PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION VERSUS MYOFASCIAL RELEASE IN TREATING OF SACROILIAC JOINT DYSFUNCTION

RESUMO

Ahmed Galaleldin Tawfik Ali Bakeer*, Nasr Awad Abdelkader, Ashraf Nehad Moharam, Hamed Mohammed El Khozamy

Background: Sacroiliac joint dysfunction (SIJD) is a common condition that is defined by pain in the back that is the result of musculoskeletal impairments. The efficacy of Proprioceptive Neuromuscular Facilitation (PNF) as well as Myofascial Release (MR) in the management of this condition has been investigated, with variable results in terms of functional disability, ROM, along with pain intensity. Purpose: The current study was carried out to investigate the efficacy of PNF versus MR for treating of SIJD.

Subjects and Methods: Fifty male patients who had SIJD referred by Physician were enrolled in this study, the participants' ages varied between 35 and 45, and they were divided evenly into two groups, A and B, using a random assignment method. Twenty-five subjects in Group (A) were given PNF with bilateral symmetrical and lower extremities pattern of exercise trunk muscles while twenty-five subject in group (B) were given MR on the SIJ area. Patients participated in this study were assessed for pain and function by using pressure algometer, The FABER test, Visual analog scale (VAS) as well as Oswestry disability index (ODI) (%). The participants underwent pre- and post-treatment evaluations, with three sessions each week for a duration of 12 weeks.

Results: The data obtained indicated substantial changes in all assessed variables between the two groups prior to and following treatment. There was a statistically significant difference in the average values of all measured variables among groups A and B. This difference favored group A, showing a substantial improvement.

Conclusion: PNF as well as MR can be incorporated into the physical treatment regimen. PNF was found to be more efficacious than MR in reducing pain and improving functionality for patients having SIJD.