Effects of Innominate Rotation Correction Compared With Sacral Torsion Correction in Patients With Sacroiliac Joint Dysfunction
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Muscle Energy Technique for Sacral torsion, Muscle Energy Technique for Innominate rotation.
- Who it may be relevant to
- Registry conditions: Sacroiliac Joint Dysfunction. Basic parameters: 18 years — 50 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Pakistan
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
The purpose of this study is to evaluate the comparative effects of Innominate Rotation Correction and Sacral Torsion Correction using Muscle Energy Techniques (METs) in patients with Sacroiliac Joint Dysfunction (SIJD). A total of 50 participants will be recruited, aged 18-50 yrs, with confirmed SIJD based on atleast 3 positive provocation tests. Participants will be randomized into two equal groups. Group A (Innominate Rotation Correction) and Group B (Sacral Torsion Correction). Both groups will receive Conventional Therapy (Thermotherapy, Electrotherapy and Core stabilization exercises). Study variables include: * Independent Variable: Type of MET applied (Innominate vs Sacral Torsion) * Dependent Variables: Pain (measured by Visual Analog Scale), Functional Disability (assessed via Denver SIJ Disability Questionnaire) * Control Variables: Age, Gender, BMI, Baseline Pain/ Disability Scores The intervention will last 4 weeks with 8 sessions (2 sessions per week). Assessments will be conducted at baseline (Week 1, Pre-treatment) and Post every second session. Data will be analyzed to compare immediate and short-term effects of the two interventions. This study aims to provide evidence for targeted manual therapy approaches in SIJD, potentially guiding clinicians toward the most effective technique for pain reduction and functional improvement.
Detailed description
This Randomized Controlled Trial aims to compare the effects of Innominate Rotation Correction versus Sacral Torsion Correction using Muscle Energy Techniques (METs) in patients with Sacroiliac Joint Dysfunction (SIJD).
A Total of 50 participants will be recruited and randomized equally into two groups.
* Group A: Sacral Torsion Correction via METs * Group B: Innominate Rotation Correction via METs
Both groups will additionally receive conventional management (TENs, Heating, Core Stabilization Exercises).
INTERVENTION SCHEDULE:
* Duration: 4 weeks * Frequency: 2 Sessions/week * Total Sessions: 8 Sessions per participant
Group A - Sacral Torsion Correction
* Patient Position: Side lying - depending on the torsion type * Therapist applies downward force or guided contraction to correct torsion, with isometric contraction (3-5 sec hold), relaxation and then passive stretch. * Each correction repeated 3-5 times.
Group B - Innominate Rotation Correction
* Patient Position: Supine * Therapist brings limb to restrictive barrier, patient performs isometric contraction (3-5 sec) against resistance, followed by relaxation and stretch to new barrier. * Each correction repeated 3-5 times.
ASSESSMENTS:
* Conducted at Baseline (Pre-Intervention), after every 2nd session (progress monitoring), and post-intervention (end of week 4) * Outcomes: Pain Intensity (VAS), Functional Disability (Denver SIJD Questionnaire)
DATA ANALYSIS:
Intra-group comparisons (Pre vs Post) and Inter-group comparisons (Innominate Rotation vs Sacral Torsion) will be performed at the end of the 4-week intervention.
Interventions
- Procedure Muscle Energy Technique for Sacral torsion
Conventional management including Electrotherapy by application of Thermotherapy or Cryotherapy, Transcutaneous Electrical Nerve Stimulation (TENS) for 20 minutes, Core-stabilization Exercises, * Clamshells * Four Point Kneeling * Bridging/Side Bridges * Bird-Dog Pose * Dead Bugs * Dynamic Core Stability (Unstable Surfaces) For Sacral Torsions, Six MET protocols address Forward and Backward torsions on Left and Right Oblique axis using patient generated force in Prone or Side-lying positions. L - Procedure Muscle Energy Technique for Innominate rotation
Conventional management including Electrotherapy by application of Thermotherapy or Cryotherapy, Transcutaneous Electrical Nerve Stimulation (TENS) for 20 minutes, Core-stabilization Exercises, • Clamshells • Four Point Kneeling • Bridging/Side Bridges • Bird-Dog Pose • Dead Bugs • Dynamic Core Stability (Unstable Surfaces). Anterior Innominate Rotation and Posterior Innominate Rotation.
Primary outcome measures
- JOINT DISABILITY [Time frame: Before and After 4 weeks.]
- JOINT PAIN [Time frame: Before Treatment and After 4 weeks]
Eligibility criteria
Inclusion criteria
- Dysfunction based on at least 3 of the following tests
- Distraction Test
- Compression Test
- Gaenslen's Test
- Thigh Thrust Test
- Sacral Thrust Test
- Presence of Pain in Buttock, Posterior Pelvis, or Lower Lumbar Region for more than 2 weeks
- Confirmed Pelvic Asymmetry through Palpation (i.e., ASIS/PSIS Landmarks, Gillet's Test)
Exclusion criteria
- • History of Lumbar or Pelvic Fracture, Recent Surgery, or Hip/Knee Pathology affecting Gait/Posture.
- Pregnancy or Post-partum less than 6 months - due to Hormonal Laxity \& Altered Biomechanics
- Systemic Inflammatory conditions - Rheumatoid Arthritis, Ankylosing Spondylitis
- Neurological Deficits - Cauda Equina Syndrome, Radiculopathy with Motor Loss
- Ongoing Physiotherapy treatment for Low Back Pain in past 4 weeks
- Inability/Contraindications to tolerate Manual Therapy - Osteoporosis
- Leg Length Discrepancy - >1.5 cm or Structural Scoliosis
- BMI > 35 (ASIA) - it may affect assessment validity due to obesity
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
Pakistan · 1 center
- Foundation University College of Physical Therapy — Islamabad
Identifiers
NCT: NCT07176169 · FUI/CTR/2025/01