About this trial
This study will be conducted to investigate the effect of high-power pain threshold ultrasound on postnatal sacroiliac joint pain.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Postpartum women diagnosed with sacroiliac joint pain and referred by an orthopedist.
Their ages will range from 20 to 30 years old.
Their body mass index (BMI) will range from 25 to 29.9 kg/m2.
All of them should have symptoms for at least two weeks postnatal
Disqualifiers
Kidney diseases like stones or renal failure
History of ischemic heart diseases or Myocardial infarction
Severe vitamin D3 deficiency
Severe liver diseases or hepatitis
Trial design
Parallel
Treatments tested in this trial
Myofascial release
Other interventionThe participants will receive myofascial release (MFR) on erector spinae, quadratus lumborum, piriformis and gluteus medius. The duration of MFR for each muscle will be 90 to 120 seconds, three times/week for eight weeks.
High-power pain threshold ultrasound
DeviceThe participants will receive high-power pain threshold ultrasound on sacroiliac joint, 20 minutes, three times/week for eight weeks.
Treatment groups
Trial outcomes
Primary outcomes
Pain intensity
A numerical rating scale will be used to evaluate pain intensity for all participants before and after the end of the treatment program. It will be given to each participant to rate her intensity of pain. 0 indicates no Pain, 1-3 indicates mild pain (nagging, annoying, interfering little with activity of daily living (ADLs), 4-6 indicates moderate pain (interferes significantly with ADLs), and 7-10 indicates severe pain (disabling; unable to perform ADLs).
Pressure pain threshold (PPT)
A pressure algometry (Force Dial model FDK 20 Push Pull Force Gage, Wagner Instruments, Greenwich CT, USA) will be used to assess pain sensitivity by measuring pressure pain thresholds (PPT) at five selected points in the sacroiliac joint region of the affected side. The first examined point will be 1 cm medial and inferior to the posterior superior iliac spine, while the other four examined points will be 2 cm lateral, medial, superior, and inferior to the first point. Each point was measured three times with a ten-second interval between them; the mean of them will be then calculated for each point to be utilized for statistical analysis.
Secondary outcomes
Function disability
Pelvic Pain Impact Questionnaire (PPIQ) will be used to assess function disability. It consists of 8 questions that get scored 0-4, for a total of 32. 0 indicates no at all and 4 indicates great deal.
Sponsors and contacts
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