{"id":3557,"date":"1993-01-01T18:07:11","date_gmt":"1993-01-02T01:07:11","guid":{"rendered":"https:\/\/www.activator.com\/?p=3557"},"modified":"2023-06-07T08:34:44","modified_gmt":"2023-06-07T15:34:44","slug":"treatment-and-biomechanical-assessment-of-patients-with-chronic-sacroiliac-joint-syndrome","status":"publish","type":"post","link":"https:\/\/activator.com\/treatment-and-biomechanical-assessment-of-patients-with-chronic-sacroiliac-joint-syndrome\/","title":{"rendered":"Treatment and biomechanical assessment of patients with chronic sacroiliac joint syndrome."},"content":{"rendered":"

Abstract<\/h3>\n
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OBJECTIVE:<\/h4>\n

To evaluate diagnostic and biomechanical correlates and treatment outcomes of manipulative\/adjustive care in patients highly selected for sacroiliac joint syndrome (SIJS).<\/p>\n

DESIGN:<\/h4>\n

Descriptive case series, 1 wk baseline, 1 yr follow-up.<\/p>\n

SETTING:<\/h4>\n

Private chiropractic practice.<\/p>\n

PATIENTS:<\/h4>\n

Ten out of 153 consecutive new patients (4 male and 6 female) with “primary,” chronic, uncomplicated SIJS were selected over an 11-mo period on the basis of painful SIJ and provocation tests.<\/p>\n

MAIN OUTCOME MEASURES:<\/h4>\n

Back pain (visual analogue scale), Oswestry disability index, lumbar provocation tests and biomechanical measures of gait and postural sway.<\/p>\n

INTERVENTION:<\/h4>\n

Six-wk regimen of mechanical force, manually assisted, short lever adjustments (MFMA) with an Activator instrument.<\/p>\n

RESULTS:<\/h4>\n

Pain decreased significantly from a mean baseline value of 25 to 12 (t = 2.28; p < .05). Likewise, the average disability scores diminished from 28 to 13% (t = 2.3; p < .05), and a reduction in the number of positive provocation tests was noted (Fisher Exact Probability range Z = 0.025-0.045). Gait and sway parameters were indistinguishable from normals, before or after treatment. Response to the 1-yr follow-up questionnaire (6\/10) revealed stability of symptoms at a low level.<\/p>\n

CONCLUSIONS:<\/h4>\n

While the majority of subjects recorded some degree of positive outcome, we conclude that: a) discrete SIJS remains difficult to diagnose, but may be possible by judicious choice of screening tests; b) MFMA may benefit some patients with chronic SIJ pain; and c) gait and sway measurement yielded no correlation with clinical conditions.<\/p>\n

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J Manipulative Physiol Ther.<\/a> 1993 Feb;16(2):82-90. [PMID:8445358<\/a>]<\/p>\n

Author information:\u00a0Osterbauer PJ, De Boer KF, Widmaier R, Petermann E, Fuhr AW.\u00a0National Institute of Chiropractic Research, Phoenix, AZ 85018.<\/p>\n

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