Innominate movement patterns, rotation trends and range of motion in individuals with low back pain of sacroiliac joint origin

Can hip abduction and external rotation discriminate sacroiliac joint pain?

“…Furthermore, the technique of electromagnetic palpationdigitization technique of pelvic landmarks in the HABER test positions have been used to accurately and reliably measure the innominate movements, in healthy as well as symptomatic populations (Bussey et al, 2009a(Bussey et al, , 2009bAdhia et al, 2012;Bussey and Milosavljevic, 2013). More recently, significant differences in the innominate movement patterns have been observed between the individuals with LBP of SIJ origin (SIJ-positive) when compared to individuals with LBP of Non-SIJ origin (SIJ-negative), during the incremental HABER test positions (Adhia et al, 2015). While the palpationdigitization technique in HABER test positions is capable of discriminating objective clinical parameters (i.e., SIJ movement characteristics), the discriminative ability of the incremental HABER test positions to reproduce familiar pain in individuals with symptomatic SIJ is unknown.…”

Sacroiliac joint pain: Where are we now?

“…Even after many years of research concluding that there were no observable motion differences between healthy and SIJP groups (Cohen et al, 2013), there may be a return to 3D biomechanical motion analysis to further test this idea. Adhia et al (2016) found that while there were no differences in the net ROMs of individuals with SIJP, there were differences in the ROM trends. Digitized results revealed that individuals with SIJP have a non-linear polynomial trend of motion in the sagittal plane and greater overall motion in the transverse plane as compared with non-SIJP subjects, who only had linear trends in the sagittal plane (Adhia et al, 2016).…”

“…Adhia et al (2016) found that while there were no differences in the net ROMs of individuals with SIJP, there were differences in the ROM trends. Digitized results revealed that individuals with SIJP have a non-linear polynomial trend of motion in the sagittal plane and greater overall motion in the transverse plane as compared with non-SIJP subjects, who only had linear trends in the sagittal plane (Adhia et al, 2016). This may have been due to either ligament stiffness or differences in muscle activation in the SIJP group, such as the increase in the biceps femoris muscle activity that is associated with SIJP (Adhia et al, 2016).…”

“…Digitized results revealed that individuals with SIJP have a non-linear polynomial trend of motion in the sagittal plane and greater overall motion in the transverse plane as compared with non-SIJP subjects, who only had linear trends in the sagittal plane (Adhia et al, 2016). This may have been due to either ligament stiffness or differences in muscle activation in the SIJP group, such as the increase in the biceps femoris muscle activity that is associated with SIJP (Adhia et al, 2016). While this research is promising in providing a manner of visualizing the condition, its sensitivity and specificity when applied to the general population and inter-tester relatability among healthcare practitioners needs to be evaluated prior to its implementation.…”

“…The lack of specific characteristics may cause more broad conditions such as non-specific LBP to be assigned as the diagnosis. While 85% to 90% of LBP cases are non-specifically diagnosed, estimations suggest that between 10% and 30% of LBP cases are chiefly due to SIJP, meaning that the majority of SIJP cases are not properly diagnosed (Adhia, Milosavljevic, Tumilty, & Bussey, 2016;Eskander et al, 2015). As a result, the exact burden of SIJP on society is not known.…”