[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100625635":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":29,"centralContacts":41,"locations":47,"responsibleParty":61,"collaborators":24,"id":63,"slug":64,"hasResults":65,"nctId":66,"briefTitle":67,"officialTitle":68,"acronym":69,"eligibilityCriteria":70,"healthyVolunteers":65,"sex":71,"minAge":72,"maxAge":73,"enrollmentInfo":74,"targetDuration":24,"studyType":77,"phases":78,"briefSummary":80,"conditions":81,"keywords":83,"overallStatus":88,"whyStopped":24,"lastUpdateSubmitDate":89,"lastUpdatePostDateStruct":90,"startDateStruct":93,"completionDateStruct":95,"leadSponsor":97,"locationsCount":98},{"fullName":5,"class":6},"Lahore University of Biological and Applied Sciences","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Dynamic Neuromuscular Stabilization","EXPERIMENTAL","The intervention focuses on restoring motor control through developmental movement patterns, emphasizing coordinated activation of the diaphragm, pelvic floor, deep trunk, and spinal stabilizers. Exercises progress from supported positions, such as supine or quadruped, to more functional postures like sitting, standing, and weight-shifting tasks. Verbal and tactile feedback is provided throughout to ensure correct breathing, intra-abdominal pressure, and postural alignment, aiming to improve lumbopelvic stability, neuromuscular coordination, and reduce sacroiliac joint pain.",[13],"Other: Dynamic Neuromuscular Stabilization",{"label":15,"type":16,"description":17,"interventionNames":18},"Core stability Exercise","ACTIVE_COMPARATOR","The intervention targets activation and strengthening of deep trunk muscles, mainly the transversus abdominis and lumbar multifidus, to enhance segmental spinal stability. Exercises begin with low-load, isolated contractions of these muscles in supine or prone positions and progress to include limb movements, balance challenges, and functional tasks. Biofeedback and therapist guidance are used to ensure proper recruitment, postural control, and trunk endurance, aiming to reduce pain and improve lumbopelvic stability without integrating developmental movement patterns or specialized breathing techniques.",[19],"Other: Core stabilization Exercise Program",[21,25],{"type":6,"name":9,"description":22,"armGroupLabels":23,"otherNames":24},"Dynamic Neuromuscular Stabilization (DNS) is a motor control-based rehabilitation approach using human developmental movement patterns to restore optimal motor programs and improve lumbopelvic stability. In this study, participants receive supervised DNS sessions three times per week for four weeks, 45 minutes per session, including conventional physiotherapy followed by DNS exercises. Exercises progress from supine diaphragmatic breathing, abdominal bracing, quadruped rocking, and side-lying reaches to half-kneel, standing weight shifts, step-ups, split-squats and get-ups. Emphasis is on coordinated activation of diaphragm, pelvic floor, deep trunk, and spinal stabilizers, intra-abdominal pressure regulation, postural alignment, and sensorimotor control, with continuous verbal and tactile feedback. Unlike conventional core programs, DNS targets motor control, functional integration, and neuromuscular coordination rather than only strength or endurance.",[9],null,{"type":6,"name":26,"description":27,"armGroupLabels":28,"otherNames":24},"Core stabilization Exercise Program","Core Stability Exercises (CSE) focus on improving segmental spinal and lumbopelvic stability by targeting the transversus abdominis (TrA) and lumbar multifidus (LM). In this study, participants receive supervised CSE sessions three times per week for four weeks, 45 minutes per session, beginning with low-load activation in supine, prone, and seated positions using abdominal drawing-in maneuver (ADIM), LM activation with contralateral arm raise, and TrA-LM co-contraction with bridging. Progression includes endurance training with controlled extremity movements, quadruped bird-dog, bridge marching, mini-squats, step-ups, wall push-ups, and self-palpation for awareness. Exercises emphasize isolated muscle activation, segmental control, and functional strength, guided by therapist supervision and biofeedback",[15],[30,33,37,39],{"name":31,"affiliation":5,"role":32},"Dr. Muhammad Zohaib","STUDY_CHAIR",{"name":34,"affiliation":35,"role":36},"Saffa Shahid, DPT","Lahore College of Physical therapy","PRINCIPAL_INVESTIGATOR",{"name":38,"affiliation":35,"role":36},"Seher Mushtaq, DPT",{"name":40,"affiliation":35,"role":36},"Syed Muhammad Moiz, DPT",[42],{"name":43,"role":44,"phone":45,"phoneExt":24,"email":46},"Dr. Muhammad Zohaib, DPT","CONTACT","03204417377","muhammad.zohaib@ubas.edu.pk",[48],{"facility":49,"status":24,"city":50,"state":51,"zip":52,"country":53,"countryCode":54,"cosmosGeoPoint":55,"geoPoint":60,"contacts":24},"Ghurki Trust Teaching Hospital","Lahore","Punjab Province","54000","Pakistan","PK",{"type":56,"coordinates":57},"Point",[58,59],74.35071,31.558,{"lat":59,"lon":58},{"type":36,"investigatorFullName":31,"investigatorTitle":62,"investigatorAffiliation":5,"oldNameTitle":24,"oldOrganization":24},"Demonstrator","100625635","comparative-effects-of-two-rehabilitation-approaches-on-lumbopelvic-function-in-sacroiliac-joint-dysfunction-100625635",false,"NCT07425197","Comparative Effects of Two Rehabilitation Approaches on Lumbopelvic Function in Sacroiliac Joint Dysfunction","Effects of Dynamic Neuromuscular Stabilization Verses Core Stability Exercises on Pain and Lumbopelvic Stability Among Patients With Sacroiliac Joint Dysfunction","DNS CSE SIJD","Inclusion criteria\n\n1. Age between 30 and 45 years\n2. Confirmed diagnosis by at least three positive provocation tests\n\n   * FABER\n   * Gaenslen's, Thigh Thrust\n   * Compression\n   * Distraction\n3. Pain lasting three months or longer\n4. NPRS score between 4 and 7\n\nExclusion criteria:\n\n1. Other spinal conditions such as, spinal stenosis or tumors\n2. Prior history of spinal or pelvic surgery\n3. Patients with neurological disorders or systemic diseases such as rheumatoid arthritis\n4. Pregnant women\n5. Patients with cardiopulmonary conditions","ALL","30 Years","45 Years",{"count":75,"type":76},40,"ESTIMATED","INTERVENTIONAL",[79],"NA","This research compares two rehabilitation strategies for people with sacroiliac joint dysfunction (SIJD): Dynamic Neuromuscular Stabilization (DNS) and Core Stability Exercises (CSE). SIJD is presented as a biomechanical source of low-back, buttock and leg pain caused by altered joint mechanics, muscle control problems, or asymmetric pelvic alignment; diagnosis relies on clinical provocation tests and exclusion of other causes. The study aims to determine which of the two exercise-based approaches better reduces pain and improves lumbopelvic control. The trial is a single-blinded, parallel randomized controlled trial conducted in an outpatient physiotherapy setting with supervised sessions over four weeks. Adults aged 20-50 with at least three positive SIJ provocation tests and moderate, chronic pain were included; important exclusions were prior spinal\u002Fpelvic surgery, systemic inflammatory disease, pregnancy, cardiopulmonary limitation or poor session attendance. Each participant received a baseline conventional physiotherapy package; one arm received a DNS program (breathing-based and developmental movement patterns) and the other performed progressive core-stability training emphasizing transversus abdominis and multifidus activation. Primary outcomes are pain (Numeric Pain Rating Scale) and lumbopelvic stability measured with a pressure biofeedback unit (PBU). Data were collected at baseline and after four weeks; the analysis plan uses SPSS with paired and independent t-tests, ANCOVA to adjust for baseline differences, and effect sizes\u002Fconfidence intervals to interpret clinical relevance. Safety, informed consent, assessor blinding and standard ethical safeguards are described. The synopsis notes a gap in direct RCT evidence comparing DNS and CSE for SIJD and positions this trial to address that gap with clinical and mechanistic outcomes.",[82],"Sacroiliac Joint Dysfunction",[84,85,86,87],"SIJD","DNS","Core stability","lumbopelvic stability","NOT_YET_RECRUITING","2026-03-16",{"date":91,"type":92},"2026-03-19","ACTUAL",{"date":94,"type":76},"2026-03-18",{"date":96,"type":76},"2026-09-27",{"name":5,"class":6},1]