Anterior Sacral Torsion Dysfunction
Conditions
Keywords
Sacral Torsion, METs, SIJD, Core Strengthening, Stretching
Brief summary
This study aims to compare the effects of Muscle Energy Technique (MET) and core strengthening exercises in patients with anterior sacral torsion dysfunction. It will evaluate changes in pain intensity, sacral tilt, and functional disability following the interventions. Participants will be randomly allocated into two groups: Group A will receive MET targeting specific muscles, while Group B will perform core strengthening exercises to improve trunk stability and muscular control. The outcomes will be assessed using the Numeric Pain Rating Scale (NPRS) for pain, smartphone inclinometer for sacral tilt, and Modified Oswestry Disability Index (MODI) for disability. The findings may help determine which intervention is more effective in improving these outcomes in patients with anterior sacral torsion dysfunction.
Interventions
OTHERMETs
Participants will receive MET targeting the piriformis, iliopsoas, and quadratus lumborum muscles.The technique involves positioning the targeted muscle at its restrictive barrier, followed by a gentle isometric contraction against the therapist's resistance for approximately 10 seconds at 20% of maximal voluntary contraction. The muscle is then relaxed, and the therapist gently moves it further into the new range.
OTHERCore strengthening
Participants will perform core strengthening exercises, including the abdominal drawing-in maneuver, Bridging, Pelvic Tilts alongside the common treatment protocol.
Sponsors
University of Management and Technology Lahore
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
Low Back Pain or sacroiliac region pain. Age 20 to 45 years. Both males and females Numeric Pain Rating Scale (NPRS) scoring 3 to 6 at baseline. Pain from at least past three months At least 3/5 positive provocation test for SIJD, Compression Test, Thigh Thrust Test, Sacral Thrust Test, and Gaenslen's Test. A positive Seated Flexion Test, and a negative Standing Flexion were used for the diagnosis of sacroiliac Dysfunction.
Exclusion criteria
Diagnosis of systemic metabolic (DM) and/or neurological disorder (MS, Parkinson or any inflammatory disease Pathological conditions or diagnosed with disk herniation, spinal stenosis, spondylolysthesis, and spondylitis other medical illnesses such as tumor, kidney disease, and visceral disease that can be related with low back pain excluded in this study. Participants who had undergone surgery for LBP. Pregnancy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Numeric Pain Rating Scale (NPRS) | Baseline and after 6 weeks | Pain intensity was assessed using the 11-point NPRS, ranging from 0 (no pain) to 10 (worst pain imaginable). It demonstrates good responsiveness in patients with low back pain, with approximately 2 points considered a clinically important change. |
| Sacral Tilt Measurement | Baseline and after 6 weeks | Sacral tilt was measured in degrees using a IHandy Level inclinometer, following the landmark-based method of Koumantakis et al. (2016). Three readings were taken in relaxed standing, and their mean was recorded. The same blinded assessor performed measurements at baseline and post-intervention under standardized conditions. Excellent intrarater reliability was reported (ICC = 0.97) |
| Modified Oswestry Disability Index (MODI) | Baseline and after 6 weeks | Disability was assessed using the 10-item MODI. Each section is scored from 0 to 5, and the total score is expressed as a percentage. Higher scores indicate greater disability. English and Urdu versions were used according to participants' language preference; appropriate validation references should be cited for both versions. |
Countries
Pakistan
Outcome results
None listed