COMPARISON OF EFFECTIVENESS OF POSTERIOR SUPERIOR ILLIAC SPINE INOMMINATION CORRECTION WITH THERAPEUTIC EXERCISES IN LOW BACK PAIN

Abstract

Background: Low back pain (LBP) is a leading cause of disability and may be associated with sacroiliac joint dysfunction in some patients. Management commonly includes therapeutic exercise, physical modalities, and manual therapy techniques.

Objective: To compare the effects of posterior innominate correction and therapeutic exercises on pain and disability in patients with LBP.

Methods: A quasi-experimental study was conducted on 50 participants recruited through non-probability purposive sampling from Fatima Memorial Hospital, Lahore, and Specialist Care Hospital, Okara. Participants were allocated into two groups (n=25 each) by lottery method. Both groups received baseline treatment consisting of ultrasound, hot pack application, and gluteal-setting exercises. Group A additionally received pelvic innominate correction, whereas Group B performed therapeutic exercises including hamstring stretching, William’s flexion exercises, pelvic rotations, pelvic tilting, and hip abductor isometrics. Outcomes were assessed at baseline and during weeks 1, 2, and 3 using the Numeric Pain Rating Scale (NPRS), Oswestry Disability Index (ODI), and Roland–Morris Disability Questionnaire (RMDQ). Data were analyzed using SPSS version 17, with statistical significance set at p≤0.05.

Results: Both groups demonstrated reductions in pain and disability over the treatment period. No statistically significant between-group differences were observed in NPRS, ODI, or RMDQ scores (p≥0.05). Mean pain reduction was 1.52 in the innominate correction group and 1.64 in the therapeutic exercise group.

Conclusion: Both interventions were associated with improvement in pain and disability; however, no statistically significant difference was found between them.