Comparison of manipulation and stabilization exercises in patients with sacroiliac joint dysfunction patients: A randomized clinical trial

Kamali, Fahimeh; Zamanlou, Mehdi; Ghanbari, Ali; Alipour, Abbass; Bervis, Soha

doi:10.1016/j.jbmt.2018.01.014

Cited by 24 publications

(24 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The OMT was based on techniques of HVLA that are effective and safe for the treatment of various musculoskeletal disorders, 35 including those in runners. 36 The OMT consisted of the application of HVLA techniques and myofascial release wherein the osteopath located the joint to be manipulated, placing his hands in the region and the patient in supine, prone, and lateral positions on the stretcher in parameters adjusted for the techniques.…”

Section: Osteopathic Manipulative Treatmentmentioning

confidence: 99%

Osteopathic Manipulative Treatment Versus Exercise Program in Runners With Patellofemoral Pain Syndrome: A Randomized Controlled Trial

Zago¹,

Amatuzzi²,

Rondinel³

et al. 2021

Journal of Sport Rehabilitation

View full text Add to dashboard Cite

Context: The effects of an exercise program (EP) for the treatment of patellofemoral pain syndrome (PFPS) are well known. However, the effects of osteopathic manipulative treatment (OMT) are unclear. Objective: To evaluate the effects of OMT versus EP on knee pain, functionality, plantar pressure in middle foot (PPMF), posterior thigh flexibility (PTF), and range of motion of hip extension in runners with PFPS. Design: This is a randomized controlled trial. Setting: Human performance laboratory. Participants: A total of 82 runners with PFPS participated in this study. Interventions: The participants were randomized into 3 groups: OMT, EP, and control group. The OMT group received joint manipulation and myofascial release in the lumbar spine, hip, sacroiliac joint, knee, and ankle regions. The EP group performed specific exercises for lower limbs. The control group received no intervention. Main Outcome Measures: The main evaluations were pain through the visual analog scale, functionality through the Lysholm Knee Scoring Scale, dynamic knee valgus through the step-down test, PPMF through static baropodometry, PTF through the sit and reach test, and range of motion through fleximetry. The evaluations were performed before the interventions, after the 6 interventions, and at 30-day follow-up. Results: There was a significant pain decrease in the OMT and EP groups when compared with the control group. OMT group showed increased functionality, decreased PPMF, and increased PTF. The range of motion for hip extension increased only in the EP group. Conclusion: Both OMT and EP are effective in treating runners with PFPS.

show abstract

Section: Osteopathic Manipulative Treatmentmentioning

confidence: 99%

Osteopathic Manipulative Treatment Versus Exercise Program in Runners With Patellofemoral Pain Syndrome: A Randomized Controlled Trial

Zago¹,

Amatuzzi²,

Rondinel³

et al. 2021

Journal of Sport Rehabilitation

View full text Add to dashboard Cite

show abstract

“…In patients with sciatica, Visser and colleagues demonstrated better results in pain and functional outcomes with two sessions of manipulative therapy to the SIJ over a period of two weeks as compared to a six-week program focusing on stretching and lumbar and pelvic floor strengthening [ 13 ]. Exercises play an important role in long term benefit [ 14 ]; therefore, both treatment modalities were utilized in this rehabilitation program.…”

Section: Discussionmentioning

confidence: 99%

Evaluation and Management of Sacroiliac Dysfunction Utilizing an Evidence-Based Algorithmic Approach: A Case Study

Newman

McLean

Scozzafava

2020

Cureus

View full text Add to dashboard Cite

The sacroiliac joint (SIJ) is an important contributor to persistent and functionally limiting lower back pain. Despite extensive debate and research, there is no definitive treatment recommendation or high-level evidence to support a conservative care treatment approach, nor interventional or surgical management procedures for the alleviation of pain originating from the SIJ. Traditional physical therapy and conservative approaches to generalized lower back pain often fail in this patient subset prompting sub-specialty consultation to a pain management center. Diagnosis of the SIJ as the pain generator can be accomplished through physical exam maneuvers and comparative diagnostic blocks; however, upon diagnosis, management remains a challenge. After the diagnosis of SIJ dysfunction is made in our young and active patient population, we have seen significant success in the application of an interdisciplinary and evidence-based treatment algorithm similar to the presented case. To our knowledge, this treatment approach has not been previously described.

show abstract

“…The 2008 European Guidelines for the Diagnosis and Treatment of Pelvic Girdle Pain did not identify any randomized controlled trials (RCTs) on manipulation and joint mobilization for pelvic girdle pain . A recent RCT reported that both manipulation and stability exercises resulted in improvement in pain and disability in patients with subacute and chronic LBP, although no differences were observed between the groups . Another RCT found that manual therapy resulted in higher success rates than traditional physiotherapy in patients with sacroiliac joint–related leg pain .…”

Section: Treatment Approaches For Joint Stabilizationmentioning

confidence: 99%

“…5 A recent RCT reported that both manipulation and stability exercises resulted in improvement in pain and disability in patients with subacute and chronic LBP, although no differences were observed between the groups. 42 Another RCT found that manual therapy resulted in higher success rates than traditional physiotherapy in patients with sacroiliac joint-related leg pain. 43 An RCT on management of low back and pelvic pain during pregnancy found that a multimodal intervention consisting of manual therapy, stabilization exercises, and brief education was superior to standard obstetric care in terms of alleviating pain and disability.…”

Section: Manual Therapiesmentioning

confidence: 99%

Sacroiliac Joint Hypermobility Biomechanics and What it Means for Health Care Providers and Patients

Enix

Mayer

2019

PM&R

View full text Add to dashboard Cite

Sacroiliac joint dysfunction is complex with numerous etiologies. Proper stabilization of the sacroiliac joint allows for effective transfer of loads between the trunk and the lower extremities during static and dynamic activities, while maintaining a freely nutating motion. A loss of integrity of the stabilizing soft‐tissue structures inhibits the ability to transmit axial loads and creates uneven stresses on the joint and surrounding tissues. Hypermobility of the sacroiliac joint can be caused by ligamentous instability or secondary to adaptive biomechanical changes and increased stresses affecting the joints of the pelvis. This article examines the current evidence related to the loss of stability on sacroiliac joint pain and dysfunction. A review of exercise goals for the hypermobile joint is included.

show abstract

Comparison of manipulation and stabilization exercises in patients with sacroiliac joint dysfunction patients: A randomized clinical trial

Cited by 24 publications

References 42 publications

Osteopathic Manipulative Treatment Versus Exercise Program in Runners With Patellofemoral Pain Syndrome: A Randomized Controlled Trial

Osteopathic Manipulative Treatment Versus Exercise Program in Runners With Patellofemoral Pain Syndrome: A Randomized Controlled Trial

Evaluation and Management of Sacroiliac Dysfunction Utilizing an Evidence-Based Algorithmic Approach: A Case Study

Sacroiliac Joint Hypermobility Biomechanics and What it Means for Health Care Providers and Patients

Contact Info

Product

Resources

About