CMCT Versus CSE in Treatment of SIJ Pain

NCT07370272 | Not Yet Recruiting

• 1 other identifier: CMCT in SIJ Pain
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to investigate the difference between integrating lumbopelvic cognitive movement control training versus core stabilization exercises to the conventional physiotherapy program on pain, function, lumbopelvic stability, functional load transfer, and postural control in patients suffering from SIJ pain. The main question it aims to answer is: What are the effects of adding lumbopelvic movement control training versus core stabilization exercises to the conventional physiotherapy program in treating patients with SIJ pain? Researchers will compare adding lumbopelvic movement control training versus core stabilization exercises to the conventional physiotherapy program to investigate its effectiveness in treatment of SIJ pain Participants will:

• Group (A) - Control Group: will receive conventional physiotherapy program (US and MET)
• Group (B) - Core Stability Exercises Group: will receive conventional US, MET, and core stability ex's
• Group (C) - Lumbopelvic cognitive movement control training Group: will receive conventional US, MET, and cognitive movement control training.
• receive the training protocol 3 times a week for 8 weeks according to the set schedules.
• perform a home exercise program in the same dose of repetitions and time as in the session.
• be assessed before and after the intervention and training period to address the outcome measures.

Conditions

Sacroiliac Joint Pain

Keywords

cognitive movement control training; core stability exercises; sacroiliac joint pain

Outcome Measures

Primary Outcomes (2)

• Pain: using Numerical Pain Rating Scale (NPRS)

  The Arabic Numeric Pain Rating Scale (ANPRS) measures pain intensity in Arabic-speaking patients. The patients will be asked to rate their pain on a 10-point pain scale with a 0 score means no pain and 10 score means maximum pain.

  Baseline (pre-treatment) and after 8 weeks (post-treatment)

• Functional disability: using Oswestry Disability Index (ODI)

  The Arabic ODI is appropriate for use as a patient reported outcome measure with Arabic speaking individuals with low back pain and /or SIJ pain. The patients will be instructed to fill the ODI which is a self-report pencil and paper survey, where subjects indicate how their pain affects their abilities in 10 questions on domains such as pain intensity, personal care, lifting, walking, sitting, standing, sleeping, social life, travel, and sexual life.

  Baseline (pre-treatment) and after 8 weeks (post-treatment)

Secondary Outcomes (3)

• Lumbopelvic motor control function: by Pressure Biofeedback Unit (PBU)

  Baseline (pre-treatment) and after 8 weeks (post-treatment)

• Functional Load transfer: by Active straight leg raise test (ASLR)

  Baseline (pre-treatment) and after 8 weeks (post-treatment)

• Balance and Postural control: by Single leg stance balance test with eyes closed (SLSBT-EC)

  Baseline (pre-treatment) and after 8 weeks (post-treatment)

Study Arms (3)

Group (A): Control Group

ACTIVE COMPARATOR

The subjects will receive therapeutic ultrasound (for 5 mins, intensity of 1W/cm2). In addition, MET will be applied in prone position for anterior and posterior innominate rotation around the pelvis.

Other: The conventional Physiotherpay Program (US & MET)

Group (B): Core Stability Exercises Group

EXPERIMENTAL

In addition to the traditional protocol delivered in group (A) including US and stretching by MET, subjects in this group will perform core stabilization exercises (CSE) to improve the activation and coordination of deep core stabilizers: transversus abdominis, multifidus, and pelvic floor muscles. The core stabilization exercises consist of 5 exercises: pelvic tilt, double knee to chest, bridging, bird-dog, and cat-camel to be performed in the same order.

Other: The conventional Physiotherpay Program (US & MET); Other: Core Stability Exercises (CSE)

Group (C): Lumbopelvic cognitive movement control training Group

EXPERIMENTAL

In addition to the traditional protocol delivered in group (A) including US and stretching by MET, subjects in this group will undergo lumbopelvic cognitive movement control training (CMCT) that requires the lumbopelvic region to be positioned neutrally and the subject will be asked to consciously maintain the desired alignment and keep a pre-determined value of PBU whilst the lower limbs are actively moved to achieve a pre-determined benchmark. This training will be in multi-directions to address the lumbopelvic uncontrolled movements into flexion, extension and rotation as follows: * Into flexion, we will use double bent leg lift exercise. * Into extension, we will use double leg lower exercise and also, double knee bend exercise * Into rotation, we will use single hip extension exercise and also, bent knee fallout exercise

Other: The conventional Physiotherpay Program (US & MET); Other: Lumbopelvic cognitive movement control training (CMCT)

Interventions

The conventional Physiotherpay Program (US & MET) OTHER

The conventional approach includes ultrasound (US) application combined with muscle energy technique (MET) for the lumbopelvic region. The subjects will receive therapeutic ultrasound (for 5 mins, intensity of 1W/cm2). In addition, MET will be applied in prone for anterior and posterior innominate rotation around the pelvis. The subject will then be asked to apply 20% force against that applied by the therapist and hold that contraction for 10 seconds over 5 to 10 repetitions.

Also known as: control group, traditional program

Group (A): Control Group; Group (B): Core Stability Exercises Group; Group (C): Lumbopelvic cognitive movement control training Group

Core Stability Exercises (CSE) OTHER

In addition to the conventional protocol including US and MET stretching, subjects in this group will perform core stabilization exercises (CSE) to improve the activation and coordination of deep core stabilizers: transversus abdominis, multifidus, and pelvic floor muscles, which are essential for maintaining lumbopelvic stability and neuromuscular control. The core stabilization exercises consist of 5 exercises: pelvic tilt, double knee to chest, bridging, bird-dog, and cat-camel, to be performed in the same order. Also, before each exercise, the physical therapist will give detailed verbal explanation and visual instructions (pictures) regarding the start and end positions. Each exercise will be done for two sets of 10 repetitions, 3 sessions per week (day after day), for 8 weeks.

Group (B): Core Stability Exercises Group

Lumbopelvic cognitive movement control training (CMCT) OTHER

In addition to the traditional protocol including US and MET stretching, subjects in this group will undergo lumbopelvic cognitive movement control training (CMCT) that requires the lumbopelvic region to be positioned in a neutral alignment and the subject will be asked to consciously maintain the desired alignment and keep a pre-determined value of PBU whilst the lower limbs are actively moved to achieve a pre-determined benchmark. This training will be in multi-directions to address the lumbopelvic uncontrolled movements into flexion, extension and rotation as follows: * Into flexion, we will use double bent leg lift exercise * Into extension, we will use double leg lower exercise and also, double knee bend exercise * Into rotation, we will use single hip extension exercise and also, bent knee fallout exercise Each exercise will be done for 20-30 slow repetitions or up to two consecutive mins. of slow repetitions, with hold time (no pressure change) for at least 5 seconds inbetween.

Group (C): Lumbopelvic cognitive movement control training Group

Eligibility Criteria

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

You may qualify if:

• Age of the subjects will range between 18 - 45 years for young middle-aged adults.
• Unilateral SIJ pain lasting for at least 3 months, in lower back, buttock, groin, posterior superior iliac spine (PSIS) and with or without referral pain to the lower extremities.
• SIJ pain below L5 region.
• Non-centralized LBP i.e. has no directional preference.
• Score positive on 3 out of 5 SIJP provocation tests: compression, distraction, sacral thrust, thigh thrust, Gaenslen's.

You may not qualify if:

• Limb-length discrepancy,
• Clear signs of nerve root compression (radiating pain, motor and/or sensory deficits,
• Previous major back surgery or injury, fracture or arthritis of spine, pelvis, hip, knee or ankle joint,
• Seronegative spondyloarthropathies,
• Visual or vestibular deficit,
• Unable to follow command/ cognitive deficits,
• Postpartum women less than six months,

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Faculty of Physical Therapy, Cairo University

Giza, Egypt

Location

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MeSH Terms

Interventions

Control Groups

Intervention Hierarchy (Ancestors)

Epidemiologic Research Design; Epidemiologic Methods; Investigative Techniques; Research Design; Methods

Study Officials

• Salwa F Abdelmajeed, Professor, PT. PhD.

  Cairo University

  STUDY CHAIR

• Marihan Z Aziz, Lecturer, PT. PhD

  Cairo University

  STUDY DIRECTOR

• Ihab M Emran, Assistant Professor, MD. PhD

  Faculty of Medicine (Kasr Al-Aini), Cairo University

  STUDY CHAIR

Central Study Contacts

Mina M Morkos, Assistant Lecturer, PT. MSc.

CONTACT

+20 1285061286; mina.maher.morkos@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Lecturer of Physical Therapy for Musculoskeletal Disorders and its Surgeries

Study Record Dates

• First Submitted: January 19, 2026
• First Posted: January 27, 2026
• Study Start: February 1, 2026
• Primary Completion (Estimated): July 1, 2026
• Study Completion (Estimated): August 1, 2026
• Last Updated: January 27, 2026

Record last verified: 2026-01

Locations

EG (1)