Heggannavar A1, Gayle S1
1KAHER Institute of Physiotherapy, Orthopaedic Manual Therapy, Belagavi, India
Background: Low back pain is one of the potential causes for disability and absenteeism at workplace. Anterior innominate dysfunction which is the most frequent type of sacroiliac joint dysfunction and also it is a leading source of back pain that adversely affects an individual's optimum function. Mulligan mobilization and manipulation have shown beneficial results in treating this condition. Timely and effective management of anterior innominate dysfunction is necessary Therefore, the aim of the study is to compare the immediate effect of both techniques on anterior innominate dysfunction.
Purpose: To study the immediate effect of mulligan mobilization versus manipulation in anterior innominate dysfunction on pain, range of motion and pelvic tilt
Methods: A clinical trial conducted on 30 subjects (mean age=37.57±10.32 years) with anterior innominate dysfunction .Subjects were randomly assigned into Group A (n=15) Postero-medial Mulligan mobilization and Mulligan taping technique + Conventional Therapy and Group B (n=15) SI Manipulation and Mulligan taping technique + Conventional Therapy. The outcome measures were Visual analogue scale (VAS), Modified Schober's lumbar range of motion and Pelvic Inclinometer scale which were assessed pre and post intervention
Results: Mean+SD decrease of VAS for group A was from 7.58±0.70 to 3.15±1.21 Similarly for Group B decreased from 7.03±1.31 to 1.7+0.76). Mean+SD increase of Lumbar flexion for group A was from 3.00±0.60 to 4.16±0.35 .Similarly for Group B increased from 3.60±1.07 to 3.97±0.65 .Mean+SD increase of Lumbar extension for group A was from 1.87±0.64 to 3.24±0.77. Similarly for Group B increased from 2.15±0.94 to 2.71±0.92. Mean+SD change of pelvic tilt for group A was from 4.27±3.08 to 4.00±3.07. Similarly for Group B from 3.87±2.77 at baseline to immediate post session remained unchanged. The study revealed a statistical significant improvement within Group A in VAS, Lumbar ROM and Pelvic tilt (p 0.05) and Group B in VAS and lumbar extension ROM (p 0.05) with a percentage difference being greater in group A as compared to Group B. Also, a statistical improvement was reported between both groups using all outcome measures (p 0.05).
Conclusion(s): The results of this study showed that along with conventional treatment Mulligan mobilization with Mulligan taping technique is significant in decreasing pain, increasing Lumbar flexion & extension and pelvic tilt in anterior innominate dysfunction immediately
Implications: Mulligan mobilization with Mulligan taping technique can be effective in decreasing pain increasing Lumbar flexion & extension and pelvic tilt in anterior innominate dysfunction immediately
Keywords: Mulligan mobilization, Manipulation, Sacroiliac joint dysfunction
Funding acknowledgements: None
Purpose: To study the immediate effect of mulligan mobilization versus manipulation in anterior innominate dysfunction on pain, range of motion and pelvic tilt
Methods: A clinical trial conducted on 30 subjects (mean age=37.57±10.32 years) with anterior innominate dysfunction .Subjects were randomly assigned into Group A (n=15) Postero-medial Mulligan mobilization and Mulligan taping technique + Conventional Therapy and Group B (n=15) SI Manipulation and Mulligan taping technique + Conventional Therapy. The outcome measures were Visual analogue scale (VAS), Modified Schober's lumbar range of motion and Pelvic Inclinometer scale which were assessed pre and post intervention
Results: Mean+SD decrease of VAS for group A was from 7.58±0.70 to 3.15±1.21 Similarly for Group B decreased from 7.03±1.31 to 1.7+0.76). Mean+SD increase of Lumbar flexion for group A was from 3.00±0.60 to 4.16±0.35 .Similarly for Group B increased from 3.60±1.07 to 3.97±0.65 .Mean+SD increase of Lumbar extension for group A was from 1.87±0.64 to 3.24±0.77. Similarly for Group B increased from 2.15±0.94 to 2.71±0.92. Mean+SD change of pelvic tilt for group A was from 4.27±3.08 to 4.00±3.07. Similarly for Group B from 3.87±2.77 at baseline to immediate post session remained unchanged. The study revealed a statistical significant improvement within Group A in VAS, Lumbar ROM and Pelvic tilt (p 0.05) and Group B in VAS and lumbar extension ROM (p 0.05) with a percentage difference being greater in group A as compared to Group B. Also, a statistical improvement was reported between both groups using all outcome measures (p 0.05).
Conclusion(s): The results of this study showed that along with conventional treatment Mulligan mobilization with Mulligan taping technique is significant in decreasing pain, increasing Lumbar flexion & extension and pelvic tilt in anterior innominate dysfunction immediately
Implications: Mulligan mobilization with Mulligan taping technique can be effective in decreasing pain increasing Lumbar flexion & extension and pelvic tilt in anterior innominate dysfunction immediately
Keywords: Mulligan mobilization, Manipulation, Sacroiliac joint dysfunction
Funding acknowledgements: None
Topic: Musculoskeletal; Musculoskeletal: spine
Ethics approval required: Yes
Institution: KAHER Institute of Physiotherapy Belagavi
Ethics committee: institutional ethical committee , KAHER Institute of Physiotherapy
Ethics number: 127
All authors, affiliations and abstracts have been published as submitted.
