{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T11:21:52Z","timestamp":1787656912116,"version":"build-2736575974"},"reference-count":27,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Res Protoc"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Sacroiliac joint (SIJ) dysfunction is associated with significant pain, disability, and altered postural control in adults. Manual therapies, including Mulligan mobilization, Maitland mobilization, high-velocity thrust (HVT), and muscle energy technique (MET), are routinely applied for the management of SIJ dysfunction. However, comparative evidence regarding their effects on pain, disability, and center-of-gravity (COG) displacement remains insufficient.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This study aims to compare the efficacy of Mulligan mobilization, Maitland mobilization, HVT, and MET in improving pain, functional disability, and COG displacement in individuals with SIJ dysfunction.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A randomized controlled, parallel-group trial will be conducted on participants diagnosed with unilateral SIJ dysfunction. Participants will be assigned in equal numbers to 4 groups, each receiving Mulligan mobilization, Maitland mobilization, HVT, or MET interventions administered 5 days per week for 3 weeks, in addition to a standardized exercise regimen. The primary outcomes will be pain (assessed using a visual analog scale [VAS]) and functional disability (assessed using the Modified Oswestry Disability Index [MODI]), and the secondary outcome will be COG displacement (measured by sway velocity, lift-up index on the left and right, COG alignment, movement time, and impact index).<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n We hypothesize that all interventions will lead to statistically significant reductions in pain and disability. Results will be analyzed after the completion of the study.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n 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.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/87715","type":"journal-article","created":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T11:20:06Z","timestamp":1772104806000},"page":"e87715-e87715","source":"Crossref","is-referenced-by-count":0,"title":["Efficacy of Mulligan Mobilization, Maitland Mobilization, High-Velocity Thrust, and Muscle Energy Technique for Pain, Disability, and Center-of-Gravity Displacement in Patients With Sacroiliac Joint Dysfunction: Protocol for a Randomized Controlled 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