Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 9 Issue 3

Compare the Effects of Muscle Energy Technique with Core Stability Exercise and Proprioceptive Neuromuscular Facilitation Technique on Pain and Functional Limitation in Patients with Sacroiliac Joint Dysfunction Syndrome

Asha Shanthi L1, R Jayabharathi2, H Suriya3 and Najeeba Sherin K4*

1MPT (Ortho), (Ph.D), Professor, Sree Abirami College of Physiotherapy, Affiliated to The Tamilnadu Dr. M.G.R Medical University, Chennai, India
2MPT (Ortho), Ph.D, Principal, Sree Abirami College of Physiotherapy, Affiliated to The Tamilnadu Dr. M.G.R Medical University, Chennai, India
3MPT (Sports), Assistant Professor, Sree Abirami College of Physiotherapy, Affiliated to The Tamilnadu Dr. M.G.R Medical University, Chennai, India
4BPT Intern, Sree Abirami College of Physiotherapy, Affiliated to The Tamil Nadu Dr. M.G.R Medical University, Chennai, India

*Corresponding Author: Najeeba Sherin K, BPT Intern, Sree Abirami College of Physiotherapy, The Tamil Nadu Dr. M.G.R Medical University, Tamil Nadu, India.

Received: May 21, 2026; Published: pdf

Abstract

Background: Sacroiliac joint dysfunction syndrome (SIJDS) is a common but often underdiagnosed cause of low back pain, leading to significant pain and functional limitation. Various physiotherapeutic interventions, including Muscle Energy Technique (MET), Proprioceptive Neuromuscular Facilitation (PNF), and core stability exercises, are commonly used in clinical practice.

Objective: To compare the effects of Muscle Energy Technique with core stability exercise and Proprioceptive Neuromuscular Facilitation technique on reducing pain and functional limitation in patients with sacroiliac joint dysfunction syndrome.

Methods: A comparative experimental study was conducted on 20 patients diagnosed with sacroiliac joint dysfunction syndrome. Participants were selected using convenient sampling and randomly allocated into two groups. Group A (n = 10) received muscle energy technique with core stability exercises, while group B (n = 10) received proprioceptive neuromuscular facilitation with core stability exercises. Interventions were administered for 40 minutes per session, four days per week for six weeks. Pain intensity was assessed using the visual analogue scale (VAS) and functional limitation was measured using the modified Oswestry disability index (MODI). Paired and unpaired t-tests were used for statistical analysis.

Results: Both groups showed statistically significant improvements in pain and functional limitation (p < 0.05). Group A demonstrated a greater reduction in VAS scores (pre-test mean: 8.0 ± 0.82; post-test mean: 6.20 ± 1.03) compared to group B (pre-test mean: 8.20 ± 0.79; post-test mean: 7.60 ± 0.70). Similarly, MODI scores showed greater improvement in Group A (pre-test mean: 49.10 ± 2.60; post-test mean: 38.10 ± 4.43) than Group B (pre-test mean: 47.70 ± 1.89; post-test mean: 45.90 ± 2.42). Unpaired t-test analysis revealed a statistically significant difference between groups in post-test scores for both VAS and MODI (p < 0.05).

Conclusion: Muscle Energy Technique combined with core stability exercises is more effective than Proprioceptive Neuromuscular Facilitation combined with core stability exercises on reducing pain and functional limitation in patients with sacroiliac joint dysfunction syndrome.

Keywords: Sacroiliac Joint Dysfunction; Muscle Energy Technique; Proprioceptive Neuromuscular Facilitation; Core Stability Exercises; Visual Analogue Scale; Oswestry Disability Index

References

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  2. Akter F., et al. “MET vs positional release therapy in SIJD”. Journal of Novel Physiotherapy and Rehabilitation1 (2019): 1054.
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  8. Kumar J., et al. “Effect of pelvic floor muscle exercises in comparison with core stability exercises on pain: functional status and abdominal muscle endurance in postpartum females with chronic low back pain”. Indian Journal of Health Sciences and Care 2 (2015): 121-126.
  9. Arcanjo FL., et al. “Proprioceptive neuromuscular facilitation training reduces pain and disability in individuals with chronic low back pain: A systematic review and meta analysis”. Complementary Therapies in Clinical Practice 46 (2022): 101505.
  10. Sharma P. “Effect of proprioceptive neuromuscular facilitation (PNF) in improving muscle control in patient with sacroiliac joint dysfunction: a case report”. International Journal of Recent Advances in Multidisciplinary Topics3 (2021): 1-4.

Citation

Citation: Najeeba Sherin K., et al. “Compare the Effects of Muscle Energy Technique with Core Stability Exercise and Proprioceptive Neuromuscular Facilitation Technique on Pain and Functional Limitation in Patients with Sacroiliac Joint Dysfunction Syndrome". Acta Scientific Orthopaedics 9.3 (2026): 46-51.

Copyright

Copyright: © 2026 Najeeba Sherin K., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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