Therapeutic Ultrasound Versus Low Level Laser Therapy on Postpartum Sacroiliac Joint Pain
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- Category: Vol. 92, December 2024
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Therapeutic Ultrasound Versus Low Level Laser Therapy on Postpartum Sacroiliac Joint Pain, MOHAMED IBRAHIM SEIF ELDIEN, MAGDA S. MORSY and HOSSAM EL-DIN H. KAMEL
Abstract Background: Women are more prone to sacro-iliac joint (SIJ) pain during pregnancy and after childbirth. The hormonal changes during pregnancy and lactation make all ligaments of the woman’s body more lax and more flexible, this in turn can leave the SIJs too mobile and can cause inflammation and pain in SIJ. So, it is necessary to decrease pain in Sacroiliac joints. Aim of Study: To compare between the efficacy of Low-lev-el laser therapy and Ultrasound therapy on Sacroiliac joints pain after delivery. Patients and Methods: This study was carried out on Forty multiparous women suffering from Sacroiliac joints pain (for at least 3 months after delivery), they were selected random-ly from the outpatient clinic of orthopedic at El Sadat General Hospital, Al-Monofia. They were divided randomly into two groups equal in number as group A and group B. Group (A) was consisted of 20 patients, each patient in this group had received low level laser therapy on her two SIJS for 180 seconds (90 sec-onds on each sacroiliac joint), 3 times/week for 4 weeks. Also, each patient was asked to perform core strengthening exercises, posterior pelvic tilting and posture correction exercises for 60 minutes, three times per week for 4 weeks. On the other hand, each patient in this group was advised to wear a sacro-iliac belt all the day and take it off only during sleep and taking a show-er throughout the treatment course (4 weeks). Group (B) was consisted of 20 patients, each patient in this group had received therapeutic ultrasound on her sacroiliac joints for 10 minutes (5 minutes on each sacroiliac joint), 3 times/week for 12 weeks. Also, each patient was asked to perform core strengthening ex-ercises, posterior pelvic tilting and posture correction exercises for 60 minutes, 3 times per week for 4 weeks. On the other hand, each patient in this group was advised to wear a sacro-ili-ac belt all the day and take it off only during sleep and taking a shower throughout the treatment course (4 weeks). Each patient in both groups (A&B) was evaluated through Visual Analogue Scale (VAS) and measuring serum cortisol level in blood plas-ma before and after the treatment course. Results: Both groups showed a statistically significant de-crease in both visual analogue scale and serum cortisol level after treatment, Group (A) achieved a percentage of decrease in visual analogue scale about 81.01% and achieved a percentage of decrease in serum cortisol level about 64.45% while group (B) achieved a percentage of decrease in visual analogue scale about 29.45% and achieved a percentage of decrease in serum cortisol level about 28.88%. By comparing 2 groups (A&B) it was found that percentage of decrease in VAS and serum corti-sol level in group (A) was more pronounced and more noticea-ble when compared with group (B). This means that low level laser therapy was more effective than therapeutic ultrasound in relieving sacroiliac joints pain after delivery. Conclusion: Low level laser therapy was more effective than therapeutic ultrasound to relieve SIJs pain after delivery.