Comparative Effects of Two Rehabilitation Approaches on Lumbopelvic Function in Sacroiliac Joint Dysfunction

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Conditions studied: Sacroiliac Joint Dysfunction

In brief

This research compares two rehabilitation strategies for people with sacroiliac joint dysfunction (SIJD): Dynamic Neuromuscular Stabilization (DNS) and Core Stability Exercises (CSE). SIJD is presented as a biomechanical source of low-back, buttock and leg pain caused by altered joint mechanics, muscle control problems, or asymmetric pelvic alignment; diagnosis relies on clinical provocation tests and exclusion of other causes. The study aims to determine which of the two exercise-based approaches better reduces pain and improves lumbopelvic control. The trial is a single-blinded, parallel randomized controlled trial conducted in an outpatient physiotherapy setting with supervised sessions over four weeks. Adults aged 20-50 with at least three positive SIJ provocation tests and moderate, chronic pain were included; important exclusions were prior spinal/pelvic surgery, systemic inflammatory disease, pregnancy, cardiopulmonary limitation or poor session attendance. Each participant received a baseline conventional physiotherapy package; one arm received a DNS program (breathing-based and developmental movement patterns) and the other performed progressive core-stability training emphasizing transversus abdominis and multifidus activation. Primary outcomes are pain (Numeric Pain Rating Scale) and lumbopelvic stability measured with a pressure biofeedback unit (PBU). Data were collected at baseline and after four weeks; the analysis plan uses SPSS with paired and independent t-tests, ANCOVA to adjust for baseline differences, and effect sizes/confidence intervals to interpret clinical relevance. Safety, informed consent, assessor blinding and standard ethical safeguards are described. The synopsis notes a gap in direct RCT evidence comparing DNS and CSE for SIJD and positions this trial to address that gap with clinical and mechanistic outcomes.

Key facts

Study ID

NCT07425197

Run by

Lahore University of Biological and Applied Sciences

People needed

40

Starts

2026-03-18

Expected to finish

2026-09-27

Last updated by the study team

2026-03-19

Who can join

Age: 30 and older, up to 45. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Age between 30 and 45 years
• Confirmed diagnosis by at least three positive provocation tests
• FABER
• Gaenslen's, Thigh Thrust
• Compression
• Distraction
• Pain lasting three months or longer
• NPRS score between 4 and 7

You may not qualify if…

• Other spinal conditions such as, spinal stenosis or tumors
• Prior history of spinal or pelvic surgery
• Patients with neurological disorders or systemic diseases such as rheumatoid arthritis
• Pregnant women
• Patients with cardiopulmonary conditions

Where it is running

• Ghurki Trust Teaching Hospital — Lahore, Punjab Province, Pakistan

Full record on ClinicalTrials.gov

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