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Pelvic Realignment and Functional Improvement Following Muscle Energy Technique in Mechanical Sacroiliac Joint Dysfunction: A Case Report


Authors : Dr. Madhurima Saha; Dr. Shrabasti Manna; Dr. Abhas Pratyush

Volume/Issue : ICVDRS 2026

Google Scholar : https://tinyurl.com/2vk2kbvt

Scribd : https://tinyurl.com/yv5bkypu

DOI : https://doi.org/10.38124/ijisrt/26jun1592

Abstract : Background: Sacroiliac joint dysfunction (SIJD) is a common cause of low back pain, often associated with pelvic asymmetry, altered biomechanics, and functional limitations. Muscle Energy Technique (MET) is a gentle manual therapy approach that utilizes active muscle contractions to restore joint alignment, reduce pain, and improve mobility.  Case Presentation: A 38-year-old female patient presented with unilateral low back pain radiating to the buttock region for three months, aggravated by prolonged standing and transitional movements. Clinical assessment revealed pelvic asymmetry, localized tenderness over the sacroiliac joint, and positive provocation tests suggestive of SIJD. The patient underwent a physiotherapy program for 14 days, with MET as the primary intervention. MET was applied to correct anterior pelvic rotation and address associated muscle tightness, along with conventional exercises and postural advice.  Outcomes: Pain intensity was assessed using the Visual Analogue Scale (VAS), functional disability using the Oswestry Disability Index (ODI), and pelvic alignment through clinical palpation tests. Post-intervention results showed a significant reduction in pain, improved functional ability, and correction of pelvic asymmetry.  Conclusion: This case study demonstrates that Muscle Energy Technique is an effective and safe physiotherapy intervention for managing sacroiliac joint dysfunction. When integrated with conventional rehabilitation, MET can contribute to meaningful pain relief and functional improvement.

Keywords : Sacroiliac Joint Dysfunction, Muscle Energy Technique, Physiotherapy, Low Back Pain, Pelvic Alignment.

Background: Sacroiliac joint dysfunction (SIJD) is a common cause of low back pain, often associated with pelvic asymmetry, altered biomechanics, and functional limitations. Muscle Energy Technique (MET) is a gentle manual therapy approach that utilizes active muscle contractions to restore joint alignment, reduce pain, and improve mobility.  Case Presentation: A 38-year-old female patient presented with unilateral low back pain radiating to the buttock region for three months, aggravated by prolonged standing and transitional movements. Clinical assessment revealed pelvic asymmetry, localized tenderness over the sacroiliac joint, and positive provocation tests suggestive of SIJD. The patient underwent a physiotherapy program for 14 days, with MET as the primary intervention. MET was applied to correct anterior pelvic rotation and address associated muscle tightness, along with conventional exercises and postural advice.  Outcomes: Pain intensity was assessed using the Visual Analogue Scale (VAS), functional disability using the Oswestry Disability Index (ODI), and pelvic alignment through clinical palpation tests. Post-intervention results showed a significant reduction in pain, improved functional ability, and correction of pelvic asymmetry.  Conclusion: This case study demonstrates that Muscle Energy Technique is an effective and safe physiotherapy intervention for managing sacroiliac joint dysfunction. When integrated with conventional rehabilitation, MET can contribute to meaningful pain relief and functional improvement.

Keywords : Sacroiliac Joint Dysfunction, Muscle Energy Technique, Physiotherapy, Low Back Pain, Pelvic Alignment.

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Paper Submission Last Date
31 - August - 2026

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