Strain Counter-Strain vs Maitland Mobilization for Sacroiliac Joint Pain (NCT07645170) | Clinical Trial Compass
Active — Not RecruitingNot Applicable
Strain Counter-Strain vs Maitland Mobilization for Sacroiliac Joint Pain
Pakistan34 participantsStarted 2026-02-01
Plain-language summary
This randomized clinical trial compares two manual therapy techniques for treating sacroiliac joint dysfunction, a condition that causes lower back and buttock pain. The two techniques are strain counter-strain, an indirect positional release method, and Maitland mobilization grades II and III, a direct joint oscillation technique. Thirty-four participants aged 20 to 40 years with confirmed sacroiliac joint dysfunction will be randomly assigned to receive either strain counter-strain or Maitland mobilization three times per week for four weeks. Both groups will also receive a 10-minute moist hot pack before each treatment. Pain will be measured using the Numeric Pain Rating Scale and functional limitation using the Modified Oswestry Disability Index at baseline and after four weeks. The study aims to determine which technique is more effective for reducing pain and improving function in this patient population.
Who can participate
Age range
20 Years – 40 Years
Sex
ALL
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion Criteria:
* Age 20 to 40 years, including both males and females
* Pain at the level of the sacroiliac joint region below L5 and radiating to the buttocks or back of thigh
* Pain duration of 8 weeks or longer
* Baseline pain intensity of 3 or greater on the Numeric Pain Rating Scale
* Modified Oswestry Disability Index score of at least 30 percent
* At least 3 positive provocation tests out of 5: Gaenslen test, distraction test, compression test, thigh thrust test, and sacral thrust test
* Willing and able to provide written informed consent
Exclusion Criteria:
* Age below 19 years or above 40 years
* Recent lumbar or hip surgery within the past 6 months
* Lumbar or pelvic fracture
* Infectious conditions including bone tumors, nerve root irritation, and tuberculosis of the spine or hip
* Pre-diagnosed inflammatory joint diseases including rheumatoid arthritis and ankylosing spondylitis
* Any condition that contraindicates manual therapy
* Pregnancy (if applicable - you may want to add this, as SIJ pain is common in pregnancy but manual therapy protocols may differ)
* Unable or unwilling to provide informed consent
Questions worth asking your doctor
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
Questions for the trial coordinator
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
What they're measuring
1
Change in Pain Intensity
Timeframe: Baseline and after 4 weeks of treatment (week 4)