The effects of Core Stability Exercises and Mulligan’s mobilization with movement techniques on sacroiliac joint dysfunction
Purpose:Sacroiliac joint dysfunction (SIJD), while being the primary contributor to low back pain, is still disregarded and treated as low back pain. Mulligan’s Mobilization with Movement (MWM) Techniques and Core Stability Exercises (CSE) are often used to treat low back pain. There is not much evi...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-04-01
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| Series: | Frontiers in Physiology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fphys.2024.1337754/full |
| _version_ | 1827278427753807872 |
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| author | Huiqian Yan Peng Zhao Xuanhui Guo Xiao Zhou |
| author_facet | Huiqian Yan Peng Zhao Xuanhui Guo Xiao Zhou |
| author_sort | Huiqian Yan |
| collection | DOAJ |
| description | Purpose:Sacroiliac joint dysfunction (SIJD), while being the primary contributor to low back pain, is still disregarded and treated as low back pain. Mulligan’s Mobilization with Movement (MWM) Techniques and Core Stability Exercises (CSE) are often used to treat low back pain. There is not much evidence that it is effective in SIJD. To evaluate the effectiveness of CSE coupled with MWM (CSE + MWM) in the treatment of SIJD.Methods:39 patients with SIJD were recruited and randomly divided into distinct groups as follows: control group (n = 13), CSE group (n = 13) and CSE + MWM group (n = 13). The Numerical Pain Rating Scale (NPRS), the Roland Morris Disability Questionnaire (RMDQ), the Range of Motion (ROM), the Pressure Pain Threshold (PPT) and the pelvic tilt angle asymmetry ratio in the sagittal plane (PTAR) were used to gauge the intervention’s success both before (M0) and after (M1) it. All experimental data were statistically analyzed.Results:The SIJ-related pain metric significantly decreased in both the CSE + MWM group and the CSE group between M0 and M1, as determined by the NPRS and RMDQ. Between M0 and M1, The CSE group’s left axial rotation ROM and lumbar flexion ROM were significantly decreased. The CSE + MWM group’s extension ROM and left lateral flexion ROM both significantly increased between M0 and M1. In the difference variable (M1-M0), the CSE + MWM group substantially outperformed control group in the left lateral flexion ROM and outperformed the CSE group in the left axial rotation ROM.Conclusion:In individuals with SIJD, CSE + MWM is beneficial in lowering pain, disability, and function. Treatment with CSE and MWM approaches for SIJ appears to boost this efficacy. |
| first_indexed | 2024-04-24T07:57:43Z |
| format | Article |
| id | doaj.art-eba743e4a3734db08e188255663c3831 |
| institution | Directory Open Access Journal |
| issn | 1664-042X |
| language | English |
| last_indexed | 2024-04-24T07:57:43Z |
| publishDate | 2024-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Physiology |
| spelling | doaj.art-eba743e4a3734db08e188255663c38312024-04-18T05:12:25ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2024-04-011510.3389/fphys.2024.13377541337754The effects of Core Stability Exercises and Mulligan’s mobilization with movement techniques on sacroiliac joint dysfunctionHuiqian Yan0Peng Zhao1Xuanhui Guo2Xiao Zhou3Sports Rehabilitation Research Center, China Institute of Sport Science, Beijing, ChinaSports Rehabilitation Research Center, China Institute of Sport Science, Beijing, ChinaCollege of Sports Medicine and Physical Therapy, Beijing Sport University, Beijing, ChinaSports Rehabilitation Research Center, China Institute of Sport Science, Beijing, ChinaPurpose:Sacroiliac joint dysfunction (SIJD), while being the primary contributor to low back pain, is still disregarded and treated as low back pain. Mulligan’s Mobilization with Movement (MWM) Techniques and Core Stability Exercises (CSE) are often used to treat low back pain. There is not much evidence that it is effective in SIJD. To evaluate the effectiveness of CSE coupled with MWM (CSE + MWM) in the treatment of SIJD.Methods:39 patients with SIJD were recruited and randomly divided into distinct groups as follows: control group (n = 13), CSE group (n = 13) and CSE + MWM group (n = 13). The Numerical Pain Rating Scale (NPRS), the Roland Morris Disability Questionnaire (RMDQ), the Range of Motion (ROM), the Pressure Pain Threshold (PPT) and the pelvic tilt angle asymmetry ratio in the sagittal plane (PTAR) were used to gauge the intervention’s success both before (M0) and after (M1) it. All experimental data were statistically analyzed.Results:The SIJ-related pain metric significantly decreased in both the CSE + MWM group and the CSE group between M0 and M1, as determined by the NPRS and RMDQ. Between M0 and M1, The CSE group’s left axial rotation ROM and lumbar flexion ROM were significantly decreased. The CSE + MWM group’s extension ROM and left lateral flexion ROM both significantly increased between M0 and M1. In the difference variable (M1-M0), the CSE + MWM group substantially outperformed control group in the left lateral flexion ROM and outperformed the CSE group in the left axial rotation ROM.Conclusion:In individuals with SIJD, CSE + MWM is beneficial in lowering pain, disability, and function. Treatment with CSE and MWM approaches for SIJ appears to boost this efficacy.https://www.frontiersin.org/articles/10.3389/fphys.2024.1337754/fullcore stabilityexercise therapymusculoskeletal manipulationssacroiliac jointlow back pain |
| spellingShingle | Huiqian Yan Peng Zhao Xuanhui Guo Xiao Zhou The effects of Core Stability Exercises and Mulligan’s mobilization with movement techniques on sacroiliac joint dysfunction Frontiers in Physiology core stability exercise therapy musculoskeletal manipulations sacroiliac joint low back pain |
| title | The effects of Core Stability Exercises and Mulligan’s mobilization with movement techniques on sacroiliac joint dysfunction |
| title_full | The effects of Core Stability Exercises and Mulligan’s mobilization with movement techniques on sacroiliac joint dysfunction |
| title_fullStr | The effects of Core Stability Exercises and Mulligan’s mobilization with movement techniques on sacroiliac joint dysfunction |
| title_full_unstemmed | The effects of Core Stability Exercises and Mulligan’s mobilization with movement techniques on sacroiliac joint dysfunction |
| title_short | The effects of Core Stability Exercises and Mulligan’s mobilization with movement techniques on sacroiliac joint dysfunction |
| title_sort | effects of core stability exercises and mulligan s mobilization with movement techniques on sacroiliac joint dysfunction |
| topic | core stability exercise therapy musculoskeletal manipulations sacroiliac joint low back pain |
| url | https://www.frontiersin.org/articles/10.3389/fphys.2024.1337754/full |
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