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CompletedNCT06366971Updated Apr 16, 2024

The Effect of Pelvic Proprioceptive Neuromuscular Facilitation Techniques in Patients With Sacroiliac Joint Dysfunction

An interventional study of The Patient Education and The Pelvic Proprioceptive Neuromuscular Facilitation Techniques Training in Sacroiliac Joint Dysfunction, sponsored by Biruni University. Completed at 1 site in Turkey. Open to participants aged 18 Years to 40 Years. Per ClinicalTrials.gov, last updated 2024-04-16.

Sponsored by Biruni University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 4 months after the study started (first participant enrolled Dec 2023, registered Apr 2024).
Phase
Not applicable
Study type
Interventional
Enrollment
34
Allocation
Randomized
Ages
18 Years to 40 Years
Sex
All
01

Study summary

The sacroiliac joint dysfunction (SIJD) which has a widely heterogeneous etiology, may cause impairment of stability, mobility, posture and flexibility as well as pain due to adaptive or pathological biomechanical changes. In 2020, the number of patients with low back pain (LBP) worldwide was more than half a billion and is expected to exceed 800 million by 2050. Although SIJD has been shown to be related with LBP in more than 30% of patients with LBP, SIJD is still often overlooked as a cause of LBP. Once the diagnosis of SIJD is confirmed by physical examination, the first treatment option consists of the use of a nonsteroidal anti-inflammatory drug or physiotherapy approaches. The proprioceptive neuromuscular facilitation (PNF) is a neurophysiological model-based multifaceted exercise method which is widely used in rehabilitation practice. However, despite the major role of SIJD among the causes of LBP, there are limited studies investigating the efficacy of PNF in SIJD and its effectiveness remains unclear. Thus, the aim of this study was to investigate the effect of pelvic PNF techniques on pain, mobility, flexibility, lumbar range of motion, posture, and trunk muscle endurance in patients with SIJD.

02

Conditions studied

  • Sacroiliac Joint Dysfunction

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Keywords

  • flexibility
  • mobility
  • pain
  • proprioceptive neuromuscular facilitation
  • sacroiliac joint dysfunction
03

In context

Joint Diseases

712 studies on the registry are indexed under Joint Diseases; 127 are open to participants now.

This study's enrollment of 34 is below the median of 60 across 470 interventional studies indexed under Joint Diseases.

Browse Joint Diseases studies →

Lead sponsor

Biruni University is the lead sponsor of 172 studies on the registry; 43 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 40 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Having a diagnosis of SIJD
  • Being between the ages of 18 and 40
  • Volunteering to participate in the study

Exclusion criteria

Exclusion Criteria:

  • Having a history of any neurological, psychiatric and/or orthopedic disease
  • Being pregnant or having a suspicion of pregnancy
  • Having one or more of disc herniations, spondylosis, spondylolisthesis and/or similar lumbar pathologies that may cause low back pain
  • Having a history of previous spine/hip/lower extremity surgery
  • Having a history of active malignancy and/or infection
  • Having a history of any injection and/or surgical procedure for the sacroiliac joint within the last 3 months
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
34 participants (actual)

Study arms

  • Experimental
    Experimental Group

    The experimental group will receive exercise training consisting of pelvic PNF techniques in addition to patient education which consisting of basic lumbar stabilization exercises 3 days a week for 6-weeks.

    Other: The Patient Education · Other: The Pelvic Proprioceptive Neuromuscular Facilitation Techniques Training

  • Active comparator
    Control Group

    The control group will receive patient education consisting of basic lumbar stabilization exercises 3 days a week for 6-weeks.

    Other: The Patient Education

Interventions

  • OtherThe Patient Education

    The patient education will be given through a brochure and the content of the education included an exercise training consisting of simple exercises for lumbar stabilization (supine bridge, cat-camel, and lumbar stretching) and the participants will be asked to perform these exercises in 3 sets of 10 repetitions 3 days a week for 6-weeks.

  • OtherThe Pelvic Proprioceptive Neuromuscular Facilitation Techniques Training

    The content of the pelvic proprioceptive neuromuscular facilitation techniques training will include the application of the anterior depression pattern with the rhythmic initiation technique and the application of the posterior elevation pattern with the contract-relax stretch technique. All PNF techniques will be performed in 3 sets of 10 to 12 repetitions. The pelvic proprioceptive neuromuscular facilitation techniques training will be delivered face to face 3 days a week for 6 weeks by an experienced and trained physiotherapist.

06

What researchers measure

Primary outcomes

  1. The Level of Low Back Pain

    The intensity of low back pain will be rated subjectively on a 100-mm visual analog scale (VAS), where 0-mm indicated "no pain" and 100-mm indicated "worst possible pain"

    Time frame: 6 weeks

  2. Mobility

    The Modified Schober's test will be used to assess mobility of lower back.

    Time frame: 6 weeks

  3. Flexibility

    The sit-and-reach test will be used to assess flexibility of lower back.

    Time frame: 6 weeks

  4. Lumbar Range of Motion

    A long-arm universal goniometer will be used to measure the lumbar range of motion. Flexion, extension, right and left lateral flexion, and right and left rotation will be assess.

    Time frame: 6 weeks

  5. Posture

    The postural alignment will be assessed by using the New York Posture Rating Chart. Total score ranges between 13 and 65 points which higher scores indicate correct/normal postural alignment.

    Time frame: 6 weeks

  6. Trunk Muscle Endurance

    Trunk flexor and extensor muscle endurance will be assessed with the flexor endurance test and Biering-Sørensen test, respectively.

    Time frame: 6 weeks

07

Study locations

1 site
  • Istanbul Atlas University
    Istanbul, Kagıthane 34408, Turkey
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 16, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06366971
Lead sponsor
Biruni University
Responsible party
Hikmet Ucgun (Assistant Professor, Atlas University) — Principal investigator
First posted
Apr 16, 2024
Start date
Dec 1, 2023
Primary completion
Mar 31, 2024
Completion
Mar 31, 2024
Last update
Apr 16, 2024

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2024. You cannot join it, but the record below documents what was studied.

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