Investigating the Effectiveness of Adding Muscle Energy Technique to Thrust Manipulation on Pain, Disability, and Function in Patients with Sacroiliac Joint Dysfunction
Investigating the Effectiveness of Adding Muscle Energy Technique to Thrust Manipulation on Pain, Disability, and Function in Patients with Sacroiliac Joint Dysfunction
Design
A controlled, parallel-group, single-blind, randomized clinical trial of 48 patients
Settings and conduct
6 treatment sessions are performed in Hazrat Abolfazl clinic. Assessor is blinded to the intervention and control groups.
Participants/Inclusion and exclusion criteria
Inclusion criteria: Age range 18-45 years
Having a unilateral disorder of AIR and PIR
The direction of the disorder side and the painful side are the same
Pain below the fifth lumbar vertebra (L5) and around the PSIS
Chronic pain that has lasted for at least 3 months
Minimum pain intensity based on VAS should be 30
The minimum degree of disability based on ODI should be 30%
Body mass index between 18-28 kg/m2
The positivity of 3 out of 5 iliac crest height tests, the level of PSISs, the level of ASISs, Standing Flexion Test and Gillet's Test, the positivity of Long Sitting Test and the positivity of 3 out of 5 tests Distraction Test, Compression Test, Thigh thrust test, sacral thrust test and Gaenslen's test
Exclusion criteria: Radiculopathy
Fractures of the spine and lower limbs
Lumbosacral surgery
Spinal deformity and scoliosis
Anatomical leg length difference with a difference of more than 1 cm
pregnancy
Rheumatoid arthritis and ankylosing spondylitis
Malignancies
Infection
Cardiovascular disease and pacemakers
The subject's unwillingness to cooperate in the beginning or continuation of the sessions
Intervention groups
Muscle Energy Technique with Thrust Manipulation and Thrust Manipulation
Main outcome variables
Pain
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20240728062565N2
Registration date:2026-02-05, 1404/11/16
Registration timing:registered_while_recruiting
Last update:2026-02-05, 1404/11/16
Update count:0
Registration date
2026-02-05, 1404/11/16
Registrant information
Name
Majid Rajabian
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 21 8881 0325
Email address
mrajabian@razi.tums.ac.ir
Recruitment status
recruiting
Funding source
Expected recruitment start date
2026-01-31, 1404/11/11
Expected recruitment end date
2026-07-02, 1405/04/11
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Investigating the Effectiveness of Adding Muscle Energy Technique to Thrust Manipulation on Pain, Disability, and Function in Patients with Sacroiliac Joint Dysfunction
Public title
Investigating the Effectiveness of Adding Muscle Energy Technique to Thrust Manipulation in Patients with Sacroiliac Joint Dysfunction
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Age range 18-45 years
Having a unilateral disorder of AIR and PIR
The direction of the disorder side and the painful side are the same
Pain below the fifth lumbar vertebra (L5) and around the PSIS
Chronic pain that has lasted for at least 3 months
Minimum pain intensity based on VAS should be 30
The minimum degree of disability based on ODI should be 30%
Body mass index between 18-28 kg/m2
The positivity of 3 out of 5 iliac crest height tests, the level of PSISs, the level of ASISs, Standing Flexion Test and Gillet's Test, the positivity of Long Sitting Test and the positivity of 3 out of 5 tests Distraction Test, Compression Test, Thigh thrust test, sacral thrust test and Gaenslen's test
Exclusion criteria:
Radiculopathy
Fractures of the spine and lower limbs
Lumbosacral surgery
Spinal deformity and scoliosis
Anatomical leg length difference with a difference of more than 1 cm
pregnancy
Rheumatoid arthritis and ankylosing spondylitis
Malignancies
Infection
Cardiovascular disease and pacemakers
The subject's unwillingness to cooperate in the beginning or continuation of the sessions
Age
From 18 years old to 45 years old
Gender
Both
Phase
N/A
Groups that have been masked
Outcome assessor
Sample size
Target sample size:
48
Randomization (investigator's opinion)
Randomized
Randomization description
Simple randomization and quadruple block creation with 1:1 ratio Randomization will be done using randomization.com For the purpose of allocation concealment, sealed and numbered envelopes will be used, which will be provided to the participant by the secretary
Blinding (investigator's opinion)
Single blinded
Blinding description
Assessor is blinded to type of intervention and group of patient
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Ethics committee of Baqiyatallah University of Medical Sciences
Street address
No. 31, osali Alley, Rezaei Ave., West Abouzar St
City
Tehran
Province
Tehran
Postal code
1363736766
Approval date
2026-01-18, 1404/10/28
Ethics committee reference number
IR.BMSU.REC.1404.172
Health conditions studied
1
Description of health condition studied
Sacroiliac Joint Dysfunction
ICD-10 code
S33.6
ICD-10 code description
Sprain of sacroiliac joint
Primary outcomes
1
Description
Pain: To measure the pain of patients, a 100 mm long ruler known as Visual Analogue Scale will be used, with the word "no pain" at one end and the word "maximum pain" at the other end. In this study, people who have pain of at least 30 will be included in the study.
Timepoint
Before the start of the intervention, after the 6th intervention session and one month after the last intervention session
Method of measurement
Visual Analogue Scale
Secondary outcomes
empty
Intervention groups
1
Description
Intervention group: Muscle Energy Technique with Thrust Manipulation
Category
Rehabilitation
2
Description
Control group: Thrust Manipulation
Category
Rehabilitation
Recruitment centers
1
Recruitment center
Name of recruitment center
Hazrat abolfazl clinic
Full name of responsible person
Vahid Sobhani
Street address
6/39 Ave., 30 Metri Nirou Havaei
City
Tehran
Province
Tehran
Postal code
1363736766
Phone
+98 21 7748 1101
Email
mrajabian19@gmail.com
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Bagheiat-allah University of Medical Sciences
Full name of responsible person
Reza Kachuei
Street address
Sheykh Bahayi Ave., Vanak
City
Tehran
Province
Tehran
Postal code
1363736766
Phone
+98 21 8755 4574
Email
Kachueiz@yahoo.com
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Bagheiat-allah University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic
Person responsible for general inquiries
Contact
Name of organization / entity
Bagheiat-allah University of Medical Sciences
Full name of responsible person
Vahid Sobhani
Position
Professor
Latest degree
Specialist
Other areas of specialty/work
Sport Medicine
Street address
Sheykh Bahayi Ave., Vanak
City
Tehran
Province
Tehran
Postal code
1363736766
Phone
+98 21 8248 2407
Email
Sobhani518@gmail.com
Person responsible for scientific inquiries
Contact
Name of organization / entity
Bagheiat-allah University of Medical Sciences
Full name of responsible person
Vahid Sobhani
Position
Professor
Latest degree
Specialist
Other areas of specialty/work
Sport Medicine
Street address
Sheykh Bahayi Ave., Vanak
City
Tehran
Province
Tehran
Postal code
1363736766
Phone
+98 21 8248 2407
Email
Sobhani518@gmail.com
Person responsible for updating data
Contact
Name of organization / entity
Bagheiat-allah University of Medical Sciences
Full name of responsible person
Majid Rajabian
Position
MSc
Latest degree
Master
Other areas of specialty/work
Physiotherapy
Street address
No. 31, Osali Alley, Rezaei Ave., West Abouzar St
City
Tehran
Province
Tehran
Postal code
1363736766
Phone
+98 21 8881 0325
Email
mrajabian19@gmail.com
Sharing plan
Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be a plan to make this available
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Undecided - It is not yet known if there will be a plan to make this available
Analytic Code
Undecided - It is not yet known if there will be a plan to make this available
Data Dictionary
Undecided - It is not yet known if there will be a plan to make this available