Comparing the effect of thrust manipulation and muscle energy technique on pain and disability in patients with sacroiliac joint dysfunction
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Department of Musculoskeletal Physiotherapy, Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Mullana, India
Submission date: 2020-06-25
Acceptance date: 2020-09-07
Publication date: 2021-08-29
Physiother Quart. 2021;29(3):49-55
Sacroiliac joint pain is described as pain in and around the joint along with dull pain in lower back due to biomechanical dysfunction in the sacroiliac region. Manual therapy is a common treatment for patients with sacroiliac joint dysfunction. The purpose of this study was to examine the within- and between-group effects of high-velocity thrust manipulation and muscle energy technique in sacroiliac joint dysfunction.

Thirty patients with low back pain were randomized to receive either high-velocity thrust manipulation (n = 15) or muscle energy technique (n = 15) for 6 sessions over 2 weeks. The outcomes included the Modified Oswestry Disability Index (MODI) and Numeric Pain Rating Scale (NPRS). The paired t-test and two-way ANCOVA were used for within- and between-group analysis, respectively.

A statistically significant difference was observed in baseline and post-treatment MODI and NPRS scores within the groups (p < 0.001). In turn, no statistically significant difference was found in baseline or post-treatment MODI and NPRS scores between the groups (p < 0.001).

The between-group effects were neither clinically nor statistically significant. The within-group effects were both significant and exceeded the reported minimal clinically important differences for the outcome tools of MODI and NPRS.

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