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Additional Effects of Mulligan Mobilization With Movement Along With Core Strengthening Exercises in Postpartum Females With Sacroiliac Joint Dysfunction

NCT07526038 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 48

Last updated 2026-05-20

No results posted yet for this study

Summary

This study aims to evaluate the combined effectiveness of Mulligan mobilization and core strengthening exercises in managing postpartum sacroiliac joint dysfunction (SIJD). Postpartum SIJD is a common condition resulting from biomechanical and hormonal changes during pregnancy, often leading to pelvic instability and pain. Mulligan mobilization, a manual therapy technique, aims to correct joint alignment and restore pain-free movement. For the SIJ, Mulligan MWM aims to correct subtle positional faults or movement restrictions that may cause pain and dysfunction-especially common postpartum due to ligamentous laxity, hormonal changes, and altered biomechanics.The core muscles provide stability to the pelvis and lumbar spine. When these muscles are weak or imbalanced, it can lead to increased strain on the SIJ, contributing to pain and dysfunction. Strengthening the core improves load transfer through the pelvis and enhances neuromuscular control, thereby reducing SIJ stress and symptoms. Core strengthening exercises enhances outcomes by targeting both mechanical alignment and muscular stability. Core strengthening exercises target muscles that support pelvic stability, including the transverse abdominis and pelvic floor. The study hypothesizes that integrating Mulligan mobilization with core strengthening may provide superior outcomes in pain reduction, joint function, and overall quality of life compared to core exercises alone.

Conditions

  • Sacro Iliac Joint Pain
  • Post Partum
  • Strength Training

Interventions

PROCEDURE

Mulligan Mobilization with Movement along with core strengthening exercises

Week 1 Pain relief \& gentle activation- SIJ belt-assisted MWM (supine/standing)- Therapist-applied posterior glide with pain-free hip flexion Week 2 Core re-engagement \& stability- Standing hip flexion with MWM (with belt)- Low step-up + MWM Week 3 Functional integration- Sit-to-stand + MWM- Lateral step-down with therapist-assisted MWM Week 4 Load, endurance \& return to function - Self-mobilization (belt or resistance band)- Light weighted lunges/step-ups (if cleared)

PROCEDURE

Core & Pelvic Floor Exercises

Week 1- Diaphragmatic breathing- Pelvic floor contraction + TA co-activation- Supine pelvic tilts- Week 2- Dead bug (with pelvic floor engagement)- Bridge with pelvic floor cue- Clamshells (side-lying, glute med targeting)- Modified side plank (knees down) Week 3- Bird-dog- Full bridge (add band if ready)- Side plank (full or modified)- Functional pelvic floor: squat with exhale/lift Week 4- Single-leg bridge- (core + pelvic floor engaged)- Wall sits or squats

Sponsors & Collaborators

  • Foundation University Islamabad

    lead OTHER

Principal Investigators

  • Rida Zainab, DPT · Foundation University Islamabad

Study Design

Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Model
PARALLEL

Eligibility

Min Age
20 Years
Max Age
40 Years
Sex
FEMALE
Healthy Volunteers
No

Timeline & Regulatory

Start
2026-05-20
Primary Completion
2026-07-01
Completion
2026-07-15

Countries

  • Pakistan

Study Locations

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT07526038 on ClinicalTrials.gov