University Institute of Physical Therapy, The University of Lahore Islamabad Campus, Pakistan.
J Pak Med Assoc. 2020 Oct;70(10):1693-1697. doi: 10.5455/JPMA.43722.
OBJECTIVE: To compare the effectiveness of Muscle Energy Technique (MET) with Maitland mobilisations when using lumbopelvic stability exercises as an adjunct therapy with them in reducing pain and disability in patients with sacroiliac joint dysfunction (SIJD). METHODOLOGY: A randomised controlled trial was conducted at physical therapy departments of Khyber Teaching Hospital, Lady Reading Hospital and Rehab Polyclinic, Peshawar, Pakistan and comprised of data over a to a six-month period from January 2015 to June 2015. Sixty participants (both male and female with an age range of 25-55 years) were randomly assigned to two equal groups of 30 (50%) each by chit-box method. Group-A of 30 patients (experimental group) was treated with Muscle Energy Technique (MET). Group-B of 30 patients (control group) was treated with Maitland Mobilizations at sacroiliac joint. Lumbopelvic stability exercises were given to both groups. The treatment outcomes were measured on the first day and then after 4 weeks (12 sessions) from each subject's pain and disability levels by using Visual Analogue Scale (VAS) for measuring pain and Modified Oswestry Disability Index (MODI) for measuring disability. RESULTS: The paired sample statistics for intra-group analysis of the VAS and MODI showed a significant difference in values i.e. for Group-A, VAS was 16.699 with p-value 0.000 and MODI was 29.125 with p-value 0.000 while for Group-B, VAS was 18.687 with p-value 0.001 and MODI was 28.607 with p-value 0.001. The independent samples test for inter-group analysis of pre-VAS and post-VAS were 0.662 with 0.510 p-value and 1.000 with 0.321 p-value respectively while of pre-MODI and post-MODI were -1.482 with 0.144 p-value and -0.114 with 0.909 p-value respectively This showed an insignificant difference in pain and disability outcomes between the groups. CONCLUSIONS: MET and Maitland mobilisations are both effective in treating the chronic sacroiliac joint dysfunction when using lumbopelvic stabilisation exercises as an adjunct therapy with them.
目的：比较肌能量技术（MET）与麦特兰德手法（Maitland mobilisations）在腰骶部稳定性练习作为辅助治疗时对骶髂关节功能障碍（SIJD）患者减轻疼痛和功能障碍的疗效。
方法：这是一项在巴基斯坦开伯尔教学医院、莱迪女士阅读医院和康复诊所的物理治疗部门进行的随机对照试验，数据收集时间为 2015 年 1 月至 2015 年 6 月，为期 6 个月。60 名参与者（男女均有，年龄 25-55 岁）被随机分为两组，每组 30 名（每组 50%），采用抽签法。A 组 30 名患者（实验组）接受肌能量技术（MET）治疗。B 组 30 名患者（对照组）接受骶髂关节麦特兰德手法治疗。两组均给予腰骶部稳定性练习。通过视觉模拟评分（VAS）测量疼痛，通过改良 Oswestry 残疾指数（MODI）测量残疾，在第 1 天和 4 周（12 次治疗后）测量两组患者的疼痛和残疾水平。
结果：对 VAS 和 MODI 进行组内分析的配对样本统计显示，两组的数值均有显著差异，即 A 组 VAS 为 16.699，p 值为 0.000，MODI 为 29.125，p 值为 0.000，B 组 VAS 为 18.687，p 值为 0.001，MODI 为 28.607，p 值为 0.001。对 VAS 和 MODI 进行组间分析的独立样本检验分别为 0.662（p 值为 0.510）和 1.000（p 值为 0.321）。这表明两组在疼痛和功能障碍方面的结果无显著差异。
结论：在使用腰骶部稳定性练习作为辅助治疗时，肌能量技术（MET）和麦特兰德手法（Maitland mobilisations）治疗慢性骶髂关节功能障碍均有效。
Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi. 2023-5-20
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