Sacroiliac Joint Mobilisation versus Transcutaneous Electrical Nerve Stimulation for Pregnancy Induced Posterior Pelvic Pain- A Randomised Clinical Trial

摘要

The prevalence of back pain in pregnancy is reported to be 75% especially in the last trimester, 20% of these report posterior pelvic pain.Aim: To compare the effect of Sacroiliac Joint (SIJ) mobilisation and Transcutaneous Electrical Nerve Stimulation (TENS) on pain and functional status in individuals with pregnancy induced posterior pelvic pain.Materials and Methods: A single blinded randomised clinical trial was conducted at Department of Physiotherapy, KM Patel Institute of Physiotherapy, Shree Krishna Hospital, Karamsad, Gujarat, India. A total of 30 pregnant participants of 20 to 35 years with uncomplicated pregnancy and positive FABER?S (Patrick?s) test were selected and randomly assigned into two groups. SIJ mobilisation and TENS was given to Group A and Group B respectively thrice a week for five sessions. Both the groups received lumbo-pelvic stabilisation exercises, activity modification and ergonomic advises. Visual Analogue Scale (VAS) was used for pain assessment and Roland Morris disability score was used to find impact on functional status. Baseline assessment was noted for pain and functional disability. Data were collected immediately after first intervention and at the end of five sessions.Results: Both the outcome measures in intragroup analysis showed improvements. Mean change in VAS score after five sessions for Group A was 6.91 and for Group B was 4.91. Functional improvement as assessed by RMDQ was 91% for Group A and 89% for Group B. Intergroup analysis proved that SIJ mobilisation was more effective in reducing pain and improving functional status (p<0.05).Conclusion: SIJ mobilisation and TENS are effective in treating pregnancy induced posterior pelvic pain and reducing associated disability. SIJ mobilisation is more effective in terms of improvement.