Sacroiliac Joint DysfunctionRCTNCT07229287
Kinetic Control Exercises to Reduce Pain and Improve Balance, Walking, and Stamina in Sacroiliac Joint Issues
A study testing Routine Physical therapy in people with Sacroiliac Joint Dysfunction, run by Lahore University of Biological and Applied Sciences at 1 site in Pakistan.
Trial summary
The goal of this clinical trial is to evaluate the effectiveness of the Kinetic control on pain, endurance, Gait and postural stability in patients suffering from chronic sacroiliac joint dysfunction. Read more about this study
- Who is it for?
- Ages 20 to 60 years
- Conditions the study is for
- Sacroiliac Joint Dysfunction
- What is being tested?
- Routine Physical therapy
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 46 participants
- Where
- 1 sitePakistan
- Study dates
- 17 Aug 2025to 28 Feb 2026
- 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 60 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Symptoms of sacroiliac joint dysfunction lasting more than 2 months
- Male and female participants aged 20-60 years
- Positive lumbopelvic motor control tests
- Pain intensity of ≥4 on a 0-10 Numeric pain rating scale (NPRS)
- Positive results in three or more of the following provocative tests: FABER test, Distraction test, Thigh Thrust test, Gaenslen test, or Sacral Thrust test
- Diagnosis consistent with International Association for the Study of Pain (IASP) criteria, indicating pain localized to the sacroiliac joint region (hips/groins or radiating to the lower extremity)
Who cannot join
- History of malignancy
- Neurological disease affecting the central nervous system (e.g., multiple sclerosis, dementia)
- Rheumatic disease (e.g., fibromyalgia, ankylosing spondylitis, rheumatoid arthritis)
- Disc herniation or lumbar radiculopathy due to systemic disease
- Spinal surgery within the last 12 months
- Pregnancy
- Signs or symptoms of lumbar nerve root pathology identified during neurological examination
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Effects of Kinetic Control Training on Pain, Postural Stability, Gait and Endurance in Patients With Chronic Sacroiliac Joint Dysfunction
The goal of this clinical trial is to evaluate the effectiveness of the Kinetic control on pain, endurance, Gait and postural stability in patients suffering from chronic sacroiliac joint dysfunction.
The main question it aims to answer is:
Read more
- Does kinetic control training work on pain in SIJ dysfunction?
- Does kinetic control therapy work on functional outcomes, including gait metrics, postural sway, and lumbar endurance?
The treatment arm will receive the Kinetic control training, and the comparison arm will undergo standard physical therapy care. Participants will be asked to perform movement control exercises based on the principle of kinetic control training core muscles and hip muscles after routine physical therapy. The participants in the control/comparison group will only receive routine physical therapy that includes a heating pad, TENS, joint mobilizations, and stretching and strengthening exercises.
Read the detailed description
The sacroiliac joint connects the lower part of the spine (sacrum) to the pelvic bones (ilium) and helps transfer body weight between the upper body and legs. It plays an important role in providing stability while allowing limited movement during walking or bending.
Sacroiliac joint dysfunction (SIJD) occurs when the joint becomes inflamed, stiff, or moves abnormally. This may cause pain in the lower back, buttocks, or thighs, sometimes spreading to the groin or legs. People with SIJD often experience difficulty standing for long periods, walking, or bending. The condition is commonly mistaken for lumbar spine or hip problems because of overlapping symptoms. Research shows that 15-30% of people with long-term lower back pain may actually have SIJ dysfunction, but many cases go undiagnosed due to the absence of a single definitive test.
Kinetic control is a movement-based physiotherapy method that focuses on retraining how muscles coordinate to stabilize and move joints. It aims to correct poor movement control, improve muscle endurance, and restore healthy patterns of motion, particularly in the core and hip muscles. By improving control and alignment, kinetic control training may reduce pain and enhance posture, walking ability, and overall function.
In this 8-week randomized controlled trial, participants with chronic SIJ dysfunction will be assigned to one of two groups. The intervention group will receive kinetic control-based exercises in addition to routine physiotherapy, while the control group will receive standard physiotherapy treatments such as heat therapy, TENS, joint mobilizations, stretching, and strengthening exercises.
Assessments will be conducted at the beginning, after 4 weeks, and after 8 weeks, measuring pain, balance, gait, and lumbar muscle endurance using validated tools. The study aims to determine whether kinetic control provides greater improvements in pain relief, postural control, walking performance, and endurance compared to routine care in individuals with chronic sacroiliac joint dysfunction.
- Conditions
- Sacroiliac Joint Dysfunction
- Being tested
- movement retraining/ kinetic control, Routine Physical therapy
- Keywords
- Low back pain, Sacroiliac joint dysfunction, Pelvic girdle pain
- Medical subject headings
- Low Back Pain, Pelvic Girdle Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
movement retraining/ kinetic controlOther
this intervention is for experimental group. Kinetic control is grounded in the principles of motor control training and movement retraining. In this study, this intervention primarily focuses on activating and strengthening two key muscle groups: the abdominals and obliques, along with the gluteal muscles.
Routine Physical therapyOther
Routine physical therapy intervention will be given to the patient which includes, hot pack for 15 mins and exercise therapy for 25 mins, involving floor sessions including sacroiliac joint self-mobilization, piriformis, gluteus medius, minimums, and maximus stretches, leg pressing inward/outward, knee-to-shoulder stretch, quadriceps and hamstring stretches, standard and one-leg elevated
| Study group | Role | What they receive |
|---|---|---|
| movement retraining with the concept of kinetic control | Experimental | The interventional group receives Kinetic control training, which target two muscle groups mainly abdominals and glutes along with usual treatment Receives: Other: movement retraining/ kinetic control; Other: Routine Physical therapy |
| Routine Physical Therapy Intervention for sacroilliac joint dysfunction | Active comparator | Routine physical therapy intervention includes, hot pack for 15 mins and exercise therapy for 25 mins, including sacroiliac joint self-mobilization, piriformis, gluteus medius, minimums, and maximus stretches, isometric hip exercises, knee-to-shoulder stretch, quadriceps and hamstring stretches, back-bridge. Receives: Other: Routine Physical therapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change from Baseline in Pain Intensity Measured by the Numeric Pain Rating Scale (NPRS) at 4 and 8 Weeks
Pain intensity will be assessed using the Numeric Pain Rating Scale (NPRS), where participants rate their pain on a scale ranging from 0 to 10 units (Unit of Measure: score on a 0-10 scale). A score of 0 represents no pain, while 10 indicates the worst imaginable pain. Pain severity will be categorized as mild (1-3), moderate (4-6), and severe (7-10) A decrease in NPRS score from baseline will indicate an improvement in pain intensity, whereas higher scores will reflect greater pain severity.
Measured: From enrollment to 4 weeks, then at the end of 8 weeks
Change from Baseline in Postural Stability Measured by the Single-Leg Stance Test at 4 and 8 Weeks
Postural stability will be evaluated using the Single-Leg Stance Test (SLST), which measures the participant's ability to maintain balance on one leg without support. The duration of balance maintenance will be recorded in seconds (unit of measure: seconds [s]). Each participant will perform three trials, and the mean value of the three measurements will be used for analysis to ensure accuracy and consistency. Higher mean values indicate better postural control and balance, whereas lower values reflect reduced stability or impaired balance performance.
Measured: From enrollment to 4 weeks, then at the end of 8 weeks
Change from Baseline in Lumbar Muscle Endurance Measured by Pressure Biofeedback Unit at 4 and 8 Weeks
Lumbar muscle endurance will be assessed using a Pressure Biofeedback Unit (PBU) to evaluate the ability of the deep core stabilizing muscles to maintain a target pressure during a sustained contraction. The duration (in seconds) that participants can maintain the target pressure of 40-60 mmhg without deviation will be recorded (unit of measure: seconds [s]). Each participant will perform three trials, and the mean value of the three measurements will be used for analysis to enhance reliability.
Higher mean endurance times will indicate better lumbar muscle endurance and motor control, while lower times will reflect fatigue or weakness of the stabilizing muscles.
Measured: From enrollment to 4 weeks, and then at the end of 8 weeks
Change from Baseline in Gait Parameters Measured by Kinovea Motion Analysis Software at 4 and 8 Weeks
Gait performance will be analyzed using Kinovea motion analysis software, which will capture and calculate spatiotemporal gait parameters. The parameters to be measured include step length (centimeters [cm]), stride length (centimeters [cm]), cadence (steps per minute [steps/min]), and walking speed (meters per second [m/s]) (Unit of Measure: cm, steps/min, m/s). Each participant will perform three walking trials at a self-selected comfortable speed, and the mean value of the three trials will be used for analysis to ensure measurement reliability.
Increases in step length, stride length, cadence, and walking speed will indicate improved gait performance and functional mobility, whereas decreases in these parameters will reflect reduced gait efficiency or impaired locomotor control.
Measured: From enrollment to 4 weeks, then at the end of 8 weeks
Secondary outcomes (1)
Change from Baseline in Functional Disability Measured by the Modified Oswestry Disability Index (MODI) at 4 and 8 Weeks.
Functional disability will be assessed using the Modified Oswestry Disability Index (MODI), a validated questionnaire designed to measure limitations in daily living activities caused by low back or sacroiliac joint pain. The MODI consists of 10 sections, each scored from 0 to 5, with the total score converted into a percentage representing the level of disability (Unit of Measure: percentage [%]). The overall score ranges from 0% to 100%, where 0% indicates no disability and 100% indicates maximum disability. Disability levels are categorized as minimal (0-20%), moderate (21-40%), severe (41-60%), crippled (61-80%), and bed-bound (81-100%).
A decrease in MODI percentage score will indicate improvement in functional ability and reduction in disability, while higher scores will reflect greater functional limitation.
Measured: From enrollment to 4 weeks, then at the end of 8 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Nov 2025
- Study start17 Aug 2025
- Primary completion20 Feb 2026
- Study completion28 Feb 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Sacroiliac Joint DysfunctionStudies of the same condition, open and under way.
- More trials run by Lahore University of Biological and Applied SciencesThe 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
- Double blind
- Who is masked
- Participant, Outcomes assessor
- Enrolment
- 46 participants (actual)
Sponsor and investigators
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Manum Tahir, Lahore University of Biological and Applied Sciences
- Investigators
- Manum Tahir, Study director, Lahore University of Biological and Applied Sciences
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07229287
- Sponsor's protocol ID
- UBAS/ERB/FORS/25/026
- Other IDs
- UBAS/ERB/FORS/25/026
- Acronym
- RCT
- Status last verified
- Apr 2026
- First submitted
- 1 Oct 2025
- Last updated
- 28 Apr 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 28 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Kinetic Control Training on Pain, Postural Stability, Gait and Endurance in Patients With Chronic Sacroiliac Joint Dysfunction
- ClinicalTrials.gov ID
- NCT07229287
- Acronym / sponsor ID
- RCT / UBAS/ERB/FORS/25/026
- Conditions
- Sacroiliac Joint Dysfunction
- Keywords
- Low back pain, Sacroiliac joint dysfunction, Pelvic girdle pain
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 46 participants (actual)
- Lead sponsor
- Lahore University of Biological and Applied SciencesUniversity, hospital or other
- Study start
- 17 Aug 2025 (actual)
- Primary completion
- 20 Feb 2026 (actual)
- Study completion
- 28 Feb 2026 (actual)
- First posted
- 14 Nov 2025 (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 goal of this clinical trial is to evaluate the effectiveness of the Kinetic control on pain, endurance, Gait and postural stability in patients suffering from chronic sacroiliac joint dysfunction.
The main question it aims to answer is:
- Does kinetic control training work on pain in SIJ dysfunction?
- Does kinetic control therapy work on functional outcomes, including gait metrics, postural sway, and lumbar endurance?
The treatment arm will receive the Kinetic control training, and the comparison arm will undergo standard physical therapy care. Participants will be asked to perform movement control exercises based on the principle of kinetic control training core muscles and hip muscles after routine physical therapy. The participants in the control/comparison group will only receive routine physical therapy that includes a heating pad, TENS, joint mobilizations, and stretching and strengthening exercises.
Detailed description
The sacroiliac joint connects the lower part of the spine (sacrum) to the pelvic bones (ilium) and helps transfer body weight between the upper body and legs. It plays an important role in providing stability while allowing limited movement during walking or bending.
Sacroiliac joint dysfunction (SIJD) occurs when the joint becomes inflamed, stiff, or moves abnormally. This may cause pain in the lower back, buttocks, or thighs, sometimes spreading to the groin or legs. People with SIJD often experience difficulty standing for long periods, walking, or bending. The condition is commonly mistaken for lumbar spine or hip problems because of overlapping symptoms. Research shows that 15-30% of people with long-term lower back pain may actually have SIJ dysfunction, but many cases go undiagnosed due to the absence of a single definitive test.
Kinetic control is a movement-based physiotherapy method that focuses on retraining how muscles coordinate to stabilize and move joints. It aims to correct poor movement control, improve muscle endurance, and restore healthy patterns of motion, particularly in the core and hip muscles. By improving control and alignment, kinetic control training may reduce pain and enhance posture, walking ability, and overall function.
In this 8-week randomized controlled trial, participants with chronic SIJ dysfunction will be assigned to one of two groups. The intervention group will receive kinetic control-based exercises in addition to routine physiotherapy, while the control group will receive standard physiotherapy treatments such as heat therapy, TENS, joint mobilizations, stretching, and strengthening exercises.
Assessments will be conducted at the beginning, after 4 weeks, and after 8 weeks, measuring pain, balance, gait, and lumbar muscle endurance using validated tools. The study aims to determine whether kinetic control provides greater improvements in pain relief, postural control, walking performance, and endurance compared to routine care in individuals with chronic sacroiliac joint dysfunction.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| movement retraining with the concept of kinetic control | Experimental | Other: movement retraining/ kinetic control, Other: Routine Physical therapyThe interventional group receives Kinetic control training, which target two muscle groups mainly abdominals and glutes along with usual treatment |
| Routine Physical Therapy Intervention for sacroilliac joint dysfunction | Active comparator | Other: Routine Physical therapyRoutine physical therapy intervention includes, hot pack for 15 mins and exercise therapy for 25 mins, including sacroiliac joint self-mobilization, piriformis, gluteus medius, minimums, and maximus stretches, isometric hip exercises, knee-to-shoulder stretch, quadriceps and hamstring stretches, back-bridge. |
Who may qualify
- Ages
- 20 to 60 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (6 listed)
- Symptoms of sacroiliac joint dysfunction lasting more than 2 months
- Male and female participants aged 20-60 years
- Positive lumbopelvic motor control tests
- Pain intensity of ≥4 on a 0-10 Numeric pain rating scale (NPRS)
- Positive results in three or more of the following provocative tests: FABER test, Distraction test, Thigh Thrust test, Gaenslen test, or Sacral Thrust test
Key exclusion criteria (7 listed)
- History of malignancy
- Neurological disease affecting the central nervous system (e.g., multiple sclerosis, dementia)
- Rheumatic disease (e.g., fibromyalgia, ankylosing spondylitis, rheumatoid arthritis)
- Disc herniation or lumbar radiculopathy due to systemic disease
- Spinal surgery within the last 12 months
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 |
|---|---|---|
| movement retraining/ kinetic controlthis intervention is for experimental group. Kinetic control is grounded in the principles of motor control training and movement retraining. In this study, this intervention primarily focuses on activating and strengthening two key muscle groups: the abdominals and obliques, along with the gluteal muscles. | Other | movement retraining with the concept of kinetic control |
| Routine Physical therapyRoutine physical therapy intervention will be given to the patient which includes, hot pack for 15 mins and exercise therapy for 25 mins, involving floor sessions including sacroiliac joint self-mobilization, piriformis, gluteus medius, minimums, and maximus stretches, leg pressing inward/outward, knee-to-shoulder stretch, quadriceps and hamstring stretches, standard and one-leg elevated | Other | Routine Physical Therapy Intervention for sacroilliac joint dysfunction, movement retraining with the concept of kinetic control |
Primary outcome
Change from Baseline in Pain Intensity Measured by the Numeric Pain Rating Scale (NPRS) at 4 and 8 Weeks
Time frame: From enrollment to 4 weeks, then at the end of 8 weeks
Pain intensity will be assessed using the Numeric Pain Rating Scale (NPRS), where participants rate their pain on a scale ranging from 0 to 10 units (Unit of Measure: score on a 0-10 scale). A score of 0 represents no pain, while 10 indicates the worst imaginable pain. Pain severity will be categorized as mild (1-3), moderate (4-6), and severe (7-10) A decrease in NPRS score from baseline will indicate an improvement in pain intensity, whereas higher scores will reflect greater pain severity.
Change from Baseline in Postural Stability Measured by the Single-Leg Stance Test at 4 and 8 Weeks
Time frame: From enrollment to 4 weeks, then at the end of 8 weeks
Postural stability will be evaluated using the Single-Leg Stance Test (SLST), which measures the participant's ability to maintain balance on one leg without support. The duration of balance maintenance will be recorded in seconds (unit of measure: seconds [s]). Each participant will perform three trials, and the mean value of the three measurements will be used for analysis to ensure accuracy and consistency. Higher mean values indicate better postural control and balance, whereas lower values reflect reduced stability or impaired balance performance.
Change from Baseline in Lumbar Muscle Endurance Measured by Pressure Biofeedback Unit at 4 and 8 Weeks
Time frame: From enrollment to 4 weeks, and then at the end of 8 weeks
Lumbar muscle endurance will be assessed using a Pressure Biofeedback Unit (PBU) to evaluate the ability of the deep core stabilizing muscles to maintain a target pressure during a sustained contraction. The duration (in seconds) that participants can maintain the target pressure of 40-60 mmhg without deviation will be recorded (unit of measure: seconds [s]). Each participant will perform three trials, and the mean value of the three measurements will be used for analysis to enhance reliability. Higher mean endurance times will indicate better lumbar muscle endurance and motor control, while lower times will reflect fatigue or weakness of the stabilizing muscles.
Change from Baseline in Gait Parameters Measured by Kinovea Motion Analysis Software at 4 and 8 Weeks
Time frame: From enrollment to 4 weeks, then at the end of 8 weeks
Gait performance will be analyzed using Kinovea motion analysis software, which will capture and calculate spatiotemporal gait parameters. The parameters to be measured include step length (centimeters [cm]), stride length (centimeters [cm]), cadence (steps per minute [steps/min]), and walking speed (meters per second [m/s]) (Unit of Measure: cm, steps/min, m/s). Each participant will perform three walking trials at a self-selected comfortable speed, and the mean value of the three trials will be used for analysis to ensure measurement reliability. Increases in step length, stride length, cadence, and walking speed will indicate improved gait performance and functional mobility, whereas decreases in these parameters will reflect reduced gait efficiency or impaired locomotor control.
1 secondary outcome
Change from Baseline in Functional Disability Measured by the Modified Oswestry Disability Index (MODI) at 4 and 8 Weeks.
Time frame: From enrollment to 4 weeks, then at the end of 8 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Apr 2026.
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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.
Manum Tahir study director
Lahore University of Biological and Applied Sciences
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Routine Physical therapy in people with Sacroiliac Joint Dysfunction, run by Lahore University of Biological and Applied Sciences 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 6 inclusion and 7 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: finished, as of the sponsor's last update on 28 Apr 2026. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change from Baseline in Pain Intensity Measured by the Numeric Pain Rating Scale (NPRS) at 4 and 8 Weeks (time frame: From enrollment to 4 weeks, then at the end of 8 weeks). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 28 Apr 2026.