Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

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Comparative Analysis on the Efficacy of G.d. Maitland's Concept of Mobilization & muscle Energy Technique in Treating Sacroiliac Joint Dysfunction


Affiliations
1 Amity University, Uttar Pradesh, India
2 Physiotherapy Department, Amar Jyoti Institute of Physiotherapy, India
     

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Study Design

A randomized experimental study. Objective The following study is a comparative analysis to check the efficacy of Muscle energy technique & G.D. Maitland’s concept of mobilization in decreasing pain and improving functional ability in patients with sacroiliac joint dysfunction. Hence prove the effectiveness of either technique as a treatment option to treat Sacroiliac Joint Dysfunction.

Methods and Measures

A total of 45 subjects with chronic low back pain were recruited in the study, with total mean age of 22.82. Subjects were randomly grouped into 3 group’s viz. Group I (n=15) Muscle energy technique and exercises, Group II (n=15) G. D. Maitland mobilization and Exercises and Group III (n=15) control. The 2 experimental groups participated in a 6 session of Muscle energy technique and G. D. Maitland mobilization respectively. The outcome measures were based on self evaluated pain (thermometer pain rating scale), disability (Oswestry disability index) and hip range of motion (Goniometry)

Results

Mean+SD decrease of visual analogue thermometer at base line for group treated with muscle energy technique was from 3.53+0.51 at base line to 0.20+0.41 post 6 sessions. Similarly for Group II decreased from 3.73+0.7 at baseline to 0.33+0.48 post 6 sessions. The mean Oswestry disability index score within the three groups at base line are, Group I=0.296+0.05, Group II= 0.27+0.05, Control= 0.28+0.05, the mean decrease post 6 sessions was 0.024, 0.067 and 0.23. Medial rotation of hip was significantly improved in subjects in Group I from 21.27+4.5 at base line to 37.93+2.05 post 6 sessions of treatment.

Conclusion

The results of this study showed that along with active exercises Muscle energy technique (MET) is moderately significant over the G.D.Maitland’s technique of mobilization in improving functional ability and increasing the medial rotation of hip joint in mechanical chronic low back pain caused due to sacroiliac joint dysfunction, while both the experimental groups were highly significant in decreasing pain and improving functional ability.


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  • Stoddard A. Condition of sacroiliac joint and their treatment. Physiotherapy;1958, 97-101.

  • Bogduk N. Low back pain. Australian Family Physician.1985, 14:1168.

  • Mens J, Vleeming A, Snijders c, and Stam H. Active Straight leg raising: A clinical approach to the load transfer function of the pelvic girdle, 2nd interdisciplinary world congress on low back pain, 1,207- 219, 1995.

  • Donatelli Wooden. Orthopeadic physical thearapy, 3rd edition.

  • Cibulka MT, Koldehoff R. Clinical usefulness of cluster of sacroiliac joint tests in patients with and without low back pain. J Orthop Sports Phys Ther.1999; 29(2): 83.

  • Stoddard A. Condition of sacroiliac joint and their treatment.Physiotherapy.1958, 97-101.

  • Bogduk N. Low back pain. Australian family Physician.1985, 14:1168.

  • Richard Don Tigny. Evaluation, Manipulation and management of anterior dysfunction of SI joint. 1973 Sept, 14; 1-8.

  • Maigne JY, Aivalikis A. Results of sacroiliac joint dysfunction and value of SI joint Provocation tests in 54 patients with low back pain. Spine.1996; 21:1889- 1892.

  • Mooney V. understanding, examining and treating sacroiliac pain. J Musculosk. Med. 1993: 37- 47.

  • Strusson B, Uden A, Vleeming A. A radiostereometric analysis of movements of the sacroiliac joints during the standing hip flexion test. Goldwait K.Spine.2000; vol.3, 364-368.

  • Luo X, Pietrobon R, Sun SX, Hey L. Estimates and patterns of direct health care expenditure among individuals with low back pain in the United States.Spine.2004;29(1): 79- 86.

  • Gold wait JE, Osgood RB. A consideration of the pelvic articulations from an anatomical, pathological, and clinical stand point. Boston Med Surg J.1905; 152: 593- 601.

  • Kapandji IA: The physiology of the joints.2nd Ed. Vol. III. The trunk and the vertebral column. Churchill Livingstone, Edinburgh, 1974.

  • Cibulka MT, Sinacore DR, Cromer GS, Delitto A. Unilateral hip rotation range of motion asymmetry in patients with sacroiliac joint regional pain. Spine.1998, 23, 9; 1009- 1015.

  • Don Tigny, Richard L. Dysfunction of the sacroiliac joint and its treatment. The Journal of Orthopedic and Sports Physical Therapy.1979, 1(1):22-35.

  • Diane Lee.The Pelvic girdle: An approach to the examination and treatment of the lumbopelvic hip region. Churchill Livingstone publishers, 1989.


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  • Comparative Analysis on the Efficacy of G.d. Maitland's Concept of Mobilization & muscle Energy Technique in Treating Sacroiliac Joint Dysfunction

Abstract Views: 1202  |  PDF Views: 2

Authors

Kanchan Rana
Amity University, Uttar Pradesh, India
Nitesh Bansal
Amity University, Uttar Pradesh, India
Savita
Physiotherapy Department, Amar Jyoti Institute of Physiotherapy, India

Abstract


Study Design

A randomized experimental study. Objective The following study is a comparative analysis to check the efficacy of Muscle energy technique & G.D. Maitland’s concept of mobilization in decreasing pain and improving functional ability in patients with sacroiliac joint dysfunction. Hence prove the effectiveness of either technique as a treatment option to treat Sacroiliac Joint Dysfunction.

Methods and Measures

A total of 45 subjects with chronic low back pain were recruited in the study, with total mean age of 22.82. Subjects were randomly grouped into 3 group’s viz. Group I (n=15) Muscle energy technique and exercises, Group II (n=15) G. D. Maitland mobilization and Exercises and Group III (n=15) control. The 2 experimental groups participated in a 6 session of Muscle energy technique and G. D. Maitland mobilization respectively. The outcome measures were based on self evaluated pain (thermometer pain rating scale), disability (Oswestry disability index) and hip range of motion (Goniometry)

Results

Mean+SD decrease of visual analogue thermometer at base line for group treated with muscle energy technique was from 3.53+0.51 at base line to 0.20+0.41 post 6 sessions. Similarly for Group II decreased from 3.73+0.7 at baseline to 0.33+0.48 post 6 sessions. The mean Oswestry disability index score within the three groups at base line are, Group I=0.296+0.05, Group II= 0.27+0.05, Control= 0.28+0.05, the mean decrease post 6 sessions was 0.024, 0.067 and 0.23. Medial rotation of hip was significantly improved in subjects in Group I from 21.27+4.5 at base line to 37.93+2.05 post 6 sessions of treatment.

Conclusion

The results of this study showed that along with active exercises Muscle energy technique (MET) is moderately significant over the G.D.Maitland’s technique of mobilization in improving functional ability and increasing the medial rotation of hip joint in mechanical chronic low back pain caused due to sacroiliac joint dysfunction, while both the experimental groups were highly significant in decreasing pain and improving functional ability.


References