Gluteal Activation With or Without Traction Straight Leg Raise Technique
Study Details
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.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
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.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Traction straight leg raise technique for hamstring. 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. |
Other: Traction straight leg raise technique for hamstring
traction straight leg raise technique is used along with gluteal exercises
|
| Experimental: Gluteal activation exercises 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. |
Other: Gluteal activation exercises,Hotpack
only gluteal activation exercises were performed without traction straight leg raise technique
|
Outcome Measures
Primary Outcome Measures
- Change of muscle strength of gluteus maximum by "Sphygmomanometer" [Baseline at 1st session on 1st week,at 10th sessions on 5th week]
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" [Baseline at 1st session on 1st week , at 10th session on 5th week]
change in pain intensity was checked at 1st session and then follow up at end of 10th session
Eligibility Criteria
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. -
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Riphah IU | Lahore | Pakistan | 54000 |
Sponsors and Collaborators
- Riphah International University
Investigators
- Principal Investigator: Rabiya Noor, PhD, Riphah International University
Study Documents (Full-Text)
None provided.More Information
Publications
- 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.
- 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.
- 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.
- 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.
- REC/LHR/20/0103 Farzana Saqib