Anterior Sacral Torsion DysfunctionNCT07905118
Comparative Effects of METs and Core Strengthening on Anterior Sacral Torsion Dysfunction
A study testing METs and Core strengthening in people with Anterior Sacral Torsion Dysfunction, run by University of Management and Technology Lahore at 1 site in Pakistan.
Trial summary
This study aims to compare the effects of Muscle Energy Technique (MET) and core strengthening exercises in patients with anterior sacral torsion dysfunction. It will evaluate changes in pain intensity, sacral tilt, and functional disability following the interventions. Read more about this study
- Who is it for?
- Ages 20 to 45 years
- Conditions the study is for
- Anterior Sacral Torsion Dysfunction
- What is being tested?
- METs and Core strengthening
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 48 participants
- Where
- 1 sitePakistan
- Study dates
- 22 Oct 2026to 31 Dec 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 20 to 45 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Low Back Pain or sacroiliac region pain. Age 20 to 45 years. Both males and females Numeric Pain Rating Scale (NPRS) scoring 3 to 6 at baseline. Pain from at least past three months At least 3/5 positive provocation test for SIJD, Compression Test, Thigh Thrust Test, Sacral Thrust Test, and Gaenslen's Test.
- A positive Seated Flexion Test, and a negative Standing Flexion were used for the diagnosis of sacroiliac Dysfunction.
Who cannot join
- Diagnosis of systemic metabolic (DM) and/or neurological disorder (MS, Parkinson or any inflammatory disease Pathological conditions or diagnosed with disk herniation, spinal stenosis, spondylolysthesis, and spondylitis other medical illnesses such as tumor, kidney disease, and visceral disease that can be related with low back pain excluded in this study.
- Participants who had undergone surgery for LBP. Pregnancy.
Trial locations and contacts
1 site in 1 country.
Pakistan1 site
University of Management & Technology
Lahore, Punjab Province, 54000
About this study
Official title: Comparative Effects of Muscle Energy Technique and Core Strengthening on Pain, Sacral Tilt and Disability in Patients With Anterior Sacral Torsion Dysfunction
This study aims to compare the effects of Muscle Energy Technique (MET) and core strengthening exercises in patients with anterior sacral torsion dysfunction. It will evaluate changes in pain intensity, sacral tilt, and functional disability following the interventions. Participants will be randomly allocated into two groups: Group A will receive MET targeting specific muscles, while Group B will perform core strengthening exercises to improve trunk stability and muscular control. The outcomes will be assessed using the Numeric Pain Rating Scale (NPRS) for pain, smartphone inclinometer for sacral tilt, and Modified Oswestry Disability Index (MODI) for disability. The findings may help determine which intervention is more effective in improving these outcomes in patients with anterior sacral torsion dysfunction.
- Conditions
- Anterior Sacral Torsion Dysfunction
- Being tested
- METs, Core strengthening
- Keywords
- Sacral Torsion, METs, SIJD, Core Strengthening, Stretching
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
METsOther
Participants will receive MET targeting the piriformis, iliopsoas, and quadratus lumborum muscles.The technique involves positioning the targeted muscle at its restrictive barrier, followed by a gentle isometric contraction against the therapist's resistance for approximately 10 seconds at 20% of maximal voluntary contraction. The muscle is then relaxed, and the therapist gently moves it further into the new range.
Core strengtheningOther
Participants will perform core strengthening exercises, including the abdominal drawing-in maneuver, Bridging, Pelvic Tilts alongside the common treatment protocol.
| Study group | Role | What they receive |
|---|---|---|
| METs | Experimental | Participants will receive MET targeting the piriformis, iliopsoas, and quadratus lumborum muscles.The technique involves positioning the targeted muscle at its restrictive barrier, followed by a gentle isometric contraction against the therapist's resistance for approximately 10 seconds at 20% of maximal voluntary contraction. The muscle is then relaxed, and the therapist gently moves it further into the new range. Receives: Other: METs |
| Core strengthening | Active comparator | Participants will perform core strengthening exercises, including the abdominal drawing-in maneuver, Bridging, Pelvic Tilts alongside the common treatment protocol. Receives: Other: Core strengthening |
What is being measured
The primary outcome is the main question the study is designed to answer.
Numeric Pain Rating Scale (NPRS)
Pain intensity was assessed using the 11-point NPRS, ranging from 0 (no pain) to 10 (worst pain imaginable). It demonstrates good responsiveness in patients with low back pain, with approximately 2 points considered a clinically important change.
Measured: Baseline and after 6 weeks
Sacral Tilt Measurement
Sacral tilt was measured in degrees using a IHandy Level inclinometer, following the landmark-based method of Koumantakis et al. (2016). Three readings were taken in relaxed standing, and their mean was recorded. The same blinded assessor performed measurements at baseline and post-intervention under standardized conditions. Excellent intrarater reliability was reported (ICC = 0.97)
Measured: Baseline and after 6 weeks
Modified Oswestry Disability Index (MODI)
Disability was assessed using the 10-item MODI. Each section is scored from 0 to 5, and the total score is expressed as a percentage. Higher scores indicate greater disability. English and Urdu versions were used according to participants' language preference; appropriate validation references should be cited for both versions.
Measured: Baseline and after 6 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Oct 2026
- Study start22 Oct 2026
- Primary completion31 Dec 2026 (estimated)
- Study completion31 Dec 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Anterior Sacral Torsion DysfunctionStudies of the same condition, open and under way.
- 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
- 48 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Management and Technology Lahore
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Rabia Majeed, University of Management and Technology Lahore
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07905118
- Sponsor's protocol ID
- RE-156-2026
- Status last verified
- Oct 2026
- First submitted
- 22 Oct 2026
- Last updated
- 29 Oct 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: The results data collected , de-identified individual participant data will be shared.
Study at a glance
From the registry record, last updated by the sponsor on 29 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparative Effects of Muscle Energy Technique and Core Strengthening on Pain, Sacral Tilt and Disability in Patients With Anterior Sacral Torsion Dysfunction
- ClinicalTrials.gov ID
- NCT07905118
- Acronym / sponsor ID
- RE-156-2026
- Conditions
- Anterior Sacral Torsion Dysfunction
- Keywords
- Sacral Torsion, METs, SIJD, Core Strengthening, Stretching
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 48 participants (actual)
- Lead sponsor
- University of Management and Technology LahoreUniversity, hospital or other
- Study start
- 22 Oct 2026 (actual)
- Primary completion
- 31 Dec 2026 (estimated)
- Study completion
- 31 Dec 2026 (estimated)
- First posted
- 29 Oct 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.
This study aims to compare the effects of Muscle Energy Technique (MET) and core strengthening exercises in patients with anterior sacral torsion dysfunction. It will evaluate changes in pain intensity, sacral tilt, and functional disability following the interventions. Participants will be randomly allocated into two groups: Group A will receive MET targeting specific muscles, while Group B will perform core strengthening exercises to improve trunk stability and muscular control. The outcomes will be assessed using the Numeric Pain Rating Scale (NPRS) for pain, smartphone inclinometer for sacral tilt, and Modified Oswestry Disability Index (MODI) for disability. The findings may help determine which intervention is more effective in improving these outcomes in patients with anterior sacral torsion dysfunction.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| METs | Experimental | Other: METsParticipants will receive MET targeting the piriformis, iliopsoas, and quadratus lumborum muscles.The technique involves positioning the targeted muscle at its restrictive barrier, followed by a gentle isometric contraction against the therapist's resistance for approximately 10 seconds at 20% of maximal voluntary contraction. The muscle is then relaxed, and the therapist gently moves it further into the new range. |
| Core strengthening | Active comparator | Other: Core strengtheningParticipants will perform core strengthening exercises, including the abdominal drawing-in maneuver, Bridging, Pelvic Tilts alongside the common treatment protocol. |
Who may qualify
- Ages
- 20 to 45 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (2 listed)
- Low Back Pain or sacroiliac region pain. Age 20 to 45 years. Both males and females Numeric Pain Rating Scale (NPRS) scoring 3 to 6 at baseline. Pain from at least past three months At least 3/5 positive provocation test for SIJD, Compression Test, Thigh Thrust Test, Sacral Thrust Test, and Gaenslen's Test.
- A positive Seated Flexion Test, and a negative Standing Flexion were used for the diagnosis of sacroiliac Dysfunction.
Key exclusion criteria (2 listed)
- Diagnosis of systemic metabolic (DM) and/or neurological disorder (MS, Parkinson or any inflammatory disease Pathological conditions or diagnosed with disk herniation, spinal stenosis, spondylolysthesis, and spondylitis other medical illnesses such as tumor, kidney disease, and visceral disease that can be related with low back pain excluded in this study.
- Participants who had undergone surgery for LBP. Pregnancy.
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 |
|---|---|---|
| METsParticipants will receive MET targeting the piriformis, iliopsoas, and quadratus lumborum muscles.The technique involves positioning the targeted muscle at its restrictive barrier, followed by a gentle isometric contraction against the therapist's resistance for approximately 10 seconds at 20% of maximal voluntary contraction. The muscle is then relaxed, and the therapist gently moves it further into the new range. | Other | METs |
| Core strengtheningParticipants will perform core strengthening exercises, including the abdominal drawing-in maneuver, Bridging, Pelvic Tilts alongside the common treatment protocol. | Other | Core strengthening |
Primary outcome
Numeric Pain Rating Scale (NPRS)
Time frame: Baseline and after 6 weeks
Pain intensity was assessed using the 11-point NPRS, ranging from 0 (no pain) to 10 (worst pain imaginable). It demonstrates good responsiveness in patients with low back pain, with approximately 2 points considered a clinically important change.
Sacral Tilt Measurement
Time frame: Baseline and after 6 weeks
Sacral tilt was measured in degrees using a IHandy Level inclinometer, following the landmark-based method of Koumantakis et al. (2016). Three readings were taken in relaxed standing, and their mean was recorded. The same blinded assessor performed measurements at baseline and post-intervention under standardized conditions. Excellent intrarater reliability was reported (ICC = 0.97)
Modified Oswestry Disability Index (MODI)
Time frame: Baseline and after 6 weeks
Disability was assessed using the 10-item MODI. Each section is scored from 0 to 5, and the total score is expressed as a percentage. Higher scores indicate greater disability. English and Urdu versions were used according to participants' language preference; appropriate validation references should be cited for both versions.
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 29 Oct 2026.
- Related InfoLink provided by the sponsor.
- Related InfoLink provided by the sponsor.
- Related InfoLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. The results data collected , de-identified individual participant data will be shared.
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.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing METs and Core strengthening in people with Anterior Sacral Torsion Dysfunction, run by University of Management and Technology Lahore 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 2 inclusion and 2 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: under way, not looking for participants, as of the sponsor's last update on 29 Oct 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?
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?
Numeric Pain Rating Scale (NPRS) (time frame: Baseline and after 6 weeks). 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?
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 29 Oct 2026.