pain
The Numerical Pain Rating Scale (NPRS) is a subjective measure in which individuals rate their pain on an eleven-point numerical scale. The scale is composed of 0 (no pain at all) to 10 (worst imaginable pain).
Modified ODI for disability
It is a disease-specific disability measure and is used to find the level of disability with the help of questions asking about difficulty in performing activities of daily life in 10 different sections.

Secondary Outcome Measures

Full Information

First Posted
May 31, 2022
Last Updated
May 31, 2022
Sponsor
Riphah International University
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1. Study Identification

Unique Protocol Identification Number
NCT05404984
Brief Title
Effects of Core Stabilization Exercises With and Without Dry Cupping in Patients With Sacroiliac Joint Dysfunction
Official Title
Effects of Core Stabilization Exercises With and Without Dry Cupping on Pain and Disability in Patients With Sacroiliac Joint Dysfunction
Study Type
Interventional

2. Study Status

Record Verification Date
May 2022
Overall Recruitment Status
Not yet recruiting
Study Start Date
June 2022 (Anticipated)
Primary Completion Date
January 1, 2023 (Anticipated)
Study Completion Date
January 1, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Riphah International University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The aim of this study is to compare the effects of core stabilization exercises with and without dry cupping on pain and disability in patients with sacroiliac joint dysfunction.
Detailed Description
Low back pain (LBP) is recognized by its most common symptom - pain - and is known as the primary cause of disability one of the most frequent pain-producing factors in patients with LBP is sacroiliac joint dysfunctions (SJD). The sacroiliac joint dysfunction syndrome (SIJDS) is a contentious topic that is a common cause of low back pain (LBP) and patients often seek physical therapy helps to deal with their symptoms. Dry cupping on the SIJ is a physical therapy technique that has been supported by research in numerous areas, including pain reduction and SIJ mobility promotion. But, in previous studies, there is very less literature regarding determining effects of the dry cupping on sacroiliac joint dysfunction. Therefore there is a dire need to explore the effect of dry cupping on sacroiliac joint dysfunction. This study aims the management of pain disability and functional impairment in persons with sacroiliac joint dysfunction particularly core stabilization exercises along with dry cupping therapy.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Sacroiliac Joint Dysfunction
Keywords
dry cupping, core stabilization exercise, sacroiliac joint dysfunction

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
24 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Dry cupping with core stabilization exercises
Arm Type
Experimental
Arm Description
On 12 patients, dry cupping will be performed by using a disposable manual cupping set including a hand suction pump and plastic cups of different sizes. These cups will be placed over the points GB 30, Huantiao, BL-28 Pangguangshu, BL-54 ZHIBIAN and EM-Yaoyan. After dry cupping session core stabilization exercises will be added.
Arm Title
Core stabilization exercises
Arm Type
Active Comparator
Arm Description
12 patients will be asked to perform core stabilization exercises where the local stabilizers of the lumbopelvic region will be targeted to ensure segmental control in different positions such as supine, crook-lying, side-lying, prone, four-point kneeling, sitting, and standing.
Intervention Type
Other
Intervention Name(s)
Dry cupping with core stabilization exercises
Intervention Description
12 patients will receive dry cupping technique for 10 minutes followed by 10 repetitions of each core stabilization exercise in different positions. All the patients will receive this treatment once a week for 6 weeks.
Intervention Type
Other
Intervention Name(s)
Core stabilization exercises
Intervention Description
A total of 12 patients will perform 10 repetitions of each core stabilization exercise in different positions. All the patients will receive this treatment once a week for 6 weeks.
Primary Outcome Measure Information:
Title
NPRS for pain
Description
The Numerical Pain Rating Scale (NPRS) is a subjective measure in which individuals rate their pain on an eleven-point numerical scale. The scale is composed of 0 (no pain at all) to 10 (worst imaginable pain).
Time Frame
6th week
Title
Modified ODI for disability
Description
It is a disease-specific disability measure and is used to find the level of disability with the help of questions asking about difficulty in performing activities of daily life in 10 different sections.
Time Frame
6th week

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
35 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Chronic low back pain for more than 3 months Pain on performing pain provocative tests for sacroiliac dysfunction Oswestry disability index above 20% but below 80% Exclusion Criteria: Participants suffering from specific low back pain like PIVD with instability or any radicular symptoms, lumbar spondylosis, lumbarcanal stenosis, spondylolisthesis, sensory deficits, malignancies and tuberculosis. Any traumatic conditions around the pelvis and lower limbs, any infectious, tumors conditions around the pelvis. Pregnancy, any lower limb abnormalities, any recently underwent abdominal and low back surgery.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Imran Amjad, PhD
Phone
03324390125
Email
imran.amjad@riphah.edu.pk
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Muhammad Salman Bashir, PhD
Organizational Affiliation
Riphah International University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Riphah Rehabilitation Clinic
City
Lahore
State/Province
Punjab
ZIP/Postal Code
54000
Country
Pakistan
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Muhammad Salman Bashir, PhD
Phone
+923334497959
Email
salman.bashir@riphah.edu.pk
First Name & Middle Initial & Last Name & Degree
Noor-ul Ain, MSPT-OM

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
Citation
1. M Anbar ARA, Saleh AM, Ismail NM, El-Shazly U. CUPPING VERSUS KINESIOTAP ON MANAGEMENT OF PATIENTS WITH SACROILIAC JOINT DYSFUNCTION:"A RANDOMIZED CONTROLLED TRIAL". Delta University Scientific Journal. 2020;3(2):21-32.
Results Reference
background
PubMed Identifier
34817514
Citation
Dogan N, Sahbaz T, Diracoglu D. Effects of mobilization treatment on sacroiliac joint dysfunction syndrome. Rev Assoc Med Bras (1992). 2021 Jul;67(7):1003-1009. doi: 10.1590/1806-9282.20210436.
Results Reference
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Citation
7. Al-Qudah M, Khalid A-J. Impact Of Cupping Massage and Modified Spinal Decompression Therapy With Core Stabilization Exercise In Lumbar Bulging Disc Management. Psychology and Education Journal. 2021;58(3):1978-86.
Results Reference
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PubMed Identifier
31580695
Citation
Nasb M, Qun X, Ruckmal Withanage C, Lingfeng X, Hong C. Dry Cupping, Ischemic Compression, or Their Combination for the Treatment of Trigger Points: A Pilot Randomized Trial. J Altern Complement Med. 2020 Jan;26(1):44-50. doi: 10.1089/acm.2019.0231. Epub 2019 Oct 3.
Results Reference
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PubMed Identifier
33218554
Citation
Wood S, Fryer G, Tan LLF, Cleary C. Dry cupping for musculoskeletal pain and range of motion: A systematic review and meta-analysis. J Bodyw Mov Ther. 2020 Oct;24(4):503-518. doi: 10.1016/j.jbmt.2020.06.024. Epub 2020 Jul 30.
Results Reference
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PubMed Identifier
31631992
Citation
Ozsoy G, Ilcin N, Ozsoy I, Gurpinar B, Buyukturan O, Buyukturan B, Kararti C, Sas S. The Effects Of Myofascial Release Technique Combined With Core Stabilization Exercise In Elderly With Non-Specific Low Back Pain: A Randomized Controlled, Single-Blind Study. Clin Interv Aging. 2019 Oct 9;14:1729-1740. doi: 10.2147/CIA.S223905. eCollection 2019.
Results Reference
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PubMed Identifier
29609566
Citation
Teut M, Ullmann A, Ortiz M, Rotter G, Binting S, Cree M, Lotz F, Roll S, Brinkhaus B. Pulsatile dry cupping in chronic low back pain - a randomized three-armed controlled clinical trial. BMC Complement Altern Med. 2018 Apr 2;18(1):115. doi: 10.1186/s12906-018-2187-8.
Results Reference
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PubMed Identifier
30691749
Citation
Kamali F, Zamanlou M, Ghanbari A, Alipour A, Bervis S. Comparison of manipulation and stabilization exercises in patients with sacroiliac joint dysfunction patients: A randomized clinical trial. J Bodyw Mov Ther. 2019 Jan;23(1):177-182. doi: 10.1016/j.jbmt.2018.01.014. Epub 2018 Jan 31.
Results Reference
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PubMed Identifier
26962482
Citation
Akbarzade M, Ghaemmaghami M, Yazdanpanahi Z, Zare N, Mohagheghzadeh A, Azizi A. Comparison of the Effect of Dry Cupping Therapy and Acupressure at BL23 Point on Intensity of Postpartum Perineal Pain Based on the Short Form of McGill Pain Questionnaire. J Reprod Infertil. 2016 Jan-Mar;17(1):39-46.
Results Reference
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Citation
Polly DW, Swofford J, Whang PG, Frank CJ, Glaser JA, Limoni RP, Cher DJ, Wine KD, Sembrano JN; INSITE Study Group. Two-Year Outcomes from a Randomized Controlled Trial of Minimally Invasive Sacroiliac Joint Fusion vs. Non-Surgical Management for Sacroiliac Joint Dysfunction. Int J Spine Surg. 2016 Aug 23;10:28. doi: 10.14444/3028. eCollection 2016.
Results Reference
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Effects of Core Stabilization Exercises With and Without Dry Cupping in Patients With Sacroiliac Joint Dysfunction

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