Effect of Muscle Energy Technique on Pain and Disability in People With Sacroiliac Joint Dysfunction: A Systematic Review and Meta-Analysis

IF 1.4 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics Pub Date : 2025-01-01 Epub Date: 2025-11-06 DOI:10.1016/j.jmpt.2025.10.026

Aleyna Senol MSc , Nishadi N.H. Gamage MSc , Berzan Cetinkaya PhD , Ahmet Begde PhD , Joseph Agu MSc

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引用次数: 0

Abstract

Objective

The aim of this study was to compare the effects of Muscle Energy Technique (MET) with other treatments on pain and disability levels in individuals with sacroiliac joint dysfunction.

Methods

This study systematically searched 11 databases to identify relevant trials (March 2023). The Cochrane risk of bias tool was used to assess the methodological quality of studies. The quality of the evidence for comparisons was evaluated with the Grades of Recommendation, Assessment, Development, and Evaluation approach. MET was compared with other treatments regarding reducing pain as a primary outcome and disability as a secondary outcome.

Results

Seventeen randomised controlled trials involving 665 people with sacroiliac joint dysfunction were included. The results showed that MET was not statistically more effective than other treatments in reducing pain (standard mean difference [SMD]: 0.63, 95% confidence interval [CI] –0.06 to 1.31, I²: 87%, P = .07). Likewise, a meta-analysis of studies comparing MET plus any intervention with other therapies found a statistically nonsignificant difference between the 2 treatments (SMD: –0.91, 95% CI –1.83 to 0.01; I²: 87%, P = .05). Pooled data from 2 studies reported that MET was more effective than other treatments in reducing disability (SMD: 1.56, 95% CI 0.59-2.53; I²: 93%, P = .002). Nevertheless, the combination of MET with any treatment was not found to be more effective in reducing disability than the combination of other treatments with any treatment (SMD: –0.24, 95% CI –1.18 to 0.71; I²: 89%, P = .62).

Conclusion

This review found that MET reduced pain and disability, similar to other therapies.

查看原文本刊更多论文

肌肉能量技术对骶髂关节功能障碍患者疼痛和残疾的影响：系统回顾和荟萃分析。

目的：本研究的目的是比较肌肉能量技术（MET）与其他治疗方法对骶髂关节功能障碍患者疼痛和残疾水平的影响。方法：本研究系统检索11个数据库，检索相关试验（2023年3月）。使用Cochrane偏倚风险工具评估研究的方法学质量。比较证据的质量用推荐、评估、发展和评价的分级方法进行评价。将MET与其他治疗方法进行比较，将减轻疼痛作为主要结果，将残疾作为次要结果。结果：纳入17项随机对照试验，涉及665例骶髂关节功能障碍患者。结果显示MET在减轻疼痛方面并不比其他治疗更有效（标准平均差[SMD]: 0.63, 95%可信区间[CI] -0.06 ~ 1.31, I2: 87%, P = .07）。同样，meta分析比较MET加任何干预与其他治疗的研究发现，两种治疗之间的差异无统计学意义（SMD: -0.91, 95% CI -1.83至0.01;I2: 87%, P = 0.05）。来自2项研究的汇总数据报道MET在减少残疾方面比其他治疗更有效（SMD: 1.56, 95% CI 0.59-2.53; I2: 93%, P = 0.002）。然而，MET与任何治疗相结合并没有发现在减少残疾方面比其他治疗与任何治疗相结合更有效（SMD: -0.24, 95% CI -1.18至0.71;I2: 89%, P = 0.62）。结论：本综述发现MET与其他治疗方法相似，可减轻疼痛和残疾。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Manipulative and Physiological Therapeutics 医学-康复医学

CiteScore

3.00

自引率

7.70%

发文量

审稿时长

29 weeks

期刊介绍： The Journal of Manipulative and Physiological Therapeutics (JMPT) is an international and interdisciplinary journal dedicated to the advancement of conservative health care principles and practices. The JMPT is the premier biomedical publication in the chiropractic profession and publishes peer reviewed, research articles and the Journal''s editorial board includes leading researchers from around the world. The Journal publishes original primary research and review articles of the highest quality in relevant topic areas. The JMPT addresses practitioners and researchers needs by adding to their clinical and basic science knowledge and by informing them about relevant issues that influence health care practices.