Author(s): Sampath Divya, Veena J, Channappa and Reethu Varadharajan

Abstract:

Background and objectives: Sacroiliac is a joint which has eminent stability and minimal mobility. The Sacroiliac joint primary action is shift of load from the upper limb and torso through the sacroiliac joint towards the lower limb, also functions as shock absorber during the contact phase of gait cycle. This eminently strong and intricate network of ligaments was documented to be significantly mobile only during pregnancy and labour this was made noticeable by Hippocrates dated (460-377BC). This distinctive feature of SIJ comes with a cost of “SIJD” (sacroiliac joint dysfunction), which renders the most disabled symptom called “PAIN”.

Pregnant women globally (38%to 90%) suffer from sacroiliac joint dysfunction induced pain, mostly the pain increases during the 2nd and 3rd trimester.

The objective of this study is to investigate the effectiveness of Kinesio-Tape for pregnant women suffering from sacroiliac joint dysfunction induced pain

Methods: The subjects were assessed for inclusion and exclusion criteria. Samples were selected through random sampling method. In this study, 30 subjects with sacroiliac joint dysfunction induced pain in pregnant women. Kinesio tape was applied for 5 consecutive days and subjects were analyzed pre and post intervention.

Outcome measure: VAS was used to measure the pain experienced by the subject; ODI was used to measure the percentage of disability faced by the subject followed by PGQ a set of Questionnaire which is used for analysis of pelvic girdle related symptoms. Lastly PPT, An objective analysis for the threshold of pain.

Results: Following 5 days of treatment with Kinesio taping showed a better improvement of pain in pregnant women suffering from SIJD induced pain. On statistical analysis the pre-test value of VAS was 7.96 and this value decreased to 2.7 by the end of intervention with p<0.0001. The mean of pre-test for ODI questionnaire was 72.5 whereas the post test was 27.5, followed with the percentage of difference pre-and post- test is 62.1% p(0.001). This shows a significant reduction disability in pregnant women. The PGQ mean for the pre-test value was 78 and the post-test 28.9 and the percentage of difference was 62.9%. The (p<0.0001) this shows a significant reduction in the pelvic girdle related symptoms. The Pain pressure threshold (PPT) to measure the threshold of pain using a hand held algometer. The pre-test mean value was 3.91 and post-test mean value 8.57 and the percentage of difference between the pre and post intervention group is 119.2% also the (p<0.0001) which is a statistically significant result.

Conclusion: Kinesio taping is effective in reducing pain and improving functional activity in pregnant women suffering from SIJD induced pain.

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