Sacroiliac Joint DysfunctionNCT07440849
Effects of Core Stability and Pelvic Clock Exercises in Sacroiliac Joint Dysfunction
A study testing core stability exercises and pelvic clock exercises in people with Sacroiliac Joint Dysfunction, run by Riphah International University at 1 site in Pakistan.
Trial summary
The study will be a randomized control trial and will be conducted in DHQ and Sadiq Hospital in Sargodha District. This study will be completed in time duration of 10 months after the approval of synopsis. Read more about this study
- Who is it for?
- Ages 25 to 35 years, women onlyHealthy volunteers can take part
- Conditions the study is for
- Sacroiliac Joint Dysfunction
- What is being tested?
- core stability exercises and pelvic clock exercises
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 50 participants
- Where
- 1 sitePakistan
- Study dates
- 1 Dec 2024to Oct 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 25 to 35 years
- Women only
- Healthy volunteers accepted
- Adult
Who may be able to join
- Vaginal delivery
- Primiparous women
- Pain intensity greater than 6 on the Numerical Pain Rating Scale (NPRS)
- Positive responses to at least three physical provocation tests suggestive of sacroiliac joint dysfunction
Who cannot join
- Participants were excluded from the study if they had any of the following conditions:
- Previous history of trauma
- Musculoskeletal disorders (e.g., coccydynia, impingement syndrome)
- Postpartum depression
- Disc bulge or degeneration
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Pakistan1 site, 1 recruiting
- Recruiting
Al-Khidmat Hospital
Sargodha, Punjab Province, 6400
adeela arif, t-DPT, 03320845723, adeela.arif@riphah.edu.pk
ayesha arshad, MSPT(WH)
About this study
Official title: Combine Effects of Core Stability and Pelvic Clock Exercises on Pain, Disability and Quality of Life in Postpartum Females With Sacroiliac Joint Dysfunction
The study will be a randomized control trial and will be conducted in DHQ and Sadiq Hospital in Sargodha District. This study will be completed in time duration of 10 months after the approval of synopsis. Nonprobability convenience sampling technique will be used and 50 participants will be recruited in study after randomization. The subjects will be divided into two groups. Group A(Experimental) will receive core stability and pelvic clock exercises with baseline treatment while Group B(Control) will receive only core stability exercises after baseline treatment. The tools that will be used are Numeric Pain Rating Scale (NPRS), Oswestry Disability index (ODI) and WHOQOL-BREF. Treatment have duration of 8 weeks with 3 sessions per week and an hour per session is requires. After data collection, data will be analyzed by using SPSS version 26.
- Conditions
- Sacroiliac Joint Dysfunction
- Being tested
- core stability exercises, pelvic clock exercises
- Keywords
- Sacroiliac Joint Dysfunction, Core Stability Exercises,, Pelvic Clock Exercise,, Postpartum Pain,, Disability,, Quality of Life
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
core stability exercisesOther
Core stability exercises were performed in modified or low-impact forms suitable for the postpartum phase to ensure safety for participants with sacroiliac joint dysfunction.
Each exercise session included two sets of core stability exercises with ten repetitions per set, performed two to three times per week for a total duration of eight weeks.
pelvic clock exercisesOther
Pelvic clock exercises were performed in a hook-lying position to promote spinal alignment and minimize lumbar lordosis. These exercises were designed to improve pelvic awareness, control, and mobility.Pelvic clock exercises were performed for two to three minutes, three times per week, for a duration of eight weeks
| Study group | Role | What they receive |
|---|---|---|
| core stability exercises | Experimental | Core stability exercises were performed in modified or low-impact forms suitable for the postpartum phase to ensure safety for participants with sacroiliac joint dysfunction.
Each exercise session included two sets of core stability exercises with ten repetitions per set, performed two to three times per week for a total duration of eight weeks. Receives: Other: core stability exercises |
| pelvic clock exercises | Active comparator | Pelvic clock exercises were performed in a hook-lying position to promote spinal alignment and minimize lumbar lordosis. These exercises were designed to improve pelvic awareness, control, and mobility.Pelvic clock exercises were performed for two to three minutes, three times per week, for a duration of eight weeks Receives: Other: pelvic clock exercises |
What is being measured
The primary outcome is the main question the study is designed to answer.
Numeric Pain Rating Scale
The Numeric Pain Rating Scale (NPRS) is a segmented numeric version of the Visual Analog Scale (VAS), which asked respondents to choose a number ranging from 0-10 that represented their current pain intensity. The scale used a horizontal line with anchors describing the highest and lowest levels of pain intensity.
Measured: 8th week
Oswestry Disability Index
Another common tool utilized to examine the degree to which the participant was affected due to back pain is the Oswestry Disability Index.The ODI had 10 items, each exploring a particular dimension within the patient's life. Scoring was from 0 to 5. Higher scores reflected increasing levels of disability. Self-administering the inventory took approximately five minutes to answer the items.
Measured: 8th week
WHOQOL-BREF
The WHOQOL-BREF is a standardized scale developed by WHO to determine the perception of quality of life of an individual. It is a brief version of another scale known as WHOQOL-100 and has 26 questions related to four domains: Physical Health, Psychological Well-being, Social Relations, and Environment.
Measured: 8th week
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Feb 2026
- Study start1 Dec 2024
- Primary completionOct 2026 (estimated)
- Study completionOct 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (5)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
- None (open label)
- Enrolment
- 50 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Riphah International University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- adeela arif, t-DPT, Principal investigator, Riphah International University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07440849
- Sponsor's protocol ID
- REC/RCR&AHS/24/0537
- Status last verified
- Sep 2026
- First submitted
- 23 Feb 2026
- Last updated
- 24 Sep 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Kiapour A, Joukar A, Elgafy H, Erbulut DU, Agarwal AK, Goel VK. Biomechanics of the Sacroiliac Joint: Anatomy, Function, Biomechanics, Sexual Dimorphism, and Causes of Pain. Int J Spine Surg. 2020 Feb 10;14(Suppl 1):3-13. doi: 10.14444/6077. eCollection 2020 Feb.
PubMed 32123652Fiani 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.
PubMed 34786225Zaidi F, Ahmed I. Effectiveness of muscle energy technique as compared to Maitland mobilisation for the treatment of chronic sacroiliac joint dysfunction. J Pak Med Assoc. 2020 Oct;70(10):1693-1697. doi: 10.5455/JPMA.43722.
PubMed 33159735Javadov A, Ketenci A, Aksoy C. The Efficiency of Manual Therapy and Sacroiliac and Lumbar Exercises in Patients with Sacroiliac Joint Dysfunction Syndrome. Pain Physician. 2021 May;24(3):223-233.
PubMed 33988941Li C, Xiao Z, Chen L, Pan S. Efficacy and safety of extracorporeal shock wave on low back pain: A systematic review and meta-analysis. Medicine (Baltimore). 2022 Dec 30;101(52):e32053. doi: 10.1097/MD.0000000000032053.
PubMed 36595991
Study at a glance
From the registry record, last updated by the sponsor on 24 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Combine Effects of Core Stability and Pelvic Clock Exercises on Pain, Disability and Quality of Life in Postpartum Females With Sacroiliac Joint Dysfunction
- ClinicalTrials.gov ID
- NCT07440849
- Acronym / sponsor ID
- REC/RCR&AHS/24/0537
- Conditions
- Sacroiliac Joint Dysfunction
- Keywords
- Sacroiliac Joint Dysfunction, Core Stability Exercises,, Pelvic Clock Exercise,, Postpartum Pain,, Disability,, Quality of Life
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 50 participants (estimated)
- Lead sponsor
- Riphah International UniversityUniversity, hospital or other
- Study start
- 1 Dec 2024 (actual)
- Primary completion
- Oct 2026 (estimated)
- Study completion
- Oct 2026 (estimated)
- First posted
- 27 Feb 2026 (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 study will be a randomized control trial and will be conducted in DHQ and Sadiq Hospital in Sargodha District. This study will be completed in time duration of 10 months after the approval of synopsis. Nonprobability convenience sampling technique will be used and 50 participants will be recruited in study after randomization. The subjects will be divided into two groups. Group A(Experimental) will receive core stability and pelvic clock exercises with baseline treatment while Group B(Control) will receive only core stability exercises after baseline treatment. The tools that will be used are Numeric Pain Rating Scale (NPRS), Oswestry Disability index (ODI) and WHOQOL-BREF. Treatment have duration of 8 weeks with 3 sessions per week and an hour per session is requires. After data collection, data will be analyzed by using SPSS version 26.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| core stability exercises | Experimental | Other: core stability exercisesCore stability exercises were performed in modified or low-impact forms suitable for the postpartum phase to ensure safety for participants with sacroiliac joint dysfunction. Each exercise session included two sets of core stability exercises with ten repetitions per set, performed two to three times per week for a total duration of eight weeks. |
| pelvic clock exercises | Active comparator | Other: pelvic clock exercisesPelvic clock exercises were performed in a hook-lying position to promote spinal alignment and minimize lumbar lordosis. These exercises were designed to improve pelvic awareness, control, and mobility.Pelvic clock exercises were performed for two to three minutes, three times per week, for a duration of eight weeks |
Who may qualify
- Ages
- 25 to 35 years
- Sex
- Female only
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (4 listed)
- Vaginal delivery
- Primiparous women
- Pain intensity greater than 6 on the Numerical Pain Rating Scale (NPRS)
- Positive responses to at least three physical provocation tests suggestive of sacroiliac joint dysfunction
Key exclusion criteria (5 listed)
- Participants were excluded from the study if they had any of the following conditions:
- Previous history of trauma
- Musculoskeletal disorders (e.g., coccydynia, impingement syndrome)
- Postpartum depression
- Disc bulge or degeneration
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 |
|---|---|---|
| core stability exercisesCore stability exercises were performed in modified or low-impact forms suitable for the postpartum phase to ensure safety for participants with sacroiliac joint dysfunction. Each exercise session included two sets of core stability exercises with ten repetitions per set, performed two to three times per week for a total duration of eight weeks. | Other | core stability exercises |
| pelvic clock exercisesPelvic clock exercises were performed in a hook-lying position to promote spinal alignment and minimize lumbar lordosis. These exercises were designed to improve pelvic awareness, control, and mobility.Pelvic clock exercises were performed for two to three minutes, three times per week, for a duration of eight weeks | Other | pelvic clock exercises |
Primary outcome
Numeric Pain Rating Scale
Time frame: 8th week
The Numeric Pain Rating Scale (NPRS) is a segmented numeric version of the Visual Analog Scale (VAS), which asked respondents to choose a number ranging from 0-10 that represented their current pain intensity. The scale used a horizontal line with anchors describing the highest and lowest levels of pain intensity.
Oswestry Disability Index
Time frame: 8th week
Another common tool utilized to examine the degree to which the participant was affected due to back pain is the Oswestry Disability Index.The ODI had 10 items, each exploring a particular dimension within the patient's life. Scoring was from 0 to 5. Higher scores reflected increasing levels of disability. Self-administering the inventory took approximately five minutes to answer the items.
WHOQOL-BREF
Time frame: 8th week
The WHOQOL-BREF is a standardized scale developed by WHO to determine the perception of quality of life of an individual. It is a brief version of another scale known as WHOQOL-100 and has 26 questions related to four domains: Physical Health, Psychological Well-being, Social Relations, and Environment.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Sep 2026.
- Background: PubMed 32123652Kiapour A, Joukar A, Elgafy H, Erbulut DU, Agarwal AK, Goel VK. Biomechanics of the Sacroiliac Joint: Anatomy, Function, Biomechanics, Sexual Dimorphism, and Causes of Pain. Int J Spine Surg. 2020 Feb 10;14(Suppl 1):3-13. doi: 10.14444/6077. eCollection 2020 Feb.
- Background: PubMed 34786225Fiani 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.
- Background: PubMed 33159735Zaidi F, Ahmed I. Effectiveness of muscle energy technique as compared to Maitland mobilisation for the treatment of chronic sacroiliac joint dysfunction. J Pak Med Assoc. 2020 Oct;70(10):1693-1697. doi: 10.5455/JPMA.43722.
- Background: PubMed 33988941Javadov A, Ketenci A, Aksoy C. The Efficiency of Manual Therapy and Sacroiliac and Lumbar Exercises in Patients with Sacroiliac Joint Dysfunction Syndrome. Pain Physician. 2021 May;24(3):223-233.
- Background: PubMed 36595991Li C, Xiao Z, Chen L, Pan S. Efficacy and safety of extracorporeal shock wave on low back pain: A systematic review and meta-analysis. Medicine (Baltimore). 2022 Dec 30;101(52):e32053. doi: 10.1097/MD.0000000000032053.
- Individual participant dataSharing planned: No
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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.
adeela arif, t-DPT 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 core stability exercises and pelvic clock 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 4 inclusion and 5 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: looking for participants now, as of the sponsor's last update on 24 Sep 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact imran amjad (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?
Numeric Pain Rating Scale (time frame: 8th week). The study lists 3 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 NCT07440849, which also lists 5 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 24 Sep 2026.