Effects of Core Stability and Pelvic Clock Exercises in Sacroiliac Joint Dysfunction

Combine Effects of Core Stability and Pelvic Clock Exercises on Pain, Disability and Quality of Life in Postpartum Females With Sacroiliac Joint Dysfunction

The study will be a randomized control trial and will be conducted in DHQ and Sadiq Hospital in Sargodha District. This study will be completed in time duration of 10 months after the approval of synopsis. Nonprobability convenience sampling technique will be used and 50 participants will be recruited in study after randomization. The subjects will be divided into two groups. Group A(Experimental) will receive core stability and pelvic clock exercises with baseline treatment while Group B(Control) will receive only core stability exercises after baseline treatment. The tools that will be used are Numeric Pain Rating Scale (NPRS), Oswestry Disability index (ODI) and WHOQOL-BREF. Treatment have duration of 8 weeks with 3 sessions per week and an hour per session is requires. After data collection, data will be analyzed by using SPSS version 26.

Study Overview

• Status: Recruiting
• Conditions: Sacroiliac Joint Dysfunction
• Intervention / Treatment: Other: core stability exercises; Other: pelvic clock exercises

• Study Type: Interventional
• Enrollment (Estimated): 50
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: imran amjad; Phone Number: 03324390125; Email: imran.amjad@riphah.edu.pk

Study Locations

• Pakistan
  • Punjab Province
    • Sargodha, Punjab Province, Pakistan, 6400
      • Recruiting
      • Al-Khidmat Hospital
      • Contact: adeela arif, t-DPT; Phone Number: 03320845723; Email: adeela.arif@riphah.edu.pk
      • Sub-Investigator: ayesha arshad, MSPT(WH)

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Vaginal delivery
• Primiparous women
• Pain intensity greater than 6 on the Numerical Pain Rating Scale (NPRS)
• Positive responses to at least three physical provocation tests suggestive of sacroiliac joint dysfunction

Exclusion Criteria:

• Participants were excluded from the study if they had any of the following conditions:
• Previous history of trauma
• Musculoskeletal disorders (e.g., coccydynia, impingement syndrome)
• Postpartum depression
• Disc bulge or degeneration

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: core stability exercises; Core stability exercises were performed in modified or low-impact forms suitable for the postpartum phase to ensure safety for participants with sacroiliac joint dysfunction. Each exercise session included two sets of core stability exercises with ten repetitions per set, performed two to three times per week for a total duration of eight weeks.	Other: core stability exercises; Core stability exercises were performed in modified or low-impact forms suitable for the postpartum phase to ensure safety for participants with sacroiliac joint dysfunction. Each exercise session included two sets of core stability exercises with ten repetitions per set, performed two to three times per week for a total duration of eight weeks.; Other: pelvic clock exercises; Pelvic clock exercises were performed in a hook-lying position to promote spinal alignment and minimize lumbar lordosis. These exercises were designed to improve pelvic awareness, control, and mobility.Pelvic clock exercises were performed for two to three minutes, three times per week, for a duration of eight weeks
Active Comparator: pelvic clock exercises; Pelvic clock exercises were performed in a hook-lying position to promote spinal alignment and minimize lumbar lordosis. These exercises were designed to improve pelvic awareness, control, and mobility.Pelvic clock exercises were performed for two to three minutes, three times per week, for a duration of eight weeks	Other: core stability exercises; Core stability exercises were performed in modified or low-impact forms suitable for the postpartum phase to ensure safety for participants with sacroiliac joint dysfunction. Each exercise session included two sets of core stability exercises with ten repetitions per set, performed two to three times per week for a total duration of eight weeks.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Numeric Pain Rating Scale (NPRS)	The Numeric Pain Rating Scale (NPRS) is a segmented numeric version of the Visual Analog Scale (VAS), which asked respondents to choose a number ranging from 0-10 that represented their current pain intensity. The scale used a horizontal line with anchors describing the highest and lowest levels of pain intensity.	8th week
Oswestry Disability Index (ODI)	Another common tool utilized to examine the degree to which the participant was affected due to back pain is the Oswestry Disability Index.The ODI had 10 items, each exploring a particular dimension within the patient's life. Scoring was from 0 to 5. Higher scores reflected increasing levels of disability. Self-administering the inventory took approximately five minutes to answer the items.	8th week
WHOQOL-BREF	The WHOQOL-BREF is a standardized scale developed by WHO to determine the perception of quality of life of an individual. It is a brief version of another scale known as WHOQOL-100 and has 26 questions related to four domains: Physical Health, Psychological Well-being, Social Relations, and Environment.	8th week

Collaborators and Investigators

• Sponsor: Riphah International University
• Investigators: Principal Investigator: adeela arif, t-DPT, Riphah International University

Publications and helpful links

General Publications

• Javadov A, Ketenci A, Aksoy C. The Efficiency of Manual Therapy and Sacroiliac and Lumbar Exercises in Patients with Sacroiliac Joint Dysfunction Syndrome. Pain Physician. 2021 May;24(3):223-233.
• Zaidi F, Ahmed I. Effectiveness of muscle energy technique as compared to Maitland mobilisation for the treatment of chronic sacroiliac joint dysfunction. J Pak Med Assoc. 2020 Oct;70(10):1693-1697. doi: 10.5455/JPMA.43722.
• Kiapour A, Joukar A, Elgafy H, Erbulut DU, Agarwal AK, Goel VK. Biomechanics of the Sacroiliac Joint: Anatomy, Function, Biomechanics, Sexual Dimorphism, and Causes of Pain. Int J Spine Surg. 2020 Feb 10;14(Suppl 1):3-13. doi: 10.14444/6077. eCollection 2020 Feb.
• Fiani B, Sekhon M, Doan T, Bowers B, Covarrubias C, Barthelmass M, De Stefano F, Kondilis A. Sacroiliac Joint and Pelvic Dysfunction Due to Symphysiolysis in Postpartum Women. Cureus. 2021 Oct 9;13(10):e18619. doi: 10.7759/cureus.18619. eCollection 2021 Oct.
• Li C, Xiao Z, Chen L, Pan S. Efficacy and safety of extracorporeal shock wave on low back pain: A systematic review and meta-analysis. Medicine (Baltimore). 2022 Dec 30;101(52):e32053. doi: 10.1097/MD.0000000000032053.

Study record dates

Study Major Dates

• Study Start (Actual): December 1, 2024
• Primary Completion (Estimated): April 1, 2026
• Study Completion (Estimated): April 1, 2026

Study Registration Dates

• First Submitted: February 23, 2026
• First Submitted That Met QC Criteria: February 23, 2026
• First Posted (Actual): February 27, 2026

Study Record Updates

• Last Update Posted (Actual): February 27, 2026
• Last Update Submitted That Met QC Criteria: February 23, 2026
• Last Verified: February 1, 2026

More Information

Terms related to this study

• Keywords: Quality of Life; Sacroiliac Joint Dysfunction; Core Stability Exercises,; Pelvic Clock Exercise,; Postpartum Pain,; Disability,
• Other Study ID Numbers: REC/RCR&AHS/24/0537

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No