Combining muscle energy technique with mobilization for sacral torsion

Effects of Muscle Energy Technique Combined With Mobilization in Patients With Sacral Torsion

This project will test whether adding muscle energy technique to mobilization three times weekly helps reduce pain and improve movement in adults aged 22–44 with sacral torsion.

Quick facts

• Phase: Not applicable
• Study type: Interventional
• Enrollment: 46 (estimated)
• Ages: 22 Years to 44 Years
• Sex: All
• Sponsor: Foundation University Islamabad (Academic / other)
• Locations: 1 site (Islamabad, Punjab Province)
• Trial ID: NCT07329426 on ClinicalTrials.gov

What this trial studies

This randomized controlled trial at Foundation University Islamabad will compare Maitland mobilization alone versus mobilization combined with muscle energy technique in adults clinically diagnosed with sacral torsion. Participants aged 22–44 with at least moderate pain (NPRS ≥5) and positive SIJ provocation tests will be randomized to receive treatments three times per week for two weeks. Outcomes measured at baseline and at week 2 include pain (Numeric Pain Rating Scale), lumbar range of motion (goniometer and inclinometer), disability (Oswestry Disability Index), and active straight leg raise. The trial aims to determine if the combined manual therapy approach provides greater short-term improvements in pain and function than mobilization alone.

Who should consider this trial

Good fit: Ideal candidates are adults aged 22–44 with clinically confirmed sacral torsion, moderate to severe pain (NPRS ≥5), and positive standing and seated flexion and Gillet tests.

Not a fit: Patients with neurological deficits, prior spinal surgery, radiographic spondylolisthesis or degenerative disc disease, spinal stenosis, infection, tumor, osteoporosis, fracture, or who are pregnant are unlikely to benefit or are excluded.

Why it matters

Potential benefit: If successful, the combined approach could provide faster short-term pain relief and improved mobility for patients with sacral torsion.

How similar studies have performed: Previous smaller studies and case series have shown benefits of mobilization or muscle energy techniques for SIJ-related pain, but high-quality randomized data on the combined approach are limited.

Eligibility criteria

Inclusion Criteria:

* Age between 22- 44 years (18)
* Both males and females
* Clinically diagnosed sacral torsion. (Annexure E)
* Patients with pain intensity of at least 5 on NPRS
* Positive standing flexion test
* Positive seated flexion test
* Positive Gillet test
* Uneven anatomical landmarks (Sacral Sulcus, Inferior Lateral Angle, Lumbar Lordosis, Lumbar scoliosis, L5 position)

Exclusion Criteria:

* 1\. Neurological deficits (hemiparesis, paralysis) 2. Pregnancy 3. Spinal surgery of any kind 4. Antero-Retro Spondylolisthesis diagnosed through radiological findings 5. Degenerative disc disease diagnosed through radiological findings 6. Spinal stenosis 7. Infection, tumors, osteoporosis, spinal fracture

Where this trial is running

Islamabad, Punjab Province

• Foundation University Islamabad — Islamabad, Punjab Province, Pakistan (Recruiting)

Study contacts

• Study coordinator: Hafiza Noor ul Huda, DPT

Conditions Sacral Torsion