COMPARATIVE EFFECTIVENESS OF MAITLAND MOBILIZATION AND CORE STRENGTHENING EXERCISES IN INDIVIDUALS WITH SACROILIAC JOINT

Abstract

Background: Sacroiliac joint dysfunction is a term used to describe the pain of the sacroiliac joint (SIJ). It is usually caused by abnormal motion (i.e. hyper- or hypo-mobile) or mal alignment of the sacroiliac joint. Sacroiliac joint syndrome is a significant source of pain in 15% to 30% of people with mechanical low back pain

Aims and objectives: This study was conducted to find out the effects of Core strengthening exercises with and without Maitland mobilization on pain, functional Disability and quality of life.

 Material and methodology: This Qausi Experimental study was conducted over four months at the physiotherapy departments of Allied Hospital and DHQ Hospital in Faisalabad. Forty Eight patients with Sacroiliac Joint Dysfunction, aged 25-60 years were assigned into two groups: Group B (Maitland Mobilization+ Core strengthening +US) and Group A (Core strengthening exercises+ US). Each group received three treatment sessions per week for four weeks. Outcome measures included the SIJ Pain and Disability (M.O.L.B.P.D.Q), Numeric Pain Rating Scale (NPRS) and Quality of life (SF36). Data were collected at baseline and post intervention. Statistical analysis was performed using SPSS version 25, with independent sample t-test and Mann-Whitney   for between-group comparisons while paired sample t-test and Wilcoxon signed rank test for within-group differences Purposive sampling technique was used to select a sample of 48 subjects with SIJ dysfunction from the hospitals of Faisalabad.

RESULTS: The Group B showed a significant improvement in NPRS scores from 5.7917 ± 1.02062 to 1.3750 ± 1.27901 (p < 0.001), M.O.L.B.P.D.Q scores from 20.2917 ± 5.36072 to 3.7083 ± 3.86151 (p <0.01), and SF36 scores from 47.3850 ± 9.78404 to 82.0663 ± 8.55696(p < 0.01). Group A also showed improvements, with NPRS scores from 5.4583 ± 1.17877 to 4.8333 ± 1.09014 (p = 0.002), ), M.O.L.B.P.D.Q scores from 19.9167 ± 6.03552 to18.7500 ± 5.56581 (p = 0.02), and SF36 cores from 43.2625  ± 6.55203 to 44.7550 ± 5.99777(p = 0.028). Group B demonstrated superior in all outcome variable (all p < 0.01).

Data Analysis: Data was analyzed by SPSS 25.