COMBINATION OF LATISSIMUS DORSI AND GLUTEAL STRENGTHENING IN SACROILIAC DYSFUNCTION

NCT07477717 | Not Yet Recruiting DMC

• 1 other identifier: LD strengthening in SID
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

The current study will try to answer the following research question: In adults with sacroiliac joint dysfunction, what is the effect of combination LD strengthening exercises with gluteal strengthening exercises compared with gluteal strengthening exercises alone on the primary outcomes of this study (pain intensity during pressure on posterior superior iliac spine \[PSIS\] and neuropathic pain severity) and the secondary outcomes (disability, pelvic inclination, pelvic torsion, sacral inclination, GMax and LD strength)? Participants will be devided equally into two groups:

1. 1.Group A (Control group): will receive a gluteal strengthening exercise program.
2. 2.Group B (Intervention group): will receive the same gluteal strengthening exercise program as group A, in addition to the LD strengthening exercise program.

Conditions

Sacroiliac Dysfunction

Outcome Measures

Primary Outcomes (1)

• Pain intensity using the Arabic version of the numeric pain rating scale (Ar-NPRS) during PSIS pressure

  Ar- NPRS comprises an 11-point -horizontal scale‖ of 0-10 in Arabic numerals anchored by the two ends, the left (0 indicating no pain at all) and right (10) indicating the worst pain ever. Mild pain ranges from 1-3, moderate pain 4-6 and severe pain 7-10. The patients can indicate the number that describes their pain level closely.

  week 7

Secondary Outcomes (1)

• Disability using the Arabic Roland-Morris disability questionnaire (ArRMDQ)

  week 7

Study Arms (2)

Gluteal strengthening exercise program

ACTIVE COMPARATOR

Retro Step-Up Unilateral Wall Squat Wall Press Exercise Prone Hip Extension

Other: Gluteal strengthening exercise program

Gluteal strengthening combined with LD strengthening exercise program

EXPERIMENTAL

Retro Step-Up Unilateral Wall Squat Wall Press Exercise Prone Hip Extension Conventional shoulder extension in the prone position Downward bar pulling in the seated position (LPD) following expert instruction Pull-down exercises from standing position Inverted row body weight exercises with a supinated grip and double-leg WB Modified curl-up Ipsilateral upper trunk bending

Other: Gluteal strengthening combined with LD strengthening exercise program

Interventions

Gluteal strengthening exercise program OTHER

Retro Step-Up Unilateral Wall Squat Wall Press Exercise Prone Hip Extension The treatment duration will be 6 weeks at a frequency of 3 supervised sessions/week (18 sessions total).

Gluteal strengthening exercise program

Gluteal strengthening combined with LD strengthening exercise program OTHER

Retro Step-Up Unilateral Wall Squat Wall Press Exercise Prone Hip Extension Conventional shoulder extension in the prone position Downward bar pulling in the seated position (LPD) following expert instruction Pull-down exercises from standing position Inverted row body weight exercises with a supinated grip and double-leg WB Modified curl-up Ipsilateral upper trunk bending The treatment duration will be 6 weeks at a frequency of 3 supervised sessions/week (18 sessions total).

Gluteal strengthening combined with LD strengthening exercise program

Eligibility Criteria

• Age: 35 Years - 55 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Patient with clinical diagnosis of low back pain because of SIJD.
• Age between 35-55 years old.
• Numeric pain rating scale (NPRS) score of less than 8
• moderate disability score ranging from 5-14 on the Arabic version of Roland-Arabic Disability Questionnaire (ArRMDQ).
• Patients with unilateral chronic pain for more than 3 months below L5 overlap the posterior aspect of the SIJ around PSIS.
• Patients with gluteal pain with or without groin pain, with or without lower extremity pain that are not compatible with the lumbar nerve roots dermatome.
• ≥4 in the diagnostic scoring system.
• Two out of 4 positive tests in a cluster of Laslett.

You may not qualify if:

• Patients with any previous fractures or surgery in the lumbosacral or pelvic region before the study.
• Pregnancy and lactation during study.
• Radicular pain or radiculopathy.
• Spinal pathology.
• Participation in physiotherapy sessions within 6 months before enrollment in the study.
• Injection of corticosteroids or anaesthetics in the SIJ during the previous month.
• Sacroiliac infection or sacroiliitis.
• Neurological signs of spinal stenosis.
• Uncontrolled hyper-tension.
• Treatment, including non-steroidal anti-inflammatories and painkillers, during the study

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Outpatient clinic of faculty of physical therapy, Cairo University

Cairo, Egypt

Location

Study Officials

• Shefaa AA Shuaib, MSc

  Cairo University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Shefaa AA Shuaib, MSc

CONTACT

Egypt: 002 01065891770; sshh70535@gmail.com

Enas F Youssef, PHD

CONTACT

Egypt: 002 01127867507; Enas.fawzy@pt.cu.edu.eg

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: Mrs

Study Record Dates

• First Submitted: March 13, 2026
• First Posted: March 17, 2026
• Study Start: April 1, 2026
• Primary Completion (Estimated): August 30, 2026
• Study Completion (Estimated): November 30, 2026
• Last Updated: March 17, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)