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Sacroiliac Joint DysfunctionNCT07600359

Comparative Effects of Autogenic Inhibition and Reciprocal Inhibition Technique on Pain, Functional Disability and Gait in Sacroiliac Joint Dysfuction.

A study testing Autogenic Inhibition and Reciprocal Inhibition in people with Sacroiliac Joint Dysfunction and Muscle Energy Techniques, run by Foundation University Islamabad at 1 site in Pakistan.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Sacro-iliac joint act as the shock absorber of the body. It is responsible for transferring vertical load of the whole body to lower limb hence contributing to stability of pelvic girdle. Read more about this study

Who is it for?
Ages 25 to 45 years
What is being tested?
Autogenic Inhibition and Reciprocal Inhibition
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
40 participants
Where
1 sitePakistan
Study dates
15 May 2026to 15 Jul 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 45 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Patients having low back pain greater than 4 weeks
  • Patients with positive gaenslen's test, thigh thurst test, standing flexion test, sacral compression and distraction test.
  • Patients not having any other condition that can affect gait
  • 25-45 years
  • Both males and females

Who cannot join

  • Patients having nonspecific low back
  • Patients with lumbosacral fusion
  • Patients with any neurological condition
  • Patients with history of trauma of spine
  • Patients with any other lumbar spine condition (lumbar radiculopathy, spinal stenosis, spondylolisthesis, inflammatory arthritis)
  • Patients with any hip joint pathology
  • Patients using any assistive device

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Fajar Sajjad, DPT contact

0331-5817637

fajarsajjad1999@gmail.com

Marwa Asim, MS-OMPT contact

03335339457

marwa@fui.edu.pk

Pakistan1 site, 1 recruiting
  • Foundation University College of Physical Therapy

    Islamabad, Punjab Province, 44000

    Fajar Sajjad, DPT, 0331-5817637, fajarsajjad1999@gmail.com

    Marwa Asim, MS-OMPT, 03335339457, marwa@fui.edu.pk

    Recruiting

Other trials in Pakistan

About this study

Sacro-iliac joint act as the shock absorber of the body. It is responsible for transferring vertical load of the whole body to lower limb hence contributing to stability of pelvic girdle. However, SI joint dysfunction is one of the most common causes of low back pain among the patients suffering from non-radicular low back pain. There can be a mechanical source which is due to muscle insufficiency or instability or a non-mechanical source which is osteoarthritis, infection or any trauma. It is thought to affect females more commonly with prevalence of about 46.71% in females and with the prevalence of about 15 to 30% in general. This poses great threat to bio mechanics of the body which can significantly lead to disability that can affect mobility, daily activities and quality of life of the individual. According to a study the pain caused by SIJD caused activity limitation and participation restriction of about 25% of the individuals. Hence making it difficult for them to continue their jobs. increased pain leads to worsening of the ability to perform ADLs which ultimately effects the quality of life. Altered biomechanics also leads to alteration in spatio temporal gait parameters.This study aims to compare the effects of autogenic inhibition technique and reciprocal inhibition technique in addition with conventional therapy in reliving low back pain, improving functional disability and alteration in spatio-temporal gait parameters in patients with sacroiliac joint dysfunction. Patients with SIJD will be recruited and will be randomly divided into two groups 20 in each group. Group 1 will receive autogenic inhibition technique of iliopsas, hamstrings, erector spinae and piriformis muscles along with standard core stabilization exercises and group 2 will receive reciprocal inhibition technique on iliopsas, hamstrings, erector spinae and piriformis muscles along with standard core stabilization exercises. The treatment will be continued for 3 weeks with 4 sessions of 25 minutes per week.

Read the detailed description

Participants will be divided into two groups and a total of 12 sessions will be given for 3 weeks with a frequency of 4 sessions per week and a duration of 25 minutes. Group 1 will be given autogenic inhibition technique of iliopsoas, Piriformis, hamstrings and erector spinae along with core stability exercises and conentional therapy. Group 2 will be given reciprocal inhibition techniques of iliopsoas, Piriformis, hamstrings and erector spinae along with conventional treatment and core stability exercises.

Group 1 Group 2 WEEK 1 4 SESSEIONS/ WEEK

  • TENS + hot pack ⇢10 mins
  • drawing in maneuver in quadruped position ⇢7 reps ⇢3 sec hold
  • Bridiging ⇢5 reps ⇢no hold
  • PIR of illiopsoas ⇢5 reps ⇢10 sec hold
  • PIR of PIRiformis ⇢5 reps ⇢10 sec hold
  • PIR of hamstrings ⇢5 reps ⇢10 sec hold
  • PIR of erector spinae ⇢5 reps ⇢10 sec hold • TENS + hot pack ⇢10 mins
  • drawing in maneuver in quadruped position ⇢7 reps ⇢3 sec hold
  • Bridiging ⇢5 reps ⇢no hold
  • RI-MET of illiopsoas ⇢5 reps ⇢10 sec hold
  • RI-MET of PIRiformis ⇢5 reps ⇢10 sec hold
  • RI-MET of hamstrings ⇢5 reps ⇢10 sec hold
  • RI-MET of erector spinae ⇢5 reps ⇢10 sec hold Group 1 Group 2 WEEK 2 4 SESSEIONS/ WEEK
  • TENS + hot pack ⇢10 mins
  • drawing in manuver in quadruped position ⇢7 reps ⇢6 sec hold
  • Bridiging ⇢5reps ⇢3 sec hold
  • Clam shell exercises ⇢6 reps
  • PIR of illiopsoas ⇢7 reps ⇢10 sec hold
  • PIR of PIRiformis ⇢7 reps ⇢10 sec hold
  • PIR of hamstrings ⇢ 7 reps ⇢10 sec hold
  • PIR of erector spinae ⇢7 reps ⇢10 sec hold • TENS + hot pack ⇢10 mins
  • drawing in manuver in quadruped position ⇢7 reps ⇢6 sec hold
  • Bridiging ⇢5reps ⇢3 sec hold
  • Clam shell exercises ⇢6 reps
  • RI-MET of illiopsoas ⇢7 reps ⇢10 sec hold
  • RI-MET of PIRiformis ⇢7 reps ⇢10 sec hold
  • RI-MET of hamstrings ⇢ 7 reps ⇢10 sec hold
  • RI-MET of erector spinae ⇢7 reps ⇢10 sec hold

Group 1 Group 2 WEEK 3 4 SESSEIONS/ WEEK

  • TENS + hot pack ⇢10 mins
  • drawing in manuver in quadruped position ⇢8 reps ⇢8 sec hold
  • Supine Bridiging ⇢10 reps ⇢ 6 sec hold
  • Clam shell exercises ⇢10 reps ⇢6 sec hold
  • PIR of illiopsoas ⇢10 reps ⇢10 sec hold
  • PIR of PIRiformis ⇢10 reps ⇢10 sec hold
  • PIR of hamstrings ⇢10 reps ⇢ 10 sec hold
  • PIR of erector spinae ⇢ 10 reps ⇢10 sec hold
  • TENS + hot pack ⇢10 mins
  • drawing in manuver in quadruped position ⇢8 reps ⇢8 sec hold
  • Supine Bridiging ⇢10 reps ⇢ 6 sec hold
  • Clam shell exercises ⇢10 reps ⇢6 sec hold
  • RI-MET of illiopsoas ⇢10 reps ⇢10 sec hold
  • RI-MET of PIRiformis ⇢10 reps ⇢10 sec hold
  • RI-MET of hamstrings ⇢10 reps ⇢ 10 sec hold
  • RI-MET of erector spinae ⇢ 10 reps ⇢10 sec hold
Being tested
Autogenic Inhibition, Reciprocal Inhibition

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Autogenic InhibitionProcedure or surgery

    During week 1, group 1 will receive TENS + hot pack ⇢10 mins Drawing in maneuver in quadruped position Bridiging PIR of illiopsoas,Piriformis, hamstrings,erector spinae During week 2, group 1 will receive TENS + hot pack ⇢10 mins Drawing in manuver in quadruped position Bridiging Clam shell exercises PIR of illiopsoas, PIRiformis, hamstrings, erector spinae During week 3, group 1 will receive TENS + hot pack ⇢10 mins Drawing in manuver in quadruped position Supine Bridiging, Clam shell exercises, PIR of illiopsoas PIR of Piriformis, hamstrings and erector spinae

  • Reciprocal InhibitionProcedure or surgery

    During week 1, group 2 will receive TENS + hot pack ⇢10 mins Drawing in maneuver in quadruped position ⇢7 reps ⇢3 sec hold Bridiging ⇢5 reps ⇢no hold RI-MET of illiopsoas, PIRiformis, hamstrings, erector spinae ⇢5 reps ⇢10 sec hold During week 2, group 2 will receive TENS + hot pack ⇢10 mins Drawing in manuver in quadruped position ⇢7 reps ⇢6 sec hold Bridiging ⇢5reps ⇢3 sec hold Clam shell exercises ⇢6 reps RI-MET of illiopsoas, PIRiformis, hamstrings, erector spinae ⇢7 reps ⇢10 sec hold During week 3, group 2 will receive TENS + hot pack ⇢10 mins drawing in manuver in quadruped position ⇢8 reps ⇢8 sec hold Supine Bridiging, Clam shell exercises ⇢10 reps ⇢6 sec hold RI-MET of illiopsoas, Piriformis, erector spinae ⇢10 reps ⇢10 sec hold

Study groups in NCT07600359
Study groupRoleWhat they receive
Autogenic Inhibition TechniqueExperimentalDuring week 1, group 1 will receive TENS + hot pack ⇢10 mins Drawing in maneuver in quadruped position ⇢7 reps ⇢3 sec hold Bridiging ⇢5 reps ⇢no hold PIR of illiopsoas ⇢5 reps ⇢10 sec hold PIR of PIRiformis ⇢5 reps ⇢10 sec hold PIR of hamstrings ⇢5 reps ⇢10 sec hold PIR of erector spinae ⇢5 reps ⇢10 sec hold During week 2, group 1 will receive TENS + hot pack ⇢10 mins Drawing in manuver in quadruped position ⇢7 reps ⇢6 sec hold Bridiging ⇢5reps ⇢3 sec hold Clam shell exercises ⇢6 reps PIR of illiopsoas ⇢7 reps ⇢10 sec hold PIR of PIRiformis ⇢7 reps ⇢10 sec hold PIR of hamstrings ⇢ 7 reps ⇢10 sec hold PIR of erector spinae ⇢7 reps ⇢10 sec hold During week 3, group 1 will receive TENS + hot pack ⇢10 mins Drawing in manuver in quadruped position ⇢8 reps ⇢8 sec hold Supine Bridiging ⇢10 reps ⇢ 6 sec hold Clam shell exercises ⇢10 reps ⇢6 sec hold PIR of illiopsoas ⇢10 reps ⇢10 sec hold PIR of PIRiformis ⇢10 reps ⇢10 sec hold PIR of hamstrings ⇢10 reps ⇢ 10 sec
Receives: Procedure: Autogenic Inhibition
Reciprocal Inhibition TechniqueExperimentalDuring week 1, group 2 will receive TENS + hot pack ⇢10 mins Drawing in maneuver in quadruped position ⇢7 reps ⇢3 sec hold Bridiging ⇢5 reps ⇢no hold RI-MET of illiopsoas ⇢5 reps ⇢10 sec hold RI-MET of PIRiformis ⇢5 reps ⇢10 sec hold RI-MET of hamstrings ⇢5 reps ⇢10 sec hold RI-MET of erector spinae ⇢5 reps ⇢10 sec hold During week 2, group 2 will receive TENS + hot pack ⇢10 mins Drawing in manuver in quadruped position ⇢7 reps ⇢6 sec hold Bridiging ⇢5reps ⇢3 sec hold Clam shell exercises ⇢6 reps RI-MET of illiopsoas ⇢7 reps ⇢10 sec hold RI-MET of PIRiformis ⇢7 reps ⇢10 sec hold RI-MET of hamstrings ⇢ 7 reps ⇢10 sec hold RI-MET of erector spinae ⇢7 reps ⇢10 sec hold During week 3, group 2 will receive TENS + hot pack ⇢10 mins drawing in manuver in quadruped position ⇢8 reps ⇢8 sec hold Supine Bridiging ⇢10 reps ⇢ 6 sec hold Clam shell exercises ⇢10 reps ⇢6 sec hold RI-MET of illiopsoas ⇢10 reps ⇢10 sec hold RI-MET of PIRiformis ⇢10 reps ⇢10 sec hold RI-MET o
Receives: Procedure: Reciprocal Inhibition

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Functional disability

    It will be measured by using Denver SI joint disability questionnaire which 10 questions questionnaire consisting of scoring range from 0-5 in each item answered. 0 means no disability and 5 means maximum disability. And total score is calculated in the form of percentage. Higher the percentage greater is the disability.

    Measured: before treatment after after 3 weeks

  2. Pain intensity

    Pain will be measured by NPRS. A line of 10 centimeters containing numbers from 0 to 10 marked. The starting point of the scale indicates 0 or no pain whereas the ending point marks the pain as 10 which means the pain is as worse as it could be.

    Measured: before treatment and after 3 weeks

  3. Gait Speed

    Gait speed will be measured by calculating the distance covered in meters divided by the time taken in seconds during walking assessment.

    Formula: Gait Speed (m/s) = Distance (m) × Time (s)

    Measured: Assessed at baseline (before intervention) and after 3 weeks of intervention.

  4. Cadance

    Cadence will be measured as the number of steps taken per minute during walking assessment.

    Formula: Cadence (steps/min) = Steps Counted × 60 / Time (s)

    Measured: Assessed at baseline (before intervention) and after 3 weeks of intervention.

  5. Cycle time

    Cycle time will be calculated as the time required to complete one gait cycle during walking assessment.

    Formula: Cycle Time (s) = Time (s) × 2 / Steps Counted

    Measured: Assessed at baseline (before intervention) and after 3 weeks of intervention.

  6. Stride Length

    Stride length will be determined by multiplying gait speed with cycle time during walking assessment.

    Formula: Stride Length (m) = Speed (m/s) × Cycle Time (s)

    Measured: Assessed at baseline (before intervention) and after 3 weeks of intervention.

  7. Step Length

    Step length will be calculated as half of the stride length obtained during gait assessment.

    Formula: Step Length (m) = Stride Length / 2

    Measured: Assessed at baseline (before intervention) and after 3 weeks of intervention.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted20 May 2026
  2. Study start15 May 2026 (estimated)
  3. Primary completion1 Jul 2026 (estimated)
  4. Study completion15 Jul 2026 (estimated)

Resources

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
Model description
Randomized Control trial
Masking
None (open label)
Enrolment
40 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07600359
Sponsor's protocol ID
FUI/FUCP/CTR/10.26/FajarSajad
Status last verified
May 2026
First submitted
14 May 2026
Last updated
20 May 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Autogenic Inhibition and Reciprocal Inhibition in people with Sacroiliac Joint Dysfunction and Muscle Energy Techniques, run by Foundation University Islamabad 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 5 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: looking for participants now, as of the sponsor's last update on 20 May 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 Fajar Sajjad, DPT (0331-5817637, fajarsajjad1999@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Functional disability (time frame: before treatment after after 3 weeks). The study lists 7 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 20 May 2026.

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