Effects of Muscle Energy Technique on Daily Activities and Lumbar Stiffness in Women With Sacroiliac Joint Dysfunction: A Randomized Controlled Clinical Trial Study

  • Ashraf Vaseghnia ORCID Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
  • Azadeh Shadmehr ORCID Mail Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
  • Behrouz Attarbashi Moghadam Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
  • Gholamreza Olyaei ORCID Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
  • Mohammad Reza Hadian Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
  • Zahra Khazaeipour Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.
Keywords:
Sacroiliac joint, muscle energy technique, Pain

Abstract

Introduction: Lumbar stiffness is a common complaint of patients with low back pain. The Muscle Energy Technique (MET) is a common intervention to treat the spine and sacroiliac joint dysfunctions and their resulting disability in daily activities. This research aimed to evaluate the effects of MET on pain, functional disability, and lumbar stiffness of patients with sacroiliac joint dysfunctions by considering the type of dysfunction and the orientation of the correcting maneuver.
Materials and Methods: Fifty women with ant innominate or post innominate dysfunctions were recruited for the research and randomly divided into two groups (n=25). One group received one session of MET, and the other group received the sham position. Visual Analogue Scale (VAS), lumbar Stiffness Disability Index (SDI) and Oswestry Disability Index (ODI) were used for the evaluation of the participants before, 24 hours after and one week after the intervention.
Results: According to the results, MET significantly decreased the mean range of VAS and ODI, 24 hours, and a week after the intervention (P<0.01). We did not see any significant difference in SDI values before, 24 hours, and one week after MET in the patients (P>0.01).
Conclusion: Applying MET regarding the kind of dysfunction may reduce the patient’s pain and disability.

References

‎1.‎ Hoy D, March L, Brooks P, Blyth F, Woolf A, Bain C, et al. The global burden of low back pain: Estimates from the global burden of ‎disease 2010 study. Annals of the Rheumatic Diseases. 2014; 73(6):968-74. [DOI:10.1136/annrheumdis-2013-204428] [PMID]‎
‎2.‎ Simopoulos TT, Manchikanti L, Singh V, Gupta S, Hameed H, Diwan S, et al. A systematic evaluation of prevalence and diagnostic ‎accuracy of sacroiliac joint interventions. Pain Physician. 2012; 15(3):E305-44. [PMID]‎
‎3.‎ Al-subahi M, Alayat M, Alshehri MA, Helal O, Alhasan H, Alalawi A, et al. The effectiveness of physiotherapy interventions for ‎sacroiliac joint dysfunction: A systematic review. Journal of Physical Therapy Science. 2017; 29(9):1689-94. ‎‎[DOI:10.1589/jpts.29.1689] [PMID] [PMCID]‎
‎4.‎ Dhinkaran M, Sareen A, Arora T. Comparative analysis of muscle energy technique and conventional physiotherapy in treatment of ‎sacroiliac joint dysfunction. Indian Journal of Physiotherapy and Occupational Therapy. 2011; 5(4):127-30.‎
‎5.‎ Wilson E, Payton O, Donegan-Shoaf L, Dec K. Muscle energy technique in patients with acute low back pain: A pilot clinical trial. ‎Journal of Orthopaedic & Sports Physical Therapy. 2003; 33(9):502-12. [DOI:10.2519/Journal of Orthopaedic & Sports Physical ‎Therapy.2003.33.9.502] [PMID]‎
‎6.‎ Gatterman MI. Foundations of chiropractic: Subluxation. London: Elsevier Health Sciences; 2005.‎
‎7.‎ Kisner C, Colby LA, Borstad J. Therapeutic exercise: Foundations and techniques. Philadelphia: Fa Davis; 2017.‎
‎8.‎ Donatelli RA, Wooden MJ. Orthopaedic physical therapy E-Book. London: Elsevier Health Sciences; 2009.‎
‎9.‎ Patrick N, Emanski E, Knaub MA. Acute and chronic low back pain. Medical Clinics. 2014; 98(4):777-89. ‎‎[DOI:10.1016/j.mcna.2014.03.005] [PMID]‎
‎10.‎ Reed WR, Pickar JG, Long CR. Effect of changing lumbar stiffness by single facet joint dysfunction on the responsiveness of lumbar ‎muscle spindles to vertebral movement. The Journal of the Canadian Chiropractic Association. 2014; 58(2):160.‎
‎11.‎ Brodke DS, Goz V, Lawrence BD, Spiker WR, Neese A, Hung M. Oswestry disability index: A psychometric analysis with 1,610 ‎patients. Spine Journal. 2017; 17(3):321-7. [DOI:10.1016/j.spinee.2016.09.020] [PMID]‎
‎12.‎ Selkow NM, Grindstaff TL, Cross KM, Pugh K, Hertel J, Saliba S. Short-term effect of muscle energy technique on pain in ‎individuals with non-specific lumbopelvic pain: A pilot study. The Journal of Manual & Manipulative Therapy. 2009; 17(1):14E-‎‎8E. [DOI:10.1179/jmt.2009.17.1.14E] [PMID] [PMCID]‎
‎13.‎ Schenk RJ, MacDiarmid A, Rousselle J. The effects of muscle energy technique on lumbar range of motion. The Journal of Manual & ‎Manipulative Therapy. 1997; 5(4):179-83. [DOI:10.1179/jmt.1997.5.4.179]‎
‎14.‎ Vleeming A, Albert HB, Östgaard HC, Sturesson B, Stuge B. European guidelines for the diagnosis and treatment of pelvic girdle ‎pain. European Spine Journal. 2008; 17(6):794-819. [DOI:10.1007/s00586-008-0602-4] [PMID] [PMCID]‎
‎15.‎ DeStefano LA. Greenman’s principles of manual medicine. Philadelphia: Lippincott Williams & Wilkins; 2011.‎
‎16.‎ Szadek KM, van der Wurff P, van Tulder MW, Zuurmond WW, Perez RS. Diagnostic validity of criteria for sacroiliac joint pain: A ‎systematic review. Journal of Pain. 2009; 10(4):354-68. [DOI:10.1016/j.jpain.2008.09.014] [PMID]‎
‎17.‎ Von Korff M, Jensen MP, Karoly P. Assessing global pain severity by self-report in clinical and health services research. Spine. 2000; ‎‎25(24):3140-51. [DOI:10.1097/00007632-200012150-00009] [PMID]‎
‎18.‎ Koch SC, Acton D, Goulding M. Spinal circuits for touch, pain, and itch. Annual Review of Physiology. 2018; 80:189-217. [DOI:10.1146/annurev-‎physiol-022516-034303] [PMID] [PMCID]‎
‎19.‎ Mousavi SJ, Parnianpour M, Mehdian H, Montazeri A, Mobini B. The oswestry disability index, the Roland-Morris disability ‎questionnaire, and the Quebec back pain disability scale: Translation and validation studies of the Iranian versions. Spine. 2006; ‎‎31(14):E454-9. [DOI:10.1097/01.brs.0000222141.61424.f7] [PMID]‎
‎20.‎ Zhang TC, Janik JJ, Grill WM. Mechanisms and models of spinal cord stimulation for the treatment of neuropathic pain. Brain ‎Research. 2014; 1569:19-31. [DOI:10.1016/j.brainres.2014.04.039] [PMID]‎
‎21.‎ Chaitow L, Crenshaw K. Muscle energy techniques. London: Elsevier Health Sciences; 2006.‎
‎22.‎ Dale S. Manual therapy effects on low back pain. Illinois: Illinois State University; 2016.‎
‎23.‎ Rutten GM, Degen S, Hendriks EJ, Braspenning JC, Harting J, Oostendorp RA. Adherence to clinical practice guidelines for low back pain in physical ‎therapy: Do patients benefit? Physical Therapy. 2010; 90(8):1111-22. [DOI:10.2522/ptj.20090173] [PMID]‎
‎24.‎ Carlesso LC, Macdermid JC, Santaguida PL, Thabane L, Giulekas K, Larocque L, et al. Beliefs and practice patterns in spinal manipulation and spinal ‎motion palpation reported by Canadian manipulative physiotherapists. Physiotherapy Canada. 2013; 65(2):167-75. [DOI:10.3138/ptc.2012-11] [PMID] ‎‎[PMCID]‎
‎25.‎ Lascurain-Aguirrebeña I, Newham D, Critchley DJ. Mechanism of action of spinal mobilizations: A systematic review. Spine. 2016; ‎‎41(2):159-72. [DOI:10.1097/BRS.0000000000001151] [PMID]‎
‎26.‎ Paige NM, Miake-Lye IM, Booth MS, Beroes JM, Mardian AS, Dougherty P, et al. Association of spinal manipulative therapy with clinical benefit and ‎harm for acute low back pain: Systematic review and meta-analysis. The Journal of the American Medical Association. 2017; 317(14):1451-60. ‎‎[DOI:10.1001/jama.2017.3086] [PMID] [PMCID]‎
Published
2019-11-27
How to Cite
1.
Vaseghnia A, Shadmehr A, Attarbashi Moghadam B, Olyaei G, Hadian MR, Khazaeipour Z. Effects of Muscle Energy Technique on Daily Activities and Lumbar Stiffness in Women With Sacroiliac Joint Dysfunction: A Randomized Controlled Clinical Trial Study. jmr. 13(1):23-30.
Section
Original Article(s)