Comparison of Core Stability and Hip Strengthening Protocols in Sacroiliac Joint Dysfunction

The aim of this research is to compare the effects of core stability exercises and hip strengthening exercises on pain, posture, balance, proprioception, and functional status in patients with sacroiliac joint dysfunction. A randomized controlled trial will be conducted at Benazir Bhutto Hospital. The sample size will be 22 participants. The subjects will be divided into two groups, 11 subjects in the core stability exercise group and 11 subjects in the hip strengthening exercise group. The study duration will be 6 months. The sampling technique applied will be non-probability purposive sampling. Only 25-55 years individuals with unilateral sacroiliac joint dysfunction for more than 3 months and NPRS score ≥5 will be included. Tools used in the study are Numeric Pain Rating Scale (NPRS), Oswestry Disability Index (ODI), Pelvic Inclinometer, Flexicurve Ruler, Gait and Balance App, and Joint Repositioning Error test. Data will be analyzed through SPSS version 25.

Inclusion Criteria: * Patients aged 25-55 years diagnosed with unilateral sacroiliac joint dysfunction. * Patients having pain in the sacroiliac region for more than 3 months. * Numeric Pain Rating Scale (NPRS) score ≥ 5. * Patients with positive sacroiliac joint provocation tests (such as FABER test, compression test, distraction test, thigh thrust test, or sacral thrust test). * Individuals able to participate in exercise therapy and follow treatment instructions. Exclusion Criteria: * History of lumbar spine surgery or pelvic surgery. * Lumbar disc herniation or severe spinal pathology. * Inflammatory joint diseases such as rheumatoid arthritis or ankylosing spondylitis. * Neurological disorders affecting balance or proprioception. * Recent fracture or trauma of the spine or pelvis. * Pregnancy.