Sacroiliac Joint DysfunctionNCT05404984
Effects of Core Stabilization Exercises With and Without Dry Cupping in Patients With Sacroiliac Joint Dysfunction
A study testing Dry cupping with core stabilization exercises and Core stabilization exercises in people with Sacroiliac Joint Dysfunction, run by Riphah International University at 1 site in Pakistan.
Trial summary
The aim of this study is to compare the effects of core stabilization exercises with and without dry cupping on pain and disability in patients with sacroiliac joint dysfunction. Read more about this study
- Who is it for?
- Ages 20 to 35 years
- Conditions the study is for
- Sacroiliac Joint Dysfunction
- What is being tested?
- Dry cupping with core stabilization exercises and Core stabilization exercises
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 24 participants
- Where
- 1 sitePakistan
- Study dates
- Jun 2022to 1 Jan 2023
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 20 to 35 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Chronic low back pain for more than 3 months
- Pain on performing pain provocative tests for sacroiliac dysfunction
- Oswestry disability index above 20% but below 80%
Who cannot join
- Participants suffering from specific low back pain like PIVD with instability or any radicular symptoms, lumbar spondylosis, lumbarcanal stenosis, spondylolisthesis, sensory deficits, malignancies and tuberculosis.
- Any traumatic conditions around the pelvis and lower limbs, any infectious, tumors conditions around the pelvis.
- Pregnancy, any lower limb abnormalities, any recently underwent abdominal and low back surgery.
Trial locations and contacts
1 site in 1 country.
Pakistan1 site
Riphah Rehabilitation Clinic
Lahore, Punjab Province, 54000
Muhammad Salman Bashir, PhD, +923334497959, salman.bashir@riphah.edu.pk
Noor-ul Ain, MSPT-OM
About this study
Official title: Effects of Core Stabilization Exercises With and Without Dry Cupping on Pain and Disability in Patients With Sacroiliac Joint Dysfunction
The aim of this study is to compare the effects of core stabilization exercises with and without dry cupping on pain and disability in patients with sacroiliac joint dysfunction.
Read the detailed description
Low back pain (LBP) is recognized by its most common symptom - pain - and is known as the primary cause of disability one of the most frequent pain-producing factors in patients with LBP is sacroiliac joint dysfunctions (SJD). The sacroiliac joint dysfunction syndrome (SIJDS) is a contentious topic that is a common cause of low back pain (LBP) and patients often seek physical therapy helps to deal with their symptoms. Dry cupping on the SIJ is a physical therapy technique that has been supported by research in numerous areas, including pain reduction and SIJ mobility promotion.
But, in previous studies, there is very less literature regarding determining effects of the dry cupping on sacroiliac joint dysfunction. Therefore there is a dire need to explore the effect of dry cupping on sacroiliac joint dysfunction. This study aims the management of pain disability and functional impairment in persons with sacroiliac joint dysfunction particularly core stabilization exercises along with dry cupping therapy.
- Conditions
- Sacroiliac Joint Dysfunction
- Being tested
- Dry cupping with core stabilization exercises, Core stabilization exercises
- Keywords
- dry cupping, core stabilization exercise, sacroiliac joint dysfunction
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Dry cupping with core stabilization exercisesOther
12 patients will receive dry cupping technique for 10 minutes followed by 10 repetitions of each core stabilization exercise in different positions. All the patients will receive this treatment once a week for 6 weeks.
Core stabilization exercisesOther
A total of 12 patients will perform 10 repetitions of each core stabilization exercise in different positions. All the patients will receive this treatment once a week for 6 weeks.
| Study group | Role | What they receive |
|---|---|---|
| Dry cupping with core stabilization exercises | Experimental | On 12 patients, dry cupping will be performed by using a disposable manual cupping set including a hand suction pump and plastic cups of different sizes. These cups will be placed over the points GB 30, Huantiao, BL-28 Pangguangshu, BL-54 ZHIBIAN and EM-Yaoyan. After dry cupping session core stabilization exercises will be added. Receives: Other: Dry cupping with core stabilization exercises |
| Core stabilization exercises | Active comparator | 12 patients will be asked to perform core stabilization exercises where the local stabilizers of the lumbopelvic region will be targeted to ensure segmental control in different positions such as supine, crook-lying, side-lying, prone, four-point kneeling, sitting, and standing. Receives: Other: Core stabilization exercises |
What is being measured
The primary outcome is the main question the study is designed to answer.
NPRS for pain
The Numerical Pain Rating Scale (NPRS) is a subjective measure in which individuals rate their pain on an eleven-point numerical scale. The scale is composed of 0 (no pain at all) to 10 (worst imaginable pain).
Measured: 6th week
Modified ODI for disability
It is a disease-specific disability measure and is used to find the level of disability with the help of questions asking about difficulty in performing activities of daily life in 10 different sections.
Measured: 6th week
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Jun 2022
- Study startJun 2022 (estimated)
- Primary completion1 Jan 2023 (estimated)
- Study completion1 Jan 2023 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (11)Papers the sponsor has linked to this study.
- Other trials for Sacroiliac Joint DysfunctionStudies of the same condition, open and under way.
- More trials run by Riphah International UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 24 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Riphah International University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Muhammad Salman Bashir, PhD, Principal investigator, Riphah International University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05404984
- Sponsor's protocol ID
- REC/RCR & AHS/22/0105
- Status last verified
- May 2022
- First submitted
- 31 May 2022
- Last updated
- 3 Jun 2022
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
1. M Anbar ARA, Saleh AM, Ismail NM, El-Shazly U. CUPPING VERSUS KINESIOTAP ON MANAGEMENT OF PATIENTS WITH SACROILIAC JOINT DYSFUNCTION:"A RANDOMIZED CONTROLLED TRIAL". Delta University Scientific Journal. 2020;3(2):21-32.
Dogan N, Sahbaz T, Diracoglu D. Effects of mobilization treatment on sacroiliac joint dysfunction syndrome. Rev Assoc Med Bras (1992). 2021 Jul;67(7):1003-1009. doi: 10.1590/1806-9282.20210436.
PubMed 348175147. Al-Qudah M, Khalid A-J. Impact Of Cupping Massage and Modified Spinal Decompression Therapy With Core Stabilization Exercise In Lumbar Bulging Disc Management. Psychology and Education Journal. 2021;58(3):1978-86.
Nasb M, Qun X, Ruckmal Withanage C, Lingfeng X, Hong C. Dry Cupping, Ischemic Compression, or Their Combination for the Treatment of Trigger Points: A Pilot Randomized Trial. J Altern Complement Med. 2020 Jan;26(1):44-50. doi: 10.1089/acm.2019.0231. Epub 2019 Oct 3.
PubMed 31580695Wood S, Fryer G, Tan LLF, Cleary C. Dry cupping for musculoskeletal pain and range of motion: A systematic review and meta-analysis. J Bodyw Mov Ther. 2020 Oct;24(4):503-518. doi: 10.1016/j.jbmt.2020.06.024. Epub 2020 Jul 30.
PubMed 33218554Ozsoy G, Ilcin N, Ozsoy I, Gurpinar B, Buyukturan O, Buyukturan B, Kararti C, Sas S. The Effects Of Myofascial Release Technique Combined With Core Stabilization Exercise In Elderly With Non-Specific Low Back Pain: A Randomized Controlled, Single-Blind Study. Clin Interv Aging. 2019 Oct 9;14:1729-1740. doi: 10.2147/CIA.S223905. eCollection 2019.
PubMed 31631992Teut M, Ullmann A, Ortiz M, Rotter G, Binting S, Cree M, Lotz F, Roll S, Brinkhaus B. Pulsatile dry cupping in chronic low back pain - a randomized three-armed controlled clinical trial. BMC Complement Altern Med. 2018 Apr 2;18(1):115. doi: 10.1186/s12906-018-2187-8.
PubMed 29609566Kamali F, Zamanlou M, Ghanbari A, Alipour A, Bervis S. Comparison of manipulation and stabilization exercises in patients with sacroiliac joint dysfunction patients: A randomized clinical trial. J Bodyw Mov Ther. 2019 Jan;23(1):177-182. doi: 10.1016/j.jbmt.2018.01.014. Epub 2018 Jan 31.
PubMed 30691749Akbarzade M, Ghaemmaghami M, Yazdanpanahi Z, Zare N, Mohagheghzadeh A, Azizi A. Comparison of the Effect of Dry Cupping Therapy and Acupressure at BL23 Point on Intensity of Postpartum Perineal Pain Based on the Short Form of McGill Pain Questionnaire. J Reprod Infertil. 2016 Jan-Mar;17(1):39-46.
PubMed 26962482Polly DW, Swofford J, Whang PG, Frank CJ, Glaser JA, Limoni RP, Cher DJ, Wine KD, Sembrano JN; INSITE Study Group. Two-Year Outcomes from a Randomized Controlled Trial of Minimally Invasive Sacroiliac Joint Fusion vs. Non-Surgical Management for Sacroiliac Joint Dysfunction. Int J Spine Surg. 2016 Aug 23;10:28. doi: 10.14444/3028. eCollection 2016.
PubMed 27652199Noor Ul Ain; Bashir MS, Noor R, Ikram M, Iftikhar A, Najm R. Effects of core stabilisation exercises with and without dry cupping on pain and disability in patients with sacroiliac joint dysfunction. J Pak Med Assoc. 2025 Jan;75(1):61-65. doi: 10.47391/JPMA.8289.
PubMed 39828829
Study at a glance
From the registry record, last updated by the sponsor on 3 Jun 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Core Stabilization Exercises With and Without Dry Cupping on Pain and Disability in Patients With Sacroiliac Joint Dysfunction
- ClinicalTrials.gov ID
- NCT05404984
- Acronym / sponsor ID
- REC/RCR & AHS/22/0105
- Conditions
- Sacroiliac Joint Dysfunction
- Keywords
- dry cupping, core stabilization exercise, sacroiliac joint dysfunction
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 24 participants (estimated)
- Lead sponsor
- Riphah International UniversityUniversity, hospital or other
- Study start
- Jun 2022 (estimated)
- Primary completion
- 1 Jan 2023 (estimated)
- Study completion
- 1 Jan 2023 (estimated)
- First posted
- 3 Jun 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The aim of this study is to compare the effects of core stabilization exercises with and without dry cupping on pain and disability in patients with sacroiliac joint dysfunction.
Detailed description
Low back pain (LBP) is recognized by its most common symptom - pain - and is known as the primary cause of disability one of the most frequent pain-producing factors in patients with LBP is sacroiliac joint dysfunctions (SJD). The sacroiliac joint dysfunction syndrome (SIJDS) is a contentious topic that is a common cause of low back pain (LBP) and patients often seek physical therapy helps to deal with their symptoms. Dry cupping on the SIJ is a physical therapy technique that has been supported by research in numerous areas, including pain reduction and SIJ mobility promotion.
But, in previous studies, there is very less literature regarding determining effects of the dry cupping on sacroiliac joint dysfunction. Therefore there is a dire need to explore the effect of dry cupping on sacroiliac joint dysfunction. This study aims the management of pain disability and functional impairment in persons with sacroiliac joint dysfunction particularly core stabilization exercises along with dry cupping therapy.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Dry cupping with core stabilization exercises | Experimental | Other: Dry cupping with core stabilization exercisesOn 12 patients, dry cupping will be performed by using a disposable manual cupping set including a hand suction pump and plastic cups of different sizes. These cups will be placed over the points GB 30, Huantiao, BL-28 Pangguangshu, BL-54 ZHIBIAN and EM-Yaoyan. After dry cupping session core stabilization exercises will be added. |
| Core stabilization exercises | Active comparator | Other: Core stabilization exercises12 patients will be asked to perform core stabilization exercises where the local stabilizers of the lumbopelvic region will be targeted to ensure segmental control in different positions such as supine, crook-lying, side-lying, prone, four-point kneeling, sitting, and standing. |
Who may qualify
- Ages
- 20 to 35 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (3 listed)
- Chronic low back pain for more than 3 months
- Pain on performing pain provocative tests for sacroiliac dysfunction
- Oswestry disability index above 20% but below 80%
Key exclusion criteria (3 listed)
- Participants suffering from specific low back pain like PIVD with instability or any radicular symptoms, lumbar spondylosis, lumbarcanal stenosis, spondylolisthesis, sensory deficits, malignancies and tuberculosis.
- Any traumatic conditions around the pelvis and lower limbs, any infectious, tumors conditions around the pelvis.
- Pregnancy, any lower limb abnormalities, any recently underwent abdominal and low back surgery.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Dry cupping with core stabilization exercises12 patients will receive dry cupping technique for 10 minutes followed by 10 repetitions of each core stabilization exercise in different positions. All the patients will receive this treatment once a week for 6 weeks. | Other | Dry cupping with core stabilization exercises |
| Core stabilization exercisesA total of 12 patients will perform 10 repetitions of each core stabilization exercise in different positions. All the patients will receive this treatment once a week for 6 weeks. | Other | Core stabilization exercises |
Primary outcome
NPRS for pain
Time frame: 6th week
The Numerical Pain Rating Scale (NPRS) is a subjective measure in which individuals rate their pain on an eleven-point numerical scale. The scale is composed of 0 (no pain at all) to 10 (worst imaginable pain).
Modified ODI for disability
Time frame: 6th week
It is a disease-specific disability measure and is used to find the level of disability with the help of questions asking about difficulty in performing activities of daily life in 10 different sections.
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Jun 2022.
- Background1. M Anbar ARA, Saleh AM, Ismail NM, El-Shazly U. CUPPING VERSUS KINESIOTAP ON MANAGEMENT OF PATIENTS WITH SACROILIAC JOINT DYSFUNCTION:"A RANDOMIZED CONTROLLED TRIAL". Delta University Scientific Journal. 2020;3(2):21-32.
- Background: PubMed 34817514Dogan N, Sahbaz T, Diracoglu D. Effects of mobilization treatment on sacroiliac joint dysfunction syndrome. Rev Assoc Med Bras (1992). 2021 Jul;67(7):1003-1009. doi: 10.1590/1806-9282.20210436.
- Background7. Al-Qudah M, Khalid A-J. Impact Of Cupping Massage and Modified Spinal Decompression Therapy With Core Stabilization Exercise In Lumbar Bulging Disc Management. Psychology and Education Journal. 2021;58(3):1978-86.
- Background: PubMed 31580695Nasb M, Qun X, Ruckmal Withanage C, Lingfeng X, Hong C. Dry Cupping, Ischemic Compression, or Their Combination for the Treatment of Trigger Points: A Pilot Randomized Trial. J Altern Complement Med. 2020 Jan;26(1):44-50. doi: 10.1089/acm.2019.0231. Epub 2019 Oct 3.
- Background: PubMed 33218554Wood S, Fryer G, Tan LLF, Cleary C. Dry cupping for musculoskeletal pain and range of motion: A systematic review and meta-analysis. J Bodyw Mov Ther. 2020 Oct;24(4):503-518. doi: 10.1016/j.jbmt.2020.06.024. Epub 2020 Jul 30.
- Background: PubMed 31631992Ozsoy G, Ilcin N, Ozsoy I, Gurpinar B, Buyukturan O, Buyukturan B, Kararti C, Sas S. The Effects Of Myofascial Release Technique Combined With Core Stabilization Exercise In Elderly With Non-Specific Low Back Pain: A Randomized Controlled, Single-Blind Study. Clin Interv Aging. 2019 Oct 9;14:1729-1740. doi: 10.2147/CIA.S223905. eCollection 2019.
- Background: PubMed 29609566Teut M, Ullmann A, Ortiz M, Rotter G, Binting S, Cree M, Lotz F, Roll S, Brinkhaus B. Pulsatile dry cupping in chronic low back pain - a randomized three-armed controlled clinical trial. BMC Complement Altern Med. 2018 Apr 2;18(1):115. doi: 10.1186/s12906-018-2187-8.
- Background: PubMed 30691749Kamali F, Zamanlou M, Ghanbari A, Alipour A, Bervis S. Comparison of manipulation and stabilization exercises in patients with sacroiliac joint dysfunction patients: A randomized clinical trial. J Bodyw Mov Ther. 2019 Jan;23(1):177-182. doi: 10.1016/j.jbmt.2018.01.014. Epub 2018 Jan 31.
- Background: PubMed 26962482Akbarzade M, Ghaemmaghami M, Yazdanpanahi Z, Zare N, Mohagheghzadeh A, Azizi A. Comparison of the Effect of Dry Cupping Therapy and Acupressure at BL23 Point on Intensity of Postpartum Perineal Pain Based on the Short Form of McGill Pain Questionnaire. J Reprod Infertil. 2016 Jan-Mar;17(1):39-46.
- Background: PubMed 27652199Polly DW, Swofford J, Whang PG, Frank CJ, Glaser JA, Limoni RP, Cher DJ, Wine KD, Sembrano JN; INSITE Study Group. Two-Year Outcomes from a Randomized Controlled Trial of Minimally Invasive Sacroiliac Joint Fusion vs. Non-Surgical Management for Sacroiliac Joint Dysfunction. Int J Spine Surg. 2016 Aug 23;10:28. doi: 10.14444/3028. eCollection 2016.
- Derived from this study: PubMed 39828829Noor Ul Ain; Bashir MS, Noor R, Ikram M, Iftikhar A, Najm R. Effects of core stabilisation exercises with and without dry cupping on pain and disability in patients with sacroiliac joint dysfunction. J Pak Med Assoc. 2025 Jan;75(1):61-65. doi: 10.47391/JPMA.8289.
- Individual participant dataSharing planned: No
Related trials for Sacroiliac Joint Dysfunction
Not yet recruiting
Effect of Retro Walking in Patients With Sacroiliac Joint Dysfunction
Sacroiliac Joint Dysfunction
RecruitingObservational study
Real World Evidence of SI-BONE's iFuse TORQ TNT Advancing Treatment of Pelvic Ring Fractures
Fracture; Pelvic, Insufficiency Fractures
Not yet recruiting
Comparison of High-Intensity and Conventional Physical Therapy in Musculoskeletal Disorders
Low Back Pain, Radicular Syndrome
Active, not recruitingObservational study
Post-Market Clinical Study on a Modular SI Joint Fusion System
Sacroiliitis, Sacroiliac Joint Dysfunction
Not yet recruitingObservational study
Does Injection Target Matter in Sacroiliac Joint Dysfunction?
Sacroiliac Joint Dysfunction, Multifidus
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Muhammad Salman Bashir, PhD principal investigator
Riphah International University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Dry cupping with core stabilization exercises and Core stabilization exercises in people with Sacroiliac Joint Dysfunction, run by Riphah International University at 1 site in Pakistan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 3 Jun 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Imran Amjad, PhD (03324390125, imran.amjad@riphah.edu.pk), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
NPRS for pain (time frame: 6th week). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05404984, which also lists 11 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Jun 2022; AzTrials last refreshed its copy on 6 Nov 2026.