Comparison of Gluteus Maximus Strengthening and Hamstring Flexibility in Sacroiliac Joint Dysfinction

NCT06656195 | Completed DMC

• 1 other identifier: Riphah IU Shanza kanwal
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this research is to compare effect of strengthening of gluteus maximus and hamstring flexibility on hamstring tightness in sacroiliac joint dysfunction.

Conditions

Sacroiliac Dysfunction

Keywords

hamstring tightness; gluteus maximus strengthing; SIJ dysfunction

Outcome Measures

Primary Outcomes (2)

• Active knee extension test

  It is use to measure hamstring flexibility.The patient is positioned supine with the hip flexed 90 degrees (either actively or passively). The knee is then actively extended from a starting position of 90-degree flexion toward full extension. The test is positive for hamstring tightness if the angle of knee extension is greater than 20 degrees.

  baseline to 4th week

• Dynamometer

  It. is used to measure strength .It is a small device that the examiner holds against the patient's limb as the patient exerts a maximal force. Dynamometers measure the amount of force and shows on its screen.

  baseline to 4th week

Secondary Outcomes (2)

• NPRS

  baseline to 4th week

• Denver SI Joint Questionnaire

  baseline to 4th week

Study Arms (2)

experimental group A

EXPERIMENTAL

In week 1 SIJ Mobilization along with ,Single leg bridge ,alternating leg lifts ,clam Exercise,Prone hip extension with knee flexion. In week 2 SIJ Mobilization along with Side-squats,Star excursion exercise,Forward step-down.In week 3 SIJ Mobilization along with bilateral squat ,single leg squat ,split squat/lunge ,frontal step up ,lateral step up.In week 4 SIJ mobilization along with bilateral squat with a band and hip extension against resistance was done.Three times a week for 4 weeks In each session, a total of two sets of 12 repetitions each were carried out, with a 1 min rest time between sets.

Other: glueus maximus strengthening

experimental group B

ACTIVE COMPARATOR

SIJ mobilization and Soft tissue mobilization along with Static Hamstrings stretching (3 sets, 15 repetitions with a holding time of 15 seconds ,3 times a week for 4 week) and Dynamic hamstrings stretching(3 set, 15 repetitions with a holding time of 1 second, 3 times a week for 4 weeks.

Other: hamstring stretching group

Interventions

glueus maximus strengthening OTHER

In week 1 SIJ Mobilization along with ,Single leg bridge ,alternating leg lifts ,clam Exercise,Prone hip extension with knee flexion. In week 2 SIJ Mobilization along with Side-squats,Star excursion exercise,Forward step-down.In week 3 SIJ Mobilization along with bilateral squat ,single leg squat ,split squat/lunge ,frontal step up ,lateral step up.In week 4 SIJ mobilization along with bilateral squat with a band and hip extension against resistance was done.Three times a week for 4 weeks In each session, a total of two sets of 12 repetitions each were carried out, with a 1 min rest time between sets.

experimental group A

hamstring stretching group OTHER

SIJ mobilization and Soft tissue mobilization along with Static Hamstrings stretching (3 sets, 15 repetitions with a holding time of 15 seconds ,3 times a week for 4 week) and Dynamic hamstrings stretching(3 set, 15 repetitions with a holding time of 1 second, 3 times a week for 4 weeks.

experimental group B

Eligibility Criteria

• Age: 25 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Both genders
• Patient with pain over the posterior aspect of SI joint
• Age between 25-45 years.
• Positive Active knee extension test (angle of knee extension greater than 20 degrees)
• Two of four test of Laslett cluster of Sacro-iliac dysfunction is positive.

You may not qualify if:

• Herniated disc.
• Skin infection.
• Any contraindications for affected lower limb exercises (e.g., venous thrombosis, lymphedema).
• Patients with any post operative history of Hip joint fracture, subluxation, dislocation, diabetes, arthritis.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

DSK Rehab and physio

Islamabad, Capital, 44000, Pakistan

Location

Study Officials

• Aisha Razzaq, MSOMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 23, 2024
• First Posted: October 24, 2024
• Study Start: October 10, 2024
• Primary Completion: January 15, 2025
• Study Completion: April 16, 2025
• Last Updated: April 18, 2025

Record last verified: 2025-04

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)