The effect of two manipulative therapy techniques and their outcome in patients with sacroiliac joint syndrome

Kamali, Fahimeh; Shokri, Esmaeil

doi:10.1016/j.jbmt.2011.02.002

Cited by 66 publications

(52 citation statements)

References 35 publications

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“…However, these studies have been performed using differing techniques and methodology [9], and a well-designed cohort study failed to show an association between spinal manipulation success and the presence of a host of SIJ provocation maneuvers [63]. One comparative study found the combination of high-velocity, low-amplitude SIJ and lumbar manipulation to be superior to SIJ manipulation alone [64]. SIJ bony asymmetries have been clinically shown in uncontrolled studies to resolve with manipulation [60,65]; however, a study by Tullberg et al [66] using roentgen stereophotogrammetric analysis while standing showed no change in SIJ bony positioning after manipulation, and an earlier study demonstrated no significant correlation between 'joint motion' and response to diagnostic blocks [42].…”

Section: Alternative Treatments Manual Medicinementioning

confidence: 99%

Sacroiliac joint pain: a comprehensive review of epidemiology, diagnosis and treatment

Cohen

Chen

Neufeld

2013

Expert Review of Neurotherapeutics

336

236

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Sacroiliac joint (SIJ) pain is an underappreciated source of mechanical low back pain, affecting between 15 and 30% of individuals with chronic, nonradicular pain. Predisposing factors for SIJ pain include true and apparent leg length discrepancy, older age, inflammatory arthritis, previous spine surgery, pregnancy and trauma. Compared with facet-mediated and discogenic low back pain, individuals with SIJ pain are more likely to report a specific inciting event, and experience unilateral pain below L5. Owing in part to its size and heterogeneity, the pain referral patterns of the SIJ are extremely variable. Although no single physical examination or historical feature can reliably identify a painful SIJ, studies suggest that a battery of three or more provocation tests can predict response to diagnostic blocks. Evidence supports both intra- and extra-articular causes for SIJ pain, with clinical studies demonstrating intermediate-term benefit for both intra- and extra-articular steroid injections. In those who fail to experience sustained relief from SIJ injections, radiofrequency denervation may provide significant relief lasting up to 1 year. This review covers all aspects of SIJ pain, with the treatment section being primarily focused on procedural interventions.

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Section: Alternative Treatments Manual Medicinementioning

confidence: 99%

Sacroiliac joint pain: a comprehensive review of epidemiology, diagnosis and treatment

Cohen

Chen

Neufeld

2013

Expert Review of Neurotherapeutics

336

236

View full text Add to dashboard Cite

show abstract

“…9,18,50 This technique was used to derive and validate a clinical prediction rule for the treatment of patients with low back pain. 51,52 Historically considered a manipulation to the sacroiliac joint, [53][54][55] positive effects have also been observed in multiple segments of the lumbar spine. 56 Preparation for the lumbopelvic regional manipulation begins with the patient lying supine and the practitioner passively positioning the trunk into lateral flexion followed by opposite direction rotation.…”

Section: Lumbopelvic Regional Manipulationmentioning

confidence: 99%

Strategies to overcome size and mechanical disadvantages in manual therapy

Hazle¹,

Lee²

2016

Journal of Manual & Manipulative Therapy

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The practice of manual therapy (MT) is often difficult when providing care for large patients and for practitioners small in stature or with other physical limitations. Many MT techniques can be modified using simple principles to require less exertion, permitting consistency with standards of practice even in the presence of physical challenges. Commonly used MT techniques are herein described and demonstrated with alternative preparatory and movement methods, which can also be adopted for use in other techniques. These alternative techniques and the procedures used to adapt them warrant discussion among practitioners and educators in order to implement care, consistent with the best treatment evidence for many common musculoskeletal (MSK) conditions. The inclusion in educational curricula and MT training programs is recommended to enrich skill development in physical therapists (PTs), spanning entry-level practitioners to those pursuing advanced manual skills.

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“…The sacrum moves in multiple axis at Sacroiliac and Lumbo-Sacral joints, it usually moves in relation with the Innominate and Lumbar bones [12]. MUSCLES RESPONSIBLE TO MAINTAIN THE SYMMETRY OF BONY SACRUM: (Fig.-11 & 12) The pathogenesis of SI joint dysfunction is poorly understood.…”

Section: Movements Of Sacrummentioning

confidence: 99%

Soccer Syndrome – 3: Common Sacral Malalignments and Its Manual Diagnostic Techniques

Elumalai¹

2016

AJSS

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Abstract:The present study was primarily focused to determine the common presentations and manual diagnostic procedures for sacral malalignments. Forty football players (n = 40), from National Football Club (NFC) were selected for the study. Subjects were constrained to males with no history of orthopedic or neurological issues, and also include the subjects only with normal muscle power and Range of movement (ROM) of the back and extremities. The mean age of the studied population was 22.2 ± 3.9 years, height 175.8 ± 6.6 cms, and weight 87.5 ± 7.1 kgs. The important bony landmarks like Sacral Sulci and Base, Infero-Lateral Angles (ILA) of sacrum, position of L5 vertebra and Sacrotuberous ligament were located manually. These landmarks were considered as an extremely basic and vital for the manual assessment of sacral malalignments. In this study, we observed, 50% i.e., majority of the soccer's were suffered with oblique axis malalignments, includes Right On Right -ROR and Left On Left -LOL of sacral dysfunctions. The players suffered with AP and Transverse axis of sacral malalignments were encountered up to 17.5% and soccer's who had the vertical axis malalignments was observed only in 7.5%. However, this method of assessing the sacral malalignments until then not documented. In this sense, the current study was mainly focused on the assessment and documentation of the different common presentations in sacral malalignments, which are most common in soccer players. This simple method of evaluation is the literature state of the art. The present study may provide the useful informations to analyze the common presentations of sacral malalignments in different sports.

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The effect of two manipulative therapy techniques and their outcome in patients with sacroiliac joint syndrome

Cited by 66 publications

References 35 publications

Sacroiliac joint pain: a comprehensive review of epidemiology, diagnosis and treatment

Sacroiliac joint pain: a comprehensive review of epidemiology, diagnosis and treatment

Strategies to overcome size and mechanical disadvantages in manual therapy

Soccer Syndrome – 3: Common Sacral Malalignments and Its Manual Diagnostic Techniques

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