Effect of Mulligan’s Mobilization Versus Muscle Energy Technique on Sacroiliac Joint Dysfunction

Abstract

Sacroiliac joint dysfunction (SIJDF) is about 15% to 30% identified in a patient with low back aches. This Study aimed to determine the effect of mulligan mobilization versus muscle energy technique on sacroiliac joint dysfunction. The study was a randomized controlled trial that involved 66 participants with SIJDF, after a thorough evaluation the participants were divided into three groups. In experimental group I (Mulligan's mobilization group (MMG)), participants underwent Mulligan mobilization for 20 minutes. The experimental group II (Muscle energy group (MEG)) participants underwent the muscle energy technique for 20 minutes, and the third group underwent moist heat therapy (moist heat group (MHG)) for 20 minutes. For all three groups, 10 minutes of exercise were taught to the patients. All the participants of the groups were included based on pre-determined selection criteria, and all were willing to participate in the Study. The outcome measures of Pain, functional disability, and kinesiophobia were measured by the Numerical pain scale, Oswestry disability index, and Tampa scale respectively. The result was computed using One-way ANOVA, showing significant differences between the three groups. When significant differences were obtained on ANOVA, further analysis was done using a post hoc test. The values for the outcomes are Pain was compared with MMG vs. MEG is 8.045 and the MMG vs. MHG is 4.022 and MMG vs. MEG is 12.07, on Oswestry disability index MEG vs. MHG 9.85, MMG vs. MHG is 2.23 and MMG vs. MEG is 12.08. For kinesiophobia, MMG vs. MEG is 20.25, MMG vs. MHG is 15.35, and MMG vs. MEG is 35.60. This Study concludes that Mulligan's mobilization is more effective in reducing pain, improving function, and kinesiophobia in SI joint dysfunction than the other two groups.