Abstract
ABSTRACT
Sixty-nine patients with sacroiliac joint dysfunction were prospectively evaluated and treated with a structured physical therapy program. Follow-up clinical outcome was obtained from a patient questionnaire administered by an independent reviewer a minimum of 2 years after treatment. Average patient age was 40 years, and 80% were women. Ninety-five percent rated their result as good or excellent, while 5% believed their outcome was fair or poor.
A structured physical therapy program can produce good long-term results in most patients; however, 5% continue to be symptomatic. This small subset may be candidates for more invasive evaluation.
- 1. Goklthwaite JE. Osgood RB. A consideration of the pelvis articulations from an anatomical, pathological, and clinical consideration. Boston Med Surg J. 1905: 152:593-634. > Google Scholar
- 2. Abel AL. Sacroiliac strain. Br Med J. 1939; 1:683-686. > Google Scholar
- 3. Bean RB, ed. Sir William Osier. Aphorisms From His Bedside Teachings and Writings. Springfield, IU: Charles C. Thomas Co; 1950. > Google Scholar
- 4. Mixter WJ. Barr JS. Rupture of the intervertebral disc with involvement of the vertebral column. N Engl J Med. 1934; 21 1:210. > Google Scholar
- 5. Brunner C. Kissling R. Jacob HA. The effects of morphology and histopathologic findings of the mobility of the sacroiliac joint. Spine. 1991; 16:1111-1117. > Google Scholar
- 6. Grieve EF. Mechanical dysfunction of the sacroiliac joint. Im J Rehab Med. 1983; 5:46-52. > Google Scholar
- 7. Vleeming A. Volkers AC. Snijders CJ, Stoeckart R. Relation between form and function in the sacroiliac joint, ?: biomechanical aspects. Spine. 1990:15:133-136. > Google Scholar
- 8. Wilder DG, Pope MH, Frymoyer JW. The functional topography of the sacroiliac joint. Spine. \980; 5:575-579. > Google Scholar
- 9. Bellamy N. Park W, Rooney PJ. What do we know about the sacroiliac joint? Semin Arthritis Rheum. 1983; 12:282-313. > Google Scholar
- 10. Sturesson B, SeI vik G, Uden A. Movements of the sacroiliac joints: a roentgen stereophotogrammetric analysis. Spine. 1989; 14:162-165. > Google Scholar
- 11. Vleeming A. Buyruk HM, Stoeckart R. Karamursel S. Snijders CJ. An integrated therapy for peripartum pelvic instability: a study of the biomechanical effects of pelvic belts. In: Vleeming A, Mooney V. Snijders C, el al, eds. The First Interdisciplinary World Congress on Low Back Pain and Its Relation to the Sacroiliac Joint. Rotterdam: ECO: 1992:541. > Google Scholar
- 12. Macnab I. Backache. Baltimore, Md: Williams & Wilkins; 1977. > Google Scholar
- 13. April! C. The role of anatomically specific injections into the sacroiliac joint. In: Vleeming A. Mooney V, Snijders C, et al. eds. Tìie First Interdisciplinary World Congress on Low Back Pain and Its Relation to the Sacroiliac Joint. Rotterdam: ECO; 1992:374. > Google Scholar
- 14. Fortín JD. Sacroiliac joint dysfunction: a new perspective. J Back Musculoskel Rehabil. 1993;3:31-43 > Google Scholar
- 15. DonTigny RL. Function and pathomechanics of me sacroiliac joint: a review. Phys Ther. 1985; 65:35-44. > Google Scholar
- 16. Mooney V. Understanding, examining for and treating sacroiliac pain. J Musculoskeletal Med. 1993; 37-49. > Google Scholar
- 17 . DonTigny RL. Anterior dysfunction of the sacroiliac joint as a major factor in the etiology of idiopathic low back pain syndrome. Phys Ther. 1990; 70:250-265. > Google Scholar
- 18. Tullberg T, Blomberg S1 Branth B, Johnsson R. Manipulation does not alter the position of the sacroiliac joint: a roentgen stereophotogrammetric analysis. Spine. 1998; 23: 1 124-1 129. > Google Scholar
- 19. Dreyfuss P, Michaelsen M. Pauza K. McLarty J, Bogduk N. The value of medical history and physical examination in diagnosing sacroiliac joint pain. Spate. 1996; 21:2594-2602. > Google Scholar
- 20. Broadhurst NA, Bond MJ. Pain provocation tests for the assessment of sacroiliac joint dysfunction. J Spinal Disord. 1998; 11:341-345. > Google Scholar