Effects of Innominate Rotation Correction Compared With Sacral Torsion Correction in Patients With Sacroiliac Joint Dysfunction
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Enrollment
- 50
- Locations
- 2
- Primary Endpoint
- JOINT DISABILITY
Study Overview
Brief 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:
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 50 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
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
Arms & Interventions
Group A: Sacral Torsion Correction
Participants allocated to this arm will receive Muscle Energy Techniques (METs) for Sacral Torsion Correction.
Covering Patterns:
- Left-on-Left Torsion
- Right-on-Right Torsion
- Left-on-Right Torsion
- Right-on-Left Torsion
- Bilateral Nutation
- Bilateral Counternutation
Each participant will undergo 8 sessions over 4 weeks (2 Sessions/week), and receive Conventional Physiotherapy
Intervention: Muscle Energy Technique for Sacral torsion (Procedure)
Group B: Innominate Rotation Correction
Participants allocated to this arm will receive Muscle Energy Techniques (METs) for Innominate Rotation Correction along with Conventional Treatment.
- Anterior Rotation
- Posterior Rotation Each participant will undergo 8 Sessions over a period of 4 weeks (2 Sessions/week).
Intervention: Muscle Energy Technique for Innominate rotation (Procedure)
Outcomes
Primary Outcomes
JOINT DISABILITY
Time Frame: Before and After 4 weeks.
The Denver Sacroiliac Joint Disability Questionnaire (DSIJQ) comprises 10 items that assess various aspects of SIJ-related disability, including pain intensity, mobility, self-care, and social participation. Each item is scored on a 6-point Likert scale ranging from 0 to 5. (0 - No Disability; 5 - Unable to perform activity). To calculate the total percentage, the obtained score is divided by 50 and multiplied by 100 to calculate total percentage. Then it is compared with an Ordinal Scale grading, shown as follows: * 0-20% = Minimal Disability * 21-40% = Moderate Disability * 41-60% = Severe Disability * 61-80% = Crippled * 81-100% = Bed-bound or Exaggerating symptoms
JOINT PAIN
Time Frame: Before Treatment and After 4 weeks
The Visual Analog Scale (VAS) is a simple patient-reported measure of current Pain Intensity. Scoring - Patients mark their pain on a 10-cm horizontal line, anchored by "No Pain" (0-cm) and "Worst Possible Pain" (10-cm), and the distance between 0-cm to the Point of Pain perception is marked as the recorded score (in millimeters or centimeters). High Value means Severe Pain and vice versa.
Secondary Outcomes
No secondary outcomes reported