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
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

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

Dr Jan-Paul Van Wingerden
Public

Noordsingel 113
Rotterdam
3035 EM
Netherlands

Phone int-31-10-4642211
Email jpvanwingerden@sjcn.nl
Dr Jan-Paul Van Wingerden
Scientific

Noordsingel 113
Rotterdam
3035 EM
Netherlands

Phone int-31-10-4642211
Email jpvanwingerden@sjcn.nl

Study information

Study designRandomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet.
Scientific titleThe effect of self-mobilizing exercises for correction of counternutated Sacro-iliac joints in pelvic girdle pain patients
Study objectivesSelf-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) studiedChronic pelvic girdle pain
InterventionPatients 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 typeBehavioural
Primary outcome measure1. 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 measuresN/A
Overall study start date01/06/2012
Completion date15/06/2013

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants100-150 (50-75 each group)
Key inclusion criteria1. 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 criteriaNegative LDL test
Date of first enrolment01/12/2012
Date of final enrolment15/06/2013

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Spine & Joint Centre, the Netherlands
Noordsingel 113
ROTTERDAM
3035 EM
Netherlands

Sponsor information

Spine & Joint Centre
Hospital/treatment centre

Noordsingel 113
Rotterdam
3035 EM
Netherlands

Phone int-31-10-4642211
Email Info@sjcn.nl
Website www.spineandjoint.nl

Funders

Funder type

Not defined

Spine & Joint Centre (Netherlands)

No information available

Results and Publications

Intention to publish date01/04/2018
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planA 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.