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Article type: Research Article
Authors: Neamat Allah, Neamaa; b; * | Sigward, Susanb | Mohamed, Ghadaa | Elhafez, Salama | Emran, Ihabc
Affiliations: [a] Department of Biomechanics, Faculty of Physical Therapy, Cairo University, Giza 12612, Egypt | [b] Human Performance Laboratory, Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA 90089, USA | [c] Department of Orthopaedic Surgery, Kasr Al Ainy, Faculty of Medicine, Cairo University, Cairo 11559, Egypt
Correspondence: [*] Corresponding author: Neama Neamat Allah, Department of Biomechanics, Faculty of Physical Therapy, Cairo University, 7 Ahmed El Zaiat St., Bein El Sarayat, Giza, 12612, Egypt. Tel.: +20 237617691; E-mail: neama.hamed@pt.cu.edu.eg.
Abstract: BACKGROUND: Sacroiliac joint dysfunction (SIJD) accounts for up to 30% of patients with low back pain. Rigid taping techniques are often used for conservative treatment of SIJD related symptoms; however, its effectiveness has not been systematically evaluated. OBJECTIVES: The aim of our study was to investigate the effect of rigid tape on pain, malalignment and mobility deficits associated with anterior innominate SIJD. METHODS: Two groups (n= 37; experimental and control) diagnosed with SIJD participated in a randomized, controlled trial. Tape was applied for 2 weeks in the experimental group, whereas the control group received no treatment. 2 × 2 (group × time) GLM-MANOVA assessed effects of tape on pain; innominate rotation; and hip rotation range of motion. Chi-square and McNemar tests assessed the effect of tape on Gillet and Sitting forward flexion mobility tests; the Patrick, Posterior shear and Gaenslen pain provocation tests were used to test pain. Variables were assessed before (PRE) and after (POST) two weeks. RESULTS: No group differences were observed for any variable PRE. Pain intensity, innominate rotation (p< 0.05) and number of positive mobility and pain provocation tests (p< 0.05) decreased from PRE versus POST in the experimental group. No differences were observed in the control group. CONCLUSION: Two weeks of rigid tape for anterior innominate correction successfully reduced symptoms related to SIJD.
Keywords: Sacroiliac joint, malalignment, mobility deficits, pain, sacroiliac joint dysfunction, rigid tape
DOI: 10.3233/BMR-181156
Journal: Journal of Back and Musculoskeletal Rehabilitation, vol. 32, no. 3, pp. 487-496, 2019
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