Kinetic Control Exercises to Reduce Pain and Improve Balance, Walking, and Stamina in Sacroiliac Joint Issues
Effects of Kinetic Control Training on Pain, Postural Stability, Gait and Endurance in Patients With Chronic Sacroiliac Joint Dysfunction
Lahore University of Biological and Applied Sciences
46 participants
Aug 17, 2025
INTERVENTIONAL
Conditions
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. 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.
Eligibility
Inclusion Criteria6
- 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)
Exclusion Criteria7
- 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
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Interventions
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 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
Locations(1)
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NCT07229287