Kinetic Control Exercises to Reduce Pain and Improve Balance, Walking, and Stamina in Sacroiliac Joint Issues

NCT07229287 | Completed DMC

• 1 other identifier: UBAS/ERB/FORS/25/026
• Study Type: interventional
• Target: 46
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this clinical trial is to evaluate the effectiveness of the Kinetic control on pain, endurance, Gait and postural stability in patients suffering from chronic sacroiliac joint dysfunction. The main question it aims to answer is:

• Does kinetic control training work on pain in SIJ dysfunction?
• Does kinetic control therapy work on functional outcomes, including gait metrics, postural sway, and lumbar endurance? The treatment arm will receive the Kinetic control training, and the comparison arm will undergo standard physical therapy care. Participants will be asked to perform movement control exercises based on the principle of kinetic control training core muscles and hip muscles after routine physical therapy. The participants in the control/comparison group will only receive routine physical therapy that includes a heating pad, TENS, joint mobilizations, and stretching and strengthening exercises.

Conditions

Sacroiliac Joint Dysfunction

Keywords

Low back pain; Sacroiliac joint dysfunction; Pelvic girdle pain

Outcome Measures

Primary Outcomes (4)

• Change from Baseline in Pain Intensity Measured by the Numeric Pain Rating Scale (NPRS) at 4 and 8 Weeks

  Pain intensity will be assessed using the Numeric Pain Rating Scale (NPRS), where participants rate their pain on a scale ranging from 0 to 10 units (Unit of Measure: score on a 0-10 scale). A score of 0 represents no pain, while 10 indicates the worst imaginable pain. Pain severity will be categorized as mild (1-3), moderate (4-6), and severe (7-10) A decrease in NPRS score from baseline will indicate an improvement in pain intensity, whereas higher scores will reflect greater pain severity.

  From enrollment to 4 weeks, then at the end of 8 weeks

• Change from Baseline in Postural Stability Measured by the Single-Leg Stance Test at 4 and 8 Weeks

  Postural stability will be evaluated using the Single-Leg Stance Test (SLST), which measures the participant's ability to maintain balance on one leg without support. The duration of balance maintenance will be recorded in seconds (unit of measure: seconds \[s\]). Each participant will perform three trials, and the mean value of the three measurements will be used for analysis to ensure accuracy and consistency. Higher mean values indicate better postural control and balance, whereas lower values reflect reduced stability or impaired balance performance.

  From enrollment to 4 weeks, then at the end of 8 weeks

• Change from Baseline in Lumbar Muscle Endurance Measured by Pressure Biofeedback Unit at 4 and 8 Weeks

  Lumbar muscle endurance will be assessed using a Pressure Biofeedback Unit (PBU) to evaluate the ability of the deep core stabilizing muscles to maintain a target pressure during a sustained contraction. The duration (in seconds) that participants can maintain the target pressure of 40-60 mmhg without deviation will be recorded (unit of measure: seconds \[s\]). Each participant will perform three trials, and the mean value of the three measurements will be used for analysis to enhance reliability. Higher mean endurance times will indicate better lumbar muscle endurance and motor control, while lower times will reflect fatigue or weakness of the stabilizing muscles.

  From enrollment to 4 weeks, and then at the end of 8 weeks

• Change from Baseline in Gait Parameters Measured by Kinovea Motion Analysis Software at 4 and 8 Weeks

  Gait performance will be analyzed using Kinovea motion analysis software, which will capture and calculate spatiotemporal gait parameters. The parameters to be measured include step length (centimeters \[cm\]), stride length (centimeters \[cm\]), cadence (steps per minute \[steps/min\]), and walking speed (meters per second \[m/s\]) (Unit of Measure: cm, steps/min, m/s). Each participant will perform three walking trials at a self-selected comfortable speed, and the mean value of the three trials will be used for analysis to ensure measurement reliability. Increases in step length, stride length, cadence, and walking speed will indicate improved gait performance and functional mobility, whereas decreases in these parameters will reflect reduced gait efficiency or impaired locomotor control.

  From enrollment to 4 weeks, then at the end of 8 weeks

Secondary Outcomes (1)

• Change from Baseline in Functional Disability Measured by the Modified Oswestry Disability Index (MODI) at 4 and 8 Weeks.

  From enrollment to 4 weeks, then at the end of 8 weeks

Study Arms (2)

movement retraining with the concept of kinetic control

EXPERIMENTAL

The interventional group receives Kinetic control training, which target two muscle groups mainly abdominals and glutes along with usual treatment

Other: movement retraining/ kinetic control; Other: Routine Physical therapy

Routine Physical Therapy Intervention for sacroilliac joint dysfunction

ACTIVE COMPARATOR

Routine physical therapy intervention includes, hot pack for 15 mins and exercise therapy for 25 mins, including sacroiliac joint self-mobilization, piriformis, gluteus medius, minimums, and maximus stretches, isometric hip exercises, knee-to-shoulder stretch, quadriceps and hamstring stretches, back-bridge.

Other: Routine Physical therapy

Interventions

movement retraining/ kinetic control OTHER

this intervention is for experimental group. Kinetic control is grounded in the principles of motor control training and movement retraining. In this study, this intervention primarily focuses on activating and strengthening two key muscle groups: the abdominals and obliques, along with the gluteal muscles.

movement retraining with the concept of kinetic control

Routine Physical therapy OTHER

Routine physical therapy intervention will be given to the patient which includes, hot pack for 15 mins and exercise therapy for 25 mins, involving floor sessions including sacroiliac joint self-mobilization, piriformis, gluteus medius, minimums, and maximus stretches, leg pressing inward/outward, knee-to-shoulder stretch, quadriceps and hamstring stretches, standard and one-leg elevated

Routine Physical Therapy Intervention for sacroilliac joint dysfunction; movement retraining with the concept of kinetic control

Eligibility Criteria

• Age: 20 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Symptoms of sacroiliac joint dysfunction lasting more than 2 months
• Male and female participants aged 20-60 years
• Positive lumbopelvic motor control tests
• Pain intensity of ≥4 on a 0-10 Numeric pain rating scale (NPRS)
• Positive results in three or more of the following provocative tests: FABER test, Distraction test, Thigh Thrust test, Gaenslen test, or Sacral Thrust test
• Diagnosis consistent with International Association for the Study of Pain (IASP) criteria, indicating pain localized to the sacroiliac joint region (hips/groins or radiating to the lower extremity)

You may not qualify if:

• History of malignancy
• Neurological disease affecting the central nervous system (e.g., multiple sclerosis, dementia)
• Rheumatic disease (e.g., fibromyalgia, ankylosing spondylitis, rheumatoid arthritis)
• Disc herniation or lumbar radiculopathy due to systemic disease
• Spinal surgery within the last 12 months
• Pregnancy
• Signs or symptoms of lumbar nerve root pathology identified during neurological examination

Sponsors & Collaborators

• Lahore University of Biological and Applied Sciences: lead

Study Sites (1)

Sehat Medical Complex

Lahore, Punjab Province, 54500, Pakistan

Location

MeSH Terms

Conditions

Low Back Pain; Pelvic Girdle Pain

Condition Hierarchy (Ancestors)

Back Pain; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Musculoskeletal Pain; Pelvic Pain

Study Officials

• Manum Tahir

  Lahore University of Biological and Applied Sciences

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator (Clinical Musculoskeletal Physiotherapist, Faculty of Rehabilitation Sciences)

Study Record Dates

• First Submitted: October 1, 2025
• First Posted: November 14, 2025
• Study Start: August 17, 2025
• Primary Completion: February 20, 2026
• Study Completion: February 28, 2026
• Last Updated: April 28, 2026

Record last verified: 2026-04

Locations

PA (1)