Effectiveness of muscle energy technique to quadratus lumborum for treating innominate up-slip sacroiliac joint dysfunction: A single case study

Abstract

Background: Innominate up-slip sacroiliac joint dysfunction accounts for 10% to 20% of all sacroiliac joint dysfunctions. There are not enough studies indicating the efficacy of muscle energy techniques on innominate up-slip sacroiliac joint dysfunction. Objective: To find out the effectiveness of muscle energy technique to quadratus lumborum for treating innominate up-slip sacroiliac joint dysfunction. Methodology: A case study, a male of age 44, who was diagnosed with innominate up-slip sacroiliac joint dysfunction, was included in the study and the visual analog scale (VAS) for pain was assessed and Oswestry disability index (ODI) was asked to be filled. Gillet test was performed before intervention which again was performed after the intervention. Supine to sit test was performed to assess the limb length discrepancy and was performed again after the intervention. Muscle energy technique was applied for two weeks. Pre and post outcome measures were recorded and compared. Results: The pre intervention score reflected the visual analog scale was 7; Oswestry disability index was 72%, Gillet test to be positive. The post intervention score reflected the visual analog scale was 0; Oswestry disability index was 4%, and Gillet test to be negative. Supine to sit test showed that there was a limb length discrepancy of 5 cm both at supine and prone. The pre and post interventions when compared showed significant effect of muscle energy technique on up-slip innominate sacroiliac joint dysfunction. Conclusion: Muscle energy technique was effective on treating innominate up-slip sacroiliac joint dysfunction.