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Gluteal Activation With or Without Traction Straight Leg Raise Technique

Primary Purpose

SIJ - Sprain of Sacroiliac Joint, Weakness, Muscle, Tightness of Back Muscles

Status
Completed
Phase
Not Applicable
Locations
Pakistan
Study Type
Interventional
Intervention
Traction straight leg raise technique for hamstring
Gluteal activation exercises,Hotpack
Sponsored by
Riphah International University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for SIJ - Sprain of Sacroiliac Joint focused on measuring Gluteal activation, Straight leg raise hamstring technique, Sacroiliac joint pain

Eligibility Criteria

40 Years - 60 Years (Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  1. Subjects with LBP below the level of L5,
  2. With pain over the posterior aspect of SI joint around posterior superior iliac spine and buttock with or without above knee leg pain.
  3. Females only

Exclusion Criteria:

  1. Had radicular pain with neurological (sensory or motor) deficits,
  2. Had a history of spinal surgery, spinal, pelvic, or lower extremity fracture; hospitalization for trauma or motor vehicle accident;
  3. Hip or knee dysfunctions;
  4. Pregnancy;
  5. Any systemic disease such as arthritis, tuberculosis, liver, or kidney failure
  6. Subjects with leg length discrepancies, because of its potential effect on hamstring muscle length were also excluded. -

Sites / Locations

  • Riphah IU

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Traction straight leg raise technique for hamstring.

Gluteal activation exercises

Arm Description

Experimental group underwent conventional physiotherapy treatment (hot pack) followed by five main gluteal activation exercises three in first five sessions and rest two in remaining five sessions along with traction straight leg raise technique. Each session took 30 minutes . Participants were treated 10 times over a 5 week period with 2 treatment sessions per week. Pre and Post treatment readings were taken in 1st and 10th session over a 5 week period respectively. Assessment was done via Numeric pain rating scale and sphygmomanometer for assessing pain intensity and muscle strength of gluteus maximus.

Experimental group underwent conventional physiotherapy treatment (hot pack) followed by five main gluteal activation exercises three in first five sessions and rest two in remaining five sessions. Each session took 30 minutes . Participants were treated 10 times over a 5 week period with 2 treatment sessions per week. Pre and Post treatment readings were taken in 1st and 10th session over a 5 week period respectively. Assessment was done via Numeric pain rating scale and sphygmomanometer for assessing pain intensity and muscle strength of gluteus maximus.

Outcomes

Primary Outcome Measures

Change of muscle strength of gluteus maximum by "Sphygmomanometer"
change in strength of gluteal muscle was checked at 1st session and then follow up at end of 10th session

Secondary Outcome Measures

change in pain by "Numeric Pain rating Scale"
change in pain intensity was checked at 1st session and then follow up at end of 10th session

Full Information

First Posted
February 5, 2021
Last Updated
December 7, 2022
Sponsor
Riphah International University
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1. Study Identification

Unique Protocol Identification Number
NCT04757415
Brief Title
Gluteal Activation With or Without Traction Straight Leg Raise Technique
Official Title
Effects of Gluteal Activation With or Without Traction Straight Leg Raise Technique Among Patients of Sacroiliac Joint Syndrome
Study Type
Interventional

2. Study Status

Record Verification Date
December 2022
Overall Recruitment Status
Completed
Study Start Date
October 15, 2021 (Actual)
Primary Completion Date
July 31, 2022 (Actual)
Study Completion Date
July 31, 2022 (Actual)

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
This study was a Randomized clinical trial conducted to determine the Effects of gluteal activation with or without traction straight leg raise technique among patients of sacroiliac joint syndrome so that in future this study will be helpful for other clinician to determine that how much gluteal activation is important in low back pain or sacroiliac joint syndrome, and how it affects our sling system.
Detailed Description
Non Probability Convenient sampling was done . Patients following eligibility criteria from Sports and Spine Professionals ,Lahore were considered. Sample size was calculated with Epi tool calculator. 38 Participants were randomly allocated in two groups equally via convenient sampling method. Baseline assessment was done initially. Group A was given gluteal activation exercises with traction straight leg raise technique for hamstring and Group B was gluteal activation exercises without traction straight leg raise technique for hamstring. Duration of research was almost 6 months. Patient will undergo 10 treatments in five weeks. Each session will take 30 minutes. Pre and Post treatment readings were taken in 1st and 10th session over a 5 week period respectively. Assessment was done via sphygmomanometer and numeric pain rating scale for assessing muscle strength of gluteus maximum and pain levels respectively. All participants were provided written informed consent prior to commencement of the procedures. They were free to quit the treatment at any stage of research. Data was analyzed by using SPSS version 23.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
SIJ - Sprain of Sacroiliac Joint, Weakness, Muscle, Tightness of Back Muscles
Keywords
Gluteal activation, Straight leg raise hamstring technique, Sacroiliac joint pain

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Masking Description
single
Allocation
Randomized
Enrollment
38 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Traction straight leg raise technique for hamstring.
Arm Type
Experimental
Arm Description
Experimental group underwent conventional physiotherapy treatment (hot pack) followed by five main gluteal activation exercises three in first five sessions and rest two in remaining five sessions along with traction straight leg raise technique. Each session took 30 minutes . Participants were treated 10 times over a 5 week period with 2 treatment sessions per week. Pre and Post treatment readings were taken in 1st and 10th session over a 5 week period respectively. Assessment was done via Numeric pain rating scale and sphygmomanometer for assessing pain intensity and muscle strength of gluteus maximus.
Arm Title
Gluteal activation exercises
Arm Type
Experimental
Arm Description
Experimental group underwent conventional physiotherapy treatment (hot pack) followed by five main gluteal activation exercises three in first five sessions and rest two in remaining five sessions. Each session took 30 minutes . Participants were treated 10 times over a 5 week period with 2 treatment sessions per week. Pre and Post treatment readings were taken in 1st and 10th session over a 5 week period respectively. Assessment was done via Numeric pain rating scale and sphygmomanometer for assessing pain intensity and muscle strength of gluteus maximus.
Intervention Type
Other
Intervention Name(s)
Traction straight leg raise technique for hamstring
Intervention Description
traction straight leg raise technique is used along with gluteal exercises
Intervention Type
Other
Intervention Name(s)
Gluteal activation exercises,Hotpack
Intervention Description
only gluteal activation exercises were performed without traction straight leg raise technique
Primary Outcome Measure Information:
Title
Change of muscle strength of gluteus maximum by "Sphygmomanometer"
Description
change in strength of gluteal muscle was checked at 1st session and then follow up at end of 10th session
Time Frame
Baseline at 1st session on 1st week,at 10th sessions on 5th week
Secondary Outcome Measure Information:
Title
change in pain by "Numeric Pain rating Scale"
Description
change in pain intensity was checked at 1st session and then follow up at end of 10th session
Time Frame
Baseline at 1st session on 1st week , at 10th session on 5th week

10. Eligibility

Sex
Female
Gender Based
Yes
Gender Eligibility Description
females above 40years having sacroiliac joint syndrome
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subjects with LBP below the level of L5, With pain over the posterior aspect of SI joint around posterior superior iliac spine and buttock with or without above knee leg pain. Females only Exclusion Criteria: Had radicular pain with neurological (sensory or motor) deficits, Had a history of spinal surgery, spinal, pelvic, or lower extremity fracture; hospitalization for trauma or motor vehicle accident; Hip or knee dysfunctions; Pregnancy; Any systemic disease such as arthritis, tuberculosis, liver, or kidney failure Subjects with leg length discrepancies, because of its potential effect on hamstring muscle length were also excluded. -
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Rabiya Noor, PhD
Organizational Affiliation
Riphah International University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Riphah IU
City
Lahore
ZIP/Postal Code
54000
Country
Pakistan

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
22294848
Citation
Massoud Arab A, Reza Nourbakhsh M, Mohammadifar A. The relationship between hamstring length and gluteal muscle strength in individuals with sacroiliac joint dysfunction. J Man Manip Ther. 2011 Feb;19(1):5-10. doi: 10.1179/106698110X12804993426848.
Results Reference
background
PubMed Identifier
29484248
Citation
Added MAN, de Freitas DG, Kasawara KT, Martin RL, Fukuda TY. STRENGTHENING THE GLUTEUS MAXIMUS IN SUBJECTS WITH SACROILIAC DYSFUNCTION. Int J Sports Phys Ther. 2018 Feb;13(1):114-120.
Results Reference
background
PubMed Identifier
30267967
Citation
Feeney DF, Capobianco RA, Montgomery JR, Morreale J, Grabowski AM, Enoka RM. Individuals with sacroiliac joint dysfunction display asymmetrical gait and a depressed synergy between muscles providing sacroiliac joint force closure when walking. J Electromyogr Kinesiol. 2018 Dec;43:95-103. doi: 10.1016/j.jelekin.2018.09.009. Epub 2018 Sep 22.
Results Reference
background
PubMed Identifier
19679506
Citation
Chance-Larsen K, Littlewood C, Garth A. Prone hip extension with lower abdominal hollowing improves the relative timing of gluteus maximus activation in relation to biceps femoris. Man Ther. 2010 Feb;15(1):61-5. doi: 10.1016/j.math.2009.07.001. Epub 2009 Aug 12.
Results Reference
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Gluteal Activation With or Without Traction Straight Leg Raise Technique

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