Efficacy of Wa-Shi Pulling in Enhancing Core Strength for Sacroiliac Joint Pain Syndrome: Empirical Evidence of Its Effectiveness

IF 2.4 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

International Journal of Clinical Practice Pub Date : 2025-09-27 DOI:10.1155/ijcp/6538085

Jianfeng Shu, Jianke Yang, Binghua Fan, Dong Li, Weijing Tao, Shu Chen

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Abstract

Introduction: Optimal management of sacroiliac joint pain syndrome necessitates timely and effective therapeutic interventions to achieve favorable clinical outcomes. This study was designed to investigate the efficacy of a combined treatment approach, integrating Wa-shi pulling (WP) with core muscle strengthening exercises (CMSE), in patients with sacroiliac joint pain syndrome.

Methods: A prospective study was conducted on patients diagnosed with sacroiliac joint pain syndrome between October 1, 2019, and June 30, 2022. Participants were carefully selected and randomly allocated into two groups: the WP group and the WP + CMSE group.

Results: A total of 123 patients with sacroiliac joint pain syndrome were enrolled in the study. Following the intervention, significant reductions were observed in both McGill Pain Questionnaire scores and lumbosacral angles compared to baseline values (all p < 0.05). The WP + CMSE group demonstrated more pronounced reductions in McGill Pain Questionnaire scores (p = 0.029) and greater improvements in lumbosacral angles postintervention. Additionally, JOA scores increased significantly for both groups after treatment (all p < 0.05), with the WP + CMSE group exhibiting a more substantial improvement compared to the WP group (p = 0.039). These findings suggest a more robust therapeutic effect in the combined treatment group.

Conclusion: The integration of WP and CMSE showed therapeutic effects in sacroiliac joint pain syndrome, though with variability in statistical robustness across outcomes after Bonferroni correction. Evidence for a synergistic effect remains strongest for pain relief, with conclusions regarding lumbosacral biomechanics and functional status requiring cautious interpretation pending further validation. This study provides preliminary support for the therapeutic potential of combining these modalities, with the pain-specific findings meriting consideration in clinical practice.

Trial Registration: Chinese Registry of Clinical Trials: MR-33-20-001928

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瓦氏拉法增强核心力量治疗骶髂关节疼痛综合征疗效的实证研究

引言：骶髂关节疼痛综合征的优化管理需要及时有效的治疗干预，以达到良好的临床效果。本研究旨在探讨将瓦氏牵拉（WP）与核心肌强化训练（CMSE）相结合的联合治疗方法对骶髂关节疼痛综合征患者的疗效。方法：对2019年10月1日至2022年6月30日诊断为骶髂关节疼痛综合征的患者进行前瞻性研究。参与者被精心挑选并随机分为两组：WP组和WP + CMSE组。结果：共有123例骶髂关节疼痛综合征患者纳入研究。干预后，与基线值相比，McGill疼痛问卷评分和腰骶角均显著降低（均p <； 0.05）。WP + CMSE组干预后McGill疼痛问卷得分明显降低（p = 0.029），腰骶角改善更大。此外，两组治疗后JOA评分均显著升高（p < 0.05），其中WP + CMSE组较WP组改善更明显（p = 0.039）。这些发现表明联合治疗组的治疗效果更强。结论：虽然Bonferroni校正后各结果的统计稳健性存在差异，但WP和CMSE的结合对骶髂关节疼痛综合征有治疗作用。在缓解疼痛方面，协同效应的证据仍然是最强的，关于腰骶生物力学和功能状态的结论需要谨慎解释，等待进一步的验证。这项研究为结合这些方式的治疗潜力提供了初步的支持，在临床实践中，疼痛特异性的发现值得考虑。试验注册：中国临床试验注册中心：MR-33-20-001928

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来源期刊

International Journal of Clinical Practice 医学-医学：内科

CiteScore

5.30

自引率

0.00%

发文量

274

审稿时长

3-8 weeks

期刊介绍： IJCP is a general medical journal. IJCP gives special priority to work that has international appeal. IJCP publishes: Editorials. IJCP Editorials are commissioned. [Peer reviewed at the editor''s discretion] Perspectives. Most IJCP Perspectives are commissioned. Example. [Peer reviewed at the editor''s discretion] Study design and interpretation. Example. [Always peer reviewed] Original data from clinical investigations. In particular: Primary research papers from RCTs, observational studies, epidemiological studies; pre-specified sub-analyses; pooled analyses. [Always peer reviewed] Meta-analyses. [Always peer reviewed] Systematic reviews. From October 2009, special priority will be given to systematic reviews. [Always peer reviewed] Non-systematic/narrative reviews. From October 2009, reviews that are not systematic will be considered only if they include a discrete Methods section that must explicitly describe the authors'' approach. Special priority will, however, be given to systematic reviews. [Always peer reviewed] ''How to…'' papers. Example. [Always peer reviewed] Consensus statements. [Always peer reviewed] Short reports. [Always peer reviewed] Letters. [Peer reviewed at the editor''s discretion] International scope IJCP publishes work from investigators globally. Around 30% of IJCP articles list an author from the UK. Around 30% of IJCP articles list an author from the USA or Canada. Around 45% of IJCP articles list an author from a European country that is not the UK. Around 15% of articles published in IJCP list an author from a country in the Asia-Pacific region.