Najran

This research evaluates how extracorporeal shock wave therapy, LASER therapy, and cryotherapy affect pain pressure threshold, pain levels, and functional disability in people with sacroiliitis. The study uses a randomized controlled design involving sixty participants with sacroiliitis. It aims to compare these three treatments alongside exercise to understand their impact on symptoms in this condition. Participants first receive ice pack treatment on the lower back area for 15 minutes three times daily during the first week to reduce inflammation and irritation. From the second week, participants are randomly assigned to one of three groups one receives extracorporeal shock wave therapy plus exercise once weekly for eight weeks another receives LASER therapy plus exercise three times weekly for eight weeks and the third receives cryotherapy plus exercise three times weekly for eight weeks. Exercises include a set of eight specific movements targeting the lower back and hips performed three times weekly. Throughout the eight weeks, researchers monitor pain pressure threshold and pain intensity as primary outcomes, and functional disability as a secondary outcome. Participants will be assessed regularly to track these measures. The study includes rest periods, ice pack use, and supervised exercises to support treatment. The total participation duration encompasses the initial week of ice pack treatment followed by eight weeks of assigned therapies and exercises.