Comparison of Gluteal Muscle Activation and Core Strengthening in Dead Butt Syndrome Syndrome

NCT07576114 | Recruiting DMC

• 1 other identifier: REC/02289 Rehmat
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

The study design would be a Randomized Controlled Trial.This study would include a total 40 participants. 20 participants in each group. Sample size is obtained through G-power. The study duration will be 12 months after the approval from the research board. Non-probability convenience sampling will be used. Randomization will be done through sealed envelope method. The study will be conducted from Quaid-e-Azam Hospital Rawalpindi and Margalla Rehabilitation Centre.

Conditions

Syndrome

Keywords

Dead Butt Syndrome; Gluteal Muscle Activation; Core Strengthening

Outcome Measures

Primary Outcomes (4)

• Tampa Scale of Kinesiophobia (TSK-11)

  The Tampa Scale for Kinesiophobia (TSK-11) is a shortened, 11-item version of the original 17-item TSK questionnaire used to assess fear of movement, or kinesiophobia, in individuals with chronic pain or other conditions involving movement limitations

  4 weeks

• Lower Extremity Functional Scale (LEFS)

  The Lower Extremity Functional Scale (LEFS) is used to assess "patients' initial function, ongoing progress, and outcome" for a variety of disorders affecting the lower extremities. LEFS is a self-reported survey. The LEFS total score ranges from 0 to 80, with higher scores indicating better functional ability.

  4 weeks

• Numeric Pain Rating Scale

  The Numeric Pain Rating Scale (NPRS) is a tool used to measure the intensity of pain. It's a unidimensional scale, typically an 11-point scale ranging from 0 to 10, where 0 represents no pain and 10 represents the worst pain imaginable. Patients verbally or numerically indicate the level of pain they are experiencing.

  4 Weeks

• The Trendelenburg test

  The Trendelenburg test is a physical examination used to assess the strength of hip abductor muscles, specifically the gluteus medius and gluteus minimus, or to check for the competency of venous valves in the legs. A positive Trendelenburg sign, indicated by a drop of the pelvis on the unsupported side during a single-leg stance, suggests weakness in the hip abductors.

  4 Weeks

Study Arms (2)

Group A: Gluteal Activation

EXPERIMENTAL

Other: Group A: Gluteal Muscle Activation

Active comparator

ACTIVE COMPARATOR

Group B - Gluteal Muscle Activation Program + Core Strengthening Program Hot pack applied to lumbar area for 15-20 minutes. 3 sessions per week for 4 weeks. Moderate intensity, bodyweight-based exercises with controlled movement. Each exercise: 3 sets of 15 repetitions with 30-40 seconds rest between sets. Target: Gluteal muscles and pelvic control:

Other: Group B: Gluteal Muscle Activation and Core stregthening exercises

Interventions

Group A: Gluteal Muscle Activation OTHER

Gluteal Activation focuses on "waking up" and isolating the gluteus maximus, medius, and minimus to ensure they fire properly, often using low-load, high-control movements.

Group A: Gluteal Activation

Group B: Gluteal Muscle Activation and Core stregthening exercises OTHER

Gluteal Activation focuses on "waking up" and isolating the gluteus maximus, medius, and minimus to ensure they fire properly, often using low-load, high-control movements.Core Strengthening focuses on stabilizing the spine and pelvis by targeting the abdominals, back, and deep pelvic muscles.

Active comparator

Eligibility Criteria

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

You may qualify if:

• Symptoms persisting for more than 6 weeks (subacute or chronic cases).
• Sedentary to moderately active individuals (i.e., not involved in heavy gluteal-strengthening or core training for at least 3 months prior to the study). vParticipants will be diagnosed with Dead Butt Syndrome based on the presence of at least two out of three of the following criteria:
• Self-reported dull ache, discomfort, or tightness in the gluteal region worsened with prolonged sitting or walking.
• Positive Trendelenburg Test
• ≤ 4/5 on the standard MRC grading scale

You may not qualify if:

• Pregnancy or plans to become pregnant during the study period.
• Diagnosed hip labral tears, piriformis syndrome, or sciatica unrelated to gluteal amnesia.
• Degenerative or neurological conditions such as osteoarthritis, multiple sclerosis, stroke, or spinal cord injury.
• History of significant spinal trauma or surgery in the past 12 months.
• Engagement in regular physical exercise or participation in rehabilitation programs within the last 6 months.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah University Islamabad

Islamabad, Pakistan

RECRUITING

MeSH Terms

Conditions

Syndrome

Condition Hierarchy (Ancestors)

Disease; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Attiq Ur Rehman, MS

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

REHMAT KHATOON, MS-OMPT

CONTACT

0321-8562693; rehmi123jillani@gmail.com

Attiq ur Rehman Physiotherapist, MS

CONTACT

+92-336-1055533; attiq.rehman@riphah.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: May 4, 2026
• First Posted: May 8, 2026
• Study Start: December 5, 2025
• Primary Completion: May 5, 2026
• Study Completion (Estimated): May 28, 2026
• Last Updated: May 8, 2026

Record last verified: 2026-05

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)