Effects of MET With and Without Lumbopelvic Manipulation

NCT07642713 | Not Yet Recruiting

• 1 other identifier: REC/RCR&AHS/25/0117
• Study Type: interventional
• Target: 52
• Locations: 1 country
• Sites: 1

Brief Summary

The study aims to determine whether lumbopelvic manipulation yields superior improvements in pain, pelvic alignment, and functional ability when combined with METs compared to the treatment provided through METs solely.

Conditions

Anterior Pelvic Tilt

Keywords

Manipulation; Disability; Girdle pain; Muscle Stretching

Outcome Measures

Primary Outcomes (3)

• Numeric Pain Rating Scale (NPRS) for pain

  This instrument is commonly used to rate the severity of pain. A scale of 0 to 10 is used by patients to rate their present level of pain, with 0 indicate "no pain" and 10 indicate the "worst possible pain. The patient verbally report number between 0 to 10. NPRS demonstrate strong measurement properties in patients with low back pain

  4 weeks

• Oswestry Disability Index (ODI) for functional disability

  ODI version 2 was used in this study assess functional disability associated with low back pain and sacroilliac joint dysfunction. ODI is standardized and widely used self-reported questionnaire evaluate impact of pain on activities of daily living and functional status. It consists of 10 sections including pain intensity, personal care, lifting, walking, sitting, standing, sleeping, sex life, social life, and traveling. Each domain consists of six items that are ranked from 0 to 5, with 0 being no disability and 5 being maximum disability.

  4 weeks

• Clinometer:

  Smart Phone based inclinometer is a digital tool to measure body segmental angel when placed on Anatomical landmark Such as ASIS and PSIS and estimate pelvic tilt angel in standing and sitting position and align them using tape. This smart phone-based measurement tool has Reliability intra-rater: ICC = 0.87 and inter-rater: ICC = 0.82 in standing and in sitting intra-rater: ICC = 0.91 and inter-rater: ICC = 0.88 show excellent reproducibility and consistency of measurement.

  4 weeks

Study Arms (2)

lumbopelvic manipulation and METs

EXPERIMENTAL

Group A will receive baseline treatment with lumbopelvic manipulation and METs

Other: Lumbopelvic manipulation and METs

METs

ACTIVE COMPARATOR

Group B will receive baseline treatment with METs

Other: METs

Interventions

METs OTHER

Group A will undergo METs

METs

Lumbopelvic manipulation and METs OTHER

Group A will undergo Lumbopelvic manipulation and METs

lumbopelvic manipulation and METs

Eligibility Criteria

• Age: 25 Years - 40 Years
• Gender Eligibility Details: Anterior tilt more common in females
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Participants' age range 25\_40 years.
• Females
• Have subacute (4-12 weeks) pain close to PSIS
• Have ≥3/4 positive test PSIS height, standing flexion, prone knee flexion, supine to long sitting
• Two out of four positive tests of pain provocation Distraction, compression, thigh thrust, and sacral thrust test)
• Patients have moderate pain on the NPRS

You may not qualify if:

• Participants with True leg length Differences
• Systemic illnesses, such as ankylosing spondylitis or RA, or pregnancy
• Individuals with anticoagulation or bleeding disorders, acute muscle trauma, infections, lumbar disc herniation, spinal deformities, or a history of spinal surgery or anticoagulation medication
• No history of fracture

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Rehab Cure

Lahore, Punjab Province, 54000, Pakistan

Location

Related Publications (4)

• Bibrowicz K, Ogrodzka-Ciechanowicz K, Hudakova Z, Szurmik T, Bibrowicz B, Kurzeja P. Pelvic Asymmetry and Stiffness of the Muscles Stabilizing the Lumbo-Pelvic-Hip Complex (LPHC) in Tensiomyography Examination. J Clin Med. 2025 Mar 25;14(7):2229. doi: 10.3390/jcm14072229.

  PMID: 40217684 BACKGROUND

• Chu ECP, Wong AYL. Change in Pelvic Incidence Associated With Sacroiliac Joint Dysfunction: A Case Report. J Med Cases. 2022 Jan;13(1):31-35. doi: 10.14740/jmc3816. Epub 2022 Jan 17.

  PMID: 35211233 BACKGROUND

• Fiani B, Sekhon M, Doan T, Bowers B, Covarrubias C, Barthelmass M, De Stefano F, Kondilis A. Sacroiliac Joint and Pelvic Dysfunction Due to Symphysiolysis in Postpartum Women. Cureus. 2021 Oct 9;13(10):e18619. doi: 10.7759/cureus.18619. eCollection 2021 Oct.

  PMID: 34786225 BACKGROUND

• Akram H, Bashir MS, Zia A, Noor R, Shakeel A. Comparison of muscle energy technique and mobilization with movement to reduce pain and improve functional status in subjects with anterior innominate ilio-sacral dysfunction. J Bodyw Mov Ther. 2024 Oct;40:1336-1341. doi: 10.1016/j.jbmt.2022.11.003. Epub 2022 Dec 5.

  PMID: 39593454 BACKGROUND

MeSH Terms

Interventions

ETV3 protein, human

Study Officials

• Hira Shaukat, Mphill

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Imran Amjad, PhD

CONTACT

03324390125; Imran.amjad@riphah.edu.pk

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: SPONSOR

Study Record Dates

• First Submitted: June 8, 2026
• First Posted: June 11, 2026
• Study Start: June 15, 2026
• Primary Completion (Estimated): October 10, 2026
• Study Completion (Estimated): November 10, 2026
• Last Updated: June 11, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)