NCT07176169

Effects of Innominate Rotation Correction Compared With Sacral Torsion Correction in Patients With Sacroiliac Joint Dysfunction

• Status: Not Yet Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 50 (estimated)
• Sponsor: Foundation University Islamabad · Academic / Other
• Sex: All
• Age: 18 Years – 50 Years
• Healthy volunteers: Not accepted

Summary

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.

Conditions

• Sacroiliac Joint Dysfunction

Interventions

Type	Name	Description
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. Left-on-Left (LOL) Forward Torsion, Right -on-Right (ROR) Forward Torsion, Right-On-Left (ROL) Backward Torsion, Left-on-Right (LOR) Backward Torsion, Bilateral Sacral Nutation, Bilateral Sacral Counternutation
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.

Timeline

• Start date: 2025-12-30
• Primary completion: 2026-06-01
• Completion: 2026-06-01
• First posted: 2025-09-16
• Last updated: 2026-01-02

Locations

1 site across 1 country: Pakistan