Sacroiliac Joint DysfunctionNCT07176169
Effects of Innominate Rotation Correction Compared With Sacral Torsion Correction in Patients With Sacroiliac Joint Dysfunction
A study testing Muscle Energy Technique for Sacral torsion and Muscle Energy Technique for Innominate rotation in people with Sacroiliac Joint Dysfunction, run by Foundation University Islamabad at 1 site in Pakistan.
Trial 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). Read more about this study
- Who is it for?
- Ages 18 to 50 years
- Conditions the study is for
- Sacroiliac Joint Dysfunction
- What is being tested?
- Muscle Energy Technique for Sacral torsion and Muscle Energy Technique for Innominate rotation
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 50 participants
- Where
- 1 sitePakistan
- Study dates
- 30 Dec 2025to 1 Jun 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 50 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- 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)
Who cannot join
- • 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
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Pakistan1 site
Foundation University College of Physical Therapy
Islamabad, Punjab Province, 46000
Muhammad Shafay Ali, DPT, +923064259537, muhammadshafayaliii@gmail.com
Muhammad Furqan Yaqoob, MS MSK-PT, furqan.yaqoob@fuie.edu.pk
About this study
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:
Read more
- 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.
Read the 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
- Being tested
- Muscle Energy Technique for Sacral torsion, Muscle Energy Technique for Innominate rotation
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Muscle Energy Technique for Sacral torsionProcedure or surgery
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
Muscle Energy Technique for Innominate rotationProcedure or surgery
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.
| Study group | Role | What they receive |
|---|---|---|
| Group A: Sacral Torsion Correction | Active comparator | 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 Receives: Procedure: Muscle Energy Technique for Sacral torsion |
| Group B: Innominate Rotation Correction | Experimental | 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). Receives: Procedure: Muscle Energy Technique for Innominate rotation |
What is being measured
The primary outcome is the main question the study is designed to answer.
JOINT DISABILITY
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
Measured: Before and After 4 weeks.
JOINT PAIN
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.
Measured: Before Treatment and After 4 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Sep 2025
- Study start30 Dec 2025 (estimated)
- Primary completion1 Jun 2026 (estimated)
- Study completion1 Jun 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Sacroiliac Joint DysfunctionStudies of the same condition, open and under way.
- More trials run by Foundation University IslamabadThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Participants will be randomly assigned into two parallel groups: * Group A will receive Sacral Torsion Correction (via METs + Conventional Therapy) * Group B will receive Innominate Rotation Correction (via METs + Conventional Therapy) Both groups will undergo interventions simultaneously over a 4-week period (8 sessions total, 2 sessions/week). Outcomes will be assessed at baseline, after every second session and post-intervention, with results compared between the two groups.
- Masking
- None (open label)
- Enrolment
- 50 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Foundation University Islamabad
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Muhammad Shafay Ali, DPT, Principal investigator, Foundation University Islamabad
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07176169
- Sponsor's protocol ID
- FUI/CTR/2025/01
- Status last verified
- Sep 2025
- First submitted
- 9 Sep 2025
- Last updated
- 2 Jan 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 2 Jan 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Innominate Rotation Correction Compared With Sacral Torsion Correction in Patients With Sacroiliac Joint Dysfunction
- ClinicalTrials.gov ID
- NCT07176169
- Acronym / sponsor ID
- FUI/CTR/2025/01
- Conditions
- Sacroiliac Joint Dysfunction
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 50 participants (estimated)
- Lead sponsor
- Foundation University IslamabadUniversity, hospital or other
- Study start
- 30 Dec 2025 (estimated)
- Primary completion
- 1 Jun 2026 (estimated)
- Study completion
- 1 Jun 2026 (estimated)
- First posted
- 16 Sep 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- Participants will be randomly assigned into two parallel groups: * Group A will receive Sacral Torsion Correction (via METs + Conventional Therapy) * Group B will receive Innominate Rotation Correction (via METs + Conventional Therapy) Both groups will undergo interventions simultaneously over a 4-week period (8 sessions total, 2 sessions/week). Outcomes will be assessed at baseline, after every second session and post-intervention, with results compared between the two groups.
| Arm | Type | Receives |
|---|---|---|
| Group A: Sacral Torsion Correction | Active comparator | Procedure: Muscle Energy Technique for Sacral torsionParticipants 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 |
| Group B: Innominate Rotation Correction | Experimental | Procedure: Muscle Energy Technique for Innominate rotationParticipants 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). |
Who may qualify
- Ages
- 18 to 50 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (8 listed)
- Dysfunction based on at least 3 of the following tests
Key exclusion criteria (8 listed)
- • History of Lumbar or Pelvic Fracture, Recent Surgery, or Hip/Knee Pathology affecting Gait/Posture.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Muscle Energy Technique for Sacral torsionConventional 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 or surgery | Group A: Sacral Torsion Correction |
| Muscle Energy Technique for Innominate rotationConventional 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. | Procedure or surgery | Group B: Innominate Rotation Correction |
Primary outcome
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.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Jan 2026.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Muhammad Shafay Ali, DPT principal investigator
Foundation University Islamabad
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Muscle Energy Technique for Sacral torsion and Muscle Energy Technique for Innominate rotation in people with Sacroiliac Joint Dysfunction, run by Foundation University Islamabad at 1 site in Pakistan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: opening soon, as of the sponsor's last update on 2 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Muhammad Shafay Ali, DPT (+923064259537, muhammadshafayaliii@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
JOINT DISABILITY (time frame: Before and After 4 weeks.). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Jan 2026.