Is a specific exercise to correct position of dorsal pelvic joints in patients with pelvic pain effective?
| ISRCTN | ISRCTN41773407 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN41773407 |
| Secondary identifying numbers | SJC201202 |
- Submission date
- 15/03/2018
- Registration date
- 27/03/2018
- Last edited
- 06/11/2019
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Musculoskeletal Diseases
Plain English summary of protocol
It is assumed that in some patients with pain in the pelvic area, the dorsal joints of the pelvis may be mis-aligned. Due to this mis-aligment some specific ligaments become overstretched and painfull. Pressure on this painful ligament produces pain in a specific area. This procedure is called: the long dorsal ligament (LDL) test. Thus, when positive, this test is an indication of mis-alignment of the pelvic joint.
For patients with pain in the pelvic area there are exercises that are believed to relieve pain because they reposition the pelvic joints. It is unclear whether these exercises really can be effective. This study investigates whether these self-mobilization exercises are effective in correcting sacro-iliac
joint position. For this study patients that apply for treatment in our centre are asked to perform either the specific mobilisating exercise or a sham exercise. If the mobilization is effective the LDL test should be less painful.
Contact information
Public
Noordsingel 113
Rotterdam
3035 EM
Netherlands
| Phone | int-31-10-4642211 |
|---|---|
| jpvanwingerden@sjcn.nl |
Scientific
Noordsingel 113
Rotterdam
3035 EM
Netherlands
| Phone | int-31-10-4642211 |
|---|---|
| jpvanwingerden@sjcn.nl |
Study information
| Study design | Randomized controlled trial |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Randomised controlled trial |
| Study setting(s) | Hospital |
| Study type | Treatment |
| Participant information sheet | Not available in web format, please use the contact details below to request a patient information sheet. |
| Scientific title | The effect of self-mobilizing exercises for correction of counternutated Sacro-iliac joints in pelvic girdle pain patients |
| Study objectives | Self-mobilization exercises are effective in correcting sacro-iliac joint position |
| Ethics approval(s) | The study was initiated in 2012 (Q4). At that time ethics approval was not required. Study results were presented at a conference. Since it not our primary activity (we are a rehab centre) it took us a long time to convert the study results to a manuscript. |
| Health condition(s) or problem(s) studied | Chronic pelvic girdle pain |
| Intervention | Patients were randomized by pulling a lot from a bag. Intervention: patients performed a self-mobilisation exercise according to the exercise described by Richard DonTigny. Control group: patients performed from a similar posture to the intervention group a mobilisation in opposite direction. Both groups made 3 repetitions of 5 seconds for the exercise. |
| Intervention type | Behavioural |
| Primary outcome measure | 1. LDL test (pain provocation of long dorsal sacroiliac ligament) tested before and after each treatment. 2. Pain score visual analogue score before and after each treatment. |
| Secondary outcome measures | N/A |
| Overall study start date | 01/06/2012 |
| Completion date | 15/06/2013 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Adult |
| Lower age limit | 18 Years |
| Sex | Both |
| Target number of participants | 100-150 (50-75 each group) |
| Key inclusion criteria | 1. Patients with chronic pelvic girdle pain who came to the Spine & Joint Centre for treatment. 2. Aged 18 years and olderage range 3. Positive LDL test |
| Key exclusion criteria | Negative LDL test |
| Date of first enrolment | 01/12/2012 |
| Date of final enrolment | 15/06/2013 |
Locations
Countries of recruitment
- Netherlands
Study participating centre
ROTTERDAM
3035 EM
Netherlands
Sponsor information
Hospital/treatment centre
Noordsingel 113
Rotterdam
3035 EM
Netherlands
| Phone | int-31-10-4642211 |
|---|---|
| Info@sjcn.nl | |
| Website | www.spineandjoint.nl |
Funders
Funder type
Not defined
No information available
Results and Publications
| Intention to publish date | 01/04/2018 |
|---|---|
| Individual participant data (IPD) Intention to share | Yes |
| IPD sharing plan summary | Available on request |
| Publication and dissemination plan | A publication is prepared, however trial registration is required for publication. Results have been presented at the 8th Interdisciplinary World Conference of Low Back and Pelvic Pain in October 2013 (see abstract at https://www.spineandjoint.nl/wp-content/uploads/2018/03/abstract-Sam.pdf and poster at https://www.spineandjoint.nl/wp-content/uploads/2018/03/Poster-A5-Samantha_03.pdf ). Publication as soon as possible. |
| IPD sharing plan |
Editorial Notes
06/11/2019: Internal review.
