EFFECT OF RADIAL EXTRA CORPOREAL SHOCK WAVE THERAPY VERSUS MULLIGAN MOBILIZATION ON SACROILIAC JOINT DYSFUNCTION

Sacroiliac joint (SIJ) pain is one of causes of low back pain and pelvic discomfort. Extra corporeal shock wave therapy (ESWT) is a new and non-invasive therapeutic modality for musculoskeletal disorders. Mulligan mobilization with movement (MWM) had an effective role in decreasing pain in sacroiliac joint dysfunction (SIJD) patients. This study was carried out to investigate and compare the outcomes of radial ESWT combined with Mulligan MWM and Mulligan MWM only on functional disability, pain pressure threshold (PPT) and mobility index of the SIJ in patients with SIJD. sixty patients with SIJD from both genders (36 women and 24 men) were randomly selected from physical therapy outpatient clinic of Deraya University in Minya and divided into two equal groups, group (A) treated with Mulligan MWM (anterior innominate) 3 sets with 10 repetitions 3 times/week for 24 sessions among 8 weeks combined with radial ESWT received 2,000 shockwaves with energy set to the maximum level tolerable by the patient (energy density = 0.09 – 0.25 mJ/mm2) applied one session at one-week intervals among 8 weeks and group (B) treated with Mulligan MWM only. There was a significant increase in PPT, decrease score of Oswestry disability index (ODI) and improve of mobility index of the group (A) compared with that of group (B). Combined radial ESWT with Mulligan MWM is represented a potential therapeutic effect than Mulligan MWM in treating patients with SIJD.