McKenzie and William Exercises in Patients With Sacroiliac Joint Dysfunction

Summary

The study was conducted to compare the effects of McKenzie Exercises with William exercises for pain, disability and quality of life in patients with sacroiliac joint pain

Conditions

• Sacroiliac Joint Dysfunction

Interventions

OTHER

McKenzie Exercises

Prone on Elbows: The patient was lie on their stomach with their elbows positioned under the shoulders, allowing them to rest on their forearms. This position hold for 15 seconds, with the patient instructed to take deep breaths and relax. This exercise repeated 10 times to enhance spinal extension and relieve pressure. Prone Press-Ups: In this exercise, the patient was prone line and hands placed under shoulders. They gradually straighten their elbows, lifting the upper body within a pain-free range. Each press-up was held for 15 seconds and repeated 10 times, aiming to promote spinal extension and alleviate pain. Extension in Standing: The patient was stand in a balanced position and lean backward as far as possible, allowing their head to tip back, then return to a neutral stance. This extension was held for 15 seconds and repeated 10 times, with the goal of improving lumbar mobility and centralizing pain. Three sessions per week were continued for 8 weeks.

OTHER

William Exercises

William exercises was performed to strengthen up the abdominal and gluteal musculature in an effort to manage the sacroiliac joint pain. In this pelvic tilt exercise, Single knee to Chest exercise, Double knee to Chest exercises and hamstring stretching was performed 3 sets of each exercise with hold for 8 to 10 sec and 10 repetitions each set was performed for three times a week. This was continued for 8 weeks.

OTHER

Conventional Physical Therapy

Mulligan Mobilization: For Mulligan mobilization, the patient assumed a prone position. A posterior-to-anterior glide was applied to the sacroiliac joint in three sets of 10 repetitions. The patient was instructed to extend the leg simultaneously with the glide, helping to realign the joint and reduce discomfort by promoting proper joint movement. Hot Therapy: Heat therapy was administered to the lower back and sacroiliac joint (SIJ) area for 10 minutes to improve blood flow, reduce stiffness, and prepare tissues for further interventions. Transcutaneous Electrical Nerve Stimulation (TENS): TENS was applied as an analgesic modality. In the prone position, the patient underwent TENS therapy for 20 minutes at a frequency of 20-50 Hz. Two electrodes placed on the primary painful area, while the other two was be positioned along the path of the radiating nerve to help reduce pain and promote muscle relaxation.

Sponsors & Collaborators

• Riphah International University

  lead OTHER

Principal Investigators

• Humera Mubashar, MS-OMPT · Riphah International University

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

20 Years

Max Age

50 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2025-06-01

Primary Completion

2025-11-30

Completion

2025-11-30

Countries

• Pakistan

Study Locations