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Not yet recruiting NCT07642713

Effects of MET With and Without Lumbopelvic Manipulation

No phase Interventional Anterior Pelvic Tilt

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: Lumbopelvic manipulation and METs, METs.
Who it may be relevant to
Registry conditions: Anterior Pelvic Tilt. Basic parameters: 25 years — 40 years · Female.
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 →

Unsure about the terms? Read our patient guide →

Official title

Effects of Muscle Energy Technique With and Without Lumbopelvic Manipulation on Pain, Pelvic Alignment, and Functional Disability in Patients With Anterior Innominate Dysfunction

Overview

The study aims to determine whether lumbopelvic manipulation yields superior improvements in pain, pelvic alignment, and functional ability when combined with METs compared to the treatment provided through METs solely.

Detailed description

With anterior innominate dysfunction (AID), the innominate bone rotates anteriorly over the sacrum, which produces pelvic dysfunction affecting the biomechanics of the pelvis, usually causing pelvic asymmetry and problems in regional and musculoskeletal patterns of pain, with the most affected being in the hip and low back. AID can hinder posture, mobility, and activities in daily functional living. Physiotherapy always includes a conservative approach. This study will be a randomized controlled trial with 46 participants. The target sample size was adjusted to 52 participants to accommodate a 10% dropout rate.

Interventions

  • Other Lumbopelvic manipulation and METs
    Group A will undergo Lumbopelvic manipulation and METs
  • Other METs
    Group A will undergo METs

Primary outcome measures

  • Numeric Pain Rating Scale (NPRS) for pain [Time frame: 4 weeks]
  • Oswestry Disability Index (ODI) for functional disability [Time frame: 4 weeks]
  • Clinometer: [Time frame: 4 weeks]

Eligibility criteria

Inclusion criteria

  • • Participants' age range 25\_40 years.
  • Females
  • Have subacute (4-12 weeks) pain close to PSIS
  • Have ≥3/4 positive test PSIS height, standing flexion, prone knee flexion, supine to long sitting
  • Two out of four positive tests of pain provocation Distraction, compression, thigh thrust, and sacral thrust test)
  • Patients have moderate pain on the NPRS

Exclusion criteria

  • Participants with True leg length Differences
  • Systemic illnesses, such as ankylosing spondylitis or RA, or pregnancy
  • Individuals with anticoagulation or bleeding disorders, acute muscle trauma, infections, lumbar disc herniation, spinal deformities, or a history of spinal surgery or anticoagulation medication
  • No history of fracture

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
Double blind
Primary purpose
Treatment

Study locations

Pakistan · 1 center
  • Rehab Cure — Lahore

Publications

  • Bibrowicz K, Ogrodzka-Ciechanowicz K, Hudakova Z, Szurmik T, Bibrowicz B, Kurzeja P. Pelvic Asymmetry and Stiffness of the Muscles Stabilizing the Lumbo-Pelvic-Hip Complex (LPHC) in Tensiomyography Examination. J Clin Med. 2025 Mar 25;14(7):2229. doi: 10.3390/jcm14072229. PMID 40217684
  • Chu ECP, Wong AYL. Change in Pelvic Incidence Associated With Sacroiliac Joint Dysfunction: A Case Report. J Med Cases. 2022 Jan;13(1):31-35. doi: 10.14740/jmc3816. Epub 2022 Jan 17. PMID 35211233
  • Fiani B, Sekhon M, Doan T, Bowers B, Covarrubias C, Barthelmass M, De Stefano F, Kondilis A. Sacroiliac Joint and Pelvic Dysfunction Due to Symphysiolysis in Postpartum Women. Cureus. 2021 Oct 9;13(10):e18619. doi: 10.7759/cureus.18619. eCollection 2021 Oct. PMID 34786225
  • Akram H, Bashir MS, Zia A, Noor R, Shakeel A. Comparison of muscle energy technique and mobilization with movement to reduce pain and improve functional status in subjects with anterior innominate ilio-sacral dysfunction. J Bodyw Mov Ther. 2024 Oct;40:1336-1341. doi: 10.1016/j.jbmt.2022.11.003. Epub 2022 Dec 5. PMID 39593454

Identifiers

NCT: NCT07642713 · REC/RCR&AHS/25/0117

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗