To Study the Effect of Mulligan Mobilization Versus Conventional Therapy in Sacroiliac Joint Pain

Abstract

Background: Sacroiliac Joint Pain (SIJP) is a pain arising from SIJ structures such as anterior sacroiliac ligament, posterior sacroiliac ligament, interosseous ligaments or articular cartilage. The treatment of sacroiliac joint pain is quite challenging. The standard physical therapy (PT) interventions include repetitive exercises, manual joint mobilization, manipulation, bracing, massage, patient education, aerobic conditioning, general therapeutic exercise and electrotherapeutic modalities. Objectives: To compare the effect of mulligan mobilization versus conventional therapy on pain on VAS, Lumbar Range of motion and functional disability in patients with sacroiliac joint pain. Material and Method: A total 93 patients were screened as per the inclusion and exclusion criteria. Patients were randomly allocated in two groups. Group A received mulligan mobilization and Ultrasound therapy and group B received Conventional therapy i.e Ultrasound therapy. Outcome measures assessed were VAS for pain, Lumbar flexion by modified schober’s test and MODQ for functional Disability. Result: Mean difference of Pain on VAS 4.41±1.04 in group A and in group B 3.63±1.27. Mean difference in Lumbar flexion ROM in group A it was 1.30 ± 0.67 and in group B it was 0.98 ±0.55 Mean difference in MODI Score in group A was 34.67 ± 10.84 and in group B it was 13.50 ± 6.45. Conclusion: In the present study, we found that both the techniques Mulligan mobilization and Conventional therapy are effective in the subjects with Sacroiliac joint pain but Mulligan mobilization was found to be more effective than conventional therapy.