Abstract
Background: Manual therapy, exercise therapy, and the combination of these 2 are common
treatments for sacroiliac joint dysfunction syndrome. The effects of these treatments have been
discussed in several studies; the superiority of one over the other for patients with sacroiliac joint
dysfunction syndrome is still the subject of discussion.
Objective: This study aims to assess the effects of manual therapy for sacroiliac joints, sacroiliac
joints home-based exercises, and home-based lumbar exercises.
Study Design: A comparative, prospective, single-blind, randomized, controlled trial.
Setting: This trial was conducted at a single center at the Istanbul University, Istanbul Medical
Faculty, Department of Physical Medicine and Rehabilitation.
Methods: Within the scope of this study, 69 women diagnosed with sacroiliac joint dysfunction
syndrome through specific sacroiliac joints clinical diagnostic tests were randomized into 3 groups.
The first group was assigned manual therapy and a sacroiliac joints home-based exercise program
(n = 23), the second group was assigned sacroiliac joints manual therapy and a home-based
lumbar exercise program (n = 23), and the third group was assigned a home-based lumbar exercise
program (n = 23). All patients who participated in the study were evaluated at the beginning of the
study and on the twenty-eighth and ninetieth day.
Results: All 3 groups showed a significant decrease in the sacroiliac joints -related pain parameter,
which is checked with the visual analogue scale (P < 0.05) after the treatment. The Gillet test,
Vorlauf test, Posterior Shear test, Compression test, and irritation Point tests after the treatment
yielded a significant (P < 0.05) negative trend in all groups. Short Form-36 health survey for
screening form, Modified Oswestry Pain Questionnaire, and Douleur Neuropathique 4 questions
patient interview questionnaire for the assessment of neuropathic pain forms revealed a significant
(P < 0.05) improvement in patients’ complaints after the treatment in all 3 groups. Significant
improvement in patients with sacroiliac joint dysfunction syndrome in all 3 groups was identified
after the treatment.
Limitation: The absence of a healthy control group is one of the important limitations of the
study.
Conclusions: Manual therapy is effective in the long term in sacroiliac joint dysfunction syndrome.
Adding specific exercises for sacroiliac joints to the sacroiliac joints manipulation treatment further
increases this effectiveness.
Key words: Sacroiliac joint, sacroiliac joint dysfunction syndrome, manual therapy, sacroiliac joint
exercises, lumbar exercises
Publisher
American Society of Interventional Pain Physicians
Subject
Anesthesiology and Pain Medicine
Cited by
5 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献