Effects of Muscle Energy Technique Combined With Mobilization in Patients With Sacral Torsion

NCT07329426 | Recruiting

• 1 other identifier: FUI/CTR/2025/24
• Study Type: interventional
• Target: 46
• Locations: 1 country
• Sites: 1

Brief Summary

Project Summary Low Back Pain is one of the most prevalent musculoskeletal conditions worldwide. More than 70% of the people experience low back pain at some time in their life. The sacroiliac joint has been found to be the source of pain in 30% of mechanical low back pain sufferers. Sacral torsion is one of the types of SIJ dysfunction. This randomized controlled trial, conducted at Fauji Foundation Hospital and Foundation University College of Physical Therapy will assess the effects of combining muscle energy technique with mobilization on pain, lumbar range of motion, disability and active straight leg raise. Participants will be randomly assigned to either mobilization alone or mobilization with muscle energy technique, performed three times per week for two weeks. Data will be collected at baseline and at end of study (week 2) using the Numeric pain rating scale, goniometer, inclinometer and oswestry disability index. This study addresses a research gap by exploring combined effects of muscle energy technique (PFS) and Maitland mobilization for sacral torsion in improving pain, lumbar mobility, disability and active straight leg raise.

Conditions

Sacral Torsion

Outcome Measures

Primary Outcomes (4)

• Pain intensity

  n=Numeric Pain Rating Scale (NPRS) will be used, 0 means no pain and 10 means worst pain.

  2 weeks

• Functional Disability

  Oswestry Disability Index

  2 weeks

• Lumbar Mobility

  Inclinometer will be used for checking the lumbar mobility

  2 weeks

• Active Straight Leg Raise

  Goniometer will measure Active Straight Leg Raise

  2 weeks

Study Arms (2)

Maitland Mobilization With Muscle Energy Technique (PFS)

EXPERIMENTAL

Participants in this group will receive Maitland mobilization technique, two sets of 60 oscillations for 30 seconds, directed at sacrum according to standard graded oscillatory movements, grade 1 or 2 in week 1 and grade 3 or 4 in week 2. Muscle Energy Technique (MET) will also be applied to this group targeting specific muscles contributing to sacral torsion (e.g., piriformis, hamstrings, quadratus lumborum), with the purpose of correcting asymmetry, improving joint alignment, and enhancing the overall effectiveness of mobilization. The contract time will be 6-10 seconds and Hold time will be 15 seconds.

Procedure: Muscle Energy Technique + Maitland Mobilization

Maitland Mobilization

EXPERIMENTAL

Participants in this group will receive Maitland mobilization technique, two sets of 60 oscillations for 30 seconds, directed at the sacrum. Mobilization will be applied according to the standard graded oscillatory movements grade 1 or 2 in week 1 and grade 3 or 4 in week 2, aiming to restore joint mobility, reduce pain, and improve function. No additional interventions will be provided.

Procedure: Maitland Mobilization

Interventions

Maitland Mobilization PROCEDURE

Group B will not receive any form of Muscle Energy Technique (MET). Instead, the intervention will consist exclusively of a joint mobilization technique directed at Sacrum.

Maitland Mobilization

Muscle Energy Technique + Maitland Mobilization PROCEDURE

Group A will receive Muscle energy technique with Maitland mobilization. Treatment protocol given to both groups will be carried out for 3 sessions per week for 2 weeks. Post Facilitation Muscle Energy Technique. WEEK 1: * Hot pack (10 minutes) * Post-Facilitation MET for piriformis, Quadratus Lumborum and Hamstrings. WEEK 2: * Hot pack (10 minutes) * Post-Facilitation MET for piriformis, Quadratus Lumborum and Hamstrings.

Maitland Mobilization With Muscle Energy Technique (PFS)

Eligibility Criteria

• Age: 22 Years - 44 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Age between 22- 44 years (18)
• Both males and females
• Clinically diagnosed sacral torsion. (Annexure E)
• Patients with pain intensity of at least 5 on NPRS
• Positive standing flexion test
• Positive seated flexion test
• Positive Gillet test
• Uneven anatomical landmarks (Sacral Sulcus, Inferior Lateral Angle, Lumbar Lordosis, Lumbar scoliosis, L5 position)

You may not qualify if:

• \. Neurological deficits (hemiparesis, paralysis) 2. Pregnancy 3. Spinal surgery of any kind 4. Antero-Retro Spondylolisthesis diagnosed through radiological findings 5. Degenerative disc disease diagnosed through radiological findings 6. Spinal stenosis 7. Infection, tumors, osteoporosis, spinal fracture

Sponsors & Collaborators

• Foundation University Islamabad: lead

Study Sites (1)

Foundation University Islamabad

Islamabad, Punjab Province, 46000, Pakistan

RECRUITING

Central Study Contacts

Hafiza Noor ul Huda, DPT

CONTACT

03245475950; hafiza.huda94@gmail.com

Ruqia Begum, MS-OMPT

CONTACT

03115532544; ruqia@fui.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 29, 2025
• First Posted: January 9, 2026
• Study Start: January 15, 2025
• Primary Completion: December 30, 2025
• Study Completion: January 15, 2026
• Last Updated: January 9, 2026

Record last verified: 2025-12

Locations

PA (1)