This clinical trial aims to evaluate whether combining pelvic floor exercises with muscle energy techniques provides greater improvement in pain and functional disability in adults with sacroiliac joint dysfunction compared to muscle energy techniques alone. The study examines whether the addition of pelvic floor training enhances pain reduction and functional outcomes beyond the effects of muscle energy techniques applied to the hamstrings, gluteus medius, piriformis, and iliopsoas muscles. Participants will be assigned to either an experimental group receiving both pelvic floor exercises and muscle energy techniques or a control group receiving muscle energy techniques only, and will complete standardized assessments of pain and disability before and after the intervention.
Unilateral sacroiliac joint dysfunction pre diagnosed patients
Both male and female
Age 30 to 50 years
Positive on at-least 3/5 provocation tests (Compression, Distraction, Gaenslen, Thigh Thrust, Sacral Thrust and FABER (Flexion, Abduction, External Rotation) test)
Pregnant females
Any other neurological, orthopedic, or musculoskeletal disorder
Recent history of pelvic surgery or any history of malignancy
Lumbar pathologies (scoliosis, spondylosis, spondylolisthesis)
Parallel
Muscle Energy Techniques with Hot pack and Transcutaneous Electrical Nerve Stimulation
Other interventionThere will be an application of a hot pack for 10minutes and TENS for 10minutes. After that Muscle Energy Techniques (METs) will be performed as isometric relaxation technique targeting iliopsoas, piriformis, hamstring and gluteus medius muscles. The protocol will involve isometric contraction in which patients will perform a contraction at \~30% effort against the therapist's resistance for 7-10 seconds. A 5-second relaxation phase followed by a stretch to the new range barrier, held for 10-60 seconds. Each stretch will be repeated 3-5 in each session. This will be performed 3 times per session 3 times per week for 6 weeks.
Muscle Energy Techniques with Hot pack, Transcutaneous Electrical Nerve Stimulation and Pelvic floor Exercises
Other interventionThere will be an application of a hot pack for 10minutes and TENS for 10minutes. After that Muscle Energy Techniques (METs) will be performed as isometric relaxation technique targeting iliopsoas, piriformis, hamstring and gluteus medius muscles. The protocol will involve isometric contraction in which patients will perform a contraction at \~30% effort against the therapist's resistance for 7-10 seconds. A 5-second relaxation phase followed by a stretch to the new range barrier, held for 10-60 seconds. Each stretch will be repeated 3-5 in each session. This will be performed 3 times per session 3 times per week for 6 weeks. Participants in the experimental group will be instructed to perform the Pelvic Floor Exercises (Kegel exercises, Pelvic Tilts and Bridge with pelvic floor engagement) according to the defined protocol.
Pain for SIJD provocation tests
The NRS is a widely used, unidimensional tool for assessing pain intensity. It asks the individual to rate their pain on a scale of 0 (no pain) to 10 (worst pain imaginable). It is easy to understand and quick to administer and score. It is used for various types of pain (acute and chronic) and in different settings. The NPRS has demonstrated good to excellent reliability and validity with low back pain. Pain scores categorized as mild pain (1-3), moderate pain (1-3) and severe pain (7-10).
Functional Disability
Functional disability is measured using the Modified Oswestry Disability Index. It asks questions about everyday activities such as sitting, standing, walking, lifting, and personal care. The Modified Oswestry Disability Index is a patient-completed questionnaire that measures functional disability using 10 questions with 6-point Likert scales. Each question is scored from 0 (no disability) to 5 (maximum disability). The total Modified Oswestry Disability Index score is a percentage reflecting how much low back pain affects daily life. It is calculated by dividing the individual's score by the maximum possible score and converting it into a percentage. The resulting percentage falls into a category that indicates the level of disability. The participants experience mild pain and can perform most activities with a score of 0-20% (Minimal disability).The participants experience severe functional limitation with a score of 81-100% (bed-bound or exaggerating symptoms).
Click on the lead sponsor to view all of their trials.
This trial is not recruiting at the moment. You can still explore other options:
