Which physiotherapy approach reigns supreme?

In 2020, Zaidi, et. al., conducted study about Chronic sacroiliac joint dysfunction (SIJD) which poses a significant challenge in the realm of physical therapy. This study aimed to rigorously compare the effectiveness of Muscle Energy Technique (MET) and Maitland Mobilisations, both complemented by lumbopelvic stability exercises, in alleviating pain and reducing disability in patients with SIJD.

Conducted as a randomized controlled trial, this research spanned from January 2015 to June 2015 across esteemed physical therapy departments in Peshawar, Pakistan. A total of sixty participants, ranging in age from 25 to 55, were randomly assigned to either the experimental group (treated with MET) or the control group (treated with Maitland Mobilisations). Lumbopelvic stability exercises were administered to both groups. Pain and disability levels were assessed using the Visual Analogue Scale (VAS) and Modified Oswestry Disability Index (MODI) on the first day and after 4 weeks (12 sessions).

Intra-group analyses revealed significant differences in pain and disability levels within both groups. For the experimental group (Group-A), VAS exhibited a substantial decrease (16.699, p-value 0.000), as did MODI (29.125, p-value 0.000). Similarly, the control group (Group-B) displayed noteworthy reductions in VAS (18.687, p-value 0.001) and MODI (28.607, p-value 0.001). However, inter-group analyses indicated no statistically significant difference in outcomes between MET and Maitland Mobilisations.

The findings suggest that both MET and Maitland Mobilisations, when accompanied by lumbopelvic stability exercises, are effective in addressing chronic sacroiliac joint dysfunction. This study provides valuable insights for clinicians, emphasizing the importance of incorporating lumbopelvic stability exercises into treatment regimens for enhanced therapeutic outcomes in SIJD patients.

Reference: Zaidi, F., & Ahmed, I. (2020). Effectiveness of muscle energy technique as compared to Maitland mobilisation for the treatment of chronic sacroiliac joint dysfunction. Age36(7.006), 37-8.

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