Effectiveness of Mulligan's Movement with Mobilization and Muscle Energy Technique on Pain, Functional Status, and Depression in Students with Sacro Iliac Joint Dysfunction

Authors

  • S. Siva Kumar
  • Kamalakannan Mohanan
  • Kalpana AP
  • Parkash Jayabalan
  • Gowthan Rajaram

Keywords:

Sacro Iliac joint dysfunction, Mulligan's movement with mobilization, Muscle Energy technique, modified Oswestry Disability Index, Tampa scale for kinesiophobia

Abstract

Objective: The study aims to identify the effectiveness of Mulligan's movement with mobilization and Muscle energy techniques on pain and functional disability in students with Sacro Iliac joint dysfunction. 

Methodology: This randomized control trial was conducted on college students with sacroiliac joint dysfunction recruited from KMCH Institute of paramedical sciences, Coimbatore, Tamil Nadu, India, from August 2019 to July 2020. Group A included 16 subjects and Group B with 15 subjects. The subjects who fall into the inclusion criteria were included, and subjects who are willing to participate in the study were included in this study. Neurological signs, Radiating pain below the knee, recent surgery & fracture around the hip, and hypermobile joint were excluded. Group A received Mulligan's mobilization and core stability exercise; Group B received muscle energy technique with core stability exercise. Outcome Measures: Pain and functional disability were measured by the modified Oswestry disability index; Kinesiophobia was by the Tampa scale.

Results: The level of significance was 0.05. The mean values of the post-test show marked improvement between the groups, with a p-value of 2.69 for functional disability and a p-value of 0.45 for pain. Significant progress was observed in participants who received Mulligan's movement with mobilization. Statistical calculation was done with the help of SPSS version 18. 

Conclusion:  Mulligan mobilization is more effective than the muscle energy technique in managing sacroiliac joint dysfunction.

Author Biography

Kamalakannan Mohanan

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References

Barros G, McGrath L, Gelfenbeyn M. Sacroiliac joint dysfunction in patients with low back pain. Fed Pract. 2019; 36(8): 370-375.

Cho H-J, Kwak D-S. Movement of the sacroiliac joint: Anatomy, systematic review, and biomechanical considerations. Proc Inst Mech Eng H. 2021; 235(3): 357-364. doi: 10.1177/0954 411920978021. Epub 2020 Nov 30.

Cohen SP, Chen Y, Neufeld NJ. Sacroiliac joint pain: a comprehensive review of epidemiology, diagnosis and treatment. Expert Rev Neurother. 2013; 13(1): 99-116. doi: 10.1586/ern.12.148.

Son JH, Park GD, Park HS. The effect of sacroiliac joint mobilization on pelvic deformation and the static balance ability of female university students with SI joint dysfunction. J Phys Ther Sci. 2014; 26(6): 845-8. doi: 10.1589/jpts.26.845. Epub 2014 Jun 30.

Rashbaum RF, Ohnmeiss DD, Lindley EM, Kitchel SH, Patel VV. Sacroiliac joint pain and its treatment. Clin Spine Surg. 2016; 29(2): 42-48. doi: 10.1097/BSD.0000000000000359.

Schneider M, Haas M, Glick R, Stevans J, Landsittel D. A Comparison of spinal manipulation methods and usual medical care for acute and subacute low back pain: A randomized clinical trial. Spine (Phila Pa 1976). 2015; 40: 209-217. doi: 10.1097/BRS.0000000000000724.

Sabour AAH, Awad MA, Mansy AA, Tolba MI. Effect of Mulligan Technique on Sacroiliac Dysfunction during Pregnancy. Med J Cairo Univ. 2016; 84(2): 35-41.

Hing W, Hall T, Mulligan B. The Mulligan concept of manual therapy. 2nd edition. Elsevier, 2019.

Pourahmadi MR, Mohsenifar H, Dariush M, Aftabi A, Amiri A. Effectiveness of mobilization with movement (Mulligan concept techniques) on low back pain: a systematic review. Clin Rehabil. 2018; 32(10): 1289-1298. doi: 10.1177/02692155 18778321. Epub 2018 May 30.

Vaidya A, Babu VS, Mungikar S, Dobhal S. Comparison between Muscle Energy Technique and Mulligan's Mobilization with Movement in Participants with Anterior Innominate Iliosacral Dysfunction. Int J Health Sci Res. 2019; 9(1); 76-84.

Selkow NM, Grindstaff TL, Cross KM, Pugh K, Hertel J, Saliba S. Short-term effect of muscle energy technique on pain in individuals with non-specific lumbopelvic pain: a pilot study. J Man Manip Ther. 2009; 17(1): E14-18. doi: 10.1179/jmt.2009.17.1.14E.

Yoo WG. Effects of individual strengthening exercises for the stabilization muscles on the nutation torque of the sacroiliac joint in a sedentary worker with nonspecific sacroiliac joint pain. J Phys Ther Sci. 2015; 27(1): 313-4. doi: 10.1589/jpts.27.313. Epub 2015 Jan 9.

Lee CP, Fu TS, Liu CY, Hung CI. Psychometric evaluation of the Oswestry Disability Index in patients with chronic low back pain: factor and Mokken analyses. Health Qual Life Outcomes. 2017; 15:192-5. doi: 10.1186/s12955-017-0768-8.

Copay AG, Cher DJ. Is the Oswestry Disability Index a valid measure of response to sacroiliac joint treatment? Qual Life Res. 2016; 25(2): 283-292. doi: 10.1007/s11136-015-1095-3. Epub 2015 Aug 6.

Hudes K. The Tampa Scale of Kinesiophobia and neck pain, disability and Range of Motion: a narrative review of the Literature. J Can Chiropr Assoc. 2011; 55(3): 222-32.

Ishak NA, Zahari Z, Justine M. Kinesiophobia, Pain, Muscle Functions, and Functional Performances among Older Persons with Low Back Pain. Pain Res Treat. 2017; 2017: 348 9617. doi: 10.1155/2017/3489617. Epub 2017 May 29.

Mohammed S, Kamel RM, Taleb EA, Lasheen Y, Alshaarawy FA. Efficacy of mulligan mobilization versus muscle energy technique in chronic sacroiliac joint dysfunction. Int J Physiother. 2017; 4(5): 311-318.

Joshi R, Rathi M, Khandare S, Palekar TJ. Effect of muscle energy technique on pain and function in patients with sacroiliac dysfunction-experimental study. Int J Sci Res Educ. 2017; 5(6): 25-30.

Kamali F, Shokri E. The effect of two manipulative therapy techniques and their outcome in patients with sacroiliac joint syndrome. J Bodyw Mov Ther. 2012; 16(1): 29-35. doi: 10.1016/j.jbmt.2011.02. 002. Epub 2011 Mar 11.

Ribeiro S, Heggannavar A, Metgud S. Effect of mulligans mobilization versus manipulation, along with mulligans taping in anterior innominate dysfunction – A randomized clinical trial. Indian J Phys Ther Res. 2019; 1(1): 17-23

Barbosa AC, Martins FL, Barbosa MC, Dos Santos RT. Manipulation and selective exercises decrease pelvic anteversion and low-back pain: a pilot study. J Back Musculoskelet Rehabil. 2013; 26(1): 33-6. doi: 10.3233/BMR-2012-0347.

Al-Subahi M, Alayat M, Alshehri MA, Helal O, Alhasan H, Alalawi A et al. The effectiveness of physiotherapy interventions for sacroiliac joint dysfunction: a systematic review. J Phys Ther Sci. 2017; 29(9): 1689-94. doi: 10.1589/jpts.29.1689. Epub 2017 Sep 15.

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Published

2023-06-21

How to Cite

1.
Kumar SS, Mohanan K, AP K, Jayabalan P, Rajaram G. Effectiveness of Mulligan’s Movement with Mobilization and Muscle Energy Technique on Pain, Functional Status, and Depression in Students with Sacro Iliac Joint Dysfunction. J Liaq Uni Med Health Sci [Internet]. 2023 Jun. 21 [cited 2024 May 14];22(02):130-5. Available from: http://ojs.lumhs.edu.pk/index.php/jlumhs/article/view/873