A Randomized Clinical Trial of Manual Versus Mechanical Force Manipulation in the Treatment of Sacroiliac Joint Syndrome

Lower limb involvement in spinal function and low back pain

“…there is no measurable movement. Further, our subjective experience is that manipulation, purported to mobilise the SIJ [22], really relaxes or alters the compliance of the soft tissues including the ligaments around the hip and SIJ. This experience is supported by interventional MRI studies of spinal mobilisations that do not realign the vertebrae but instead affect the surrounding soft tissues [13].…”

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

“…Several studies have reported various physiological or functional outcomes from SIJ manipulation such as reduction in muscle inhibition (Suter et al, 1999;Suter et al, 2000), electromyographic neuromuscular reflex response (Herzog et al, 1999;Colloca and Keller, 2001), decreased Hoffman reflex (Murphy et al, 1995), improved gait symmetry (Herzog et al, 1991), improved innominate bone tilt (Cibulka et al, 1988), and decreased pain and functional disability (Shearar et al, 2005). However, few clinical studies have evaluated the effectiveness of SIJ manipulation (Osterbauer et al, 1993).…”

Conservative Management for Patients with Sacroiliac Joint Dysfunction

“…There were no differences between groups. 66 Stuge et al published the results of an RCT done on 81 subjects with PGP post partum with a positive ASLR and a positive provocation test. They studied two groups: the control group (CG) received "general interventions" that included massage, relaxation, joint mobilization, manipulation, electrical stimulation, hot packs and strengthening exercises.…”