| Effect of adding Hamstring flexibility to gluteal strengthening in sacroiliac joint dysfunction: A pilot study |
| Paper ID : 1068-ISCSR3 (R2) |
| Authors |
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Afaf Mohamed Tahoon1, Mahmoud Tarek Elbaz *2, Hager Khalid Ismail3, Osama Ahmed Fares3, Heba allah Zain Saleh3 1lecturer at physical therapy for orthopedic department, cairo university 2physical therapy faculty of Cairo university, Egypt 3physical therapy cairo university |
| Abstract |
| Background Sacroiliac joint dysfunction (SIJD) is a disabling prevalent condition that has significantly increased to about 40% of mechanical low back pain. Muscle imbalance is a common presentation in SIJD including tight hamstrings (HM) and weak gluteal (GT). The effectiveness of GT strengthening has been considered in SIJD rehabilitation. However, HM extensibility effect has not been investigated yet. Objective A simple pilot study provides preliminary evidence for a randomized controlled trial to evaluate the effect of adding HM extensibility to GT strengthening on SIJD clinical outcomes. Methods Two females with right SIJD, a mean age was 20.5 ±1.2 years were randomly assigned using a coin to GT program (gluteus maximus and medius strengthening) or HM program (GT strengthening and HM extensibility). Both continued for 6 visits over 2 weeks. GT exercises were selected to increase maximum voluntary isometric contractions, a dose of 3 sets with 10 repetitions. HM protocol included HM passive and active stretch and active release techniques repeated 3-10 per session. Outcomes assessment at baseline and after 6th sessions, include Pain intensity (VAS), Knee extension angle (KET) (passive knee extension test with a universal goniometer), functional disability (ODI), pelvic inclination (PI), and torsion (pelvic inclinometer). Results Pain intensity (34%), functional disability (40 %), and KET (11.3%) showed better improvement in HM while only 16%, 33%, and 7% respectively in GT. However, pelvic symmetry was achieved more in GT whereas PI and pelvic torsion revealed a 65.2%, and 70% reduction respectively. while in HM, PI reduced by 44.4% without a change in pelvic torsion Conclusion The findings point out that HM release and stretching techniques with GT strengthening might be suitable for SIJD patients with short hamstrings that influence back disability while GT strengthening alone may be efficient in pelvis realignment. Clinical trials are warranted to validate these findings. |
| Keywords |
| Sacroiliac dysfunction (SIJD), Hamstring, Gluteus, Extensibility, Sacroiliac rehabilitation |
| Status: Abstract Accepted |