Modified Sims Versus Lumbar Roll Manipulation in Patients With Sacroiliac Joint Dysfunction

November 28, 2025 updated by: University of Lahore
This randomized controlled trial aims to compare the efficacy of two manual therapy techniques. Modified Sims Manipulation and Lumbar Roll Manipulation in treating Sacroiliac Joint Dysfunction (SIJD). The study will examine their effects on pain, quality of life, and well-being.

Study Overview

Status

Enrolling by invitation

Conditions

Intervention / Treatment

Detailed Description

The study investigates the short- and long-term therapeutic benefits of two different high-velocity low-amplitude thrust techniques, specifically Modified Sims and Lumbar Roll Manipulation, administered along with conventional therapy. Outcomes will be measured using NPRS, SF-36, WHO-5, and gait analysis (MaxTRAQ). Patients will be randomly assigned and blinded to the treatment group. Data collection will be conducted at Rasool Medical Complex, Gujrat.

Study Type

Interventional

Enrollment (Estimated)

60

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Pakistan
    • Punjab Province
      • Gujrat, Punjab Province, Pakistan, 52000
        • Rasool Medical Complex

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Age 19-50

Either gender

Chronic LBP >1 month

3 or more positive SIJ provocation/motion tests

NPRS ≥3 at baseline

Exclusion Criteria:

Pelvic fracture

MRI-confirmed nerve root compression

Psoriatic/Reactive Arthritis

Elevated ESR/CRP

Neurological signs

Severe pain (NPRS >8)

Other red flags (malignancy, fever, etc.)

-

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: 1
modified SIM
Other: modified SIM manipulation
manipulation

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
numeric pain rating scale
Time Frame: 6 weeks
Numeric pain rating scale: ranging from 0 ("no pain") to 10 ("worst possible pain")
6 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

University of Lahore

Investigators

  • Study Director: Prof. Dr. Ashfaq Ahmed, PHD PT, University of Lahore

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

August 22, 2024

Primary Completion (Estimated)

December 22, 2025

Study Completion (Estimated)

December 22, 2025

Study Registration Dates

First Submitted

July 22, 2025

First Submitted That Met QC Criteria

November 28, 2025

First Posted (Actual)

December 2, 2025

Study Record Updates

Last Update Posted (Actual)

December 2, 2025

Last Update Submitted That Met QC Criteria

November 28, 2025

Last Verified

September 1, 2025

More Information

Terms related to this study

Other Study ID Numbers

  • DPTH02193002

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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