Sacroiliac joint dysfunction, external rotation of the hip and gait characteristics in patients with chronic non-specific low-back pain.
| dc.contributor.author | KUNUJI, Fausat Nike | |
| dc.date.accessioned | 2025-09-10T13:02:17Z | |
| dc.date.available | 2025-09-10T13:02:17Z | |
| dc.date.issued | 2022 | |
| dc.description | xvi, 106p | |
| dc.description.abstract | This study evaluated the sacroiliac joint (SIJ) dysfunctions and external rotation of the hip (ERH) in patients with chronic non-specific low-back pain (CNLBP); examined gait characteristics of patients with SIJ dysfunctions; determined the relationship among SIJ, external hip rotation and gait characteristics of patients with CNLBP; and established a prediction model for gait characteristics in altered ERH and SIJ dysfunctions for patients with CNLBP. These were with a view to establishing the effects of SIJ dysfunctions and decreased external rotation of the hip joint on gait characteristics of patients with Chronic Non-specific Low-back Pain. Ethical approval was granted for this cross-sectional study which involved 154 patients presenting with CNLBP. Patients were recruited from the Physiotherapy Department, Obafemi Awolowo University Teaching Hospitals Complex, Ile – Ife using purposive sampling technique. The ERH was evaluated using two assessment procedures: the goniometer and VK. Similarly, Gait characteristics (GtC) were assessed using the accelerometer (BTS – G walk). The PI was assessed using Verbal Rating Scale while SIJD was determined using the American Orthopaedic Association guidelines and physical diagnostic tests; hip compression, distraction, Gaeslen’s, thigh and sacral thrust tests. Descriptive statistics such as mean, percentage, frequency count and standard deviation summarized data. Inferential statistics of independent t–test, Pearson’s Moment Correlation and Multiple regression analyses were used to analyze the data with alpha level, p < 0.05.The result showed that the mean ERH measured with goniometer (ERHGON) was 15.51 ± 3.030 while it was 15.35 ± 3.08 for ERH measured with Kinect (ERHVK), and PI experienced was 6.21 ± 1.10 on a 10-point pain scale. There was significant correlation between ERHGON and ERHVK, (r = 0.884, p = 0.000). The left stance and swing phases are 68.95 ± 5.04% and 31.06 ± 5.04% while the right stance and swing phases are 70.61 ± 5.58% and 29.31 ± 5.61. Furthermore, the mean speed and cadence were 0.74 ± 0.30m/s and 92.77 ± 12.32 steps/min respectively. The ERHGON had significant relationship with left single support phase (LTSS: r=0.265; p=0.001), left double support phase (LTDS: r=0.236; p=0.003), left step length (LTSTEPL: r=0.189; p=0.019), right single support phase (RTSS: r=0.274; p=0.001) and right step length (RTSTEPL: r=0.249; p=0.002). Similarly, the ERHVK had significant relationship with LTSS (r=0.310; p=0.001), LTDS (r=0.253; p=0.034), RTSS (r=0.285; p=0.001), right double support phase (r=0.171; p=0.001) and RTSTEPL (r=0.219; p=0.006). There were no significant relationships between PI and ERHGON; ERHVK and all selected gait parameters. Result of Multiple regression analyses showed that age, weight, LTSS, LTDS, LTSTEPL, RTSS and RTSTRL significantly contributed 33.7% for the prediction of ERHGON (f = 19.43, p = 0.001) while age, weight, LTSS, LTDS, RTSS, RTDS and RTSTL significantly contributed 39.8% for the prediction of ERHVK (f = 28.78, p = 0.001). The study concluded that patients with CNLBP demonstrated reduced external rotation of the hip (EHR) with altered Gait characteristics (GtC). The patients alsoexperienced moderate pain intensity while only few Gait characteristics were significant predictors of ERH of sacroiliac joint (SIJ) dysfunctions in patients with CNLBP. | |
| dc.identifier.citation | Kunuji, F.N. (2022) Sacroiliac joint dysfunction, external rotation of the hip and gait characteristics in patients with chronic non-specific low-back pain. Obafemi Awolowo University. | |
| dc.identifier.other | ror.org/04snhqa82 | |
| dc.identifier.uri | https://ir.oauife.edu.ng/handle/123456789/6850 | |
| dc.language.iso | en | |
| dc.publisher | Department of Medical rehabilitation, Faculty of Basic medical sciences. Obafemi Awolowo University. | |
| dc.title | Sacroiliac joint dysfunction, external rotation of the hip and gait characteristics in patients with chronic non-specific low-back pain. | |
| dc.type | Thesis |