Plain English Summary
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.
Trial website
Contact information
Type
Public
Primary contact
Dr Jan-Paul Van Wingerden
ORCID ID
Contact details
Noordsingel 113
Rotterdam
3035 EM
Netherlands
int-31-10-4642211
jpvanwingerden@sjcn.nl
Type
Scientific
Additional contact
Dr Jan-Paul Van Wingerden
ORCID ID
Contact details
Noordsingel 113
Rotterdam
3035 EM
Netherlands
int-31-10-4642211
jpvanwingerden@sjcn.nl
Additional identifiers
EudraCT number
ClinicalTrials.gov number
Protocol/serial number
SJC201202
Study information
Scientific title
The effect of self-mobilizing exercises for correction of counternutated Sacro-iliac joints in pelvic girdle pain patients
Acronym
Study hypothesis
Self-mobilization exercises are effective in correcting sacro-iliac joint position
Ethics approval
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.
Study design
Randomized controlled trial
Primary study design
Interventional
Secondary study design
Randomised controlled trial
Trial setting
Hospitals
Trial type
Treatment
Patient information sheet
Not available in web format, please use the contact details below to request a patient information sheet.
Condition
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
Phase
Drug names
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 trial start date
01/06/2012
Overall trial end date
15/06/2013
Reason abandoned (if study stopped)
Eligibility
Participant 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
Participant type
Patient
Age group
Adult
Gender
Both
Target number of participants
100-150 (50-75 each group)
Participant exclusion criteria
Negative LDL test
Recruitment start date
01/12/2012
Recruitment end date
15/06/2013
Locations
Countries of recruitment
Netherlands
Trial participating centre
Spine & Joint Centre, the Netherlands
Noordsingel 113
ROTTERDAM
3035 EM
Netherlands
Sponsor information
Organisation
Spine & Joint Centre
Sponsor details
Noordsingel 113
Rotterdam
3035 EM
Netherlands
int-31-10-4642211
Info@sjcn.nl
Sponsor type
Hospital/treatment centre
Website
Funders
Funder type
Not defined
Funder name
Spine & Joint Centre (Netherlands)
Alternative name(s)
Funding Body Type
Funding Body Subtype
Location
Results and Publications
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.
Intention to publish date
01/04/2018
Participant level data
Available on request
Basic results (scientific)
Mobilizing exercise appears effective. The control exercise has opposite effect, which gives additional information.
Publication list