Najran

This research investigates the effects of extracorporeal shock wave therapy, LASER therapy, and cryotherapy on pain pressure threshold, pain intensity, and functional disability in patients diagnosed with sacroiliitis. The study uses a three-arm parallel group randomized control design and will enroll sixty male participants aged 20 to 50 years from the Physiotherapy department at Najran University, K.S.A. Participants experience pain in the buttocks, hips, or thighs, worsened by prolonged sitting or certain movements, and must meet specific clinical test criteria to qualify. All participants initially receive ice pack treatment for 15 minutes, three times daily, on the lumbosacral area during the first week to reduce inflammation and irritation. From the second week onward, they are randomly assigned to one of three groups: Group 1 receives radial shock wave therapy once a week for 10 minutes per session; Group 2 receives LASER therapy three times a week for 10 minutes per session; Group 3 receives cryotherapy three times a week for 10 minutes per session. Additionally, all participants perform a set of eight specific exercises three times weekly for 20 to 30 minutes per session over eight weeks. Participants are closely monitored for pain pressure threshold and pain intensity over an 8-week period. Researchers assess pain levels and functional ability, using specific pain-provocation tests and patient-reported pain locations. The study includes regular treatment sessions, exercise adherence, and safety monitoring. The total duration of participation spans 8 weeks, with outcomes measured primarily by changes in pain pressure threshold and pain intensity.