Currently accepted at: JMIR Research Protocols
Date Submitted: Nov 13, 2025
Date Accepted: Feb 26, 2026
This paper has been accepted and is currently in production.
It will appear shortly on 10.2196/87715
The final accepted version (not copyedited yet) is in this tab.
Efficacy of Mulligan Mobilisation, Maitland Mobilization, High Velocity Thrust, and Muscle Energy Technique on Disability, Pain and Displacement of Center of Gravity in Subjects with Sacroiliac Dysfunction –A Research Protocol
ABSTRACT
Background:
Sacroiliac joint (SIJ) dysfunction contributes to significant pain, disability, and altered postural control in adults. Manual therapies, including Mulligan Mobilisation, Maitland Mobilisation, High Velocity Thrust (HVT), and Muscle Energy Technique (MET), are routinely applied for SIJ management. Still, comparative evidence regarding effects on pain, disability, and centre of gravity (COG) remains insufficient.
Objective:
To compare the efficacy of Mulligan Mobilisation, Maitland Mobilisation, HVT, and MET in improving pain, functional disability, and COG displacement among individuals with SIJ dysfunction.
Methods:
A randomised, controlled, parallel-group trial will enrol 80 adults (20–45 years) diagnosed with unilateral SIJ dysfunction. Participants will be assigned to four equal groups receiving Mulligan, Maitland, HVT, or MET interventions alongside a standardized exercise regimen, administered five times a week for 3 weeks. Outcome measures include pain (Visual Analogue Scale), functional disability (Modified Oswestry Disability Index), and COG displacement.
Results:
It is anticipated that all interventions will lead to statistically significant reductions in pain and disability. The result will be drawn post completion of the study.
Conclusions:
This protocol is designed to provide robust comparative data on manual therapy approaches for SIJ dysfunction. Findings may guide physiotherapy practice by informing evidence-based recommendations for optimal management strategies. Clinical Trial: Trail was registered with Clinical Trail Registration of India CTRI/2025/08/093085
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Copyright
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