Effect of Mobilisation With Movement on Sacroiliac Joint Dysfunction in Postnatal Women

Area of Science:

• Physiotherapy
• Rehabilitation Medicine
• Women's Health

Background:

• Postnatal sacroiliac joint dysfunction (SIJD) is common due to biomechanical changes and ligament laxity.
• It often persists beyond the early postpartum period.
• This study focuses on women more than six months postpartum.

Purpose of the Study:

• To evaluate the efficacy of Mulligan's Mobilisation With Movement (MWM) combined with conventional stabilization for late postnatal SIJD.
• To compare this integrated approach against conventional stabilization alone.

Main Methods:

• A comparative study involving 102 women with confirmed SIJD, over six months postpartum.
• Participants were randomly assigned to either MWM plus conventional stabilization (Group A) or conventional stabilization alone (Group B) for eight weeks.
• Outcomes measured included pain (VAS), functional mobility (Timed Up and Go test), and lumbo-pelvic range of motion.

Main Results:

• The MWM plus conventional stabilization group (Group A) showed significantly greater improvements in all measured parameters compared to the conventional stabilization group (Group B).
• Group A experienced a greater reduction in pain (4.70 vs. 2.65 points on VAS) and a larger improvement in functional mobility (5.40 vs. 2.90 seconds TUG reduction).
• Enhanced gains in lumbo-pelvic flexion (25.70°) and extension (14.10°) were observed in Group A.

Conclusions:

• Combining Mulligan's MWM with conventional stabilization offers significant short-term clinical benefits for late postnatal SIJD.
• This integrated approach is a valuable mechanical strategy for pain reduction, improved dynamic stability, and restored mobility.
• Further research can explore long-term efficacy and broader applications.