Maitland Mobilization and Lumbopelvic Coordination Exercises in Patients With Post Colonoscopy Coccydynia .

NCT07438678 | Completed

• 1 other identifier: REC/RCR&AHS/24/01115
• Study Type: interventional
• Target: 42
• Locations: 1 country
• Sites: 1

Brief Summary

The study was conducted to determine the Combined effects of Maitland mobilization and lumbopelvic coordination exercise on pain, range of motion and quality of life in patients with post colonoscopy coccydynia.

Conditions

Coccydynia

Keywords

coccydynia; maitland mobilization; pain

Outcome Measures

Primary Outcomes (3)

• numeric pain scale

  the scale was used to determine the patient level of pain . the range of this scale is from 0 to 10. no pain is represented by ''O"'and worst pain is represented by ''10''.

  from enrollment to 4 sessions per week for total duration of 4 week

• inclinometer

  The range of motion will be measured using inclinometer that has an inter-rater reliability (ICC2,2 = 0.92 to 0.96) and in case of coccydynia, the range of motion will be assessed in the sacroiliac joint, lumbar spine and pelvic region

  from enrollment to 4 sessions per week to total duration of 4 weeks.

• SF 36 questionnaire

  One of the most widely used tools for assessing health-related quality of life is the 36-item Short Form Health Survey (SF-36). Physical functioning (10 items), physical role limitations (4 items),bodily pain (2 items), general health perceptions (5 items), energy/vitality (4 items), social functioning (2 items), and emotional role limitations (3 items) are the eight domains of health status that are measured by the 36-item SF-36 scale

  from enrollement to 4 sessions per week for total duration of 4 weeks.

Study Arms (2)

Maitland mobilization and lumbopelvic coordination exercises

EXPERIMENTAL

Other: Maitland Mobilization and lumbopelvic coordination

Standard Physical Therapy

ACTIVE COMPARATOR

Other: Standard physical therapy treatment

Interventions

Standard physical therapy treatment OTHER

group B was given hot pack for 10min to reduce pain and promote tissue relaxation followed by stretching of the superficial and coccygeal muscles around the pelvis and lower back performed 3 times for 30 sec each.

Standard Physical Therapy

Maitland Mobilization and lumbopelvic coordination OTHER

group A received maitland mobilization technique 3 times per week which aimed to reduce pain and improve overall mobility and function . Intervention involve streching the hip flexors muscles (ilipsoas, rectus femoris ,sartorius) performed as 2sets of 30seconds. strengthening exercises such as pelvic tilts and bridges were performed using 3 sets of 10 repetitions.

Maitland mobilization and lumbopelvic coordination exercises

Eligibility Criteria

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

You may qualify if:

• Males and Females between 18 to 60
• Diagnosed with post colonoscopy coccydynia
• Pain in the lower back and around coccyx area without palpation and radiation
• Pain level of 3 at the scale of 10
• No history of trauma to the coccyx
• Ability to participate in the study

You may not qualify if:

• Present of neurological disorders
• Any trauma or surgery
• Pregnancy
• Cyst or cancer in the pelvic region
• Diabetes mellitus
• Major ligament injuries in the pelvic region
• Any type of fractures
• Diagnosed psychological disorders

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Ali Rehabilitation and Pain relieve center Multan

Multan Khurd, Punjab Province, 60810, Pakistan

Location

Related Publications (11)

• Riaz H, Kazmi YA, Khaliq S, Ahmad MZ, Azfar H, Younas Z. Effectiveness of Extracorporeal Shockwave Therapy versus Maitland Mobilization on Pain and Sacroiliac Joint Dysfunction. Heal J Physiother Rehabil Sci. 2025;5(2):50-5.

  BACKGROUND

• Yan H, Zhao P, Guo X, Zhou X. The effects of Core Stability Exercises and Mulligan's mobilization with movement techniques on sacroiliac joint dysfunction. Front Physiol. 2024 Apr 18;15:1337754. doi: 10.3389/fphys.2024.1337754. eCollection 2024.

  PMID: 38699145 BACKGROUND

• Sepiddar F, Barati AH, Yarahmadi Y. The effect of pelvic clock exercises on pain reduction and lumbopelvic proprioception in middle-aged women with chronic nonspecific low back pain (CNSLBP). J Bodyw Mov Ther. 2024 Apr;38:615-620. doi: 10.1016/j.jbmt.2023.11.019. Epub 2023 Nov 17.

  PMID: 38763616 BACKGROUND

• Tufekci O, Yilmaz K, Gercek H, Unuvar BS. The effectiveness of manipulation in combination with exercise for patients with coccydynia: Six months follow-up of a randomized controlled trial. Int J Osteopath Med. 2024; 51:100711.

  BACKGROUND

• Mosaad EH, Mohamed AY, Fawzy AA, Mohamed MH. The effect of adding kinesiotaping versus pelvic floor exercise to conventional therapy in the management of post-colonoscopy coccydynia: a single-blind randomized controlled trial. Afr Health Sci. 2023 Mar;23(1):575-583. doi: 10.4314/ahs.v23i1.60.

  PMID: 37545928 BACKGROUND

• Zaidi F, Ahmed I. Effectiveness of muscle energy technique as compared to Maitland mobilisation for the treatment of chronic sacroiliac joint dysfunction. J Pak Med Assoc. 2020 Oct;70(10):1693-1697. doi: 10.5455/JPMA.43722.

  PMID: 33159735 BACKGROUND

• Shojaei I, Salt EG, Bazrgari B. A prospective study of lumbo-pelvic coordination in patients with non-chronic low back pain. J Biomech. 2020 Mar 26;102:109306. doi: 10.1016/j.jbiomech.2019.07.050. Epub 2019 Aug 7.

  PMID: 31427092 BACKGROUND

• Jabu NJ. "Effectiveness of specific lumbar stabilization Exercises for low back pain among postpartum Women". Bangladesh Health Professions Institute, Faculty of Medicine, the University …; 2019.

  BACKGROUND

• Kaur H, Sharma M, Hazari A. Effectiveness of Maitland mobilization and mulligan mobilization in sacroiliac joint dysfunction: a comparative study. Crit Rev Phys Rehabil Med. 2019;31(2).

  BACKGROUND

• Mohanty PP, Pattnaik M. Effect of stretching of piriformis and iliopsoas in coccydynia. J Bodyw Mov Ther. 2017 Jul;21(3):743-746. doi: 10.1016/j.jbmt.2017.03.024. Epub 2017 Mar 29.

  PMID: 28750995 BACKGROUND

• Sidiq M, Ravichandran H, Janakiraman B, Chahal A, Rai RH, Alotaibi AH, Alotaibi AH, Alotaibi AS, Ibrahim AA, Alharbi EA, Kashoo FZ, Vats H. Effectiveness of physical therapy interventions for coccydynia: a systematic review with a narrative synthesis. Arch Physiother. 2025 Apr 25;15:77-89. doi: 10.33393/aop.2025.3233. eCollection 2025 Jan-Dec.

  PMID: 40308532 BACKGROUND

MeSH Terms

Conditions

Pain

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• iqra ghafoor, Ph.D*

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: February 23, 2026
• First Posted: February 27, 2026
• Study Start: February 3, 2025
• Primary Completion: November 3, 2025
• Study Completion: November 11, 2025
• Last Updated: February 27, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)