EVALUATING THE TARGET, EFFECT, ACTION INTERACTION (TEA MODEL) OF SPINAL MANIPULATION THERAPY ON SACROILIAC JOINT DYSFUNCTION

Abstract

Background: In physical therapy, usually the effects of treatment on any condition will be evaluated based on the mode of action on the target tissue. Some treatments will have direct and indirect effects. Due to indirect effects, there may be changes in other tissues or systems in and around the target tissue. The interaction between target, effect, and action was studied under TEA model. In sacroiliac joint dysfunction, Muscle Energy Technique (MET) and Spinal Manipulation Therapy (SMT) were proved as useful treatment approaches but one is targeted on muscles (MET) the other targets on joint (SMT). The indirect effects of both the approaches can’t be neglected. This study focused on evaluating indirect effects of SMT.

Methods: A pilot study was conducted to see the effect of Spinal Manipulation Therapy on muscles (Transverse Abdominus, Internal Oblique) when applied in patients with sacroiliac joint dysfunction. 44 subjects diagnosed with sacroiliac joint dysfunction were recruited in the study. Resting thickness was measured by ultrasound before and after Spinal Manipulation Therapy. SPSS version 17 was used for statistical analysis. Paired t-test compared pre and post test results.

Results: After conducting Pilot study revealed that Pre resting thickness of Transverse Abdominus and Internal Oblique is (3.5±0.10) and (5.47± 0.15) Post resting Thickness of TrA (Transverse Abdominus) and Internal Oblique (IO) is (3.90±0.12) and (7.63±0.80) Results are significant as P-Value 0.000 that is <0.05.

Conclusion: Here is concluded that SMT is a useful method to treat muscles through its direct action is on the Sacroiliac joint in Sacroiliac joint dysfunction. So we can use it for treating muscles by applying on joints (Indirect method).