Effects of MET With and Without Lumbopelvic Manipulation

June 8, 2026 updated by: Riphah International University

Effects of Muscle Energy Technique With and Without Lumbopelvic Manipulation on Pain, Pelvic Alignment, and Functional Disability in Patients With Anterior Innominate Dysfunction

The study aims to determine whether lumbopelvic manipulation yields superior improvements in pain, pelvic alignment, and functional ability when combined with METs compared to the treatment provided through METs solely.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Detailed Description

With anterior innominate dysfunction (AID), the innominate bone rotates anteriorly over the sacrum, which produces pelvic dysfunction affecting the biomechanics of the pelvis, usually causing pelvic asymmetry and problems in regional and musculoskeletal patterns of pain, with the most affected being in the hip and low back. AID can hinder posture, mobility, and activities in daily functional living. Physiotherapy always includes a conservative approach. This study will be a randomized controlled trial with 46 participants. The target sample size was adjusted to 52 participants to accommodate a 10% dropout rate.

Study Type

Interventional

Enrollment (Estimated)

52

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 Contact

Study Locations

  • Pakistan
    • Punjab Province
      • Lahore, Punjab Province, Pakistan, 54000
        • Rehab Cure
        • Contact:
        • Sub-Investigator:
          • Hira Humayun, MSOMPT

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

  • Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • • Participants' age range 25_40 years.

    • Females
    • Have subacute (4-12 weeks) pain close to PSIS
    • Have ≥3/4 positive test PSIS height, standing flexion, prone knee flexion, supine to long sitting
    • Two out of four positive tests of pain provocation Distraction, compression, thigh thrust, and sacral thrust test)
    • Patients have moderate pain on the NPRS

Exclusion Criteria:

  • Participants with True leg length Differences
  • Systemic illnesses, such as ankylosing spondylitis or RA, or pregnancy
  • Individuals with anticoagulation or bleeding disorders, acute muscle trauma, infections, lumbar disc herniation, spinal deformities, or a history of spinal surgery or anticoagulation medication
  • No history of fracture

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: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: lumbopelvic manipulation and METs
Group A will receive baseline treatment with lumbopelvic manipulation and METs
Other: Lumbopelvic manipulation and METs
Group A will undergo Lumbopelvic manipulation and METs
Active Comparator: METs
Group B will receive baseline treatment with METs
Other: METs
Group A will undergo METs

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Numeric Pain Rating Scale (NPRS) for pain
Time Frame: 4 weeks
This instrument is commonly used to rate the severity of pain. A scale of 0 to 10 is used by patients to rate their present level of pain, with 0 indicate "no pain" and 10 indicate the "worst possible pain. The patient verbally report number between 0 to 10. NPRS demonstrate strong measurement properties in patients with low back pain
4 weeks
Oswestry Disability Index (ODI) for functional disability
Time Frame: 4 weeks
ODI version 2 was used in this study assess functional disability associated with low back pain and sacroilliac joint dysfunction. ODI is standardized and widely used self-reported questionnaire evaluate impact of pain on activities of daily living and functional status. It consists of 10 sections including pain intensity, personal care, lifting, walking, sitting, standing, sleeping, sex life, social life, and traveling. Each domain consists of six items that are ranked from 0 to 5, with 0 being no disability and 5 being maximum disability.
4 weeks
Clinometer:
Time Frame: 4 weeks
Smart Phone based inclinometer is a digital tool to measure body segmental angel when placed on Anatomical landmark Such as ASIS and PSIS and estimate pelvic tilt angel in standing and sitting position and align them using tape. This smart phone-based measurement tool has Reliability intra-rater: ICC = 0.87 and inter-rater: ICC = 0.82 in standing and in sitting intra-rater: ICC = 0.91 and inter-rater: ICC = 0.88 show excellent reproducibility and consistency of measurement.
4 weeks

Collaborators and Investigators

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

Sponsor

Riphah International University

Investigators

  • Principal Investigator: Hira Shaukat, Mphill, Riphah International University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

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 (Estimated)

June 15, 2026

Primary Completion (Estimated)

October 10, 2026

Study Completion (Estimated)

November 10, 2026

Study Registration Dates

First Submitted

June 8, 2026

First Submitted That Met QC Criteria

June 8, 2026

First Posted (Actual)

June 11, 2026

Study Record Updates

Last Update Posted (Actual)

June 11, 2026

Last Update Submitted That Met QC Criteria

June 8, 2026

Last Verified

June 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • REC/RCR&AHS/25/0117

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

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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